<?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>IRCT20110510006431N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-03-04</date_registration>
      <primary_sponsor>Semnan University of Medical Sciences</primary_sponsor>
      <public_title>The effect of probiotic on metabolic disorders in subjects with pre-diabetes</public_title>
      <acronym></acronym>
      <scientific_title>The effect of probiotic supplementation on glycemic control, cardiometabolic risk factors, and endothelial function in overweight and obese subjects with pre-diabetes</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>85</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/6883</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: Participants will be randomized to receive probiotic or placebo supplementation. Randomization will conduct based on permuted-block randomizations, stratified by gender and BMI. For this purpose, a random number table will be used. Allocation concealment will be performed by a statistician uninformed about the intervention and control groups, Blinding description: The patients and the main investigators will not be aware of the type of intervention received in the two groups. Supplements and placebo will be prepared by the pharmaceutical company outside the research environment in sealed and non-transparent packaging, and will be available to researchers after encoding. Until the end of the study, patients and researchers will not be aware of the content and method of coding supplementation and placebo.</study_design>
      <phase>3</phase>
      <hc_freetext>prediabetes.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Probiotic supplements will be provided in the form of capsules containing Lactobacillus acidophilus and Bifidobacterium longum in a colony-forming units of 10*9. All participants is this group are asked to take the capsule daily with a glass of water for 12 weeks. Intervention 2: Control group: All participants is this group are asked to take the capsule daily with a glass of water for 12 weeks.</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:
Information on the main outcome and secondary outcomes will be published.

When:
The start of access period will be after the publication of the results in 1398

To whom:
All academic researchers and health professionals

Conditions:
Not currently set.

Where to obtain:
Not currently set.

How to obtain:
Not currently set.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mahdi Shadnoush</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Head of Semnan University of Medical Sciences and Health Services, Basij Boulevard, Semnan</address>
        <city>Semnan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>35198-99951</zip>
        <telephone>+98 23 3344 8998</telephone>
        <email>shadnoush@sbmu.ac.ir</email>
        <affiliation>Semnan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mahdi Shadnoush</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Head of Semnan University of Medical Sciences and Health Services, Basij Boulevard, Semnan</address>
        <city>Semnan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>35198-99951</zip>
        <telephone>+98 23 3344 8998</telephone>
        <email>shadnoush@sbmu.ac.ir</email>
        <affiliation>Semnan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Pre-diabetes diagnosis within the last 12 months
Age between 35-65
25&lt;BMI&lt;40 kg/m2</inclusion_criteria>
      <agemin>35 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Type 1 and 2 diabetes
People under treatment with any specific drug protocol including Metformin, Aspirin, OCPs or HRTs, immunosuppressives, and Corticosteroids
People treated with antibiotics over the past three months
People with digestive disorders, cardiovascular diseases, endocrine disorders, kidney dysfunction and malignancies
Pregnant and lactating women, or those planning to become pregnant within the next 12 weeks
Smokers, consumers of addictive drugs and alcohol
Regular consumption of probiotic foods, or prebiotic and probiotic supplements over the past three months
People with major changes in weight, diet and lifestyle over the past three months</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>R73.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Abnormal glucose tolerance test, Prediabetes</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Probiotic supplements will be provided in the form of capsules containing Lactobacillus acidophilus and Bifidobacterium longum in a colony-forming units of 10*9. All participants is this group are asked to take the capsule daily with a glass of water for 12 weeks.</i_keyword>
      <i_keyword>Control group: All participants is this group are asked to take the capsule daily with a glass of water for 12 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>HbA1c. Timepoint: At the beginning and following 12 weeks supplementation. Method of measurement: HPLC method.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Fasting serum insulin. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>HOMA-IR. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: Calculation.</sec_outcome>
      <sec_outcome>Fasting serum total cholesterol. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: biochemical assay kits.</sec_outcome>
      <sec_outcome>Fasting serum triglyceride. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: biochemical assay kits.</sec_outcome>
      <sec_outcome>Fasting serum LDL cholesterol. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: biochemical assay kits.</sec_outcome>
      <sec_outcome>Fasting serum HDL cholesterol. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: biochemical assay kits.</sec_outcome>
      <sec_outcome>Fasting serum adiponectin. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Fasting serum resistin. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Fasting serum IL-6. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Fasting serum TNF-α. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Fasting serum ICAM-1. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Fasting serum VCAM-1. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Systolic blood pressure. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: calibrated blood pressure monitor.</sec_outcome>
      <sec_outcome>Diastolic blood pressure. Timepoint: The beginning of the study and the end of 12 weeks. Method of measurement: calibrated blood pressure monitor.</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>Semnan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-02-06</approval_date>
        <contact_name>Ethnical Committee of Semnan University of Medical Sciences</contact_name>
        <contact_address>Head of Semnan University of Medical Sciences and Health Services, Basij Boulevard, Semnan Semnan Semnan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
