<?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>IRCT20181020041387N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-06-28</date_registration>
      <primary_sponsor>Yazd University of Medical Sciences</primary_sponsor>
      <public_title>The effects of Synbiotic on minerals</public_title>
      <acronym></acronym>
      <scientific_title>The effects of Synbiotic supplementation on blood and milk minerals and trace elements of lactating mothers</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-04-04</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/66152</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, the group allocation is performed through permuted block randomization at an assignment ratio of 1:1. patients were randomly divided into 2 groups: intervention group (as synbiotic supplement group) and control group (as placebo group) (named groups A and B). Group assignment was done through closed envelopes. Six of the four combinations of intervention and placebo groups A and B were determined AABB ABAB ABBA BBAA BABA BAAB (With block random assignment using a random number table). Block size was 4. For allocation concealment, the randomisation codes were kept in opaque, sealed, sequentially numbered envelopes, Blinding description: Patients who enrolled in the study based on the randomization list received sealed envelopes from the secretory ward and presented them to the researcher. The researcher administered the drugs labelled as A or B according to the codes within the envelopes. Both the drugs (synbiotic supplement and the placebo capsules) were identical in appearance, shape, color, and packaging, with the only difference being the manufacturer-assigned codes. In this study, the participants, healthcare providers, the researcher doctor who provides the drug to the patients and is responsible for the follow-up of the patient-, data collectors, data and safety monitoring board and outcome assessors are not aware of the assigned groups.
After the completion of the study and analysis by the statistician, the codes are determined by the manufacturing company.</study_design>
      <phase>3</phase>
      <hc_freetext>Lactating mothers.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Lactating mothers took one capsule of LactoFem including 109 CFU of probiotics (Lactobacillus fermentum, Lactobacillus plantarum, Lactobacillus acidophilus, Lactobacillus gasseri, Lactobacillus rhamnosus, Lactobacillus bulgaricus, Lactobacillus casei), and prebiotic Fructooligosaccharides (FOS) manufactured by Zist Takhmir Company daily for 30 days. Intervention 2: Control group: Lactating mothers took one placebo capsule that was similar in shape, tase and color with Lactofem capsules, manufactured by Zist Takhmir company, daily for 30 days.</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:
Demographic data and data of primary outcomes

When:
Up to six months after publication of the article

To whom:
Faculty members and students

Conditions:
Request through academic email

Where to obtain:
Email to dr.modarres@gmail.com

How to obtain:
Email to dr.modarres@gmail.com

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Seyedeh Zalfa Modarresi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Sadoughi Hospital, Shahid Ghandi Blvd., Yazd, Iran</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8916886938</zip>
        <telephone>+98 35 3822 4000</telephone>
        <email>dr.modarres@gmail.com</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Majid Aflatoonian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Children Growth Disorder Research Center, Shahid Sadoughi Hospital, Shahid Ghandi street</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8916886938</zip>
        <telephone>+98 35 3183 3502</telephone>
        <email>aflatoonianm@yahoo.com</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Mothers who have 1-2 months old infants
Mothers who have exclusively breast fed infants
Mothers aged 18-35 years old.
Mothers who have Infants born in more than 36 weeks of gestational age
Mothers whom their infants birth weight was more than 2500 gram.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Mothers with chronic disorders
Taking Antibiotics 2 weeks prior to the study by mothers.
Taking any other multivitamin and mineral supplements except that is administered by the health team for all lactating mothers.
History of hospitalization in infants</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>Z39.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Encounter for care and examination of lactating mother</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Lactating mothers took one capsule of LactoFem including 109 CFU of probiotics (Lactobacillus fermentum, Lactobacillus plantarum, Lactobacillus acidophilus, Lactobacillus gasseri, Lactobacillus rhamnosus, Lactobacillus bulgaricus, Lactobacillus casei), and prebiotic Fructooligosaccharides (FOS) manufactured by Zist Takhmir Company daily for 30 days.</i_keyword>
      <i_keyword>Control group: Lactating mothers took one placebo capsule that was similar in shape, tase and color with Lactofem capsules, manufactured by Zist Takhmir company, daily for 30 days.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Plasma Calcium (Ca) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Milk Calcium (Ca) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Plasma Magnesium (Mg) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Milk Magnesium (Mg) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Plasma Iron (Fe) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Milk Iron (Fe) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Plasma Copper (Cu) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Milk Copper (Cu) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Plasma Manganese (Mn) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Milk Manganese (Mn) Level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Milk Zinc (Zn) level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Plasma Zinc (Zn) level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
      <prim_outcome>Plasma Aluminium (Al) level. Timepoint: Before intervention and one month after intervention. Method of measurement: Atomic absorption spectrometry.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Infant weight for age Z-score. Timepoint: Before intervention, 1 month after intervention, at the age of 6 and 12 months old. Method of measurement: Scale, weight for age z-score chart.</sec_outcome>
      <sec_outcome>Infant height for age Z-score. Timepoint: Before intervention, 1 month after intervention, at the age of 6 and 12 months old. Method of measurement: Meter, Height for age z-score chart.</sec_outcome>
      <sec_outcome>Infant head circumference for age Z-score. Timepoint: Before intervention, 1 month after intervention, at the age of 6, 12 and 36 months old. Method of measurement: Meter, head circumference for age z-score chart.</sec_outcome>
      <sec_outcome>Infant wheezing episodes. Timepoint: At the age of 12 months. Method of measurement: Parents statement.</sec_outcome>
      <sec_outcome>Infant Hospitalization. Timepoint: At the age of 12 months old. Method of measurement: Parents' statement.</sec_outcome>
      <sec_outcome>Bronchodilator inhaler usage. Timepoint: At the age of 12  months old. Method of measurement: Parents' statement.</sec_outcome>
      <sec_outcome>Infants' taking antibiotics. Timepoint: At the age of 12 months old. Method of measurement: Parents' statement.</sec_outcome>
      <sec_outcome>Infants' constipation. Timepoint: before and after intervention. Method of measurement: Parents' statement.</sec_outcome>
      <sec_outcome>Mothers' constipation. Timepoint: At the base of intervention, a month after intervention. Method of measurement: Mothers' statement.</sec_outcome>
      <sec_outcome>Infants' Eczema. Timepoint: At the base of intervention, a month after intervention. Method of measurement: Mothers' statement.</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>Yazd University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2017-11-29</approval_date>
        <contact_name>Research ethics committees of school of medicine- Shahid Sadoughi University of Medical Sciences</contact_name>
        <contact_address>School of Medicine,  Shohadaye Gomnam BLVD., Alem Square, Safaeiyeh, Yazd, Iran. Yazd Yazd Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
