<?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>IRCT20210702051763N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-08-14</date_registration>
      <primary_sponsor>Bandare-abbas University of Medical Sciences</primary_sponsor>
      <public_title>The effect of vitamin D and magnesium supplementation on patients with COVID-19</public_title>
      <acronym></acronym>
      <scientific_title>The effect of vitamin D and magnesium supplementation on clinical symptoms, inflammatory markers and oxidative stress in patients with COVID-19: double-blind randomized control clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-08-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>104</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/57413</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Factorial, Purpose: Treatment, Randomization description: In this study, a random block design will be used for randomization. In this way, 24 blocks of 4 will be made using codes A, B, C, and D that these blocks will be numbered from 1 to 24 (ABCD, ACBD, ABDC, ADBC, ACDB, ADCB, BACD, BCAD, BADC, BDAC, BCDA, BDCA, CABD, CBAD, CADB, CDAB, CBDA, CDBA, DABC, DBAC, DACB, DCAB, DBCA, DCBA) and then using R software, twenty-six blocks from blocks 1 to 24 are randomly selected, Blinding description: Vitamin D supplement and placebo will be provided by Zahravi Pharmaceutical Company (Iran). Magnesium placebo will be made from starch with the same color and shape as the magnesium supplement by the Faculty of Pharmacy of Hormozgan University of Medical Sciences. In this study, blinding of participants, staff, and investigators will be done (Magnesium and Vitamin D supplements and placebos will be placed in the same package with codes of A, B, C, and D by a responsible person who is not aware of the study objectives. The codes will not be available to researchers until after statistical analysis. In order to blind the participants, they will be explained at the beginning of the study who will receive one of four types of intervention and will not be told the exact type of supplement.</study_design>
      <phase>3</phase>
      <hc_freetext>COVID-19.</hc_freetext>
      <i_freetext>Intervention 1: vitamin D supplement (two 50,000 IU capsules at the beginning of the study, two 50,000 IU capsules on the 4th day, one 50,000 IU capsule on the 11th day, and one 50,000 IU capsule on the 17th day) and magnesium supplement (300 mg/day). Intervention 2: vitamin D (two 50,000 IU capsules at the beginning of the study, two 50,000 IU capsules on the 4th day, one 50,000 IU capsule on the 11th day, and one 50,000 IU capsule on the 17th day) and magnesium placebo. Intervention 3: Magnesium supplement (300 mg/day) and vitamin D placebo. Intervention 4: Vitamin D placebo and magnesium placebo.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Nahid Ramezani-Jolfaie</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Imam Hussein Blvd, Campus of Medical Sciences</address>
        <city>Bandar Abbas</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7919693116</zip>
        <telephone>+98 76 3371 0370</telephone>
        <email>ramezani.n.j@gmail.com</email>
        <affiliation>Bandare-abbas University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Nahid Ramezani-Jolfaie</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Imam Hussein Blvd, Campus of Medical Sciences</address>
        <city>Bandar Abbas</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7919693116</zip>
        <telephone>+98 76 3371 0370</telephone>
        <email>ramezani.n.j@gmail.com</email>
        <affiliation>Bandare-abbas University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>People aged 18-65
confirmation of Covid-19 infection by RT-PCR test
completing informed consent
less than 48 hours have passed since the patient was hospitalized
no skin or gastrointestinal allergies due to taking multivitamin supplements, vitamin D, and magnesium
people with more than 30 breaths per minute and less than 93% oxygen saturation in room air and sea level.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Pregnancy or lactation
take a daily multivitamin or take a vitamin D or magnesium supplement in the last month
participating in other clinical studies
renal failure or dialysis, severe liver disease or cirrhosis
known diagnosis of hypercalcemia
patients who discharged from the hospital less than 24 hours after the start of the intervention
history of kidney stones in the last year
transfer the patient to the ICU
baseline vitamin D levels above 80  ng/ml
baseline magnesium levels above 2.6 mg/dl.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID-19</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>vitamin D supplement (two 50,000 IU capsules at the beginning of the study, two 50,000 IU capsules on the 4th day, one 50,000 IU capsule on the 11th day, and one 50,000 IU capsule on the 17th day) and magnesium supplement (300 mg/day).</i_keyword>
      <i_keyword>vitamin D (two 50,000 IU capsules at the beginning of the study, two 50,000 IU capsules on the 4th day, one 50,000 IU capsule on the 11th day, and one 50,000 IU capsule on the 17th day) and magnesium placebo</i_keyword>
      <i_keyword>Magnesium supplement (300 mg/day) and vitamin D placebo</i_keyword>
      <i_keyword>Vitamin D placebo and magnesium placebo</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Myalgia. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: to be or not to be.</prim_outcome>
      <prim_outcome>Fever. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: to be or not to be.</prim_outcome>
      <prim_outcome>Dry cough. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: to be or not to be.</prim_outcome>
      <prim_outcome>Shortness of breath. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: to be or not to be.</prim_outcome>
      <prim_outcome>Percentage of oxygen saturation. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: Oxygen meter.</prim_outcome>
      <prim_outcome>WBC. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: Laboratory tests.</prim_outcome>
      <prim_outcome>CRP. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: Laboratory tests.</prim_outcome>
      <prim_outcome>MDA. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: Laboratory tests.</prim_outcome>
      <prim_outcome>TAC. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: Laboratory tests.</prim_outcome>
      <prim_outcome>Headache. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: to be or not to be.</prim_outcome>
      <prim_outcome>Mortality. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: number.</prim_outcome>
      <prim_outcome>Neutrophil count. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: number.</prim_outcome>
      <prim_outcome>Lymphocyte count. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: number.</prim_outcome>
      <prim_outcome>The ratio of neutrophils to lymphocytes. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: Percentage.</prim_outcome>
      <prim_outcome>25 hydroxyvitamin D. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: Nanograms per milliliter.</prim_outcome>
      <prim_outcome>Magnesium. Timepoint: at baseline and at the end of study (3 weeks later). Method of measurement: milligram per deciliter.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Bandare-abbas University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-05-30</approval_date>
        <contact_name>Research Ethics Committees of Hormozgan University of Medical Sciences</contact_name>
        <contact_address>Imam Hussein Blvd, Campus of Medical Sciences Bandar Abbas Hormozgan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
