<?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>IRCT20210917052506N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-10-10</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>Therapeutic effect of dalfampridine on patients with Devic syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the therapeutic efficacy and safety of dalfampridine on patients with Devic syndrome: A triple-blind randomized clinical trial study</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-10-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>70</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/58987</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: After entering the study, patients were individually divided into two groups by simple random sampling using a table of random numbers. Then one of the two groups was randomly assigned to the intervention group by tossing coin, and the other group was named the control group, Blinding description: After completing the informed consent form and knowing how to work, patients are randomly assigned to the intervention and placebo groups without knowing the classified group. Visiting physicians also do not know which group the patient is in. Finally, the data analyzer analyzes the data according to the data collected by the researcher without knowing the data group.</study_design>
      <phase>2</phase>
      <hc_freetext>Devic.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients in this group will receive dalfampridine (chemical compound 4-aminopyridine, FDA approved in MS patients, Nano Hayat Daru Co.) at a concentration of 10 mg twice daily. Then the patients' clinical symptoms and drug response will be evaluated in three visits at times of zero, seven and fourteen weeks. Intervention 2: Control group: Recieving 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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
All data related to the participants will be accessible after being unidentified

When:
Access period starts six months after the results are published

To whom:
Doctors, Researchers

Conditions:
The data will be available to improve patients' treatment or further research

Where to obtain:
Dr Shirin Pourajam

How to obtain:
Sending an email by the applicant including the details of the person and the reason for the request, review of the email by the executor of the project, if the request is confirmed, the data will be sent

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Shirin Pourajam</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 2, First door on the left, 27th Dead end, Sheikhbahai Street</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8135816868</zip>
        <telephone>+98 31 3233 1062</telephone>
        <email>shirinpourajam@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shirin Pourajam</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 2, First door on the left, 27th Dead end, Sheikhbahai Street</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8135816868</zip>
        <telephone>+98 31 3233 1062</telephone>
        <email>shirinpourajam@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 16 to 65 years
T25FW-based gait disorder: Test between 5 and 60 seconds
Definitive diagnosis of Devic disease based on wingerchuc criteria
No other neurological or psychological disease
No relapse during the three months prior to enrollment</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G36.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Neuromyelitis optica [Devic]</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: Patients in this group will receive dalfampridine (chemical compound 4-aminopyridine, FDA approved in MS patients, Nano Hayat Daru Co.) at a concentration of 10 mg twice daily. Then the patients' clinical symptoms and drug response will be evaluated in three visits at times of zero, seven and fourteen weeks.</i_keyword>
      <i_keyword>Control group: Recieving placebo</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Timed 25-foot Walk score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Examination by T25W table.</prim_outcome>
      <prim_outcome>Lower extremity manual muscle test Score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Examination by LEMMT table.</prim_outcome>
      <prim_outcome>12-item Multiple Sclerosis Walking Scale  Score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Examination by MSWS-12 table.</prim_outcome>
      <prim_outcome>Quality of life score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Questionnaire SF-36.</prim_outcome>
      <prim_outcome>Depression score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Questionnaire BDI.</prim_outcome>
      <prim_outcome>Anxiety score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Questionnaire BAI.</prim_outcome>
      <prim_outcome>Disability Status Scale (EDSS). Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Examination, EDSS table.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Quality of life score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: Questionnaire SF-36.</sec_outcome>
      <sec_outcome>Depression score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: BDI Questionnaire.</sec_outcome>
      <sec_outcome>Anxiety score. Timepoint: The first visit at the beginning of the study, the second visit in the seventh week, the third visit in the fourteenth week. Method of measurement: BAI Questionnaire.</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>Esfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-08-01</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>Hezarjarib st , Isfahan University of Medical Science Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
