<?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>IRCT20220112053700N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-02-12</date_registration>
      <primary_sponsor>Arak University of Medical Sciences</primary_sponsor>
      <public_title>The Effect of L-Arginine Supplementation on Hypogonadism in Patients witht Diabetes Type 2.</public_title>
      <acronym></acronym>
      <scientific_title>The Effect of L-Arginine Supplementation on Hypogonadism in Patients witht Diabetes Type 2.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-02-12</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/61262</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be Randomly Assigned to Groups A and B by Block Randomization (Quadruple Block). Due to Having Two Intervention and Control Groups, in each Block, There should be an Equal Number of Modes A and B, which According to the Volume of the Four Blocks, there will be Six Different Modes for the Blocks, which are: AABB, ABAB, ABBA BBAA, BABA, BAAB. Different States of the Blocks will be written on Cardboard Cards of the Same Size and Color. According to the Sample Size (50 Patients) and Five Modes of Blocks, 10 Times the Cards were Randomly Selected by Replacing and Selecting the Blocks, Determining the order of Placing Patients in Groups A (Control) and B (Intervention) will do And According to the Sample Size, the Patients with the Inclusion Criteria will be divided in such a way that only the physician treating the patient's diabetes is aware of the division and the researcher (student) and the Patient and the Statistical Expert are not Aware of the Division until the end of the Study, Blinding description: Eligible Patients will be Divided in such a way that only the Physician Treating the Patient's Diabetes is Aware of the Classification and the Researcher (Student) and the Patient and the Statistical Expert are not Aware of the Classification until the end of the Study.</study_design>
      <phase>3</phase>
      <hc_freetext>Diabetes Type 2.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:All Patients Selected from the Intervention Group Should be Treated with Oral L-Arginine Supplement Alone or dissolved in a Beverage or Liquid Food at a rate of 3 Gram per Day (Oral L-Arginine Vial with BSK Brand made by Iran Zist Takhmir Company) The  will Continue for 8 Weeks and at the End of each Week the Method of Taking the Drug and Possible Complications and Problems will be Followed up by Phone. Intervention 2: Control group: All Patients in the Control Group will be treated with a Placebo Vial and a Similar Shape and Colore of the Drug  at the rate of 3Gram per Day(with BSK Brand made by Iran Zist Takhmir Company) and will be followed Exactly by the Intervention Group by a Student who does not know how to Assign Groups.</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 Due to the Privacy of the Information, Patient Information is kept Confidential by the Project Manager.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Bahman Sadehgi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.31,Mahdie St.,Imam Khomeini St</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3814955756</zip>
        <telephone>+98 86 3222 4476</telephone>
        <email>Reza.naderi1988@yahoo.com</email>
        <affiliation>Arak University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Bahman Sadeghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.31., Mahdie St., Imam Khomeini St</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3814955756</zip>
        <telephone>+98 86 3222 4476</telephone>
        <email>Reza.naderi1988@yahoo.com</email>
        <affiliation>Arak University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Male Gender
Erectile Dysfunction (ED) for at Least 3 Months
Having Type 2 Diabetes for at Least a Year
Total Testosterone Levels Less than 8 nanomol /Liter or Serum Testosterone in the Range of 8 to 11 nanomol /Liter and Free Testosterone Levels Less than 220 picomoles /Liter
Age 40 to 60 Years
HBA1C Between 5.5 and 7 (Low and Moderate Risk Diabetes)
Do not Take Exogenous Anabolic Steroids</inclusion_criteria>
      <agemin>40 years</agemin>
      <agemax>60 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>Patients with Erectile Dysfunction (ED) of known Psychological Origin
Patients with Prostate Cancer or Benign Prostatic Hyperplasia
Patients with a History of Sleep Apnea
Patients with Spinal Cord Injury
Patients with known and treated Cardiopulmonary Injury
Patients with Hyperthyroidism or Hypothyroidism
Patients with known Liver Failure
Patients with known Renal Failure
Patients with a History of Seizures
Patients with known Microvascular Complications of Diabetes (Retinopathy, Neuropathy, Nephropathy
Taking Anti-Libido Drugs
Taking Antipsychotic or Mood Stabilizing or Antidepressant Medications</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E08</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Diabetes mellitus due to underlying condition</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:All Patients Selected from the Intervention Group Should be Treated with Oral L-Arginine Supplement Alone or dissolved in a Beverage or Liquid Food at a rate of 3 Gram per Day (Oral L-Arginine Vial with BSK Brand made by Iran Zist Takhmir Company) The  will Continue for 8 Weeks and at the End of each Week the Method of Taking the Drug and Possible Complications and Problems will be Followed up by Phone.</i_keyword>
      <i_keyword>Control group: All Patients in the Control Group will be treated with a Placebo Vial and a Similar Shape and Colore of the Drug  at the rate of 3Gram per Day(with BSK Brand made by Iran Zist Takhmir Company) and will be followed Exactly by the Intervention Group by a Student who does not know how to Assign Groups.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Percentage of Individuals with the International Index of Erectile Function-5 Questionnaire Score of Less than 21. Timepoint: Filling in the Questionnaire at the Beginning of the Study and 8 Weeks after Taking L-Arginine Supplement or Placebo. Method of measurement: The International Index of Erectile Function-5.</prim_outcome>
      <prim_outcome>Free and Total Testosterone Serum Levels. Timepoint: Measurement of Free and Total Testosterone Serum Levels at the Beginning of the Study and 8 Weeks after Taking L-Arginine Supplement or Placebo. Method of measurement: Laboratory Kit by ELISA Method.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Fasting Blood Suger. Timepoint: Measurement of Fasting Blood Sugar Levels at the Beginning of the Study and 8 Weeks after Taking L-Arginine Supplement or Placebo. Method of measurement: Laboratory Kit by ELISA Method.</sec_outcome>
      <sec_outcome>Hemoglobin A1C. Timepoint: Measurement of Hemoglobin A1C Levels at the Beginning of the Study and 8 Weeks after Taking L-Arginine Supplement or Placebo. Method of measurement: Laboratory Kit by ELISA Method.</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>Arak University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-01-16</approval_date>
        <contact_name>Ethics Committee of Arak University of Medical Sciences</contact_name>
        <contact_address>No.31, Mahdie St., Imam Khomeini St Arak Markazi Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
