<?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>IRCT20220516054879N5</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-05-27</date_registration>
      <primary_sponsor>Gerash University of Medical Sciences</primary_sponsor>
      <public_title>Effect of Melatonin on Cognitive Performance Impairment</public_title>
      <acronym></acronym>
      <scientific_title>The Effect of Melatonin on Cognitive Performance Impairment During Electro Convulsive Therapy in Patients with Bipolar Disorder</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-05-26</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>46</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/70191</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: The case group was named A and the control group was named B. Random blocking is in this way that research units were assigned number 1 to 46 in order. Then a table with 23 rows named block and each block had 2 parts and each part was labeled with A and
B was named, considered. In the next step, the numbers will be placed in each house in order. After all the numbers were placed in the blocks, the people who had numbers in house A received the intervention drug, and the people who
had numbers in house B, they were considered as the control group.
The website https://www.sealedenvelope.com is used for randomization. The treatment group of each patient will be determined only after randomization.
Allocation Concealment method:
Opaque envelopes sealed with a random sequence (snose) are used, Blinding description: The treatment group of each patient will be determined only after randomization. The participants and the medical doctors responsible for taking care of the health of the patients and the researcher will be blinded and will not know about the treatment group. Only the ward nurse will be aware of the patient's treatment group and will open the relevant envelope. In addition, the research evaluators and statistics experts will be blinded to the treatment group of patients. In order to hide the random allocation, the Numbered Sequentially Envelopes method is used: envelopes sealed, opaque.</study_design>
      <phase>3</phase>
      <hc_freetext>Bipolar.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: 23 Patients in the intervention group will receive 3 mg melatonin tablets manufactured by Simorgh Daru Company in the form of 1 oral tablet 2 times a day from 24 hours before the start of ECT to 24 hours after the end of ECT. Intervention 2: Control group:23 Patients in the control group will receive placebo tablets manufactured by Simorgh Daru Company in the form of 1 oral tablet 2 times a day from 24 hours before the start of Electroconvulsive Therapy  to 24 hours after the end of Electroconvulsive Therapy.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is According to the approval of the ethics committee of Guilan University of Medical Sciences, in order to respect the privacy of patients, there is no plan to publish the results of patients.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Maryam Shahrokhi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>17 Shahrivar Hospital, Shahid Siadati Street, Namjoo Street, Rasht</address>
        <city>Rasht</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4144654379</zip>
        <telephone>+98 13 3336 9019</telephone>
        <email>shahrokhi.mail85@gmail.com</email>
        <affiliation>Rasht University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Maryam Shahrokhi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>17 Shahrivar Hospital, Shahid Siadati Street, Namjoo Street, Rasht</address>
        <city>Rasht</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4144654379</zip>
        <telephone>+98 13 3336 9019</telephone>
        <email>shahrokhi.mail85@gmail.com</email>
        <affiliation>Rasht University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients over 18 years of age who are diagnosed with bipolar according to Diagnostic and Statistical Manual of Mental Disorders V (DSM-V) criteria and based on the diagnosis of a psychiatrist, and at the beginning of ECT treatment, refer to Rasht Shafa Hospital.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Schizophrenia
Drug Abusers
Psychiatric diseases with other mental illnesses
Bradyarrhythmia
Liver or kidney failure
History of seizures
Drug or alcohol use
History of asthma or bronchospasm
History of allergy to melatonin
Pregnancy
Breastfeeding
Currently uncontrolled hypertension
Active peptic ulcer
Receiving nitroglycerin
History of severe skin disease such as Steven Johnson.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F31</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Bipolar disorder</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: 23 Patients in the intervention group will receive 3 mg melatonin tablets manufactured by Simorgh Daru Company in the form of 1 oral tablet 2 times a day from 24 hours before the start of ECT to 24 hours after the end of ECT.</i_keyword>
      <i_keyword>Control group:23 Patients in the control group will receive placebo tablets manufactured by Simorgh Daru Company in the form of 1 oral tablet 2 times a day from 24 hours before the start of Electroconvulsive Therapy  to 24 hours after the end of Electroconvulsive Therapy.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The primary measurable outcome in this study is the evaluation of cognitive disorders caused by electroshock therapy in bipolar patients treated with melatonin by the Mini-Mental State Examination questionnaire, which is evaluated before and after 12 sessions of electroshock therapy. Timepoint: Before and after 12 sessions of electroshock therapy. Method of measurement: Mini-Mental State Examination questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>The examination of changes in systolic and diastolic blood pressure. Timepoint: Before and after each session. Method of measurement: The blood pressure of the patients are checked and measured by the doctor and the researcher every time the patient visits.</sec_outcome>
      <sec_outcome>Check heart rate changes. Timepoint: Before and after each session. Method of measurement: The heart rate of the patients is checked and measured by the doctor and the researcher every time the patient visits.</sec_outcome>
      <sec_outcome>Investigation of possible drug side effects. Timepoint: Before and after each session. Method of measurement: Patients are examined by doctors and researchers at each visit.</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>Gerash University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-05-03</approval_date>
        <contact_name>Ethics Committee of Guilan University of Medical Sciences</contact_name>
        <contact_address>Rasht, Namjo St., Shahid Siadati St., in front of 17 Shahrivar Hospital, Research and Technology Deputy Rasht Guilan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
