<?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>IRCT20200416047099N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-04-21</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Plasma therapy in patient with COVID-19</public_title>
      <acronym></acronym>
      <scientific_title>Use of convalescent plasma in the treatment of patients with severe COVID-19 pneumonia</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-04-05</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>10</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/47266</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Coronavirus disease (COVID-19).</hc_freetext>
      <i_freetext>Intervention group: Convalescent plasma from patient who recovered from COVID-19,2 to 3 injections,injection volume of 250-300 milliliter every other day.</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 is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Abbas hajifathali</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Taleghani haspital, Shahid a'rabi St, Yemen St, Shahid Chamran Hwy, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985711151</zip>
        <telephone>+98 21 2303 1657</telephone>
        <email>a.hajifathali@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Elham Roshandel</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Taleghani hospital, Shahid a'rabi St, Yemen St, Shahid Chamran Hwy, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985711151</zip>
        <telephone>+98 21 2303 1657</telephone>
        <email>elham.roshandel@gmail.com</email>
        <affiliation>Taleghani hospital</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion criteria of plasma donor (1-9) Recovery from 2019-nCoV infection according to clinical and laboratory criteria
Pass the at least 28 days after hospital discharge
Negative RT-PCR test ( 2 times with 48 h interval)
Negative results of serum/plasma for HBV, HCV, HTLV, HIV, and Syphilis
ABO, and RH antigens determination
Fill informed consent to collect 650-1300 apheresis
Inclusion criteria of recipient (11-15)
Confirmed the diagnosis of nCoV infection by RT-PCR
Respiratory &gt; 30 beats/min
SaO2&lt; 93%
PaO2 / FiO2 ≤300 mmHg
Fill informed consent</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Exclusion criteria of plasma donor (2-13)
Active respiratory infection symptoms: cough, dyspnea,  oxygen requirements during 3 days ago
History of Cardiac congestion, pulmonary hypertension, and other situation leading to apheresis failure
Bleeding history and anti-coagulant agent therapy
HBV vaccination during last week Receiving live-attenuated vaccines including BCG, yellow fever, measles, mumps, polio and typhoid fever during over the past three weeks
Receiving IVIG injection, anti-tetanus, and other passive immunization over the past 6 weeks
Small pox vaccination or contact with a person who receive Small pox vaccine
Undefined loss weight &gt; 4.5 kg, apheresis over the past three months
Diagnosis of Dengue fever, Induced abortion, and blood transfusion over the past 6 months
Exclusion criteria of recipient (11-14)
Pregnancy, breast-feeding
Patients with psychosis, severe systemic disease, and malignancy
Patients with serious underlying disease for expample hematological disorder, cachexia, active bleeding, malnutrition, cardiovascular, renal, lung, and liver dysfunction
Uncontrolled infection
Patients who participated in other clinical trialsCoinfection with HIV, Syphilis, Syphilis, tuberculosis, flu infection,  adenovirus infection, and other respiratory viral infection</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>RA01.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>The code for the confirmed diagnosis of COVID-19</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Convalescent plasma from patient who recovered from COVID-19,2 to 3 injections,injection volume of 250-300 milliliter every other day</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Size of lesion area in lung. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Chest CT scan.</prim_outcome>
      <prim_outcome>Fever duration. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: termometer.</prim_outcome>
      <prim_outcome>Respiratory rate. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: the number of breaths per minute.</prim_outcome>
      <prim_outcome>PaO2/FiO2 ratio. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: ventilator equipment.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Nucleic acid virus. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Real-time polymerase chain reaction.</sec_outcome>
      <sec_outcome>Anti-virus IgG antibody. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Enzyme-linked immunosorbent assay.</sec_outcome>
      <sec_outcome>Lymphocyte count. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Cell counter.</sec_outcome>
      <sec_outcome>CD3 cell count. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Flow cytometry.</sec_outcome>
      <sec_outcome>CD4+ cell count. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Flow cytometry.</sec_outcome>
      <sec_outcome>CD8+ cell count. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Flow cytometry.</sec_outcome>
      <sec_outcome>Mortality rate. Timepoint: After treatment. Method of measurement: Mortality rate formula.</sec_outcome>
      <sec_outcome>Alanine aminotransferase enzyme level. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: AutoAnalyzer.</sec_outcome>
      <sec_outcome>Aspartate aminotransferase. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: AutoAnalyzer.</sec_outcome>
      <sec_outcome>C-reactive protein. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: enzyme-linked immunosorbent assay.</sec_outcome>
      <sec_outcome>Oxygen saturation. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: pulse oximeter.</sec_outcome>
      <sec_outcome>Blood creatinine. Timepoint: On day of 1, 4,7,14, and 38 after plasma therapy. Method of measurement: Autoanalyzer.</sec_outcome>
      <sec_outcome>Lactate dehydrogenase enzyme level. Timepoint: On day of 1, 4,7,14, and 38 after plasma therap. Method of measurement: Autoanalyzer.</sec_outcome>
      <sec_outcome>Creatine kinase-MB. Timepoint: On day of 1, 4,7,14, and 38 after plasma therap. Method of measurement: Autoanalyzer.</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>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-04-06</approval_date>
        <contact_name>Vice-chancellor in research affairs- shahid beheshti university of medical sciences</contact_name>
        <contact_address>Vice-chancellor in research affairs, 5th floor, Block 2, shahid beheshti university of medical sciences, Next to Taleghani hospital, shahid a'rabi St, Yemen St, shahid Chamran Hwy Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
