<?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>IRCT20141230020486N6</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-11-13</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>The effect of Mirena IUD in reducing pain of endometriosis</public_title>
      <acronym></acronym>
      <scientific_title>Assessing the effects of levonorgestrel-releasing intrauterine system in reducing pain in women with endometriosis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-01-04</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>43</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/79510</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Condition 1: Endometriosis disease. Condition 2: Endometriosis of rectovaginal septum.</hc_freetext>
      <i_freetext>Intervention group: Placement of 52 mg levonorgestrel-releasing intrauterine system (Mirena IUD)  (releasing 20 micrograms of levonorgestrel in 24 hours), made by Bayer Company, Germany, in the uterine cavity of patients with endometriosis on an outpatient setting in the clinic. The IUD can remain in the uterus for up to 5 years..</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 data is potentially shareable after making individuals unidentifiable

When:
Starting 6 months after publication

To whom:
People working in academic institutions

Conditions:
Mention the source

Where to obtain:
Dr. Leili Hafizi / Email: hafizil@mums.ac.ir / Phone: 09153107633

How to obtain:
Reply to email within a maximum of one week

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Leili Hafizi Lotfabadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Olum Blvd., Daneshgah Town</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177899191</zip>
        <telephone>+98 51 3843 0634</telephone>
        <email>hafizil@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Leili Hafizi Lotfabadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Olum Blvd., Daneshgah Town</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177899191</zip>
        <telephone>+98 51 3843 0634</telephone>
        <email>hafizil@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>All patients with definitive diagnosis of endometriosis through imaging having pain caused by endometriosis
Regular menstrual periods (between 25 and 35 days)
Not using hormonal therapy for more than 6 months before the study
Desire to have contraception
Not using NSAID analgesics
Body mass index between 18.5 and 27.5 kg/m2 body</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>45 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Undiagnosed vaginal bleeding
Chronic diseases (eg liver problems, diabetes or pelvic inflammatory disease)
History of septic abortion in the last three months
Use of hormonal contraception and IUD during the last 3 months
Pregnancy or breastfeeding in the last 3 months
Suspected malignancy in biopsy
Desire to  pregnancy
Uterine size greater than 10 weeks of gestation
Submucosal leiomyoma or polyp
History of osteoporosis
Coagulopaties or allergy to progestins</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N80.3</hc_code>
      <hc_code>N80.4</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Endometriosis of pelvic peritoneum</hc_keyword>
      <hc_keyword>Endometriosis of rectovaginal septum and vagina</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Placement of 52 mg levonorgestrel-releasing intrauterine system (Mirena IUD)  (releasing 20 micrograms of levonorgestrel in 24 hours), made by Bayer Company, Germany, in the uterine cavity of patients with endometriosis on an outpatient setting in the clinic. The IUD can remain in the uterus for up to 5 years.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Score of dysmenorrhea, based on the Numeric Pain Rating Scale. Timepoint: Measurement of dysmenorrhea score at the beginning of the study (before the intervention) and 6 months after placement of the mirena IUD. Method of measurement: Based on the Numeric Pain Rating Scale index.</prim_outcome>
      <prim_outcome>Score of dyspareunia,  based on the Numeric Pain Rating Scale. Timepoint: Measurement of dyspareunia score at the beginning of the study (before the intervention) and 6 months after placement of the mirena IUD. Method of measurement: Based on the Numeric Pain Rating Scale index.</prim_outcome>
      <prim_outcome>Score of dyschezia,  based on the Numeric Pain Rating Scale. Timepoint: Measurement of dyschezia score at the beginning of the study (before the intervention) and 6 months after placement of the mirena IUD. Method of measurement: Based on the Numeric Pain Rating Scale index.</prim_outcome>
      <prim_outcome>Score of non-cyclic pelvic pain,  based on the Numeric Pain Rating Scale. Timepoint: Measurement of non-cyclic pelvic pain score at the beginning of the study (before the intervention) and 6 months after placement of the mirena IUD. Method of measurement: Based on the Numeric Pain Rating Scale index.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Cancer  Antigen 125. Timepoint: Measurement of Cancer  Antigen 125 at the beginning of the study (before the intervention) and 6 months after placement of the levonorgestrel-releasing intrauterine system (mirena). Method of measurement: Based on serum CA125 protein level test (U/ml).</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-09-16</approval_date>
        <contact_name>Ethics committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Vice Chancellor for Research and Technology, Ghoreshi Bulding, Next to Hoveyzeh Cinema, Daneshgah Ave. Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
