<?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>IRCT20180610040037N5</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-07-17</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>A Study on the Efficacy and Side Effects of Softgel-Encapsulated IMOD in Individuals with HIV"</public_title>
      <acronym></acronym>
      <scientific_title>"Examining the Effectiveness and Side Effects of Softgel-Encapsulated IMOD in Individuals Living with HIV"</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>120</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/70920</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, randomization and allocation of patients into intervention and control groups are performed using a random block design. This method involves using a table of random blocks, where each block has an equal size, and within each block, random allocation of patients to the groups takes place.

The steps for implementing randomization using a random block design are as follows:

Determine the block size: In this step, the number of patients to be included in each block is determined. For example, if we want each block to consist of 4 patients, the block size would be 4.

Create the blocks: Based on the total number of patients (in this case, 120 patients), the necessary blocks for allocating patients to the groups are created. For example, if we consider the total number of patients as 120 and each block to have 4 patients, then 30 blocks will be created.

Randomly allocate patients: Within each block, patients are randomly allocated to the intervention and control groups. For this purpose, simple randomization methods such as using a random number table, computational software, or other randomization techniques are employed. By conducting this random allocation, each patient will have an equal chance of being assigned to either group, ensuring the balance and randomness of patient allocation.

Therefore, the random block design provides a straightforward approach to achieve randomization and allocation of patients in a controlled manner, enhancing the validity and reliability of the study results, Blinding description: Patients were allocated to the two groups through the block randomization table, but neither the person responsible for drug administration nor the patients themselves were aware of which group received the IMOD medication and which group received the placebo. This information was kept completely concealed from them. To maintain blinding, the drugs were designed to have similar shapes and colors, as coordinated, so that patients and the person responsible for drug administration would not be able to distinguish between the IMOD medication and the placebo.

Throughout the study period, all patients were examined and assessed for clinical symptoms related to HIV and drug-related side effects. These evaluations aimed to identify and record drug-related adverse events and clinical symptoms associated with the disease in both groups. This approach ensured the preservation of double-blindness in the study and the unbiased nature of the results, independent of the knowledge and diagnosis of the individuals and patients.".</study_design>
      <phase>3</phase>
      <hc_freetext>+HIV.</hc_freetext>
      <i_freetext>Intervention 1: Oral IMOD medication and antiretroviral therapy: The intervention group consists of 60 individuals who will receive treatment with oral IMOD medication containing a combination of Tanacetum vulgare, Rosa canina, and Urtica dioica extracts. The medication is manufactured by Zist- Arvand Pharmed Factory and is formulated in the form of a soft gel equivalent to 120 mg of pure extract. They will undergo antiretroviral therapy for a duration of 3 months. Intervention 2: Control group will receive antiretroviral drugs based on the treatment regimens recommended by the guidelines in Iran for a duration of 3 months.</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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is The decision of non-disclosure or sharing of IPD should be examined and evaluated based on a series of factors and environmental conditions, and the final decision should be made in accordance with the public interest and patient rights.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Seyed Ali Dehghan-Maneshadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Tehran, at the end of Keshavarz Boulevard, Imam Khomeini Hospital.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>14-19-733141</zip>
        <telephone>+98 21 6658 1583</telephone>
        <email>a_dehghanm@sina.tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Seyed Ali Dehghan-Maneshadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Tehran, at the end of Keshavarz Boulevard, Imam Khomeini Hospital.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>14-19-733141</zip>
        <telephone>+98 21 6658 1583</telephone>
        <email>a_dehghanm@sina.tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Having written informed and voluntary consent.
The patient's age should be between 18 and 65 years.
The patient should have two positive HIV ELISA tests and one positive Western blot test.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The patient has hepatitis B or C.
Pregnancy or breastfeeding.
Current use of illicit drugs or alcohol.
Use of growth hormone (within 30 days prior to study entry).
Use of testosterone or anabolic steroids (within 30 days prior to study entry).
Long-term treatment with immunosuppressive drugs (except for topical steroids).
Chemotherapy, interferon therapy, or radiotherapy (within three weeks prior to study entry).</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>B20</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Human immunodeficiency virus [HIV] disease</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Oral IMOD medication and antiretroviral therapy: The intervention group consists of 60 individuals who will receive treatment with oral IMOD medication containing a combination of Tanacetum vulgare, Rosa canina, and Urtica dioica extracts. The medication is manufactured by Zist- Arvand Pharmed Factory and is formulated in the form of a soft gel equivalent to 120 mg of pure extract. They will undergo antiretroviral therapy for a duration of 3 months.</i_keyword>
      <i_keyword>Control group will receive antiretroviral drugs based on the treatment regimens recommended by the guidelines in Iran for a duration of 3 months.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>CD4 count: The number of CD4 lymphocytes in the blood. Timepoint: 3 months. Method of measurement: Laboratory report.</prim_outcome>
      <prim_outcome>Laboratory indices of patients : Complete blood cell count/ Alkaline phosphatase level in the blood, measured to assess liver function/ Liver enzymes level in the blood /Blood urea nitrogen (BUN) level, measured to assess kidney function /Blood creatinine level, measured to assess kidney function /Fasting blood glucose level . Timepoint: 3 months. Method of measurement: Laboratory report.</prim_outcome>
      <prim_outcome>Acute and chronic side effects of oral medication IMOD: Any type of drug-related adverse event based on the physician's diagnosis . Timepoint: 3 months. Method of measurement: Clinical symptoms and physical examination.</prim_outcome>
      <prim_outcome>Viral load: The number of viruses in the blood. Timepoint: 3 months. Method of measurement: Laboratory report.</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>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-06-12</approval_date>
        <contact_name>Tehran University of Medical Sciences.</contact_name>
        <contact_address>Tehran, Keshavarz Boulevard, Corner of Qods Street, Central Organization of Tehran University of Medical Sciences. Tehran. Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
