<?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>IRCT20230814059146N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-08-22</date_registration>
      <primary_sponsor>DME of Nishtar hospital</primary_sponsor>
      <public_title>Effect of Vitamin D Supplement on Prevention of Preeclampsia in Pregnant Women</public_title>
      <acronym>PREV-D</acronym>
      <scientific_title>Comparing the Impact of Vitamin D Supplementation with Placebo on Pre-eclampsia Prevention in Pregnant Women</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-01-19</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>250</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/72107</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: stratfied simple random sampling technique, using random numbers first stratified by gender_, Blinding description: single blinding would involve ensuring that the participants (pregnant women) are unaware of whether they are receiving the actual Vitamin D supplementation or a placebo. This helps minimize bias and ensures that the results of the study are not influenced by the participants' or researchers' expectations or beliefs.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Pre-eclampsia: The occurrence of hypertension in pregnancy after 20 weeks of gestation.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:  In intervention group patients were given 50000 IU capsules of vitamin D3 once every 2 weeks. All patients were advised to take medicine (placebo or vitamin D) till 36 weeks of gestation.  Preeclampsia was diagnosed on the basis of clinical examination (Blood pressure of140/90 mm Hg or higher) and laboratory investigation. (Protein urea +1).  Blood pressure monitoring was done on every 15 days until the use of medicine. Intervention 2: Control group:. The control group was prescribed placebo in the form a another vitamin supplementation not containing vitamin D. All patients were advised to take medicine (placebo or vitamin D) till 36 weeks of gestation.  Preeclampsia was diagnosed on the basis of clinical examination (Blood pressure of140/90 mm Hg or higher) and laboratory investigation. (Protein urea +1).  Blood pressure monitoring was done on every 15 days until the use of medicine.</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 due to cultural reasons, patients usually hide personal data on individual basis</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Saima</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Nishtar hospital, Multan</address>
        <city>Multan</city>
        <country1>Pakistan</country1>
        <zip>66000</zip>
        <telephone>+92 311 8443876</telephone>
        <email>saimashahzad35177@gmail.com</email>
        <affiliation>DME, Nishtar hospital Multan</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Saima Shahzad</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Nishtar hospital, Multan</address>
        <city>Multan</city>
        <country1>Pakistan</country1>
        <zip>66000</zip>
        <telephone>+92 300 7195857</telephone>
        <email>saimashahzad35177@gmail.com</email>
        <affiliation>Nishtar Medical University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Presented with prenatal care in outpatient department
previous history of Preeclampsia
gestational age of &gt;20 weeks</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>40 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>History of renal insufficiency
History of cardiac disease
History of hypertension before pregnancy
lack of confidence in cooperation
history of immunological disease
patient willing to leave during trial</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>014</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Pre-eclampsia</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:  In intervention group patients were given 50000 IU capsules of vitamin D3 once every 2 weeks. All patients were advised to take medicine (placebo or vitamin D) till 36 weeks of gestation.  Preeclampsia was diagnosed on the basis of clinical examination (Blood pressure of140/90 mm Hg or higher) and laboratory investigation. (Protein urea +1).  Blood pressure monitoring was done on every 15 days until the use of medicine.</i_keyword>
      <i_keyword>Control group:. The control group was prescribed placebo in the form a another vitamin supplementation not containing vitamin D. All patients were advised to take medicine (placebo or vitamin D) till 36 weeks of gestation.  Preeclampsia was diagnosed on the basis of clinical examination (Blood pressure of140/90 mm Hg or higher) and laboratory investigation. (Protein urea +1).  Blood pressure monitoring was done on every 15 days until the use of medicine.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pre-eclampsia (Blood pressure measurement and proteinuria). Timepoint: From 20 weeks till 36 weeks of gestation, (every two weeks). Method of measurement: Blood pressure measurement using sphygmomanometer, and proteinuria by dipstick method.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Type of delivery. Timepoint: At 40 weeks approximately. Method of measurement: Visual and medical record.</sec_outcome>
      <sec_outcome>Abortion rate. Timepoint: From 20 weeks till abortion. Method of measurement: Based on history and medical records.</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>DME of Nishtar hospital</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-01-01</approval_date>
        <contact_name>Institutional Ethical Review Board (IERB)</contact_name>
        <contact_address>Nishtar Hospital, Multan Multan Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
