<?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>IRCT20170311033004N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-02-01</date_registration>
      <primary_sponsor>Iranian academic center for education culture and research</primary_sponsor>
      <public_title>Effects of alkaloids of harmala seeds on depression</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of adjunctive therapy of seeds alkaloids of Peganum harmala in the treatment of mild to moderate depression</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-04-03</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>68</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/61563</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be performed through block randomization (block of four). In Excel, we would arrange the Treatment and Control values systematically and then add a column with a block number. The third column would be our random numbers. Here is what it would look like. Then, we sort the numbers, by block and by random number within block, Blinding description: Blinding and randomization will be carried out by an independent person unrelated to the study, while the investigator will administrate capsules and will assess the patients. Capsules will be packed and numbered serially using numbers generated by random number tables. They are the same in appearance, size, and color.</study_design>
      <phase>2</phase>
      <hc_freetext>Depression.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: harmala alkaloids: Extraction is performed through routine methods for alkaloids extraction. Then a semi-automatic capsule filler was used to fill the harmaline capsules, prepared in an opaque plastic container. Each container consists of 42 hard gelatin capsules for six weeks of intake. Patients received either harmaline powder capsules (10 mg) per day, standardized to reference harmaline. Each capsule contained an equivalent 10 mg harmaline powder. All capsules were manufactured and packed in the Institute of Medicinal Plants (IMP), Alborz, Iran. Intervention 2: Control group: placebo: Placebo capsules, with the exact size, color, and appearance, were filled with fried bread (Roshd Co. Yazd, Iran). A semi-automatic capsule filler was used to fill the placebo capsules. Each container consists of 42 hard gelatin capsules for six weeks of intake.  All capsules were manufactured and packed in the Institute of Medicinal Plants (IMP), Alborz, Iran.</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:
Demographic data, the total score of questionnaires, and laboratory test's results

When:
Immediately after publishing the data

To whom:
Researchers at medical universities

Conditions:
Scores of the questionnaires and laboratory data are available for reviews and meta-analyses.

Where to obtain:
Dr Ali Razmi assistant professor of the institute of medicinal plants is responsible for sharing data
email: a.razmi@yahoo.com
Tel: 00989123945632

How to obtain:
Applicants could send their requests through email. The data will be available after identification.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Ali Razmi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Kamalshahr, Jahad daneshgahi research complex</address>
        <city>Kamalshahr</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1689734337</zip>
        <telephone>+98 26 3476 4010</telephone>
        <email>arazmi@alumnus.tums.ac.ir</email>
        <affiliation>Iranian academic center for education culture and research</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Ali Razmi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Kamalshahr, Jahad daneshgahi research complex</address>
        <city>Kamalshahr</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1689734337</zip>
        <telephone>+98 26 3476 4010</telephone>
        <email>arazmi@alumnus.tums.ac.ir</email>
        <affiliation>Iranian academic center for education culture and research</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>ability to read, understating and sign the informed consent form and the study procedures
male or female aged 18–65 years without any previous diagnosis of other mental disorders such as bipolar disorder, psychosis, primary anxiety disorder, and substance abuse or dependence disorder
reporting the Hamilton Depression Rating Score (HAMD) score above 14
agreed to use suitable family planning methods during the study and three months afterward
non-smoking
not being pregnant
under only SSRIs antidepressant regimen</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>they have a current diagnosis of other mental disorders including bipolar disorder, psychosis, primary anxiety disorder, and substance abuse or dependence disorder
pregnancy and breastfeeding
taking antidepressant except for SSRIs, mood stabilizer, or antipsychotic drug
chemotherapy or other medications known to produce mood changes
sensitivity to harmala alkaloids
emerging serious adverse effects with the alkaloids</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F33.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Major depressive disorder, recurrent, moderate</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: harmala alkaloids: Extraction is performed through routine methods for alkaloids extraction. Then a semi-automatic capsule filler was used to fill the harmaline capsules, prepared in an opaque plastic container. Each container consists of 42 hard gelatin capsules for six weeks of intake. Patients received either harmaline powder capsules (10 mg) per day, standardized to reference harmaline. Each capsule contained an equivalent 10 mg harmaline powder. All capsules were manufactured and packed in the Institute of Medicinal Plants (IMP), Alborz, Iran.</i_keyword>
      <i_keyword>Control group: placebo: Placebo capsules, with the exact size, color, and appearance, were filled with fried bread (Roshd Co. Yazd, Iran). A semi-automatic capsule filler was used to fill the placebo capsules. Each container consists of 42 hard gelatin capsules for six weeks of intake.  All capsules were manufactured and packed in the Institute of Medicinal Plants (IMP), Alborz, Iran.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Anhedonia, depressed mood, change in appetite, sleep, and suicidal ideations. Timepoint: Week 0, 4 and 6. Method of measurement: Hamilton Depression Rating Scale score.</prim_outcome>
      <prim_outcome>Depression. Timepoint: Week 0, 4 and 6. Method of measurement: Beck Depression Inventory.</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>Iranian academic center for education culture and research</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-10-06</approval_date>
        <contact_name>Avicenna Research Institute</contact_name>
        <contact_address>Darakeh St., Shahid Beheshti University Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
