<?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>IRCT20230107057070N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-06-21</date_registration>
      <primary_sponsor>Mazandaran University of Medical Sciences</primary_sponsor>
      <public_title>Effect of kefir on the side effects of colon cancer chemotherapy</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of Kefir's Effects on Chemotherapy Complications in Colon Cancer Patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-07-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/67933</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: A block classification method will be used to allocate samples into two groups. The blocking process will be done using random allocation software. Based on random numbers generated by this software, samples will be analyzed. A control group and a kefir group will be studied according to this method.</study_design>
      <phase>3</phase>
      <hc_freetext>Colon cancer.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: 20 patients with colon cancer in stages 3 and/or 4 who received injectable treatment with FOLFOX (Folinic acid, Fluorouracil, and Oxaliplatin) in 12-session chemotherapy courses. Kefir grains, industrially produced by Iran Ferment Company, Tehran, Iran, are added to milk pasteurized at 90-95°C for 10-15 minutes and cooled to 25-30°C. After the fermentation period, which lasts 24-48 hours, the seeds are separated by filtration. Kefir is stored in a container for one day, and then it is divided into bottles and stored in a refrigerator at 4 degrees Celsius. And will be used within two weeks. All kefirs prepared from the exact kefir grain are prepared under the same fermentation conditions to ensure that identical probiotics are present in the prepared kefirs. Patients will take one glass equivalent to 250 CC for six weeks at the same time as the tenth chemotherapy session. They will do this four days a week and continue until the end of the twelfth chemotherapy session. Intervention 2: Control group: 20 patients with colon cancer in stages 3 and/or 4 who are treated with FOLFOX (folinic acid, fluorouracil, and oxaliplatin) in 12-session chemotherapy courses.</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 further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Bahareh Lashtoo Aghaee</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Imam st. Behind Imam Sajad Hospital, Ramsar campus</address>
        <city>Ramsar</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4691710001</zip>
        <telephone>+98 11 5509 1125</telephone>
        <email>b.aghaee@hotmail.com</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Bahareh Lashtoo Aghaee</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Imam st, Behind Imam Sajad Hospital, Ramsar Campus</address>
        <city>Ramsar</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4691710001</zip>
        <telephone>+98 11 5509 1125</telephone>
        <email>b.aghaee@hotmail.com</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with stages 3 and/or 4 colon cancer treated with injectable FOLFOX chemotherapy for 12 sessions</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Consumption of probiotic, prebiotic, or synbiotic products in the last three months
Alcohol consumption
Patients incapable of completing the study period
Lactose malabsorption</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>C18</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Malignant neoplasm of colon</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: 20 patients with colon cancer in stages 3 and/or 4 who received injectable treatment with FOLFOX (Folinic acid, Fluorouracil, and Oxaliplatin) in 12-session chemotherapy courses. Kefir grains, industrially produced by Iran Ferment Company, Tehran, Iran, are added to milk pasteurized at 90-95°C for 10-15 minutes and cooled to 25-30°C. After the fermentation period, which lasts 24-48 hours, the seeds are separated by filtration. Kefir is stored in a container for one day, and then it is divided into bottles and stored in a refrigerator at 4 degrees Celsius. And will be used within two weeks. All kefirs prepared from the exact kefir grain are prepared under the same fermentation conditions to ensure that identical probiotics are present in the prepared kefirs. Patients will take one glass equivalent to 250 CC for six weeks at the same time as the tenth chemotherapy session. They will do this four days a week and continue until the end of the twelfth chemotherapy session.</i_keyword>
      <i_keyword>Control group: 20 patients with colon cancer in stages 3 and/or 4 who are treated with FOLFOX (folinic acid, fluorouracil, and oxaliplatin) in 12-session chemotherapy courses.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Diarrhea. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Constipation. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Xerostomia. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Sleep disorders. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Nausea. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Weight loss. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Anorexia. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Flatulence. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</prim_outcome>
      <prim_outcome>Dysgeusia. Timepoint: At the beginning and end of the intervention. Method of measurement: Completing the questionnaire and being evaluated in person and by phone.</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>Mazandaran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-10-18</approval_date>
        <contact_name>Ramsar Campus ethics commitee</contact_name>
        <contact_address>Imam street, behind Imam sajad hospital Ramsar Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
