<?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>IRCT20260520069465N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-06-01</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>Effect of Glutathione on patients with Multiple Sclerosis.</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the Effects of Glutathione on Cognitive and Motor Functions and Clinical Progression Indicators in Patients with Multiple Sclerosis.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-08-27</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/90467</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Single, Purpose: Treatment, Randomization description: Block randomization, Blinding description: This study will be conducted as a double-blind clinical trial. Neither the participants nor the investigators/outcome assessors will be aware of the treatment allocation. Glutathione and placebo will be prepared in identical formulations, packaging, appearance, and labeling. Treatment codes will be kept confidential by an independent third party and will not be disclosed until completion of data collection and analysis, except in cases of medical emergency.".</study_design>
      <phase>3</phase>
      <hc_freetext>Multiple Sclerosis.</hc_freetext>
      <i_freetext>Intervention Group: Thirty patients with relapsing-remitting multiple sclerosis  will receive oral glutathione 500 mg once daily for 12 weeks in addition to their routine treatment.Control Group: Thirty patients with relapsing-remitting multiple sclerosis will receive a placebo identical in appearance and packaging to glutathione once daily for 12 weeks in addition to their routine treatment..</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:
Title: Research Data on the Effects of Glutathione on Cognitive Function, Motor Function, and Clinical Progression in Patients with Multiple Sclerosis

Details: De-identified participant data, including EDSS scores, Fatigue Scale scores, and results of the Trail Making Test (TMT), Nine-Hole Peg Test (9-HPT), and Six Spot Step Test (SSST) at baseline and after 12 weeks of treatment, will be collected. The data may be made available after publication of the study results in accordance with research ethics regulations and while maintaining participant confidentiality.

When:
De-identified study data will be available after publication of the study results without a time limit, subject to research ethics regulations and participant confidentiality.

To whom:
Qualified researchers upon reasonable request and approval by the principal investigator

Conditions:
The de-identified data may be used for scientific research, secondary analyses, systematic reviews, and meta-analyses related to multiple sclerosis. Access to the data will be granted upon reasonable request, approval by the principal investigator, and compliance with research ethics regulations and participant confidentiality requirements.

Where to obtain:
Requests for access to study data and related documents should be directed to the principal investigator Department of Neurology Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran.

How to obtain:
Requests for access to study data and related documents should be submitted in writing to the principal investigator. Requests will be reviewed by the research team, and access may be granted upon approval while ensuring participant confidentiality and data protection.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Esmat Ramezanirad</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Neurology Ward.Gogestan Hospital.Golestan Ave</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6135733117</zip>
        <telephone>+98 61 3320 4501</telephone>
        <email>golestan_hospital@ajums.ac.ir</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Esmat Ramezanirad</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Neurology Ward.Gplestan Hospital.Golestan.Ahvaz</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6135733117</zip>
        <telephone>009861332045016</telephone>
        <email>ramazanirad-e@ajums.ac.ir</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Diagnosis of Multiple Sclerosis
Provision of written informed consent by the patient for participation in the study</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with severe cognitive impairment or psychosis.
Acute or chronic infection or inflammation during the two weeks prior to study enrollment.
History of head trauma within the previous two weeks.
History of hospitalization within the previous two weeks.
History of a multiple sclerosis relapse within the previous two weeks.
Pregnancy
Breast feeding</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention Group: Thirty patients with relapsing-remitting multiple sclerosis  will receive oral glutathione 500 mg once daily for 12 weeks in addition to their routine treatment.Control Group: Thirty patients with relapsing-remitting multiple sclerosis will receive a placebo identical in appearance and packaging to glutathione once daily for 12 weeks in addition to their routine treatment.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Change in Expanded Disability Status Scale (EDSS) score. Timepoint: At the baseline and at the end of study(after 12 weeks of study). Method of measurement: Disease disability progression will be assessed using the Expanded Disability Status Scale (EDSS). EDSS scores will be recorded at baseline and after 12 weeks of treatment by a neurologist, and changes will be compared between the two groups.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Change in Fatigue Scale score. Timepoint: from baseline to the end of the 12-week treatment period. Method of measurement: Fatigue severity will be measured using the Fatigue Scale questionnaire.</sec_outcome>
      <sec_outcome>2. Change in completion time of the Six Spot Step Test (SSST). Timepoint: from baseline to the end of the 12-week treatment period. Method of measurement: Lower extremity motor function will be assessed by recording the completion time of the Six Spot Step Test (SSST).</sec_outcome>
      <sec_outcome>Change in completion time of the Nine-Hole Peg Test (9-HPT) as a measure of upper extremity motor function. Timepoint: from baseline to the end of the 12-week treatment period. Method of measurement: Upper extremity motor function will be assessed by recording the completion time of the Nine-Hole Peg Test (9-HPT).</sec_outcome>
      <sec_outcome>Change in completion time of the Trail Making Test (TMT)  as a measure of cognitive function. Timepoint: from baseline to the end of the 12-week treatment period. Method of measurement: Cognitive function will be assessed by recording the completion time of the Trail Making Test (TMT).</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>Vice Chancellor for Research and Technology.Ahvaz Jundishapur University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-02-23</approval_date>
        <contact_name>Ethics committee of Ahvaz University of Medical Sciences</contact_name>
        <contact_address>Neurology Ward, Golestan Hospital,Golestan Blv.,Ahvazd Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
