<?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>IRCT20220502054724N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-07-11</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Effect of Elartrit in knee osteoarthritis</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the efficacy of Elaeagnus angustifolia extract (Elartrit) drug in comparison with meloxicam on pain relief and functional improvement of patients with knee osteoarthritis referred to physical medicine and rehabilitation clinics of Shiraz University of Medical Sciences</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/63880</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Permutation block randomization will be used for random allocation, in which "A" represents the patient receiving meloxicam and "B" represents the patient receiving Elartrit. In this method there will be a total of 6 possible quadruple permutations. In the next step, using a random number, codes 0 to 9 will be assigned to each of these permutations (i.e. ABAB Code 0, BABA Code 1, AABB Code 2, BBAA Code 3, BAAB Code 4, and ABBA Code 5 to 9). In this way, the required random list of 60, including 15 blocks of 4 (4 x 15 = 60 total number of samples) will be obtained and the order of assignment to each sample will be determined. The method of using the random number table will be such that the starting point will be selected randomly and 15 numbers from 0 to 9 will be selected randomly (column-wise or row-wise) and the permutation assigned to each of the numbers will be determined. The permutations will be placed side by side from left to right, and the allocation of the total of 60 people to groups A and B (30 people in each group) will be determined. Thus, two lists of 30 people, consisting of the groups A and B, will be obtained randomly. For concealment purposes, this random sequencing method will be given to another person who is not aware of the research process, and the questionnaires will be completed by this person who is unaware of the group divisions, Blinding description: Participant: in this study, it is not possible to blind the participants because the participants are aware of their intervention (their drug). 
Clinical care giver: the caregiver is instructed on how to conduct the questionnaire and is not aware of the patient’s intervention.
 Researcher: in this study, it is not possible to blind the researcher as he is aware of the intervention used in each case.
 The outcome assessor: the completed questionnaires are given to an individual who is not aware of the intervention performed and he/she is asked to determine the degree of pain relief and improvement of function according to the questionnaires.
Data analyzer: the questionnaires are finally given to an individual to review the information. This individual will not be aware of any of the steps of the study nor of the classification of the interventions performed.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Knee osteoarthritis.</hc_freetext>
      <i_freetext>Intervention 1: Control group: Treatment in this group includes taking 15 mg of meloxicam daily for 15 days, as well as educating patients in the clinic on lifestyle modifications and exercises suitable for knee pain. In addition, all patients will be given omeprazole to take if required daily in the morning in fasting state. Intervention 2: Intervention group:Treatment in this group includes taking 2 Elartrit capsules daily for 1 month, as well as educating patients in the clinic on lifestyle modifications and exercises suitable for knee pain. In addition, all patients will be given omeprazole to take if required daily in the morning in fasting state.</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:
All available data are shareable after rendering individuals unidentifiable.

When:
Access period begins one year after publishing of results.

To whom:
Everyone can access this information.

Conditions:
If the information in this study helps to improve the science process.

Where to obtain:
Mohammad Haghighat,  mammadht@gmail.com

How to obtain:
Upon receiving such a request, all authors of the study will be consulted and all information will be sent within a maximum of three weeks if permitted by all authors.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammad Haghighat</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Flat 6 Ahoora Building, 36/1 Ghasrodasht Ave.</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7193687936</zip>
        <telephone>+98 71 3626 1467</telephone>
        <email>mammadht@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammad Haghighat</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Flat 6 Ahoora Building, 36/1 Ghasrodasht Ave.</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7193687936</zip>
        <telephone>+98 71 3626 1467</telephone>
        <email>mammadht@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Filling and signing the consent form
Having pain and other clinical manifestations of knee osteoarthritis in the last month
Being between 40 to 60 years old
Not having any periarticular disease around the joint in question</inclusion_criteria>
      <agemin>40 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>High grade arthritis according to radiology
Presence of diabetes mellitus
Presence of rheumatologic and collagen vascular diseases such as gout and lupus
Presence of concomitant radiculopathy
Presence of neural damage and neuropathy
Presence of brucellosis
Presence of any malignancy
Presence of a history of significant liver disease
Presence of a history of significant liver disease
Presence of a history of significant kidney disease
Presence of a history of significant cardiac disease
Presence of a history of significant pulmonary disease
A body mass index greater than 42
Presence of a history of knee joint replacement in the knee being studied
Presence of a history of trauma or fracture in the knee being studied
Presence of bleeding disorders
Presence of an inability to communicate and to complete questionnaires
Presence of a history of allergic or hypersensitivity reaction to the drugs being used
Presence of a history of injections in the last 3 months within or around the joint being studied
Presence of a state of pregnancy or lactation
Patients taking anticoagulant medications
Presence of a history of gastrointestinal and stomach disease
Use of warfarin and ticlopidine</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M17.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Osteoarthritis of knee, unspecified</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>Control group: Treatment in this group includes taking 15 mg of meloxicam daily for 15 days, as well as educating patients in the clinic on lifestyle modifications and exercises suitable for knee pain. In addition, all patients will be given omeprazole to take if required daily in the morning in fasting state.</i_keyword>
      <i_keyword>Intervention group:Treatment in this group includes taking 2 Elartrit capsules daily for 1 month, as well as educating patients in the clinic on lifestyle modifications and exercises suitable for knee pain. In addition, all patients will be given omeprazole to take if required daily in the morning in fasting state.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain caused by knee osteoarthritis. Timepoint: Before starting the intervention; 2, 4, and 8 weeks later. Method of measurement: Visual analog scale; Western Ontario and McMaster Universities Arthritis Index; Oxford knee scale; Patient satisfaction.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Degree of knee dysfunction. Timepoint: Before starting the intervention; 2, 4, and 8 weeks later. Method of measurement: Western Ontario and McMaster Universities Arthritis Index; Oxford knee scale; Patient satisfaction.</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>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-05-23</approval_date>
        <contact_name>Ethics committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Research Department of the School of Medicine, Building No. 3, School of Medicine, Imam Hossein square, Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
