<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20210505051197N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-07-18</date_registration>
      <primary_sponsor>Rasht University of Medical Sciences</primary_sponsor>
      <public_title>Melatonin and Covid-19</public_title>
      <acronym></acronym>
      <scientific_title>Study of therapeutic effect of melatonin in patients with COVID-19 : a double-blind randomized clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-07-24</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>96</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/56205</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block randomization method will be used for random assignment to intervention and control groups (each block includes 6 patients).  assigned sequences and hidden codes are generated using www.sealedenvelope.com.The closed envelope method will be used to hide the sequence, Blinding description: ٍParticipants , clinician, researcher, outcome assessor, data analyst except clinical pharmacist (responsible for randomization) don't know which arm the participant is assigned to and will be blind to the allocation of melatonin and placebo. Placebo tablets will be similar in shape,size  and color to melatonin. At the beginning of the study the safety monitoring committee and data on the allocation of melatonin and placebo will be blind .In case of any serious complications in the participants or significant differences in the study groups, the code of the participants  or study groups will be decoded at the request of the above committee.Hidden codes are generated using www.sealedenvelope.com. The closed envelope method will be used to hide the assigned sequence.</study_design>
      <phase>2-3</phase>
      <hc_freetext>covid-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group1: 6 mg Melatonin (2 tablets of 3 mg melatonin made by Simorgh Pharmaceutical Company) is given orally every night for 5 nights. Intervention 2: Intervention group2: 12 mg of melatonin (4 tablets of 3 mg melatonin made by Simorgh Pharmaceutical Company) is given orally every night for 5 nights. Intervention 3: Control group: recieving placebo(4 placebo tablets containing starch, magnesium stearate, calcium carbonate and maltodextrin made by the Faculty of Pharmacy of Guilan University of Medical Sciences) is given orally every night for 5 nights.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
After collecting and analyzing the data, the results are available to the public in the form of articles

When:
after publication and for 6 months

To whom:
people working in academic institutions

Conditions:
There are no restrictions

Where to obtain:
Dr Malek Moien Ansar

How to obtain:
Request to Deputy of university Research and Technology of the Universityand the project supervisor

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Malek Moien Ansar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>6th Km Gazvin- Rasht Road .Facuity of Medicine.Guilan University of Medical Sciences</address>
        <city>Rash</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1376941996</zip>
        <telephone>+98 13 3369 0884</telephone>
        <email>ansarmoien@gums.ac.ir</email>
        <affiliation>Rasht University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Malek Moien Ansar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>6th Km Gazvin- Rasht Road .Facuity of Medicine.Guilan University of Medical Sciences</address>
        <city>Rash</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1376941996</zip>
        <telephone>+98 13 3369 0884</telephone>
        <email>ansarmoien@gums.ac.ir</email>
        <affiliation>Rasht University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>RT-PCR test positive for SARS-CoV-2
criteria for patients with moderate symptoms:evidence of lower respiratory disease( dyspnea, Chest compression و..)
oxygen saturation (SpO2) between 90 to 93%
lung infiltrates&lt;50%
criteria for patients with sever symptoms: Dyspnea
respiratory frequency &gt;30 breaths/min
oxygen saturation (SpO2) &lt; 90% and PaO2/FiO2 &lt;300 mm Hg
lung infiltrates &gt;50%</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>patients with mild symptoms
diabetes
hypertension
pregnant women
those who have already been in clinical trial with other drugs.
Age less than 18 years</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.01</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID-19 Disease</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group1: 6 mg Melatonin (2 tablets of 3 mg melatonin made by Simorgh Pharmaceutical Company) is given orally every night for 5 nights</i_keyword>
      <i_keyword>Intervention group2: 12 mg of melatonin (4 tablets of 3 mg melatonin made by Simorgh Pharmaceutical Company) is given orally every night for 5 nights</i_keyword>
      <i_keyword>Control group: recieving placebo(4 placebo tablets containing starch, magnesium stearate, calcium carbonate and maltodextrin made by the Faculty of Pharmacy of Guilan University of Medical Sciences) is given orally every night for 5 nights.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>C-Reactive Protein serum levels. Timepoint: Morning of the first day (before the intervention), fourth day (day after the third intervention) and sixth day (day after the last intervention). Method of measurement: By ELISA.</prim_outcome>
      <prim_outcome>Erythrocyte sedimentation rate serum levels. Timepoint: Morning of the first day (before the intervention), fourth day (day after the third intervention) and sixth day (day after the last intervention). Method of measurement: erythrocyte sedimentation rate per hour.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Outcome of the disease. Timepoint: Morning of the first day (before the intervention), fourth day (day after the third intervention) and sixth day (day after the last intervention). Method of measurement: Reduction of clinical sign and symptoms, no need for supplemental oxygen or mechanical ventilation.</sec_outcome>
      <sec_outcome>Ferritin. Timepoint: Morning of the first day (before the intervention), fourth day (day after the third intervention) and sixth day (day after the last intervention). Method of measurement: by ELISA.</sec_outcome>
      <sec_outcome>VitD(25OH). Timepoint: Morning of the first day (before the intervention), fourth day (day after the third intervention) and sixth day (day after the last intervention). Method of measurement: by ELISA.</sec_outcome>
      <sec_outcome>Days of hospitalization. Timepoint: Until discharge or death. Method of measurement: Based on the days of hospitalization.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Rasht University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-04-21</approval_date>
        <contact_name>Ethics committee of Guilan University of Medical Sciences</contact_name>
        <contact_address>Deputy of university Research and Technology of the University Rasht Guilan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
