<?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>IRCT20220702055340N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-11-21</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>Probiotic in ROUX_en_Y obesity surgery on gastrointestinal function and metabolic factors and weight changes</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of administering probiotic tablets after ROUX-en-Y obesity surgery on gastrointestinal function and metabolic factors and weight changes</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>134</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/64543</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: Eligible patients were selected from patients who refer to the clinic of Al-Zahra Hospital.
Software:Random Allocation Software 2.0; Numbering sequential from1 to 134 by analyzer. Block randomization consisting 4 patients in each block. Patients categorized to group A,B. Patient get one pocket that been one number and name of group inside. Just pharmacist know about group A and B. pharmacist take them the tablets and then analyzer entered the data, Blinding description: The probiotic and placebo were determined by the bio-fermentation pharmaceutical company and the samples in each group were delivered to the researcher after the coding under the names of A and B. the groups were decoded after statistical analysis. In this study, the patients, data collectors and data analysts were unaware of the received interventions.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: Morbid obesity. Condition 2: Bariatric surgery.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:  The first group received the probiotic tablets (Familact Co.)  daily and started receiving medication one week after surgery until 6 months after surgery.After 4 months of surgery, vitamin B12 were prescribed every month. Other necessary supplements were also prescribed. Intervention 2: Control group: Patients underwent bariatric surgery and start receiving placebo one week after surgery and start investigation. Placebo was produced by Zist_Takhmir CO that produce the Femilact. Placebo was produced with the same shape without effective material.After 4 months of surgery, vitamin B12 were prescribed every month. Other necessary supplements were also prescribed.</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:
Outcome of this study
Patients information

When:
At the end of the study.

To whom:
Journals, Medical Schools

Conditions:
To use for other patients or use for other study

Where to obtain:
Alime Hossein Abdolahi
a.abdolahi155@gmail.com

Dr.Hamid melali
Hamidmelali@yahoo.com

How to obtain:
They have to  explain about their study and how to use our data. They request the formal letter by email, data will send during one week.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hamid Melali</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>General Surgery Department, Alzahra hospital, Sofe Blvd.</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174675731</zip>
        <telephone>+98 31 3620 2020</telephone>
        <email>Hamidmelali@yahoo.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Alime Hossein Abdolahi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 49, 7th Ave,. Sepahan Town. Hezarjarib Blvd.</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174614141</zip>
        <telephone>+98 31 3673 0869</telephone>
        <email>a.abdolahi155@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>BMI ≥ 45 kg/m2
35 ≤BMI ≤40 kg/m2 associated with comorbidity</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>having evidence of chronic gastrointestinal, hepatic or renal disorders
having evidence of chronic hepatic disorders
having evidence of chronic renal disorders
Pregnancy
Breastfeeding in women
Recieving antibiotics, probiotics or probiotic enriched foods, non-steroid anti-inflammatory drugs (NSAID) or insulin within 4 weeks before the study initiation.
History of gastrointestinal surgeries</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E66.01</hc_code>
      <hc_code>Z98.84</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Morbid (severe) obesity due to excess calories</hc_keyword>
      <hc_keyword>Bariatric surgery status</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:  The first group received the probiotic tablets (Familact Co.)  daily and started receiving medication one week after surgery until 6 months after surgery.After 4 months of surgery, vitamin B12 were prescribed every month. Other necessary supplements were also prescribed</i_keyword>
      <i_keyword>Control group: Patients underwent bariatric surgery and start receiving placebo one week after surgery and start investigation. Placebo was produced by Zist_Takhmir CO that produce the Femilact. Placebo was produced with the same shape without effective material.After 4 months of surgery, vitamin B12 were prescribed every month. Other necessary supplements were also prescribed.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Gastrointestinal Function. Timepoint: start receiving medication 1 week after surgery and start investigation,  5week after surgery, 9weeks after surgery, 12 week after surgery then 6 month  after surgery. Method of measurement: Using of Gastrointestinal Quality of Life index questionnaire.</prim_outcome>
      <prim_outcome>Blood sugar. Timepoint: Before surgery and after surgery for up to 6 months. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>Liver enzyme. Timepoint: Before surgery and after surgery for up to 6 months. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>Triglyceride. Timepoint: Before surgery and after surgery for up to 6 months. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>HbA1C. Timepoint: Before surgery and after surgery for up to 6 months. Method of measurement: Blood test.</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>Esfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-12-19</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>No.49, 7th Ave., Sepahan Town.,Hezarjarib Blvd.,Isfahan Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
