<?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>IRCT20250610066159N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-10-12</date_registration>
      <primary_sponsor>Pajoohesh BAMA Co</primary_sponsor>
      <public_title>Investigation of the Effects of Lemon Balm (Melissa officinalis) on Diabetic Wounds</public_title>
      <acronym>SNWD-DM</acronym>
      <scientific_title>Smart Nano-Wound Dressing for Wound Healing in Diabetic Patients: A Randomized Controlled Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-11-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/84449</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants were assigned to the treatment and control groups using block randomization (block size = 4) generated with R software. The randomization sequence was prepared and coded by a researcher not involved in the study execution. The trial was conducted in a double-blind manner, so that both participants and outcome assessors were unaware of group allocation. This study was designed as a multicenter, controlled, randomized clinical trial, Blinding description: A stratified randomization method will be used. Patients will be divided into two groups based on the presence of diabetic wounds and whether they will receive the specialized dressing (intervention) or the standard dressing (control). Randomization within each group will then be performed using a pre-prepared randomization list. This list will be generated by the physician prior to the study. The principal investigator will introduce the selected patients to the clinical caregiver and the outcome assessor (a nursing specialist) responsible for the process. According to the list, wound treatment will be carried out using either the nano-wound dressing or the standard wound dressing.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Diabetic wound.</hc_freetext>
      <i_freetext>Intervention 1: Smart nanofiber wound dressing containing 1% Melissa officinalis extract:Patients in the intervention group will use a smart nanofiber wound dressing containing 1% Melissa officinalis extract, produced by the company “Pajohesh Ba Ma”. The dressing will be changed every 6 days by a trained nurse. The total treatment duration is two weeks. During each dressing session, patients will receive the necessary training on wound care. Additional materials include bandage and adhesive tape. Intervention 2: Control group: Standard wound dressing: https://chatgpt.com/c/68eb66d9-7538-832e-bb06-9d1e7e28e660#:~:text=Patients%20in%20the%20control%20group%20will%20use%20standard%20wound%20dressing.%20The%20dressing%20will%20be%20changed%20every%206%20days%20according%20to%20standard%20clinical%20guidelines.%20The%20total%20treatment%20duration%20is%20two%20weeks%2C%20and%20all%20patients%20will%20receive%20wound%20care%20education%20from%20a%20trained%20nurse.</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:
Production of smart nanowound dressings in wound healing in diabetic patients: A randomized clinical trial

When:
1 year after the end of the clinical study

To whom:
Medical researchers

Conditions:
For future studies in the field of wound healing and with permission from the project manager

Where to obtain:
Permission must be obtained in writing from the project manager.

How to obtain:
1- Request access to the project implementer
2- Review by the implementer and the partner team
3- Approval of the request by the implementer
4- Permission to access the data

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Ghazaleh Chizari Fard</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Unit 9, No. 42, Maleki Street, Golbarg Sharghi, Bagheri Highway, Tehranpars, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1651897463</zip>
        <telephone>+98 21 7772 7495</telephone>
        <email>chizarigh@gmail.com</email>
        <affiliation>Pajooshesh BAMA Co.</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Ghazaleh Chizari Fard</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 42, Maleki Street, East Golbarg, Bagheri Highway, Tehranpars.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1651897463</zip>
        <telephone>+98 21 7772 7495</telephone>
        <email>chizarigh@gmail.com</email>
        <affiliation>Pajoohesh BAMA Co.</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with diabetic wounds
Participants aged between 18 and 80 years
Participants who demonstrate adequate compliance with the use of the wound dressing throughout the treatment period
Participants who have provided written informed consent prior to enrollment</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Not applicable</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E11.622</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Type 2 diabetes mellitus with other skin ulcer</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Smart nanofiber wound dressing containing 1% Melissa officinalis extract:Patients in the intervention group will use a smart nanofiber wound dressing containing 1% Melissa officinalis extract, produced by the company “Pajohesh Ba Ma”. The dressing will be changed every 6 days by a trained nurse. The total treatment duration is two weeks. During each dressing session, patients will receive the necessary training on wound care. Additional materials include bandage and adhesive tape.</i_keyword>
      <i_keyword>Control group: Standard wound dressing: https://chatgpt.com/c/68eb66d9-7538-832e-bb06-9d1e7e28e660#:~:text=Patients%20in%20the%20control%20group%20will%20use%20standard%20wound%20dressing.%20The%20dressing%20will%20be%20changed%20every%206%20days%20according%20to%20standard%20clinical%20guidelines.%20The%20total%20treatment%20duration%20is%20two%20weeks%2C%20and%20all%20patients%20will%20receive%20wound%20care%20education%20from%20a%20trained%20nurse.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The primary outcome variable is wound healing, measured as the reduction in wound area in patients treated with the smart nano-wound dressing. Wound area will be assessed using graph paper measurement or digital imaging software at specified time points. Changes in wound area between the treatment and control groups will be compared as the main indicator of study efficacy. Timepoint: Assessments will be conducted on days 0, 7, 14, and 28, with the schedule extended as needed until complete wound healing. Method of measurement: Wound evaluation will be performed through visual inspection and by measuring the wound surface area.</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>Pajoohesh BAMA Co</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-05-18</approval_date>
        <contact_name>ethics committee of Bam University of Medical Science</contact_name>
        <contact_address>Shahid Rajaei Boulevard, Sardarān-e Shahid Square, Bam, Iran Bam Kerman Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
