<?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>IRCT20210513051277N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-05-27</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>The effect of probiotic supplementation on cognitive function in Alzheimer's patients</public_title>
      <acronym></acronym>
      <scientific_title>The effect of probiotic supplementation on cognitive, inflammation and oxidative stress in adults with Alzheimer disease: A randomized, double blind, placebo-controlled trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/56379</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: Stratified permute block randomization will be performed in two categories based on (age and sex) using the site www.randomization.com. In this method, each group is assigned one of the letters A, B and C and randomization will be done in 6 blocks. This is done for both age groups and two lists are prepared based on age and gender. Within each class, patients will be randomly assigned to one of the three study groups in a 1: 1: 1 ratio, Blinding description: All supplements will be provided by Lallemand Canada and are similar in color, taste and size. Supplements are coded by the company, and researchers, participants, data collectors and analysts, and the Data Safety and Supervision Committee are unaware of which group receives which supplement.</study_design>
      <phase>3</phase>
      <hc_freetext>Alzheimer disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients in the first group will receive 2 probiotic capsules daily containing 1 bacterial strain of Lactobacillus rhamnosus HA-114 in the amount of CFU 1015. All supplements will be provided by Lallemand Canada and are similar in color, taste and size. Take 2 capsules daily, one after lunch and one after dinner. Supplements will be delivered to patients in two stages (study start and week 6). Intervention 2: Intervention group: Patients in the second group will receive 2 probiotic capsules daily containing 1 bacterial strain of Bifidobacterium longum R0175 in the amount of CFU 1015. All supplements will be provided by Lallemand Canada and are similar in color, taste and size. Take 2 capsules daily, one after lunch and one after dinner. Supplements will be delivered to patients in two stages (study start and week 6). Intervention 3: Control group: Patients in the intervention group will receive 2 placebo capsules daily containing xylitol, maltodextrin and malic acid. All supplements will be provided by Lallemand Canada and are similar in color, taste and size. Take 2 capsules daily, one after lunch and one after dinner. Supplements will be delivered to patients in two stages (study start and week 6).</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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no more information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Camellia Akhgarjand</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Keshavarz Blvd</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417653911</zip>
        <telephone>+98 21 8895 5975</telephone>
        <email>kameliaakhgarjand@yahoo.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Kurosh Djafarian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Keshavarz Blvd</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417653911</zip>
        <telephone>+98 21 8895 5975</telephone>
        <email>kdjafarian@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 80-50 years
Resident of Tehran
Diagnosis of Alzheimer's disease according to NINCDS-ARDA criteria maximum in the last 2 years
BMI=18/5-30 	Kg/m2
Use of acetylcholinesterase inhibitors (AchEIs) and N-methyl dispartate (NMDA) receptor antagonists
caregivers understands the objectives of the study and agrees to follow the necessary rules throughout the study</inclusion_criteria>
      <agemin>50 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Having frontotemporal dementia, Levy Buddy dementia, Parkinson's disease dementia and any type of severe dementia
Take antibiotics at least three months before enrollment
Smoking (at least 5 cigarettes a day for the past 6 months) and other tobacco (pipe and hookah at least once a month
Any drug addiction
Follow a specific diet for three months before the study
People who participated in another study less than two months ago.
Take any amount of supplements or foods fortified with fins or probiotics during the last 3 months
History of serious kidney, liver, intestinal, endocrine diseases, cardiovascular, gastrointestinal, pulmonary, blood and metabolic diseases, thyroid, rheumatoid arthritis and lupus
History of major gastrointestinal surgeries including gastrectomy, bowel restriction, etc.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G30</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Alzheimer's disease</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>Other</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Patients in the first group will receive 2 probiotic capsules daily containing 1 bacterial strain of Lactobacillus rhamnosus HA-114 in the amount of CFU 1015. All supplements will be provided by Lallemand Canada and are similar in color, taste and size. Take 2 capsules daily, one after lunch and one after dinner. Supplements will be delivered to patients in two stages (study start and week 6).</i_keyword>
      <i_keyword>Intervention group: Patients in the second group will receive 2 probiotic capsules daily containing 1 bacterial strain of Bifidobacterium longum R0175 in the amount of CFU 1015. All supplements will be provided by Lallemand Canada and are similar in color, taste and size. Take 2 capsules daily, one after lunch and one after dinner. Supplements will be delivered to patients in two stages (study start and week 6).</i_keyword>
      <i_keyword>Control group: Patients in the intervention group will receive 2 placebo capsules daily containing xylitol, maltodextrin and malic acid. All supplements will be provided by Lallemand Canada and are similar in color, taste and size. Take 2 capsules daily, one after lunch and one after dinner. Supplements will be delivered to patients in two stages (study start and week 6).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Cognitive function. Timepoint: Measurement of cognitive function at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Mini–Mental State Examination  questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Serum level of IL-6. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Double Antibody Sandwich.</sec_outcome>
      <sec_outcome>Serum level of interleukin-10. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: enzyme-linked immunosorbent assay.</sec_outcome>
      <sec_outcome>Serum level 0f TNF-α. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Quantitative Sandwich.</sec_outcome>
      <sec_outcome>Serum level of 8-hydroxy-2' -deoxyguanosine (8-OHdG). Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Double Antibody Sandwich.</sec_outcome>
      <sec_outcome>Serum levels of malondialdehyde (MDA). Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Colorimetric.</sec_outcome>
      <sec_outcome>Serum level of glutathione. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Quantitative Sandwich.</sec_outcome>
      <sec_outcome>Serum kynurenine levels. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Quantitative Sandwich.</sec_outcome>
      <sec_outcome>Serum tryptophan levels. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Fluorometric.</sec_outcome>
      <sec_outcome>Serum levels of lipopolysaccharide. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: quantitative sandwich enzyme immunoassay.</sec_outcome>
      <sec_outcome>Physical activity. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: questionnaire.</sec_outcome>
      <sec_outcome>Quality of Life. Timepoint: at the beginning of the intervention (before the start of the intervention) and the end of week 12. Method of measurement: Quality of life in Alzheimer disease questionnaire (QOL-AD).</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>2021-05-15</approval_date>
        <contact_name>Ethics Committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>Keshavarz Blvd Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
