<?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>IRCT20100601004076N27</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-01-02</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Evaluating the Safety and Effectiveness of Septimeb in Patients with COVID-19</public_title>
      <acronym></acronym>
      <scientific_title>Evaluating the Safety and Effectiveness of Septimeb in Patients with COVID-19 Referred to Selected Hospitals of Tehran University of Medical Sciences: A Clinical Trial Study (Phase III)</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-01-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>240</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/60750</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, a simple randomization method is used. Random number table is a set of numbers that are generated completely randomly and are tabulated. Firstly, we determine the direction of the random number table and then we decide to read the random number table from above. Then we consider even numbers for the intervention group and odd numbers for the control group. We assign 240 codes from 1 to 240 to the patients hospitalized to the ward. Then we put patients with even code in the intervention group and patients with odd code in the control group. Thus, a total of 240 people will be assigned to the intervention and control groups.</study_design>
      <phase>3</phase>
      <hc_freetext>COVID-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients will receive 10 ml (150 mg) of Septimib at the first day and 20 ml (30 mg) from the second day (minimum for one week and maximum for two weeks) in addition to national protocol treatments (including corticosteroids). Intervention 2: Control group: Treatment based on National Protocol.</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 Due to classified information of the patients</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hamidreza Khorram Khorshid</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Kodakyar Ave., Daneshjo Blvd., Evin</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985713834</zip>
        <telephone>+98 21 7173 2000</telephone>
        <email>hrkhkh@yahoo.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>SeyedAhmad SeyedAlinaghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>End of Keshavar Blvd., Imam Khomeini Hospital Complex, Basement of the Infection department (Building 6), Iranian Research Center for HIV/AIDS</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1146546884</zip>
        <telephone>+98 21 6658 1583</telephone>
        <email>s_a_alinaghi@yahoo.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Informed and voluntary oral and written consent of the patient or his / her guardian to participate in the study
Age over 18 years
SARS-CoV-2 virus PCR test positive or having one of the following conditions: Strong symptoms of COVID-19 disease, including fever, dry cough, and shortness of breath
CT scan (HRCT or Spiral CT) that shows involvement with Cornavirus (at least 40% of lung involvement), especially ground glass in the peripheral or base of the lungs
Patients suffering from life-threatening complications due to COVID-19 disease including ARDS, myocarditis, sepsis, cytokine storm (with ESR above 100 or platelet decline over 3 days or elevated D-Dimer above normal or LDH above normal).</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Individuals whose Covid-19 test has not been approved
Individuals who use drugs
Individuals who drink alcohol
Individuals who use immunosuppressive drugs
Individuals under chemotherapy or radiotherapy
Individuals who use growth hormone, testosterone and anabolic steroids
The patient is pregnant or breastfeeding.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>B34.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Coronavirus infection, unspecified</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>Intervention group: Patients will receive 10 ml (150 mg) of Septimib at the first day and 20 ml (30 mg) from the second day (minimum for one week and maximum for two weeks) in addition to national protocol treatments (including corticosteroids).</i_keyword>
      <i_keyword>Control group: Treatment based on National Protocol</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Morbidity. Timepoint: At the time of hospitalization, every 3 days until the day of discharge from the hospital. Method of measurement: Vital Signs Examination.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Fever. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Headache. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Nausea. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Shivering. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Rhinitis. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Dry Cough. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Myalgia. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Diarrhea. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Shortness of breath. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Weakness and lethargy. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Blood Pressure. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>O2 saturation rate. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Clinical Examination.</sec_outcome>
      <sec_outcome>Complete blood count and differentiation. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Laboratory Test.</sec_outcome>
      <sec_outcome>C-reactive Protein. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Laboratory Test.</sec_outcome>
      <sec_outcome>Erythrocyte sedimentation rate (ESR). Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Laboratory Test.</sec_outcome>
      <sec_outcome>Alanine Aminotransferease (ALT). Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Laboratory Test.</sec_outcome>
      <sec_outcome>Aspartate aminotransferase (AST). Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Laboratory Test.</sec_outcome>
      <sec_outcome>Creatinine Test. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Laboratory Test.</sec_outcome>
      <sec_outcome>Di-Dimer Test. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Laboratory test.</sec_outcome>
      <sec_outcome>Presence of ground-glass appearance. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Chest X-ray.</sec_outcome>
      <sec_outcome>Alveolar Complication. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Chest X-ray.</sec_outcome>
      <sec_outcome>Unilateral or bilateral pulmonary involvement. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Chest X-ray.</sec_outcome>
      <sec_outcome>Location of Involvement. Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Chest X-ray.</sec_outcome>
      <sec_outcome>Presence of Acute respiratory distress syndrome (ARDS). Timepoint: At the time of hospitalization, every three days until respiratory conditions stabilize, at the time of discharge. Method of measurement: Chest X-ray.</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>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-12-12</approval_date>
        <contact_name>Ethics Committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>Iranin Research Center for HIV/AIDS, Qarib street, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
