<?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>IRCT20210531051459N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-10-02</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>The effect of synbiotic in hospitalized covid-19 patients</public_title>
      <acronym></acronym>
      <scientific_title>The effect of Lactocare synbiotic on clinical manifestations, inflammatory and non-inflammatory markers in hospitalized covid-19 patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-09-27</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/56744</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization type: Block
Randomization unit: individual
Randomization tool: Random number table using www.sealedenvelope.com
How to create a random sequence: At www.sealedenvelope.com, the randomization section, after selecting create a list, specifies the number of groups, block sizes and list length, and accordingly, presents the list randomization.
Allocation Concealment: Sealed envelopes, Blinding description: In this study, participants did not know the type of treatment they received. Also, patient clinicians, physicians, and outcome assessors are unaware of how patients are grouped and use medication or placebo.</study_design>
      <phase>3</phase>
      <hc_freetext>COVID-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In the intervention group, hospitalized patients with Covid 19, in addition to standard treatment (Remdesivier, and glucocorticoids such as dexamethasone, methylprednisolone, and prednisolone), take two supplements of Lactocarb synobiotic daily after meals for 14 days. Lactocare capsules contains beneficial and safe bacterial strains along with prebiotic fructooligosaccharide. Lactocar capsule made by Zist Takhmir Company is gluten free and its CFU is 10^9. Intervention 2: Control group: In the control group (placebo), hospitalized patients with Covid 19 in addition to standard treatment (Remdesivier, and glucocorticoids such as dexamethasone, methylprednisolone, and prednisolone), take two placebo daily after meals for 14 days. The placebo is exactly the same color, shape, weight, and packaging as the Lactocare capsule. Placebo capsules are also purchased from Zist Takhmir Company.</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 potential data can be shared after unidentified individuals.

When:
Access period starts 9 months after the published results

To whom:
The data will be available to researchers working in academic and scientific institutions.

Conditions:
The use of data and its analysis is allowed by mentioning the source.

Where to obtain:
Email the author of the article to receive the data.

How to obtain:
The processes that researcher who request data go through will include a letter of request from the person, a letter of request from the center or university of origin, and acceptance of the destination university to receive the information.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mona Kabiri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Clinical Research Development Unit, First Floor, Narjes building, Ghaem hospital, Ahmad Abad Ave.</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>٩٩١٩٩-٩١٧۶۶</zip>
        <telephone>+98 51 3841 7403</telephone>
        <email>kabirimn@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mona Kabiri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Clinical Research Development Unit, First Floor, Narjes building, Ghaem hospital, Ahmad Abad Ave.</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>٩٩١٩٩-٩١٧۶۶</zip>
        <telephone>+98 51 3841 7403</telephone>
        <email>Kabirimn@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Hospitalized patients with definitive diagnosis of Covid 19 using PCR or CT scan
Conscious consent to participate in the study
Age category 18 years and above</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Acute pancreatitis
Pregnancy and lactation
Having autoimmune diseases and taking immunosuppressants or drugs used to reject transplants
Taking supplements containing probiotics and prebiotics in the last three months
Hospitalization in the ICU
Patients treated with herbal medicines or other traditional medicine methods
Dialysis patients
Having a history of allergies to synbiotics
Dissatisfaction with participating in the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>U07.1 COVID-19, virus identified</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>Intervention group: In the intervention group, hospitalized patients with Covid 19, in addition to standard treatment (Remdesivier, and glucocorticoids such as dexamethasone, methylprednisolone, and prednisolone), take two supplements of Lactocarb synobiotic daily after meals for 14 days. Lactocare capsules contains beneficial and safe bacterial strains along with prebiotic fructooligosaccharide. Lactocar capsule made by Zist Takhmir Company is gluten free and its CFU is 10^9.</i_keyword>
      <i_keyword>Control group: In the control group (placebo), hospitalized patients with Covid 19 in addition to standard treatment (Remdesivier, and glucocorticoids such as dexamethasone, methylprednisolone, and prednisolone), take two placebo daily after meals for 14 days. The placebo is exactly the same color, shape, weight, and packaging as the Lactocare capsule. Placebo capsules are also purchased from Zist Takhmir Company.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The level of CRP inflammatory marker. Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>The level of IL-6 inflammatory cytokine. Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>ESR level. Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: Blood test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>ALT level. Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>AST level. Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>ALP level. Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>Creatinine level. Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>Complete Blood Count (CBC). Timepoint: At the beginning of the study and fourteen days after taking the capsule. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>Cough. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Fever. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Breathing rate. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up (number of breaths per minute).</sec_outcome>
      <sec_outcome>Sore throat. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Generalized body pain. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Dyspnea. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>SPO2. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Weakness and lethargy. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Stomach pain. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Chest pain. Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</sec_outcome>
      <sec_outcome>Gastrointestinal symptoms (diarrhea, vomiting and nausea). Timepoint: Daily (first day to fourteenth day of intervention). Method of measurement: Clinical check up.</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-08-03</approval_date>
        <contact_name>Ethics committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Ghaem Hospital, Ahmad Abad Ave., Mashhad Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
