<?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>IRCT20161031030616N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-03-15</date_registration>
      <primary_sponsor>Gorgan University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of the effect of Pistacia atlantica on fasting blood sugar in patients with type 2 diabetes</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of Pistacia atlantica oleoresin on fasting blood sugar in patients with type 2 diabetes and its relationship with lipid profile and blood pressure A randomized, single-blind, placebo-controlled trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-04-09</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>42</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/62344</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: In this study, the allocation of samples to the study groups will be stratified randomization. Because variables such as the presence of a history of disease (diabetes and hypertension) and gender have been identified as confounding variables in the study results according to the studies, the researcher decided to control the samples for the above variables and balance between Establish groups. Because in this study, samples will be available in the study, the researcher will also consider the matching of the studied groups in terms of the above variables when assigning samples to groups according to the permutation block method. After the number of samples in both groups reached half of the estimated number of samples, the groups were examined to ensure that matching occurred. By first selecting one of the 6 permutations (AABB-ABAB-ABBA-BAAB-BABA-BBAA) by simple random sampling without placement according to the selected block (eg AABB) Group A and the second sample with a history of disease and gender will be assigned to group A and the third and fourth samples with a history of disease and gender will be assigned to group B. In the second stage, one of the blocks will be selected and the samples will be assigned to the groups according to their permutations, and this process will continue until the required half of the sample in each group is reached. Confusing variables will be checked. If matching has occurred, the process of assigning samples to groups will continue. If no matching is performed, the simple random randomization to groups will continue, Blinding description: In this study, blinding will be one-sided blind. In this way, patients will not be aware of being in two groups and drugs will be prepared in identical forms (in terms of color, smell, and taste) in the form of capsules for both groups.
At the time of assigning the samples to the study groups, the participating samples are not aware of which group of the present study they are in, and only the assignor according to the block permutations and the type of letters (A, B) assigned to each sample, Knows which group (group A or group B) the sample is in.</study_design>
      <phase>3</phase>
      <hc_freetext>Diabetes mellitus.</hc_freetext>
      <i_freetext>Intervention 1: In this study, 42 patients were selected and divided into two groups of control and case, each group of 21 people.In this study, the allocation of samples to the study groups will be stratified randomization. In the intervention group, they will receive Pistacia atlantica oleoresin capsules in a dose of 500 mg twice a day for three consecutive months, in addition to a hypoglycemic drug (metformin tablets).The drug will be delivered to patients monthly.Before the start of the study, fasting blood sugar tests,  2hpp BS, Hb A1C and serum lipids are measured and then patients are included in the study.Then, after 3 months, a blood test is taken again and all 3 factors of fasting blood sugar,  2hpp BS, Hb A1C and serum lipids are measured. Intervention 2: Control group: 21 patients will be in the control group. anti diabetic drug (metformin tablets) for three months.In this study, the allocation of samples to the study groups will be stratified randomization. drugs will be delivered to patients on a monthly basis.Before the start of the study, fasting blood sugar tests, 2hpp BS, Hb A1C and serum lipids are measured and then patients are included in the study.Then, after 3 months, a blood test is taken again and all 3 factors of fasting blood sugar,  2hpp BS, Hb A1C and serum lipids are measured.</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 There is no more information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fatemeh Kolangi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran</address>
        <city>Gorgan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4934174515</zip>
        <telephone>+98 17 3243 0310</telephone>
        <email>dr.kolaangi@gmail.com</email>
        <affiliation>Gorgan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Fatemeh Kolangi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran</address>
        <city>Gorgan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4934174515</zip>
        <telephone>+98 17 3243 0310</telephone>
        <email>dr.kolaangi@gmail.com</email>
        <affiliation>Gorgan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>The patient's desire to enter the study
Age between 30-64 years, whose definitive diagnosis of diabetes has been made by performing two FBS tests more than 126 and the approval of the relevant specialist.
Patients with a history of type 2 diabetes are diagnosed less than two years after the onset of the disease and use at least one standard oral medication (metformin tablets) for initial control of the disease.
HbA1c is more equal to 8% and less than 9%.</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>64 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>blood sugar more than 300 and HbA1c is more equal to 9% .
Have indications for starting insulin and other injectable therapy.
Patients treated with insulin
Moderate to severe renal insufficiency (GFR less than 45 or albuminuria more than 300 mg)
Liver failure (diagnosis by an internal medicine specialist or gastroenterologist based on bilirubin, albumin and liver enzymes)
Class 3 and 4 heart failure
Diabetic retinopathy
Serious medical illness
Simultaneous infectious diseases including pulmonary tuberculosis, diabetic foot ulcers and ...
High blood pressure (systolic above 160 or diastolic above 100 mm Hg) or need to take more than three antihypertensive drugs
Women who decide to get pregnant
Pregnant women and lactating women</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E11</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>In this study, 42 patients were selected and divided into two groups of control and case, each group of 21 people.In this study, the allocation of samples to the study groups will be stratified randomization. In the intervention group, they will receive Pistacia atlantica oleoresin capsules in a dose of 500 mg twice a day for three consecutive months, in addition to a hypoglycemic drug (metformin tablets).The drug will be delivered to patients monthly.Before the start of the study, fasting blood sugar tests,  2hpp BS, Hb A1C and serum lipids are measured and then patients are included in the study.Then, after 3 months, a blood test is taken again and all 3 factors of fasting blood sugar,  2hpp BS, Hb A1C and serum lipids are measured.</i_keyword>
      <i_keyword>Control group: 21 patients will be in the control group. anti diabetic drug (metformin tablets) for three months.In this study, the allocation of samples to the study groups will be stratified randomization. drugs will be delivered to patients on a monthly basis.Before the start of the study, fasting blood sugar tests, 2hpp BS, Hb A1C and serum lipids are measured and then patients are included in the study.Then, after 3 months, a blood test is taken again and all 3 factors of fasting blood sugar,  2hpp BS, Hb A1C and serum lipids are measured.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>FBS. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Calorimetric by enzymatic method.</prim_outcome>
      <prim_outcome>Two-hour blood sugar. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Calorimetric by enzymatic method.</prim_outcome>
      <prim_outcome>HbA۱C. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: chromatography.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Blood serum cholesterol level of patients. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Calorimetric by enzymatic method.</sec_outcome>
      <sec_outcome>Blood serum triglyceride level of patients. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Calorimetric by enzymatic method.</sec_outcome>
      <sec_outcome>Blood serum LDL cholesterol level of patients. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Calorimetric by enzymatic method.</sec_outcome>
      <sec_outcome>Blood serum HDL cholesterol level of patients. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Calorimetric by enzymatic method.</sec_outcome>
      <sec_outcome>Systolic blood pressure. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Blood pressure device.</sec_outcome>
      <sec_outcome>Diastolic blood pressure. Timepoint: At the beginning of the study (before the intervention) and At the end of three months from the start of the intervention. Method of measurement: Blood pressure device.</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>Gorgan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-02-27</approval_date>
        <contact_name>Ethics Committee of Golestan University of Medical Sciences</contact_name>
        <contact_address>Phalsaphy complex, Shast kola Road Gorgan Golestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
