<?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>IRCT20220224054116N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-05-16</date_registration>
      <primary_sponsor>Alborz University of Medical Sciences</primary_sponsor>
      <public_title>Effect of a traditional medicine "Qurs-e Tabasheer" on diabetes and diabetic nephropathy</public_title>
      <acronym></acronym>
      <scientific_title>Effect of Qurs-e Tabasheer, a traditional Persian formula, on blood glucose and renal complications in patients with diabetic nephropathy, a randomized controlled trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-05-07</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/62212</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Multi-digit codes (barcodes) are written on the packages that only the main person in charge of the research can open the codes if necessary and specify the type of medicine. The codes are arranged in such a way that in the first ten codes, five packages contain one of the drugs and the other five packages contain the second drug. The same proportion is arranged in the second ten codes to the sixth ten codes.
(Balanced Block Randomization)

This type of design provides the conditions for intermediate tests, So that after the execution of each complete block, statistical tests can be performed, and if the result is reached and the difference between the two groups is significant, and the test power is maintained, the study can be stopped.

In this study, random assignment of individuals to the intervention and control groups is performed using the Balanced Block Randomization technique. Due to the fact that the blocks considered in this study are ten blocks, we use Stata software to produce random number chains from 1 to 6 to reach the desired sample size. Preparation of randomly assigned sequences of individuals and their placement in sealed envelopes and numbered with a five-digit serial number is done by a third party who had no role in the design of the study. All envelopes have a random five-digit serial number that opens immediately after completing the basic information and tests and assigns individuals to the intervention or control group, Blinding description: The drug (Qurs-e Tabashir) and placebo (which does not have the active ingredients) are packed in packages containing ten cans. They are both completely similar to each other in terms of size, shape and color. Each box is assigned a code consisting of numbers and letters. These codes are distributed based on a table of random numbers between the drug and placebo groups and the researcher and the patient are not aware of it.
In this study, participants, clinical caregivers, researchers, and outcome evaluators are blinded.</study_design>
      <phase>3</phase>
      <hc_freetext>Diabetes, Diabetic nephropathy.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: This group receives Qurs-e Tabasheer (two tablets three times daily) for 12 weeks in addition to their standard treatment. Ingredients of Qurs-e Tabasheer are: Bambusa arundinacea 13.9% , Glycyrrhiza glabra 13.9% , Lactuca sativa 20.9% , Portulaca oleracea 20.9% , Coriandrum sativum 6.99% , Rosa damascena 6.99% , Armenian bole 4.2 درصد% , Acacia senegal2.8% , Punica granatum 2.8% , Santalum album 2.8% , Rhus coriaria 2.8% , Cinnamomum camphora 0.7% . This product is produced in the Pharmaceutics Laboratory of the Faculty of Pharmacy, Alborz University of Medical Sciences. Intervention 2: Control group: This group receives placebo tablet (two tablets three times daily) for 12 weeks in addition to their standard treatment. Placebo is similar to medicine in shape, color and other properties. The substance in the placebo is a harmless food substance (microcrystalline cellulose).</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Due to ethical considerations, participants' data will be published in general and without mentioning their names and personal information in the research article.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammad Mahdi Ahmadian-Attari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Pharmacy, next to Imam Ali Hospital, Valiasr St, Shura Boulevard</address>
        <city>Karaj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3154686689</zip>
        <telephone>+98 26 3256 7175</telephone>
        <email>ahmadian.attari@gmail.com</email>
        <affiliation>Alborz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Ramin Tajbakhsh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Pharmacy, next to Imam Ali Hospital, Valiasr St, Shura Boulevard</address>
        <city>Karaj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3154686689</zip>
        <telephone>+98 26 3256 7175</telephone>
        <email>r_tajbakhsh@yahoo.com</email>
        <affiliation>Alborz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with diabetes and diabetic nephropathy
Patients receiving a stable dose of ACEI or ARB
eGFR between 15 and 30 (stage 4 CKD)
Albuminuria more than 30 mg/day
Patients over 18 years old</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with liver disease, active infection, malignancy
Patients with kidney disease from nondiabetic cause
Problems with nutrient absorption in gastrointestinal tract
Sensitivity to drug components
Pregnant or lactating women</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E11.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Type 2 diabetes mellitus with kidney complications</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: This group receives Qurs-e Tabasheer (two tablets three times daily) for 12 weeks in addition to their standard treatment. Ingredients of Qurs-e Tabasheer are: Bambusa arundinacea 13.9% , Glycyrrhiza glabra 13.9% , Lactuca sativa 20.9% , Portulaca oleracea 20.9% , Coriandrum sativum 6.99% , Rosa damascena 6.99% , Armenian bole 4.2 درصد% , Acacia senegal2.8% , Punica granatum 2.8% , Santalum album 2.8% , Rhus coriaria 2.8% , Cinnamomum camphora 0.7% . This product is produced in the Pharmaceutics Laboratory of the Faculty of Pharmacy, Alborz University of Medical Sciences.</i_keyword>
      <i_keyword>Control group: This group receives placebo tablet (two tablets three times daily) for 12 weeks in addition to their standard treatment. Placebo is similar to medicine in shape, color and other properties. The substance in the placebo is a harmless food substance (microcrystalline cellulose).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Fasting blood sugar. Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>Serum creatinine. Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>LDL cholesterol (Low Density Lipoprotein). Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>Urinary albumin. Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: Urine test.</prim_outcome>
      <prim_outcome>Blood urea nitrogen. Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>Estimated glomerular filtration rate(eGFR). Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: Calculating by the formula Cockcroft - Gault.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Quality of Life score. Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: Diabetes Quality of Life (DQOL) Questionnaire.</sec_outcome>
      <sec_outcome>Sexual function score. Timepoint: At the beginning of the study and at the end of the 12th week after starting the medication. Method of measurement: FSFI Questionnaire for women and IIEF Questionnaire for men.</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>Alborz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-02-01</approval_date>
        <contact_name>Research ethics committees of Alborz University of Medical Sciences</contact_name>
        <contact_address>Office of the Ethics Committee, second floor, Vice chancellor for Research and Technology, Saffarian Alley, Golshahr Blvd, Karaj Karaj Alborz Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
