<?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>IRCT20240125060804N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-01-31</date_registration>
      <primary_sponsor>Islamic Azad University</primary_sponsor>
      <public_title>Investigating the effects of zinc in reducing the risk of diabetes and cardiovascular diseases</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of zinc supplementation on the levels of oxidative stress and inflammation markers and glucose homeostasis in overweight or obese patients with metabolic syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-02-19</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/75185</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: At the beginning of the study, after applying the inclusion and exclusion criteria, patients will be divided into two groups to receive zinc supplements (30 patients) and placebo (30 patients). Randomization will be done using a computer-generated random number table, Blinding description: Blinding of the clinical researcher and patients will be done. The zinc supplement and placebo will be delivered to the clinical researcher with identical appearance.</study_design>
      <phase>3</phase>
      <hc_freetext>Metabolic syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients with metabolic syndrome receiving zinc supplementation. The dose of zinc received will be 30 mg orally once a day. Supplementation will be done for 12 weeks. Intervention 2: Control group: Patients with metabolic syndrome receiving placebo. The placebo will be starch tablets, similar in appearance to zinc tablets, and will be taken once a day for 12 weeks.</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:
All information related to the study can be shared

When:
Access starts six months after the results are published.

To whom:
Researchers working in academic and scientific institutions

Conditions:
Access to the data will be given to people working in scientific and academic institutions only by citing scientific reasons, and all statistical analyzes on the data will be allowed.

Where to obtain:
To receive the data, contact Mostafa Vaghari- Tabari via email mostafavaghari@yahoo.com or vagharim@tbzmed.ac.ir

How to obtain:
After correspondence with the responsible person, the scientific reasons for the data request will be discussed with all members of the research team, and if the reasons are scientific and there is no legal prohibition, the data will reach the requester within a week.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mostafa Vaghari-Tabari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>At the end of Modares Alley, Jamal Alley, Keshavarz Street</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4717975666</zip>
        <telephone>+98 11 3223 2963</telephone>
        <email>vagharim@tbzmed.ac.ir</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mostafa Vaghari-Tabari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>At the end of Modares Alley, Jamal Alley, Keshavarz Street</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4717975666</zip>
        <telephone>+98 11 3223 2963</telephone>
        <email>vagharim@tbzmed.ac.ir</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age over 18 to 70 years old
Definite diagnosis of metabolic syndrome based on clinical symptoms and laboratory findings.
Overweight or obesity (BMI above 25)
Obtaining written informed consent from patients</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>70 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Taking zinc supplements at least three months before starting the study                                                                                                  
The need to take blood sugar and lipid lowering drugs according to the doctor's opinion
History of other diseases related to oxidative stress and inflammation such as cardiovascular diseases, autoimmune diseases, types of diabetes, IBD, asthma, cancer, kidney and liver diseases, Infectious diseases
Smoking and alcohol consumption</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E88.81</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Metabolic syndrome</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Patients with metabolic syndrome receiving zinc supplementation. The dose of zinc received will be 30 mg orally once a day. Supplementation will be done for 12 weeks.</i_keyword>
      <i_keyword>Control group: Patients with metabolic syndrome receiving placebo. The placebo will be starch tablets, similar in appearance to zinc tablets, and will be taken once a day for 12 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Serum insulin. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Commercial ELISA kit.</prim_outcome>
      <prim_outcome>Serum MDA. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: TBARS method.</prim_outcome>
      <prim_outcome>Serum zinc. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Commercial spectrophotometry kit.</prim_outcome>
      <prim_outcome>Serum total antioxidant capacity. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: FRAP method.</prim_outcome>
      <prim_outcome>Serum lipid profile. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Commercial spectrophotometry kit.</prim_outcome>
      <prim_outcome>Serum CRP. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Commercial  kit.</prim_outcome>
      <prim_outcome>Serum TNF-α. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Commercial ELISA kit.</prim_outcome>
      <prim_outcome>HbA1C levels. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Commercial kit.</prim_outcome>
      <prim_outcome>Serum fasting glucose. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Commercial kit.</prim_outcome>
      <prim_outcome>Body Mass Index. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Scales, meter.</prim_outcome>
      <prim_outcome>Waist circumference. Timepoint: Before the intervention, after the end of the intervention period. Method of measurement: Meter.</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>Islamic Azad University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-01-13</approval_date>
        <contact_name>Research Ethics Committees of Islamic Azad University, Shahrood Branch</contact_name>
        <contact_address>Islamic Azad University, Shahrood branch, University blvd Shahrood Semnan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
