Protocol summary
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Study aim
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Effects of Arctium Lappa root on serum levels of some biochemical variables in women with polycystic ovary syndrome
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Design
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In this randomized, double-blind, phase 2 study, a total number of 60 people with polycystic ovary syndrome will be selected. They will be divided into two groups of Arctium Lappa root and placebo by block randomization method. They will be matched in age and BMI.
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Settings and conduct
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The purpose of the study and how to do it will be explained to patients and written consent will be obtained from them to participate in the study in Taleghani hospital, Arak. Blood samples are taken from patients at the beginning of the study(Sampling is done in the clinic)and factors such as blood fat and etc. are measured in the blood(measurement is done in the Arak university of medical sciences laboratory).Then, the herbal medicine will be used in the participants for 12 weeks, and after this period, blood samples will be taken again and the factors will be measured again in order to evaluate the effect of the medicine. Patients and specialist will not be aware of the type of groups.
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Participants/Inclusion and exclusion criteria
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women in the age range of 18-45 years;whose PCOS has been confirmed by a specialist based on Rotterdam criteria;Only patients who do not intend to become pregnant are allowed to enter our study because the profile of therapeutic drugs of them is different from those who intend to become pregnant.The exclusion criteria are:consumption anticoagulant drugs and antioxidant and anti-inflammatory supplements 3 months before the study; suffering from diabetes;thyroid disorders;and hyperprolactinemia.
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Intervention groups
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Recipient group of Arctium Lappa root(One 460 mg capsule per day)and recipient group contains starch with the same dose.
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Main outcome variables
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Markers of oxidative stress and inflammation
General information
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Reason for update
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Additional clarification and rectification of these items: Inclusion criteria (adding Rotterdam criteria), blinding method description, timepoint of measurement, and also measurement method of the variable "menstrual frequency".
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Acronym
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IRCT registration information
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IRCT registration number:
IRCT20230222057492N1
Registration date:
2023-03-29, 1402/01/09
Registration timing:
prospective
Last update:
2025-02-09, 1403/11/21
Update count:
4
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Registration date
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2023-03-29, 1402/01/09
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2023-04-04, 1402/01/15
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Expected recruitment end date
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2024-04-03, 1403/01/15
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Actual recruitment start date
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2023-04-04, 1402/01/15
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Actual recruitment end date
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2024-01-20, 1402/10/30
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Trial completion date
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empty
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Scientific title
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Investigation the effects of Arctium Lappa root powder on some markers of oxidative stress and inflammation in women with polycystic ovary syndrome: a randomized double blind clinical trial study
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Public title
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Investigation the effects of Arctium Lappa root powder in women with polycystic ovary syndrome
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Purpose
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Treatment
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Inclusion/Exclusion criteria
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Inclusion criteria:
Women in the age range of 18-45 years
Confirmation of PCOS by a specialist doctor, based on Rotterdam criteria
Patient satisfaction to enter the study
Patients who do not intend to become pregnant because the profile of therapeutic drugs for people who intend to become pregnant is different from those who do not intend to become pregnant
Exclusion criteria:
Smoking
consumption of anticoagulant drugs and antioxidant and anti-inflammatory supplements for 3 months before the study.
Pregnancy
Breastfeeding
Diabetes
Thyroid disorders
Hyperprolactinemia
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Age
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From 18 years old to 45 years old
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Gender
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Female
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Phase
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2-3
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Groups that have been masked
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- Participant
- Care provider
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Sample size
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Target sample size:
60
Actual sample size reached:
60
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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The random allocation method will be used and the patients are placed in the intervention or control group using the block random allocation method with blocks of four. By assigning the letter A to the intervention group and the letter B to the control group, six states AABB, BBAA, BABA, ABBA, BAAB, and ABAB are written on separate sheets and are thrown into a container, and each time one of the sheets is taken out and it's written composition is noted and the sheet is thrown into the container again. Since the sample size in this study is 60, this procedure is repeated 15 times and each time the combination written on each sheet is noted in the sequence of the previous sheet. Then, a number from one to sixty is assigned to each of the letters in the order of the letters noted one after the other, and each of the letters are placed in an envelope and the specific number of each letter is written on the envelope. Every time which a subject is selected, one of the envelopes is opened. According to the number written on the envelope, the patient is introduced into the intervention or control group.
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Blinding (investigator's opinion)
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Double blinded
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Blinding description
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Participants and healthcare providers are blinded. The drug and placebo are packaged in similar packages. The treatment group and placebo group will not be aware of the type of intervention they receive.
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Placebo
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Used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2023-02-12, 1401/11/23
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Ethics committee reference number
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IR.ARAKMU.REC.1401.334
2
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Ethics committee
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Approval date
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2024-05-19, 1403/02/30
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Ethics committee reference number
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IR.ARAKMU.REC.1403.060
3
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Ethics committee
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Approval date
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2024-10-06, 1403/07/15
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Ethics committee reference number
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IR.ARAKMU.REC.1403.224
Health conditions studied
1
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Description of health condition studied
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Polycystic ovary syndrome
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ICD-10 code
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E28.2
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ICD-10 code description
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Polycystic ovarian syndrome
Primary outcomes
1
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Description
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Superoxide dismutase
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
2
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Description
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Catalase
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
3
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Description
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Glutathione peroxidase
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
4
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Description
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Reduced glutathione
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
5
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Description
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Oxidized glutathione
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
6
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Description
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The ratio of reduced glutathione to oxidized glutathione
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
7
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Description
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Total antioxidant capacity
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
8
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Description
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Total oxidant status
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
9
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Description
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Oxidative stress index
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
10
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Description
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Malondialdehyde
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
11
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Description
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Ratio of malondialdehyde to total antioxidant capacity
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
12
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Description
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Total antioxidant gap
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
13
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Description
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Total Thiol
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
14
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Description
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C-reactive protein
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Turbidimetry
15
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Description
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The ratio of C-reactive protein to albumin
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
16
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Description
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The ratio of blood urea nitrogen to albumin
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
17
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Description
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Albumin bilirubin score
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
18
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Description
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Triglyceride-Glucose index
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
19
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Description
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Ovary volume
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Ultrasonography
20
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Description
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The rate of hirsutism
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Modified Ferriman-Gallwey scoring scale
21
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Description
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Menstrual frequency
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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To ask the patient and dividing the total number of menstruations that occurred in three months by the expected number of menstruations (three times in three months).
22
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Description
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Tumor necrosis factor-alpha
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Timepoint
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Before and 12 weeks after the start of the intervention(measuring on 40 patients)
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Method of measurement
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ELISA
23
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Description
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Interleukin-6
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Timepoint
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Before and 12 weeks after the start of the intervention(measuring on 40 patients)
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Method of measurement
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ELISA
24
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Description
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Anti-Mullerian Hormone
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Timepoint
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Before and 12 weeks after the start of the intervention(measuring on 40 patients)
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Method of measurement
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ELISA
25
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Description
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Triglyceride
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
26
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Description
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Cholesterol
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
27
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Description
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High Density Lipoprotein
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
28
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Description
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low Density Lipoprotein
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Colorimetric
29
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Description
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Cholesterol to high density lipoprotein ratio
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
30
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Description
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Triglyceride to high density lipoprotein ratio
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
31
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Description
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The ratio of low-density lipoprotein to high-density lipoprotein
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
Secondary outcomes
1
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Description
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Body mass index
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Timepoint
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Before and 12 weeks after the start of the intervention
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Method of measurement
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Formula
Intervention groups
1
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Description
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Intervention group: One capsule Arctium Lappa root powder (460 mg) per day for 12 weeks.
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Category
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Treatment - Drugs
2
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Description
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Control group: One capsule placebo starch (460 mg) per day for 12 weeks.
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Category
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Placebo
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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Arak University of Medical Sciences
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Proportion provided by this source
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100
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Public or private sector
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Public
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Academic
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Yes - There is a plan to make this available
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Study Protocol
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Yes - There is a plan to make this available
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Statistical Analysis Plan
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Yes - There is a plan to make this available
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Informed Consent Form
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Yes - There is a plan to make this available
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Clinical Study Report
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Yes - There is a plan to make this available
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Analytic Code
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Yes - There is a plan to make this available
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Data Dictionary
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Yes - There is a plan to make this available
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Title and more details about the data/document
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Only results of main outcomes
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When the data will become available and for how long
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Six months after publishing of the results
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To whom data/document is available
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Only for academic staffs and universities researches
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Under which criteria data/document could be used
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Only for international and between universities researches
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From where data/document is obtainable
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Ali Khosrowbeygi a.khosrowbeygi@arakmu.ac.ir
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What processes are involved for a request to access data/document
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1. Requesting a team work clinical trial via email. 2. Approving the proposal. 3. Registration of the trial.
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Comments
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No comments