<?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>IRCT20220315054291N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-08-10</date_registration>
      <primary_sponsor>Mazandaran University of Medical Sciences</primary_sponsor>
      <public_title>Effect of blackberry syrup on tonsil hypertrophy</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of blackberry syrup on reducing hypertrophy of tonsils and its clinical symptoms in patients aged 5 to 15 years</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>72</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/62647</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, random assignment of patients to experimental and control groups will be done using the quadruple random blocks method. We know that the number of possible blocks of four of the two letters A and B is equal to 6; As follows:
(AABB-ABAB-ABBA-BAAB-BABA-BBAA)
If we denote them by the numbers 1 to 6, to randomly assign them using blocks of 4, first by throwing 18 regular hexagons, a random sequence of numbers 1 to 6 into 18 blocks of 4 from the sub-generated blocks Will: In the desired sequence, there will be 36 letters from each letter A and B. According to the above blocks, 72 envelopes will be prepared and in each envelope, the letter A or B will be placed and will be numbered from 1 to 72. The person delivering the envelopes to the patients does not know what is inside. The production of a random sequence is done by a statistics and methodology consultant who does not have access to patients and only he knows what is in each issue. Patients who received the letter A will be in the intervention group and patients who received the letter B will be in the control group, Blinding description: Patients with tonsillar hypertrophy are randomly divided into intervention and placebo groups according to the inclusion criteria. After random sampling and determining whether the patient belongs to the intervention or control group, it is justified by the clinical caregiver and The required training is provided and the package containing the guide and medication brochure will be delivered to patients. In addition to oral explanations about how to study, how to use the drug, the amount and time of use and frequency and duration of treatment are explained. Intervention and control groups will be performed using the quadruple random blocks method.
According to the above blocks, 72 envelopes will be prepared and in each envelope, the letter A or B will be placed and will be numbered from 1 to 72. The person delivering the envelopes to the patients does not know what is inside. The production of a random sequence is done only by a "statistics and methodology consultant" who does not have access to patients and only he knows what is in each issue. Patients who received the letter A in the intervention group and patients who received the letter B. All patients will not be aware of the type of drug in the package, including one of the placebo or the main drug under study.</study_design>
      <phase>3</phase>
      <hc_freetext>Tonsil hypertrophy.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: patients slowly eat blackberry syrup for 4 weeks by taking one tablespoon of 5 cc in patients three times a day including morning, noon and night (about 10 seconds) should be kept in the mouth and not swallowed quickly to provide more contact between the syrup and the pharynx and tonsils. Blackberries and 30% honey are prepared by a reputable pharmaceutical factory under sterile conditions and during the pharmaceutical and pharmaceutical processing stages in 120 cc jars. Honey is used as a reformer of blackberries in this product. Blackberries are rich in polyphenols. Among them is anthocyanin, which is a strong antioxidant. Anthocyanin has strong antioxidant, anti-proliferative, and anti-inflammatory properties that can be used in the treatment or prevention of inflammatory diseases and prevent the inappropriate growth and proliferation of cells. Patients are treated by the assistant of traditional medicine. justified and provide the necessary training and recommendations Parents of the patients are explained and trained on how to conduct the study, how to use the drug under study. In addition, during one month, they should observe the necessary precautions in case of tonsillitis, including avoiding drinking very cold liquids, ice water, consuming vinegar, and pickles. Outside the house and washing hands and face after entering the house will be emphasized. In addition to providing verbal explanations, a brochure containing necessary recommendations has been prepared and will be delivered to the patients along with the medicine. Intervention 2: Control group: For 4 weeks, patients slowly eat the placebo oral syrup by taking one tablespoon of 5 cc, three times a day including morning, noon and night after meals, and it will be recommended to take the syrup a little longer (about 10 seconds) should be kept in the mouth and not swallowed quickly. Placebo oral syrup is a combination of water, glucose and permitted food coloring, which is prepared by a reputable pharmaceutical factory under sterile conditions and during the pharmaceutical and pharmaceutical processing stages in 120 cc bottles.The patients are justified by the traditional medicine assistant and the necessary training and recommendations are provided. The parents of the patients are taught that during one month, the necessary precautions for tonsillitis, including avoiding drinking very cold liquids, ice water, and consuming vinegar Also, it will be emphasized on the necessity of following health protocols in order to prevent the occurrence of infections such as colds, including wearing a mask outside the house and washing hands and face after entering the house. It includes the necessary recommendations that will be delivered to the patients along with the medicine Headed.</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>Yousefi Seyedeh Sedigheh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Khazar Square, Khazar Boulevard, Center for Traditional and Complementary Medicine, Mazandaran University</address>
        <city>Sari</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4816895475</zip>
        <telephone>+98 11 3324 4893</telephone>
        <email>s.yousefi@mazums.ac.ir</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Yousefi Seyedeh Sedigheh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Khazar Square, Khazar Boulevard, Center for Traditional and Complementary Medicine, Mazandaran University</address>
        <city>Sari</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4816895475</zip>
        <telephone>+98 11 3324 4893</telephone>
        <email>s.yousefi@mazums.ac.ir</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with chronic tonsillar hypertrophy
Being in the age range of 5 to 15 years
Willingness to participate in this research
Tendency to consume traditional medicine medicinal products</inclusion_criteria>
      <agemin>5 years</agemin>
      <agemax>15 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Having Acute tonsillitis
Having tonsillar abscess
Having unstable clinical conditions
Take systemic corticosteroids 4 weeks before the intervention
Take antibiotics 4 weeks before the intervention
Sensitivity to blackberry
Sensitivity to honey
Demonstrate signs of incompatibility with the consumption of blackberry syrup
Inability to communicate
Patient's unwillingness to continue cooperating in the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J35.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Hypertrophy of tonsils</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: patients slowly eat blackberry syrup for 4 weeks by taking one tablespoon of 5 cc in patients three times a day including morning, noon and night (about 10 seconds) should be kept in the mouth and not swallowed quickly to provide more contact between the syrup and the pharynx and tonsils. Blackberries and 30% honey are prepared by a reputable pharmaceutical factory under sterile conditions and during the pharmaceutical and pharmaceutical processing stages in 120 cc jars. Honey is used as a reformer of blackberries in this product. Blackberries are rich in polyphenols. Among them is anthocyanin, which is a strong antioxidant. Anthocyanin has strong antioxidant, anti-proliferative, and anti-inflammatory properties that can be used in the treatment or prevention of inflammatory diseases and prevent the inappropriate growth and proliferation of cells. Patients are treated by the assistant of traditional medicine. justified and provide the necessary training and recommendations Parents of the patients are explained and trained on how to conduct the study, how to use the drug under study. In addition, during one month, they should observe the necessary precautions in case of tonsillitis, including avoiding drinking very cold liquids, ice water, consuming vinegar, and pickles. Outside the house and washing hands and face after entering the house will be emphasized. In addition to providing verbal explanations, a brochure containing necessary recommendations has been prepared and will be delivered to the patients along with the medicine.</i_keyword>
      <i_keyword>Control group: For 4 weeks, patients slowly eat the placebo oral syrup by taking one tablespoon of 5 cc, three times a day including morning, noon and night after meals, and it will be recommended to take the syrup a little longer (about 10 seconds) should be kept in the mouth and not swallowed quickly. Placebo oral syrup is a combination of water, glucose and permitted food coloring, which is prepared by a reputable pharmaceutical factory under sterile conditions and during the pharmaceutical and pharmaceutical processing stages in 120 cc bottles.The patients are justified by the traditional medicine assistant and the necessary training and recommendations are provided. The parents of the patients are taught that during one month, the necessary precautions for tonsillitis, including avoiding drinking very cold liquids, ice water, and consuming vinegar Also, it will be emphasized on the necessity of following health protocols in order to prevent the occurrence of infections such as colds, including wearing a mask outside the house and washing hands and face after entering the house. It includes the necessary recommendations that will be delivered to the patients along with the medicine Headed.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The size of the tonsils according to the Brodsky scale. Timepoint: Beginning of the study (before the intervention). Method of measurement: Tonsil size classification with Brodsky scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>The size of the tonsils according to the Brodsky scale. Timepoint: 4 weeks after intervention (after taking blackberry syrup or placebo). Method of measurement: Tonsil size classification with Brodsky scale.</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>Mazandaran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-03-19</approval_date>
        <contact_name>Ethics committee of Mazandaran University of Medical Sciences</contact_name>
        <contact_address>Khazar Boulevard, next to Touba Clinic, Faculty of Traditional Medicine, second floor Sari Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
