<?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>IRCT20211116053073N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-12-01</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Effect of Complementary Therapy with Purslane in Nonalcoholic Fatty Liver Disease</public_title>
      <acronym></acronym>
      <scientific_title>Effect of Complementary Therapy with Hydro-Ethanolic Extract of Aerial Parts of Purslane on Clinical and Paraclinical Findings in Patients with Nonalcoholic Fatty Liver Disease</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-12-24</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>27</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/60155</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: According to the Two Intervention and Control Groups, the Volume of each Block will be Four. Then Write A List of Blocks and Assign Numbers to them. For example (AABB (1)-ABAB (2)-ABBA (3)-BBAA (4)-BABA (5)-BAAB (6) which According to the Sample Size 27 The Number of People in each Group will be 9 blocks, then the Random Nnumbers between one and 9 will be Selected According to the Randomization Site Randomaize.com, and Finally the List of Treatment Allocation Based on Random Numbers will be Written on the Envelopes Containing each Block.
Randomization type: Blocked
How to make 4 blocks:
We use letters depending on how many groups are studied
For two groups of which 6 modes of movement are possible. A, B
According to the formula, if there are two groups, a four-letter block for two letters and Formula 1 are used.
1. 4! (1 * 2 * 3 * 4) / [2! (1 * 2)] * [4-2]! = 3 * 4/2 = 6 states

Allocation Concealment allocation method:
Use of opaque SNOSE sealed envelopes (sequentially numbered, opaque, sealed envelopes)
In this way, the envelopes will be prepared and printed by one of the team members and random numbers and will be placed inside the envelope. The lid of the envelope will be closed and its contents will not be visible from the outside. Then, the purpose of the study is explained to the person who meets the conditions, and the person, if desired, signs the informed consent form and takes an envelope, and then opens it and enters the intervention or control group based on the contents of the envelope, Blinding description: Due to the use of placebo similar to the intervention treatment, the physician associated with the participants and participants will not be informed of the assigned treatment. Also, the analyst will be unaware of the treatment assigned to the two groups. Finally, after analyzing the data, the researcher who prepared the packages reveals codes A and B.
 With the exception of the pharmacist, none of the participants, researchers, or analysts will be aware of the drug or placebo until the end of the study.
In this way, the groups are identified only by codes A and B. The drugs are prepared in the same packaging and in the same form and are packaged by a person in a pharmaceutical company that is out of research in the form of A and B coding packages. The code password is stored securely in the system so that the codes can be unlocked after data collection.</study_design>
      <phase>3</phase>
      <hc_freetext>non alcoholic fatty liver- hepatic steatosis and fibrosis-hydro-ethanolic extract of aerial parts of Purslane.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: in addition to lifestyle interventions (diet therapy + physical activity), supplementation of hydro-ethanolic extract of aerial parts of Purslane with a dose of 700mg is performed for 8 weeks. Each capsule containing 350 mg of hydro-ethanolic extract of aerial parts of Purslane is given daily with two main meals (breakfast and dinner) for 8 weeks. Intervention 2: Control group: in addition to lifestyle interventions (diet + physical activity), patients received two capsules containing 350mg placebo every day for 8 weeks with the same characteristics in terms of shape, smell, color, etc., along with two main meals (breakfast and Dinner) for 8 weeks.</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:
I will inform at the end of the study.

When:
I will inform at the end of the study.

To whom:
I will inform at the end of the study.

Conditions:
I will inform at the end of the study.

Where to obtain:
I will inform at the end of the study.

How to obtain:
I will inform at the end of the study.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Narges Milkarizi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad University of Medical Science,Azadi Square, Mashhad City, Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948564</zip>
        <telephone>+98 51 3800 2000</telephone>
        <email>Milkarizin991@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Narges Milkarizi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad University of Medical Science,Azadi Square, Mashhad City, Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948564</zip>
        <telephone>+98 51 3800 2000</telephone>
        <email>Milkarizin991@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Detection of Hepatic Steatosis by Two-Dimensional Elastography Device
Consent to Enter the Scheme
Fatty Liver Patients with Grade F0 and F1</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Pregnancy and Lactation
Diseases such as: Diabetes, Autoimmune Disorders, Cancer, Liver Failure, Viral Hepatitis History, Liver Surgery and Renal Impairment (GFR &lt;50)
History of Food Allergy to Purslane and Herbal Supplements
Taking Hepatoxic Drugs such as Amiodarone, Sodium Valproate or Methotrexate
Body Mass Index more than 40
Consumption of Alcohol more than 30 grams per day for Men and also Consumption of more than 20 grams per day for Women
History of Bariatric Surgery
Fatty Liver Patients with F2, F3, F4 Grades
Consumption of any Multivitamin Supplement and Antioxidant Compounds such as Vitamins C, E and Herbal Medicines during the Intervention Period</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: in addition to lifestyle interventions (diet therapy + physical activity), supplementation of hydro-ethanolic extract of aerial parts of Purslane with a dose of 700mg is performed for 8 weeks. Each capsule containing 350 mg of hydro-ethanolic extract of aerial parts of Purslane is given daily with two main meals (breakfast and dinner) for 8 weeks.</i_keyword>
      <i_keyword>Control group: in addition to lifestyle interventions (diet + physical activity), patients received two capsules containing 350mg placebo every day for 8 weeks with the same characteristics in terms of shape, smell, color, etc., along with two main meals (breakfast and Dinner) for 8 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Hepatic steatosis and fibrosis. Timepoint: before and at the end of the study. Method of measurement: Two-dimensional elastography device.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Measurement of anthropometric indices. Timepoint: Before, in the middle and at the end of the study. Method of measurement: Scales, meters,.</sec_outcome>
      <sec_outcome>Measurement of body composition by BIA device. Timepoint: Before, in the middle and at the end of the study. Method of measurement: BIA.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of oxidative stress indicators including malondialdehyde, glutathione. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Evaluation of IPAQ physical activity questionnaire and three-day food recall. Timepoint: Before, in the middle and at the end of the study. Method of measurement: statistical methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of lipid profiles including TC, HDL-C, LDL-C and TG. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of fasting blood glucose and insulin. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of hepatic profiles including ALT, ALP ,AST,GGT. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of inflammatory markers including ESR and Hs-CRP. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</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>2021-10-31</approval_date>
        <contact_name>Ethics committee of Mashhad university of medical science</contact_name>
        <contact_address>Nutrition department, Faculty of medicine Mashhad University of Medical Sciences (MUMS), Azadi square, Mashhad, Iran Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
