<?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>IRCT20160809029275N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-08-31</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>cerebellar ataxia treatment with mesenchymal stem cells</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of safety and motivation status of patients with cerebellar ataxia after intrathecal treatment with mesenchymal stem cells</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>20</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/65228</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: A simple randomization method using the random number table method was used to assign patients to groups. In this method, even numbers were placed in the intervention group and odd numbers were randomly placed in the control group.</study_design>
      <phase>1</phase>
      <hc_freetext>Diagnosis Code G32.81: Cerebellar ataxia.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients receiving 50-70 million autologous MSCs derived from bone marrow. Intervention 2: Control group: Control group: patients with cerebellar ataxia who will receive routine treatments including vitamin E, CoQ10, physical therapy and occupational therapy.</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 there is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Amir Reza Boroumand</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Daneshgah st. Kafaei1 Av. Sadra building</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>91942167910</zip>
        <telephone>+98 51 3848 2194</telephone>
        <email>boroumandar@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Seyyed Jalil tavakol afshari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Bou Ali SQ, Bou Ali Research center</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>٩١٩۶٧٧٣١١٧</zip>
        <telephone>+98 51 3711 2471</telephone>
        <email>tavakolaj@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Does not receive stem cells in the last 6 months.
signing the written  consent form  by the participants.
The age range of 10-65 years without limitation in sex.
Definitive diagnosis of ataxia based on brain and cervical spinal cord MRI.
Presence of cerebellar or brainstem atrophy and/or cervical spinal cord.
Not having other mental illness such as schizophrenia etc.</inclusion_criteria>
      <agemin>10 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Positive pregnancy test.
Heart, kidney and liver failure, epilepsy, lung disease, cardiac arrhythmia, diabetes, leukemia and other diseases of the central nervous system such as Parkinson's.
If the total level of bilirubin is greater than 1.5 times the upper limit of its normal value.
History of chronic or acute alcohol consumption
The presence of evidence of seizures in the brain scan
Any evidence of infection
History of severe drug sensitivity or anaphylaxis to two or more foods or drugs
Other organic brain diseases
HIV positive and tumor markers positive
Patients with severe psychosis, cognitive disorders and inability to understand or sign consent
Other organic or systemic diseases
Uncontrollable high blood pressure
Participation in other clinical trials in the last three months
The presence of thyroid disease
Presence of evidence of encephalitis
Presence of sarcoidosis and Behcet's disease
Vitamin E deficiency
Wilson's disease
Increased blood ammonia
Positive anti-GAD and anti-neuronal antibodies
Lupus and Wegener's disease
Middle ear dysfunction</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G32.81</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Cerebellar ataxia in diseases classified elsewhere</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 receiving 50-70 million autologous MSCs derived from bone marrow</i_keyword>
      <i_keyword>Control group: Control group: patients with cerebellar ataxia who will receive routine treatments including vitamin E, CoQ10, physical therapy and occupational therapy.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Neurologic sign of patients including: Scale for the Assessment and Rating of Ataxia (SARA)-Quality of life-Depression-Beck Scale-Improve in international Co-Operative Ataxia Rating Scale-Balance Test-Tremor Rating Scale. Timepoint: Before the intervention, month 3 and month 6 after the intervention. Method of measurement: Clinical examination and questionnaire.</prim_outcome>
      <prim_outcome>Blood markers including: • T4 and TSH• Alpha-fetoprotein• IgG and IgE• OGTT and FBS• ACE• Vitamin E• Electrophoresis of serum proteins• Chol, TG, LDL and HDL• Ceruloplasmin, Cu and 24-hour urine Cu for patients less than 40 years old• Anti-GAD, Anti-dsDNA, P-ANCA and C-ANCA• Vitamin B12 and folic acid. Timepoint: Before the intervention, month 3 and month 6 after the intervention. Method of measurement: Laboratory methods such as electrophoresis, VIDAS and ELISA.</prim_outcome>
      <prim_outcome>Investigating the safety of stem cell treatment in patients participating in the study. Timepoint: 24-48 hours after receiving injections and the third and sixth months. Method of measurement: Clinical examination of patients to check for fever, headache or any possible allergic reactions.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-07-02</approval_date>
        <contact_name>Ethics committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Mashhad,Daneshgah Street, Qurashi Building, Mashhad University of Medical Sciences Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
