<?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>IRCT20220827055798N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-10-07</date_registration>
      <primary_sponsor>Fasa University of Medical Sciences</primary_sponsor>
      <public_title>The effect of ivermectin and fluoxetine on the amelioration of mild covid-19 patients</public_title>
      <acronym></acronym>
      <scientific_title>The effect of combined regimen of ivermectin and fluoxetine on the prevention of hospitalization and amelioration of symptoms in mild covid-19 patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>144</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/65778</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patients are assigned to four treatment groups A, B, C, and D using Balance block randomization in an online source, https://www.randomizer.org/. the size of each block is 9 and the total number of blocks is 16.
The balanced randomization allocation method will be used for the participants in the randomized controlled clinical trial study to investigate the effect of ivermectin (group A), fluvoxamine (group B), the combination of ivermectin and fluvoxamine (group C), and placebo (group D), Blinding description: Capsules containing the original drug and placebo (similar in appearance, smell, and taste to the original drug) are blinded only with completely random coding that only the person responsible for data protection and grouping is aware of. In this way, none of the people who participate in the study, the project researchers, and those who are communicating and evaluating the patients will know how to allocate groups and drugs. Finally, for analysis, the groups are only numbered based on numbers, which are only available to the data protection officer. The analyst does not know which of the studied groups will be the intervention and which will be the witnesses.</study_design>
      <phase>3</phase>
      <hc_freetext>Covid-19.</hc_freetext>
      <i_freetext>Intervention 1: Ivermectin group: in this group, in addition to the standard treatment, participants in this group will receive daily doses of ivermectin according to their weight range (48 to 50 kg, 9 mg; 51 to 80 kg, 12 mg; and &gt;80 kg, 0.2 mg/kg). Intervention 2: Fluoxetine intervention group: in this group, in addition to the standard treatment, the participants in this group will receive 20mg capsules daily. Intervention 3: ivermectin + fluoxetine intervention group: in this group, in addition to the standard treatment, the participants in this group will receive 20 mg of fluoxetine capsules daily and ivermectin (48 to 50 kg, 9 mg; 51 to 80 kg, 12 mg; and &gt;80 kg, 0.2 mg/kg) daily. Intervention 4: Control group: Participants in this group will receive only standard treatment according to the guidelines of the Ministry of Health.</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:
The study will be uploaded as a protocol and preprint

When:
at the end of the statistical analysis

To whom:
Judicial officers and licensed researchers

Conditions:
People who intend to conduct research in an official voice and according to international conventions have received an official letter of cooperation from the ethics committee center.

Where to obtain:
academic email

How to obtain:
Refer to the ethics committee and obtain the necessary permission to provide data

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Majid Damiri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ebn Sina square</address>
        <city>Fasa</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7157847513</zip>
        <telephone>+98 71 5335 0994</telephone>
        <email>fahimeaasadi@gmail.com</email>
        <affiliation>Fasa University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Majid Damiri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ebn Sina square</address>
        <city>Fasa</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7157847513</zip>
        <telephone>+98 71 5335 0994</telephone>
        <email>fahimeaasadi@gmail.com</email>
        <affiliation>Fasa University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>positive covid-19 PCR
Completion of the informed consent questionnaire</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Taking any SSRI for 10 days before the onset of clinical symptoms and going to the clinic
History of mental illnesses
Inability or unwillingness to continue studying
The need for oxygen therapy or a history of home oxygen therapy
History of chronic kidney and liver diseases
Use of warfarin, ACE inhibitor, angiotensin II receptor antagonists
Acquired immune system deficiency diseases
Pregnancy or breastfeeding9- Malnutrition diseases
Use of macrocyclic lactone drug family
Use of ivermectin for 7 days before the symptoms of covid-19
Dialysis
Participants who have participated in another trial study in the last six months.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J06</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Acute upper respiratory infections of multiple and unspecified sites</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Ivermectin group: in this group, in addition to the standard treatment, participants in this group will receive daily doses of ivermectin according to their weight range (48 to 50 kg, 9 mg; 51 to 80 kg, 12 mg; and &gt;80 kg, 0.2 mg/kg)</i_keyword>
      <i_keyword>Fluoxetine intervention group: in this group, in addition to the standard treatment, the participants in this group will receive 20mg capsules daily.</i_keyword>
      <i_keyword>ivermectin + fluoxetine intervention group: in this group, in addition to the standard treatment, the participants in this group will receive 20 mg of fluoxetine capsules daily and ivermectin (48 to 50 kg, 9 mg; 51 to 80 kg, 12 mg; and &gt;80 kg, 0.2 mg/kg) daily</i_keyword>
      <i_keyword>Control group: Participants in this group will receive only standard treatment according to the guidelines of the Ministry of Health.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Hospitalization. Timepoint: before the start of the study and 5 days after the start of the study. Method of measurement: questionnaire.</prim_outcome>
      <prim_outcome>Development of symptoms. Timepoint: before the start of the study and 5 days after the start of the study. Method of measurement: questionnaire.</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>Fasa University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-08-24</approval_date>
        <contact_name>Fasa university of medical science ethics committee</contact_name>
        <contact_address>Ebn Sina square Fasa Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
