<?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>IRCT20240520061850N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-11-09</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Effect of metformin versus dapagliflozin in treatment of polycystic ovary syndrom.</public_title>
      <acronym></acronym>
      <scientific_title>Effect of sodium-glucose co-transporter inhibitor on metabolic and hormonal profiles in polycystic ovary syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-06-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>100</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/77108</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Permuted block randomization
Randomization method: The permutation block randomization method with blocks of four will be used. We assign different permutations to numbers 1 to 6 in the following order 1. AABB2. ABAB3. ABBA4. BBAA5. BABA6. BAAB Now, using the table of random numbers, we extract the numbers from the table and depending on whether one of the numbers 1 to 6 comes, select each of the blocks assigned to these numbers until 36 blocks of 4 are selected. If the numbers zero, 7, 8, and 9 come, we ignore them and continue this order to provide a complete list for the entire sample size.</study_design>
      <phase>2</phase>
      <hc_freetext>Polycystic ovary syndrome Based on Rotterdam Criteria.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group :Treatment of women with polycystic ovary syndrome aged 18-45 with a body mass index greater than or equal to 25, with metformin 500 mg TID for 3 months. Metformin is an oral hypoglycemic agent and belongs to the group of biguanides, which has been proven to play a role in the treatment of polycystic ovary syndrome. Educational sessions for patients of this group to explain the side effects and how to take the medicine are held at the first visit and then once a month. this drug is produced by Shafa Pharmaceutical Company. Intervention 2: Intervention group: Treatment of women with polycystic ovary syndrome aged 18-45 with a body mass index greater than or equal to 25, with dapagliflozin 10 md daily for 3 months. This blood sugar lowering drug is one of the drugs that inhibit the sodium-glucose transporter in the kidney, which lowers blood sugar by excreting glucose in the urine. Educational sessions for patients of this group to explain the side effects and how to take the medicine are held at the first visit and then once a month. This drug is produced by the Innovative Pharmaceutical Company of Kimia, under the name of Faxibet.</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>Farnaz Kamali Haghighi Shirazi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Nemazee Sq, Nemazee Hospital, Endocrinology and Metabolism Research Center</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7193613311</zip>
        <telephone>+98 71 3647 4332</telephone>
        <email>F.kamali85@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Farnaz Kamali Haghighi Shirazi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Nemazee Sq., Nemazee Hospital, Endocrinology and Metabolism Research Center</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7193613311</zip>
        <telephone>+98 917 700 1435</telephone>
        <email>F.kamali85@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Women aged 18-45 with polycystic ovary syndrome with body mass index more than 25</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>45 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Cushing syndrome
inadequately controlled thyroid disease.
androgen-secreting tumor
pregnancy or intention to become pregnant
Breast feeding
documented use of oral hormonal contraceptives and hormone-releasing implants, clomiphene citrate or estrogen modulators, gonadotropin-releasing hormone (GnRH) modulators
diagnosis of diabetes and use of antidiabetic agent
congenital adrenal hyperplasia due to 21-hydroxilase defficiency
hyperprolactinemia,
age&lt;18 year or &gt;45 year,</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E28.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Polycystic ovarian syndrome</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 :Treatment of women with polycystic ovary syndrome aged 18-45 with a body mass index greater than or equal to 25, with metformin 500 mg TID for 3 months. Metformin is an oral hypoglycemic agent and belongs to the group of biguanides, which has been proven to play a role in the treatment of polycystic ovary syndrome. Educational sessions for patients of this group to explain the side effects and how to take the medicine are held at the first visit and then once a month. this drug is produced by Shafa Pharmaceutical Company.</i_keyword>
      <i_keyword>Intervention group: Treatment of women with polycystic ovary syndrome aged 18-45 with a body mass index greater than or equal to 25, with dapagliflozin 10 md daily for 3 months. This blood sugar lowering drug is one of the drugs that inhibit the sodium-glucose transporter in the kidney, which lowers blood sugar by excreting glucose in the urine. Educational sessions for patients of this group to explain the side effects and how to take the medicine are held at the first visit and then once a month. This drug is produced by the Innovative Pharmaceutical Company of Kimia, under the name of Faxibet.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The percentage of people with fasting blood sugar &gt;/equal to 100. Timepoint: Measuring fasting blood sugar at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Fasting venous blood sampling.</prim_outcome>
      <prim_outcome>Blood pressure measurement. Timepoint: Measuring blood pressure at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Sphygmomonometer.</prim_outcome>
      <prim_outcome>Fasting plasma lipid level. Timepoint: Fasting plasma lipid measurement at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Fasting venous blood sampling.</prim_outcome>
      <prim_outcome>Fasting plasma insulin level. Timepoint: Fasting plasma insulin level measurement at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Fasting venous blood sampling.</prim_outcome>
      <prim_outcome>Fasting plasma androstenedione level. Timepoint: Fasting plasma androstenedione level measurement at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Fasting venous blood sampling.</prim_outcome>
      <prim_outcome>Total  plasma testosterone. Timepoint: Fasting plasma testosterone level measurement at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Fasting venous blood sampling.</prim_outcome>
      <prim_outcome>C-reactive protein plasma level. Timepoint: Measuring the plasma level of C-reactive protein at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Fasting venous blood sampling.</prim_outcome>
      <prim_outcome>Measurement of waist/Hip ratio. Timepoint: Measuring waist/Hip ratio at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Meter.</prim_outcome>
      <prim_outcome>Body mass index. Timepoint: Measuring body mass index at the beginning of the study and after 12 weeks of using metformin or dapagliflozin. Method of measurement: Meter and scale.</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>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-05-20</approval_date>
        <contact_name>Ethnic Committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Office of Internal Medicine Department, Zand Blvd., Nemazee Hospital Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
