<?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>IRCT20230709058730N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-07-17</date_registration>
      <primary_sponsor>Jeeroft University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of binaural beats on brain electrical activity, interleukin-6 serum levels and depression severity in patients referred to the psychiatric clinic of Imam Khomeini Jiroft Hospital with major depressive disorder in 2024: A Randomized controlled trial study</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of binaural beats on brain electrical activity, interleukin-6 serum levels and depression severity in patients referred to the psychiatric clinic of Imam Khomeini Jiroft Hospital with major depressive disorder in 2024: A Randomized controlled trial study</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-08-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>96</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/71222</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization was done with a table of random numbers in such a way that the direction of reading the numbers in the table was determined from above. Numbers whose first two digits are between 00 and 12 belong to intervention group a, numbers whose first two digits are between 13 and 24 belong to intervention group b, numbers whose first two digits are between 25 and 36 belong to intervention group c, numbers which The first two digits of which are between 37 and 48 were assigned to the intervention group and the numbers whose first two digits are between 49 and 96 were assigned to the control group. Finally, one of the numbers in the table is randomly chosen and moved in the specified direction, and the numbers are recorded and assigned to study groups, Blinding description: The present study is single-blind, so the participants (subjects) do not know which control or intervention groups they are in.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Major Depressive Disorder.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: patients with major depressive disorder who are treated with binaural beat delta wave with a frequency of 1 to 3 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency. Intervention 2: Intervention group 2: patients with major depressive disorder who are treated with binaural beat Theta wave with a frequency of 4 to 8 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency. Intervention 3: Intervention group 3: patients with major depressive disorder who are treated with binaural beat Aalpha wave with a frequency of 9 to 13 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency. Intervention 4: Intervention group 4: patients with major depressive disorder who are treated with binaural beat Gamma wave with a frequency of +30 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency. Intervention 5: Control group: The control group only receives the standard medical treatment of major depressive disorder, which includes the daily consumption of one tablet of Escitalopram 10 mg.</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 There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammad Pourfridoni</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Pasdaran Blvd., Research and Technology Vice-Chancellor of Jiroft University of Medical Sciences</address>
        <city>Jiroft</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۷۸۶۱۶۱۵۷۶۵</zip>
        <telephone>+98 34 4331 7802</telephone>
        <email>Pourfridoni.m@gmail.com</email>
        <affiliation>Jeeroft University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammad Pourfridoni</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Pasdaran Blvd., Research and Technology Vice-Chancellor of Jiroft University of Medical Sciences</address>
        <city>Jiroft</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۷۸۶۱۶۱۵۷۶۵</zip>
        <telephone>+98 34 4331 7802</telephone>
        <email>Pourfridoni.m@gmail.com</email>
        <affiliation>Jeeroft University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>All patients with major depressive disorder (MDD) who have not received any treatment so far.
The age range of patients should be between 20 and 60 years.
Patients must have healthy hearing function.
Patients should not have been exposed to binaural beats stimulation.</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Having or history of any neurological disease
Alcohol consumption
The presence of any underlying disease
Pregnancy</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F32</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Major depressive disorder, single episode</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: patients with major depressive disorder who are treated with binaural beat delta wave with a frequency of 1 to 3 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency.</i_keyword>
      <i_keyword>Intervention group 2: patients with major depressive disorder who are treated with binaural beat Theta wave with a frequency of 4 to 8 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency.</i_keyword>
      <i_keyword>Intervention group 3: patients with major depressive disorder who are treated with binaural beat Aalpha wave with a frequency of 9 to 13 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency.</i_keyword>
      <i_keyword>Intervention group 4: patients with major depressive disorder who are treated with binaural beat Gamma wave with a frequency of +30 Hz. In addition to receiving their standard medical treatment (including Escitalopram 10 mg tablet daily), the patients listen to the specified frequency for 15 minutes every afternoon for 28 days. The frequency can be played for patients through the Frequency Sound Generator (Hoel Boedec) application, which is installed by the researcher on the patient's smart phone, and patients must use headphones to hear the frequency.</i_keyword>
      <i_keyword>Control group: The control group only receives the standard medical treatment of major depressive disorder, which includes the daily consumption of one tablet of Escitalopram 10 mg.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Brain Electrical activity. Timepoint: The evaluation intervals of patients will be on day 0, day 14 and day 28. Method of measurement: Electroencephalography.</prim_outcome>
      <prim_outcome>Interleukin 6 Serum level. Timepoint: The evaluation intervals of patients will be on day 0, day 14 and day 28. Method of measurement: ELISA laboratory kit.</prim_outcome>
      <prim_outcome>Depression severity. Timepoint: The evaluation intervals of patients will be on day 0, day 14 and day 28. Method of measurement: Patient Health Questionnaire (PHQ-9).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Quality of Life. Timepoint: The evaluation intervals of patients will be on day 0, day 14 and day 28. Method of measurement: The World Health Organization Quality of Life – BREF (WHOQOL-BREF).</sec_outcome>
      <sec_outcome>Sleep quality. Timepoint: The evaluation intervals of patients will be on day 0, day 14 and day 28. Method of measurement: Pittsburgh Sleep Quality Index (PSQI).</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>Jeeroft University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-07-08</approval_date>
        <contact_name>Research Ethics Committees of Jiroft University of Medical Sciences</contact_name>
        <contact_address>Pasdaran Blvd., Research and Technology Vice-Chancellor of Jiroft University of Medical Sciences Jiroft Kerman Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
