<?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>IRCT20210524051376N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-06-30</date_registration>
      <primary_sponsor>Babol University of Medical Sciences</primary_sponsor>
      <public_title>The effect of herbal product from Berberis integerrima on  Non-Alcoholic Fatty Liver Disease</public_title>
      <acronym></acronym>
      <scientific_title>The effect of herbal product from Berberis integerrima on ultrasound image echogenicity of patients with Non-Alcoholic Fatty Liver Disease</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-05-31</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/56436</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Sampling is done as an easy sampling and allocation of the drug with a quadruple block randomization pattern Two types of herbal and classical medicines were prepared by the researcher in identical shapes, sizes and colors, and then they were mediated by a person who had nothing to do with this research. Encoded in closed-form packages and enclosed to research samples based on the list of random numbers created by the person above. The code list is kept secret and kept until the data analysis, the end of the study day, is kept confidential. Randomized study codes are opened when statistical tests are performed, Blinding description: Two types of herbal and classical medicines were prepared by the researcher in identical shapes, sizes and colors, and then to hide the allocation and to ensure that they did not know what type of drug they used, they were mediated by a person who had nothing to do with this research. Encoded in closed-form packages and enclosed to research samples based on the list of random numbers created by the person above. The code list is kept secret and kept until the data analysis, the end of the study day, is kept confidential. Randomized study codes are opened when statistical tests are performed.</study_design>
      <phase>3</phase>
      <hc_freetext>Fatty liver.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: herbal syrup from Berberis integerrima (75mg /mL) 2 cups (10ml) per day for three months after breakfast and dinner and return to the same centers for ultrasound and testing. Diets with the aim of reducing daily fat intake and eliminating unhealthy fast foods and carbonated beverages are given to both groups in exactly the same way based on available clinical guidelines. Patients are monitored monthly and their changes in weight (BMI) and blood pressure are recorded, and they are also asked to submit their diet three consecutive days each month. Intervention 2: Control group: Placebo contains simple syrup with 2.5% of the studied extract 2 cups (10ml) a day for three months after breakfast and dinner and go to the same centers again for ultrasound and testing. Diets with the aim of reducing daily fat intake and eliminating unhealthy fast foods and carbonated beverages are given to both groups in exactly the same way based on available clinical guidelines. Patients are monitored monthly and their changes in weight (BMI) and blood pressure are recorded, and they are also asked to submit their diet three consecutive days each month.</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 further information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Narjes Gorji</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ganjafrooz st.</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>47176-47745</zip>
        <telephone>+98 11 3219 9592</telephone>
        <email>n.gorji@mubabol.ac.ir</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Narjes Gorji</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ganjafrooz st.</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>47176-47745</zip>
        <telephone>+98 11 3219 9592</telephone>
        <email>n.gorji@mubabol.ac.ir</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Increased liver echogenicity (grade 2 non-alcoholic fatty liver) based on ultrasonographic findings</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The  underlying illness (Diabetes mellitus, cardiovascular diseases, liver disease (cirrhosis, alcoholic liver disease, viral hepatitis, autoimmune hepatitis, primary biliary cirrhosis, biliary obstruction, hepatic damage induced by hereditary hemochromatosis drugs, sclerosis cholangitis and α deficiency of an antitrypsin), other serious diseases such as cancer; kidney failure and celiac disease
Pregnancy
Lactation
Drug history with increase hepatic steatosis risk (Tamoxifen, valproate sodium, ...
Antihyperlipidemic drugs
Malnutrition
special diets such as vegetarianism and raw eating
Alcohol consumption
Smoking and addiction
Acute psychiatric disorder</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K76.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Fatty (change of) liver, not elsewhere classified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: herbal syrup from Berberis integerrima (75mg /mL) 2 cups (10ml) per day for three months after breakfast and dinner and return to the same centers for ultrasound and testing. Diets with the aim of reducing daily fat intake and eliminating unhealthy fast foods and carbonated beverages are given to both groups in exactly the same way based on available clinical guidelines. Patients are monitored monthly and their changes in weight (BMI) and blood pressure are recorded, and they are also asked to submit their diet three consecutive days each month.</i_keyword>
      <i_keyword>Control group: Placebo contains simple syrup with 2.5% of the studied extract 2 cups (10ml) a day for three months after breakfast and dinner and go to the same centers again for ultrasound and testing. Diets with the aim of reducing daily fat intake and eliminating unhealthy fast foods and carbonated beverages are given to both groups in exactly the same way based on available clinical guidelines. Patients are monitored monthly and their changes in weight (BMI) and blood pressure are recorded, and they are also asked to submit their diet three consecutive days each month.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The ultrasound image echogenicity of patients with Non-Alcoholic Fatty Liver Disease. Timepoint: 3 months after the start of the intervention. Method of measurement: Ultrasonography grading and lab test (TG, LDL,HDL, AST ,ALT).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Body wheight. Timepoint: 3 months after the start of the intervention. Method of measurement: Measure weight (kg).</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>Babol University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-08-18</approval_date>
        <contact_name>Babol university of medical science</contact_name>
        <contact_address>Ganjafrooz st. Babol, Mazandaran, Iran Babol Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
