<?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>IRCT20100111003043N15</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-08-14</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>The effect of zinc dose on anemia in non-dialysis chronic kidney diseases patients</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of zinc dose received through supplements for kidney diseases patients in Iran (Nephrovit® or Nephrotonic®) on iron stores and anemia in non-dialysis chronic kidney diseases patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/56211</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization  between two groups of the study is performed by block randomization method with block size of 4. 6 possible arrangements are possible.  Excel-derive, random number generation is used for assigning blocks. 15 blocks are selected.</study_design>
      <phase>3</phase>
      <hc_freetext>Patients with chronic kidney disease stage 3 to 5.</hc_freetext>
      <i_freetext>Intervention 1: In the control group, patients receive currently available supplements for kidney patients, (nephrovit or nephrotonic containing 25 mg of zinc) daily. Patients' blood samples are taken at the beginning of the study and at the end of 3 months intervention to assess complete blood counts, iron stores, serum zinc, copper and seruloplasmin concentrations. Intervention 2: In the intervention group, new supplement formulation that will be made by Zahravi company will be administered in daily doses. This new formulation contains the same components as nephrotonic with only difference of consisting   7.5 mg zinc instead of 25mg in current formulation. Patients' blood samples are taken at the beginning of the study and at the end of 3 months intervention to assess complete blood counts, iron stores, serum zinc, copper and seruloplasmin concentrations.</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:
The data related to the main outcomes of the study is shared as an SPSS file after deidentifying the individuals.

When:
The data will be available three months after the results are published. Data would be available for one year.

To whom:
The data will be made available to researchers working at academic institutions.

Conditions:
Individuals or institutions that want to use the data must sign a memorandum of understanding with Tehran University of Medical Sciences.

Where to obtain:
Applicants can contact Dr. Simin Dashti-Khavidaki to receive the data. Phone: 0098-21-66954709 Email: dashtis@tums.ac.ir

How to obtain:
The applicant's request will be raised in the research session of the Faculty of Pharmacy. After confirmation and signing of the memorandum, the data will be provided to the applicant within about two months.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Zahra Nazari Taloki</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Enghelab Square, 16 Azar St., FAculty of Pharmacy, Department of Clinical Pharmacy</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417614411</zip>
        <telephone>+98 21 6695 4709</telephone>
        <email>zahra.nazari.taloki@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Simin Dashti-Khavidaki</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Enghelab Square, 16 Azar St., School of Pharmacy, Department of Clinical Pharmacy</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417614411</zip>
        <telephone>+98 21 6695 4709</telephone>
        <email>dashtis@sina.tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients aged 18-85 years,
with stage 3 or more CKD according to the KDIGO guideline,
who have been treated with nephrovitis or nephrotonics for more than three months,
No significant changes in their diet.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>85 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>History of chronic infection (AIDS, bacterial, fungal or parasitic infections),
severe infection (sepsis) in the last month,
cancer,
alcohol abuse,
use of anemia-inducing drugs (some antibiotics such as linezolid, cotrimoxazole, chloramphenicol and Isoniazid,  routine use of nonsteroidal anti-inflammatory drugs, chemotherapy drugs, hydroxyurea, azathioprine, 6-mercaptoporin, sulfasalazine,  and methotrexate),
treatment with steroids or immunosuppressant,
hospitalization,
history of blood transfusion within 1 month prior to enrollment.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>D63.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Anemia in chronic kidney disease</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>In the control group, patients receive currently available supplements for kidney patients, (nephrovit or nephrotonic containing 25 mg of zinc) daily. Patients' blood samples are taken at the beginning of the study and at the end of 3 months intervention to assess complete blood counts, iron stores, serum zinc, copper and seruloplasmin concentrations.</i_keyword>
      <i_keyword>In the intervention group, new supplement formulation that will be made by Zahravi company will be administered in daily doses. This new formulation contains the same components as nephrotonic with only difference of consisting   7.5 mg zinc instead of 25mg in current formulation. Patients' blood samples are taken at the beginning of the study and at the end of 3 months intervention to assess complete blood counts, iron stores, serum zinc, copper and seruloplasmin concentrations.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Hemoglobin level. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Hematocrit rate. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Ferritin level. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>The amount of serum iron. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Plasma level of copper. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Plasma level of zinc. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Plasma levels of ceruloplasmin. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>MCV rate. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>TIBC rate. Timepoint: At the beginning of the study and three months after the intervention. Method of measurement: blood test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Mean doses of iron (oral or intravenous). Timepoint: during 1 month before the study, and during the study period. Method of measurement: Prescribed iron.</sec_outcome>
      <sec_outcome>Mean doses of erythropoietin. Timepoint: during 1 month before the study, and during the study period. Method of measurement: Prescribed erythropoietin.</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>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-06-14</approval_date>
        <contact_name>Research Ethics committees of the Institute of Pharmaceutical Sciences- Tehran University of Medical</contact_name>
        <contact_address>16 Azar Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
