<?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>IRCT20251103067866N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-01-25</date_registration>
      <primary_sponsor>Iran University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the Effect of Nigella Sativa in Male Genital Wart</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the Therapeutic Effect of Nigella Sativa in Male Genital Wart: A Randomized, Double-Blind Clinical Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-04-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/87280</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be allocated into two groups of 30 using block randomization with a block size of four. All six possible combinations of A and B will be considered, and the random allocation sequence will be generated by a statistician using Random Allocation Software. A randomization table will be prepared, and the principal investigator will be blinded to the allocation sequence. Participants will be assigned to intervention groups according to the randomization table in the order of enrollment, Blinding description: This study will be conducted as a double-blind trial. The intervention drug (Nigella sativa oil) and the placebo (pharmaceutical-grade paraffin oil) will be identical in appearance, color, odor, volume, and packaging, and will be provided in identical containers labeled with anonymous codes. Coding of the study medications will be performed based on the random allocation table generated by a statistician, and the code list will be kept secure until completion of data analysis.
Throughout the study, participants, the principal investigator, and all outcome assessors will remain unaware of the assigned intervention groups. Unblinding will be performed only after completion of data collection and final data analysis.</study_design>
      <phase>3</phase>
      <hc_freetext>Genital Wart.</hc_freetext>
      <i_freetext>Intervention 1: The intervention group applies  imiquimod 5% topically three times per week on alternate nights before bedtime. The application area is washed with soap and water approximately 8 hours later. Additionally, they use black seed oil three times a day – in the morning (after washing off the imiquimod), at noon, and in the evening .Patients are advised to apply a thin layer of the standardized black seed oil product (Barij Essence Company, health code: 6713905054496688) on the volar surface of the forearm 24 hours prior to initiating treatment. The application site should be monitored for signs such as redness, itching, burning, or swelling. If local adverse effects occur, the patient will be withdrawn from the study (and replaced by another participant) and will receive appropriate guidance for further management. The treatment continues until complete disappearance of the lesions or for a maximum of 16 weeks. Intervention 2: The control group applies Imiquimod 5% cream three times a week at night before sleep to the affected area, and after 8 hours the site is washed with water and soap. In addition, instead of Nigella sativa oil, the placebo is applied three times daily in the morning, at noon, and in the evening after the lesion site has been cleaned of the 5% Imiquimod cream, that is, in the morning after washing the area, and at noon and in the evening, to the wart. The placebo is prepared with pharmaceutical-grade paraffin oil by Barij Essence Company. Patients are advised to apply a thin layer of the placebo product on the anterior forearm 24 hours before starting treatment and examine the area for symptoms such as redness, itching, burning, and swelling. In case of local adverse reactions, the patient will be excluded from the study (and replaced with another person), and the necessary guidance will be provided for continuation of treatment. The treatment continues until complete disappearance of the lesions or for a maximum of 16 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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is there are not more informations</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mozaffar Rezvani Zadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 18, Astaneh St, Hadi Saei Sq, Qum St,.</address>
        <city>Rey</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۸۷۶۷۳۳۵۸۷</zip>
        <telephone>+98 21 5597 3051</telephone>
        <email>mozaffar.rezvani.72@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mozaffar Rezvani Zadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 18, Astaneh St, Hadi Saei Sq, Qum St,.</address>
        <city>Rey</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۸۷۶۷۳۳۵۸۷</zip>
        <telephone>+98 21 5597 3051</telephone>
        <email>mozaffar.rezvani.72@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>18 -60 male
No past history of immune suppressive disease
No concurrent sexually transmitted diseases
Genital warts &lt;1 cm diameter
No prior human papillomavirus vaccination</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>60 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>People with a history of allergy to Nigella Sativa</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>A63.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Anogenital (venereal) warts</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>The intervention group applies  imiquimod 5% topically three times per week on alternate nights before bedtime. The application area is washed with soap and water approximately 8 hours later. Additionally, they use black seed oil three times a day – in the morning (after washing off the imiquimod), at noon, and in the evening .Patients are advised to apply a thin layer of the standardized black seed oil product (Barij Essence Company, health code: 6713905054496688) on the volar surface of the forearm 24 hours prior to initiating treatment. The application site should be monitored for signs such as redness, itching, burning, or swelling. If local adverse effects occur, the patient will be withdrawn from the study (and replaced by another participant) and will receive appropriate guidance for further management. The treatment continues until complete disappearance of the lesions or for a maximum of 16 weeks.</i_keyword>
      <i_keyword>The control group applies Imiquimod 5% cream three times a week at night before sleep to the affected area, and after 8 hours the site is washed with water and soap. In addition, instead of Nigella sativa oil, the placebo is applied three times daily in the morning, at noon, and in the evening after the lesion site has been cleaned of the 5% Imiquimod cream, that is, in the morning after washing the area, and at noon and in the evening, to the wart. The placebo is prepared with pharmaceutical-grade paraffin oil by Barij Essence Company. Patients are advised to apply a thin layer of the placebo product on the anterior forearm 24 hours before starting treatment and examine the area for symptoms such as redness, itching, burning, and swelling. In case of local adverse reactions, the patient will be excluded from the study (and replaced with another person), and the necessary guidance will be provided for continuation of treatment. The treatment continues until complete disappearance of the lesions or for a maximum of 16 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Size of warty lesions. Timepoint: Before and after the completion of the intervention. Method of measurement: The primary outcome is assessed clinically and documented by measuring size changes using a ruler.</prim_outcome>
      <prim_outcome>Number of warty lesions. Timepoint: Before and after the completion of the intervention. Method of measurement: Lesions are observed and counted through clinical examination.</prim_outcome>
      <prim_outcome>Side effects. Timepoint: Before the intervention and 2 weeks after the completion of the intervention. Method of measurement: Yellow form for reporting adverse drug reactions.</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>Iran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-09-17</approval_date>
        <contact_name>The Ethics Committee of Iran University of Medical Sciences</contact_name>
        <contact_address>Iran University of Medical Sciences, Hemmat Highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
