<?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>IRCT20131221015878N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-01-18</date_registration>
      <primary_sponsor>Pasture Institute of Iran</primary_sponsor>
      <public_title>Immunogenicity and safety evaluation of Pastocovac Plus in Iranian adults  who received two doses of Sinopharm and Astrazeneca</public_title>
      <acronym></acronym>
      <scientific_title>Immunogenicity and safety evaluation of Pastocovac Plus as the booster dose in Iranian adults aged from 18 to 80 who received two doses of Sinopharm and Astrazeneca</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-12-12</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>190</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/61025</url>
      <study_type>observational</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Other design features: It is an observational study; which we follow the immunological response of those who receive an accepted booster vaccine (PastoCovac Plus).</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Covid-19. Condition 2: Covid-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Intervention group: People receiving two doses of Sinopharm as Pastocovac Plus booster. Intervention 2: Intervention group: Intervention group: People receiving two doses of AstraZeneca as a Pastocovac Plus booster. Intervention 3: Intervention group: People receiving two doses of Sinopharm as a Sinopharm booster. Intervention 4: Control group: People receiving two doses of AstraZeneca as AstraZeneca booster. Intervention 5: Control group: People receiving two doses of AstraZeneca as a Pastocovac Plus (Cuba) booster.</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 We are preparing our data-sharing plan.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Sarah Dahmardeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 69, Pasteur Ave., Tehran , Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1316943551</zip>
        <telephone>+98 21 6695 3311</telephone>
        <email>sarahdahmardeh@gmail.com</email>
        <affiliation>Pasture Institute of Iran</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Amitis Ramezani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.69, Ave pasteur, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>131693551</zip>
        <telephone>+98 21 6411 2812</telephone>
        <email>Amitisramezani@hotmail.com</email>
        <affiliation>Pasture Institute of Iran</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Signed informed written consent
Able to follow the vaccination schedules, visits and tests
General health and controlled underlying diseases (based on the  physician's recommendation)
Iranian citizenship
Resident in Tehran
Both sexes (male and female)
Aged above 18 years
Receiving 2 doses of Sinopharm vaccine with  28±5 days interval
Receiving 2 doses of Astrazeneca vaccine  with 3 to 4 months interval
All candidates whose second vaccination either Sinopharm or Astrazeneca was done  3 to 6 prior to enrollment.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Having a history of vaccination against Covid-19 with other available vaccines
History of COVID-19 based on laboratory or clinical evidence after receiving the vaccine
History of any vaccinations except COVID-19  within 3 months prior to enrollment
Pregnant or breastfeeding women or those who intend to become pregnant up to 3 months after the booster dose injection.
Having uncontrolled hypertension (cytological pressure greater than 140 or diastolic pressure greater than 90 mm Hg)
History of receiving blood or blood products such as immunoglobulin in the last three months
Suffering from chronic kidney disease (GFR less than 30)
Suffering from chronic liver disease (liver enzymes more than 5 times normal: 150ALT≥, 100AST≥)
Suffering from uncontrolled asthma (Having had an asthma attack in the last three months)
History of severe allergic reaction (anaphylaxis) to the vaccine during a person's lifetime
History of treatment with immunosuppressive drugs 1 month before the  booster injection  (including oral and inhaled steroids (does not include topical steroids), cytostatic, interferon, immunoferon, transfer factor, Biomodulin T, any type of gammaglobin, levamisole , Heberferon, thymosin or any other immunomodulatory drug (including patients taking the above drugs due to an underlying disease).
Having a fever or acute illness during the 7 days before the injection or on the day of the booster injection
Suffering from an unstable heart disease</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U11</hc_code>
      <hc_code>U07</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Need for immunization against COVID-19</hc_keyword>
      <hc_keyword>COVID-19, virus identified &amp; not  identified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Intervention group: People receiving two doses of Sinopharm as Pastocovac Plus booster.</i_keyword>
      <i_keyword>Intervention group: Intervention group: People receiving two doses of AstraZeneca as a Pastocovac Plus booster.</i_keyword>
      <i_keyword>Intervention group: People receiving two doses of Sinopharm as a Sinopharm booster.</i_keyword>
      <i_keyword>Control group: People receiving two doses of AstraZeneca as AstraZeneca booster.</i_keyword>
      <i_keyword>Control group: People receiving two doses of AstraZeneca as a Pastocovac Plus (Cuba) booster.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Increased Anti-Spike headline. Timepoint: At the beginning of the study (before the intervention) and one month after the intervention (receiving a booster dose). Method of measurement: Antibody titer with ELISA Kit Anti-SARS-CoV-2 QuantiVac ELISA (IgG) Kit, Euroimmun co.</prim_outcome>
      <prim_outcome>Quadrupling the neutralizing antibody titer. Timepoint: At the beginning of the study (before the intervention) and one month after the intervention (receiving a booster dose). Method of measurement: SARS-CoV-2 Neutralizing Ab Elisa kit.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Evaluating safety of Booster dose. Timepoint: During 30 mins till one month after intervention. Method of measurement: Visiting cases(days 0,30) and follow up cases every two weeks by phone call.</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>Pasture Institute of Iran</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-12-12</approval_date>
        <contact_name>Pasteur Institute of Iran (Research Ethics Committee)</contact_name>
        <contact_address>No. 69, Pasteur Ave., Tehran , Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
