<?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>IRCT20231004059611N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-01-08</date_registration>
      <primary_sponsor>Bandare-abbas University of Medical Sciences</primary_sponsor>
      <public_title>Probiotics in the Management of Functional Constipation in Children</public_title>
      <acronym></acronym>
      <scientific_title>Evaluating the Therapeutic Effectiveness of Probiotics on Pediatric Functional Constipation in a Cohort Aged 2 to 12 Years</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-01-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>170</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/72974</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization Unit: Individual participants.
Method: Equal and independent chance of being assigned to either group, without age or characteristic stratification.
Tool: Random allocation software for unbiased, random sequence generation.
Sequence Generation: Pre-generated random sequence for assigning participants upon enrollment.
Allocation Concealment: Hidden sequence from the research team to prevent selection bias.
This approach ensures a fair and transparent allocation, maintaining the integrity and reliability of the study, Blinding description: Participants and Caregivers: Unaware of whether receiving probiotics or placebo.
Researchers and Principal Investigator: Blind to treatment allocation to prevent bias in study management and interpretation.
Healthcare Personnel (Physicians, Nurses, etc.): Not informed of individual treatments to ensure unbiased patient care.
Data Collectors and Outcome Assessors: Kept blind to avoid influence on data recording or result interpretation.
Data Safety and Monitoring Committee: Not Blinded
Treatments, prepared by a third-party manufacturer, are coded and labeled indistinguishably. The manufacturer holds the treatment codes securely, only to be revealed after study completion or in medical emergencies.

Participants are fully informed about their trial participation, but specific treatment details are withheld per double-blind study design, ensuring ethical conduct and study validity.</study_design>
      <phase>3</phase>
      <hc_freetext>Functional Constipation.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Reuteflor oral sachet, each Reuteflor sachet contains 800 million active lyophilized cells of Lactobacillus roteri (equivalent to 8*10^8 CFU), 1 to 2 sachets per day or according to the doctor's opinion, for use in children over two years of age and adolescents. and adults, the duration of use is 28 days, dissolve the contents of one sachet in a quantity of liquid or solid food compounds that are allowed by a doctor or pharmacist, such as water, yogurt or (cold) food and immediately Consume up to thirty minutes before. Make sure that the content of the sachet is well dissolved in the liquid, yogurt or food before consumption. Manufacturer: Faradaro Fan Avar Mehr Company (Farabiotic). Intervention 2: Control group: Receiving placebo, dosage, number of times of use, duration of use, method of use as in the intervention group. Manufacturer: Faradaro Fan Avar Mehr Company (Farabiotic).</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:
Investigative Elements Comprising Individual Participant Data (IPD), Study Protocol, Statistical Analysis Blueprint, Informed Consent Documentation, Clinical Study Report, Analytical Coding Framework, and Data Categorization System. A portion of this data, specifically pertaining to the principal outcome, will be designated for scholarly sharing.

When:
Availability Period Commencing Approximately Six Months Subsequent to the Dissemination of the Final Published Article

To whom:
Investigators Affiliated with Academic and Scientific Institutions

Conditions:
For the Purpose of Evaluating the Data Analysis Methodology, Execution of the Plan Utilizing Diverse Data Sets, Sampling Techniques, Randomization Processes, and Data Stratification, Alongside Assessment of the Exclusion Criteria for Disqualified Participants.

Where to obtain:
Electronic Mail Contact Information of the Principal Project Coordinator: samirashahvari@gmail.com
Bandar Abbas Children's Hospital and Hormozgan University of Medical Sciences

How to obtain:
Full Name and Surname
Contact Information: Including Email Address and Mobile Number (where applicable)
Academic Qualifications: Degree(s) Held
Current Occupational Title and Position
Field of Specialization: Specific Academic and Professional Focus
Affiliated Organization: Name of the Institution or Entity
Intended Purpose for Data Utilization
Proposed Methodology for Data Interaction and Analysis

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Samira Zakeri Shahvari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Emam khomeyni Blvd, Daroupakhsh St.</address>
        <city>Bandar Abbas</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7915873665</zip>
        <telephone>+98 76 3366 7200</telephone>
        <email>samirashahvari@gmail.com</email>
        <affiliation>Bandare-abbas University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Samira Zakeri Shahvari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Emam khomeyni Blvd, Daroupakhsh St.</address>
        <city>Bandar Abbas</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7915873665</zip>
        <telephone>+98 76 3366 7200</telephone>
        <email>samirashahvari@gmail.com</email>
        <affiliation>Bandare-abbas University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Children aged 2 to 12 years
Having functional constipation based on Rome criteria 4
Not using probiotics, prebiotics or antibiotics 4 weeks before the start of the research
No history of gastrointestinal surgery
Lack of sensitivity or tolerance to Lactobacillus roteri (Reuteflor)
Interest in participating in the study and consent of family/guardian</inclusion_criteria>
      <agemin>2 years</agemin>
      <agemax>12 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Children with organic digestive disorders or any other underlying disease that can affect bowel function.
Children with mental disability
Current use of medications that affect bowel function such as laxatives or antidiarrheals
History of using probiotics, prebiotics or antibiotics 4 weeks before the start of the research
Inability or unwillingness to comply with the study protocol or follow-up
History of participating in a different clinical trial in the last 3 months</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K59.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Constipation</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: Reuteflor oral sachet, each Reuteflor sachet contains 800 million active lyophilized cells of Lactobacillus roteri (equivalent to 8*10^8 CFU), 1 to 2 sachets per day or according to the doctor's opinion, for use in children over two years of age and adolescents. and adults, the duration of use is 28 days, dissolve the contents of one sachet in a quantity of liquid or solid food compounds that are allowed by a doctor or pharmacist, such as water, yogurt or (cold) food and immediately Consume up to thirty minutes before. Make sure that the content of the sachet is well dissolved in the liquid, yogurt or food before consumption. Manufacturer: Faradaro Fan Avar Mehr Company (Farabiotic)</i_keyword>
      <i_keyword>Control group: Receiving placebo, dosage, number of times of use, duration of use, method of use as in the intervention group. Manufacturer: Faradaro Fan Avar Mehr Company (Farabiotic)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Functional Constipation based on ROME IV Criteria. Timepoint: Initial Presentation and Subsequent Observations on Days 7, 14, 21, and 28, as well as Two Months Post-Administration of Probiotics. Method of measurement: ROME IV Criteria.</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>Bandare-abbas University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-08-04</approval_date>
        <contact_name>Ethics committee of Hormozgan University of Medical Sciences</contact_name>
        <contact_address>Chamran Blvd Bandar Abbas Hormozgan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
