<?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>IRCT20210801052048N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-09-27</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>The effect of Flaxseed Syrup on clinical manifestation of the pediatric asthma</public_title>
      <acronym></acronym>
      <scientific_title>The effect of Flaxseed Syrup on clinical manifestation of the pediatric asthma</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-10-02</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/57898</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization method: block
Randomization unit: individual
Randomization tool: Randomization number table
Sequence making method: In a table of random numbers, a number is randomly selected from the table and the next numbers are selected in a row or column in the up, down, left or right direction. Because the number of modes of 4 blocks for two groups is 6 modes, numbers higher than 6 and zero are ignored in the table and each digit specifies the desired block.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: Mild persistent asthma, uncomplicated. Condition 2: Moderate persistent asthma, uncomplicated.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Flaxseed syrup is prepared by boiling flaxseed in water and then adding honey until it reaches a suitable consistency and taste. Microbial preservatives are added and physical and chemical quality control tests are performed on the product. This syrup with a daily dose of 5-10 cc (5 cc for children weighing less than 30 kg and 10 cc for weights over 30 kg) in three servings (0.8 mg in 5 cc syrup) for group members Intervention is prescribed. All of these people will also be treated for mild to moderate persistent asthma (with fluticasone and salbutamol sprays). Intervention 2: Control group: These people will only receive the classic treatment for mild to moderate persistent asthma. (Fluticasone spray 125 micrograms 1 puff every 12 hours and salbutamol spray in case of acute exacerbation of symptoms).</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>Soroush Samari Kermani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Unit 2, No. 7, Kermanshahi Alley, Mostaeddi St., Abdolazimi St, Imamat</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1741873581</zip>
        <telephone>+98 21 7746 7432</telephone>
        <email>soroush.samari@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Soroush Samari Kermani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Unit 2, No. 7, Kermanshahi Alley, Mostaeddi St., Abdolazimi St, Imamat</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1741873581</zip>
        <telephone>+98 21 7746 7432</telephone>
        <email>soroush.samari@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Asthmatic patients between 5-17 years old referring to respiratory diseases clinic at Mofid children hospital, Tehran in 1400</inclusion_criteria>
      <agemin>5 years</agemin>
      <agemax>17 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>unwillingness to participate in the study
Suffering from severe asthma requiring hospitalization
Suffering from other disease such as CF, BPD, heart failure, Tracheobronchomalacia, GERD, bronchiectasis, PTE and sarcoidosis
Using ASA, beta blockers or NSAIDs
Sensitivity to  flaxseed and honey syrup components
Suffering from acute asthma attack</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J45.30</hc_code>
      <hc_code>J45.40</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Mild persistent asthma, uncomplicated</hc_keyword>
      <hc_keyword>Moderate persistent asthma, uncomplicated</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: Flaxseed syrup is prepared by boiling flaxseed in water and then adding honey until it reaches a suitable consistency and taste. Microbial preservatives are added and physical and chemical quality control tests are performed on the product. This syrup with a daily dose of 5-10 cc (5 cc for children weighing less than 30 kg and 10 cc for weights over 30 kg) in three servings (0.8 mg in 5 cc syrup) for group members Intervention is prescribed. All of these people will also be treated for mild to moderate persistent asthma (with fluticasone and salbutamol sprays).</i_keyword>
      <i_keyword>Control group: These people will only receive the classic treatment for mild to moderate persistent asthma. (Fluticasone spray 125 micrograms 1 puff every 12 hours and salbutamol spray in case of acute exacerbation of symptoms)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Dyspnea based on ACT and CACT questionnaires, history and physical examination. Timepoint: Filling in ACT and CACT questionnaires at the beginning of the study and at the end of week 8, history and examination at the beginning of the study and at the end of weeks 4 and 8, telephone history at the end of weeks 2 and 6. Method of measurement: ACT and CACT questionnaires (Asthma Control Test &amp; Children Asthma Control Test), visit of a pediatric specialist in respiratory diseases.</prim_outcome>
      <prim_outcome>Wheezing based on ACT and CACT questionnaire and history or hearing examination. Timepoint: Filling in ACT and CACT questionnaires at the beginning of the study and at the end of week 8, history and examination at the beginning of the study and at the end of weeks 4 and 8, telephone history at the end of weeks 2 and 6. Method of measurement: ACT and CACT questionnaires (Asthma Control Test &amp; Children Asthma Control Test), visit of a pediatric specialist in respiratory diseases.</prim_outcome>
      <prim_outcome>Cough based on ACT and CACT questionnaires, history and physical examination. Timepoint: Filling in ACT and CACT questionnaires at the beginning of the study and at the end of week 8, history and examination at the beginning of the study and at the end of weeks 4 and 8, telephone history at the end of weeks 2 and 6. Method of measurement: ACT and CACT questionnaires (Asthma Control Test &amp; Children Asthma Control Test), visit of a pediatric specialist in respiratory diseases.</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>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-08-31</approval_date>
        <contact_name>Ethics committee of Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>7th Floor, Bldg No.2 SBUMS, Arabi Ave, Daneshjoo Blvd, Velenjak Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
