<?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>IRCT20260104068538N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-09-06</date_registration>
      <primary_sponsor>Bojnourd University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of Berberis integerrima Bunge extract on blood sugar control in patients with diabetes type 2</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of Berberis integerrima Bunge extract on blood sugar control in patients with diabetes type2: A clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-09-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/88744</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization in this study will be performed at the individual level using block randomization with a 1:1 allocation ratio. To maintain balance between the intervention and control groups, variable block sizes of 4 and 6 will be used. The random allocation sequence will be generated before participant enrollment using computer-generated random numbers by an independent person who is not involved in participant recruitment, assessment, or follow-up.

After confirming each participant’s eligibility and obtaining informed consent, a unique study code will be assigned according to the order of enrollment. Group allocation will then be performed according to the pre-generated random sequence.

For allocation concealment, group assignments will be placed in sequentially numbered, opaque, light-impermeable, sealed envelopes. The envelopes will be opened in numerical order only after the participant has been formally enrolled and baseline information has been recorded. The person responsible for generating the random sequence and preparing the allocation codes will have no role in participant recruitment, outcome assessment, or data analysis.

As the study is double-blind, the mountain barberry extract and placebo will be made similar in appearance, capsule form, packaging, and administration schedule, and will be identified only by study codes. Therefore, both participants and outcome assessors will remain unaware of the assigned intervention, Blinding description: This study is designed as a randomized double-blind clinical trial. After obtaining written informed consent and confirming eligibility, participants will be randomly allocated into either the intervention group or the control group using a random number table.

Participants in the intervention group will receive the investigational drug, while those in the control group will receive the standard routine treatment according to the approved therapeutic protocol. To ensure proper blinding, the investigational drug and the routine medication will be matched in appearance, color, size, packaging, and administration schedule, and will be provided in coded containers.</study_design>
      <phase>0 (exploratory trials)</phase>
      <hc_freetext>Type 2 diabetes.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Participants will receive 1500 mg/day of standardized Berberis integerrima Bunge fruit extract orally for eight weeks. The daily dose will be administered in two divided doses of 750 mg each. The berberine content of the extract will be determined and documented after standardization of the study product. The capsules will be prepared and packaged by [manufacturer/production center]. Participants will continue their usual antidiabetic treatment during the study, and any clinically necessary treatment changes will be documented. Intervention 2: Control group: The control group receives an identical placebo; the placebos are standardized in appearance and packaging to maintain complete blinding.</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:
Presentation of research project documentation investigating the effect of consuming mountain barberry extract (a plant from the Berberis integerrima Bunge family) on blood sugar control in patients with type 2 diabetes: a clinical trial regarding the study process and participation of individuals in the study, along with submitting the results.

When:
Documentation will be uploaded within 1 to 4 months after the article is completed.

To whom:
Researcher, Supervisor, Analyst

Conditions:
The use of the data is solely for the purpose of printing and publishing this article. Use in other cases must be possible only with the coordination of the organizer.

Where to obtain:
project manager

How to obtain:
Send request by email
ramezani80amirhosein@yahoo.com

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Amirhosein Ramezani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Vice Chancellor for Research and Technology, North Khorasan University of Medical Sciences, Shahriar St</address>
        <city>Bojnourd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9413884648</zip>
        <telephone>+98 58 3151 0000</telephone>
        <email>ramezani80amirhosein@yahoo.com</email>
        <affiliation>Bojnourd University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr.Amir Amani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>North Khorasan University of Medical Sciences, Dowlat Blvd., Bojnord,</address>
        <city>Bojnord</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9414974877</zip>
        <telephone>+98 58 3151 0000</telephone>
        <email>info@nkums.ac.ir</email>
        <affiliation>Bojnourd University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 30 and 65 years
Diagnosis of type 2 diabetes mellitus by a physician
HbA1c between 7% and 10% at enrollment
Stable type and dose of antidiabetic medications for at least three months before enrollment
Willingness to participate in the study and provide written informed consent
Ability to regularly use the study product during the eight-week intervention period</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Severe renal impairment
Severe liver disease
Unstable cardiovascular disease
Pregnancy or breastfeeding
Concurrent use of herbal supplements or products with glucose-lowering effects
Known allergy to barberry or barberry-containing products
Presence of a disease or condition that interferes with the measurement or interpretation of HbA1c</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E11</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Type 2 diabetes mellitus</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: Participants will receive 1500 mg/day of standardized Berberis integerrima Bunge fruit extract orally for eight weeks. The daily dose will be administered in two divided doses of 750 mg each. The berberine content of the extract will be determined and documented after standardization of the study product. The capsules will be prepared and packaged by [manufacturer/production center]. Participants will continue their usual antidiabetic treatment during the study, and any clinically necessary treatment changes will be documented.</i_keyword>
      <i_keyword>Control group: The control group receives an identical placebo; the placebos are standardized in appearance and packaging to maintain complete blinding.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Blood sugar control in patients with type 2 diabetes. Timepoint: Fasting blood glucose will be measured at baseline, before the intervention, and at the end of the eighth week after initiation of the intervention. Method of measurement: Blood sugar will be measured in the laboratory of Imam Reza Hospital (AS) and will be checked after an 8-hour fast.</prim_outcome>
      <prim_outcome>Blood sugar control in patients with type 2 diabetes. Timepoint: Glycated hemoglobin will be measured at baseline, before the intervention, and at the end of the eighth week after initiation of the intervention. Method of measurement: Blood sugar will be measured in the laboratory of Imam Reza Hospital (AS) and will be checked after an 8-hour fast.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>HbA1c. Timepoint: The beginning and end of the study. Method of measurement: Laboratory test.</sec_outcome>
      <sec_outcome>FBS. Timepoint: The beginning and end of the study. Method of measurement: Laboratory test.</sec_outcome>
      <sec_outcome>Consumption of barberry. Timepoint: daily. Method of measurement: Counting of pills taken by the presenter as well as the individual's self-declaration.</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>Bojnourd University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-09-14</approval_date>
        <contact_name>Ethics committee of North Khorasan University of Medical Sciences</contact_name>
        <contact_address>Vice Chancellor for Research and Technology, North Khorasan University of Medical Sciences, Shahriar St. Bojnord North Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
