<?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>IRCT201503037974N7</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2015-06-28</date_registration>
      <primary_sponsor>Nabiqasim Industries (Pvt) Ltd.</primary_sponsor>
      <public_title>In vivo performance of two commercial products of dinoprostone vaginal tablet and safety study of Kleen enema.</public_title>
      <acronym>DINO (V.T) BE003</acronym>
      <scientific_title>In vivo performance of two commercial products of dinoprostone vaginal tablets and safety study of phosphate enema in pregnant women.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2014-03-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>90</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/8404</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: this is a single blind, two arm,  parallel, randomized control study for dinoprostone. While for Kleen enema it is a single arm non-randomize study.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Pregnancy, childbirth and the puerperium.</hc_freetext>
      <i_freetext>Intervention 1: Dinoprostone 3mg vaginal tablet (Test Product: Glandin E2).  a dose of 3mg vaginal tablet was inserted high into posterior fornix a second dose was given in some patients (if required &amp; prescribed by doctor) after six hours.  &#13;
And a single dose of Kleen Enema 120 ml was given rectally before dinoprostone doing. Intervention 2: Dinoprostone 3mg vaginal tablet (Reference Product: Prostin E2).  a dose of 3mg vaginal tablet was inserted high into posterior fornix a second dose was given in some patients (if required &amp; prescribed by doctor) after six hours.  &#13;
And a single dose of Kleen Enema 120 ml was given rectally before dinoprostone doing.</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></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mr. Salman A. Rahim</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>510, 5th floor, commerce center, Hasrat Mohani Road</address>
        <city>Karachi</city>
        <country1>Pakistan</country1>
        <zip>74200</zip>
        <telephone>00922132636919</telephone>
        <email>salman.rahim@nabiqasim.com</email>
        <affiliation>Nabiqasim Industries (Pvt) Ltd.</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Haleema Yasmin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Jinnah Postgraduate Medical Centre (JPMC), Rafiqui Shaheed Road</address>
        <city>Karachi</city>
        <country1>Pakistan</country1>
        <zip>75510</zip>
        <telephone>00922199201300</telephone>
        <email>dr.haleemayasmin@yahoo.com</email>
        <affiliation>Department of Gynae and obstt at Jinnah postgraduate medical center</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclussion Criteria: pregnant women at or near term gestation (≥ 37 weeks) with a medical or obstetrical  indication for the induction of labor; Age: 18-35 years; singleton pregnancy with cephalic presentation; parity ≤ 3; intact membrane; bishop score less than or equal to 4; fetal reactive non-stress test.&#13;
Exclusion criteria: neuropathy; renal impairment; liver disease; diabetes; hypertension &amp; CV disease; placenta previa; placental abruption; vasa previa; active herpes genitalia; spontaneous labour; fetal death in-utero; where oxytocic drugs are contraindicated or where prolong contractions of uterus are considered inappropriate.  &#13;
kleen enema will not be administered if subject is with diarrhoea &amp; vomiting .</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>XV</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>The codes included in this chapter are to be used for conditions related to or aggravated by the pregnancy, childbirth or by the puerperium (maternal causes or obstetric causes)</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>Dinoprostone 3mg vaginal tablet (Test Product: Glandin E2).  a dose of 3mg vaginal tablet was inserted high into posterior fornix a second dose was given in some patients (if required &amp; prescribed by doctor) after six hours.  &#13;
And a single dose of Kleen Enema 120 ml was given rectally before dinoprostone doing.</i_keyword>
      <i_keyword>Dinoprostone 3mg vaginal tablet (Reference Product: Prostin E2).  a dose of 3mg vaginal tablet was inserted high into posterior fornix a second dose was given in some patients (if required &amp; prescribed by doctor) after six hours.  &#13;
And a single dose of Kleen Enema 120 ml was given rectally before dinoprostone doing.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Cervical dilatation i.e. an increase of 3 in bishop from baseline. Timepoint: At six hours and 12 hours after dosing. Method of measurement: Bishop scoring.</prim_outcome>
      <prim_outcome>Cervical dilatation i.e. Attainment of bishop score of 6 or more. Timepoint: At six hours and 12 hours after dosing. Method of measurement: Bishop scoring.</prim_outcome>
      <prim_outcome>Vaginal delivery. Timepoint: Vaginal delivery occurring within 12 hours of dinoprostone dosing. Method of measurement: through Observation.</prim_outcome>
      <prim_outcome>Kleen enema Adverse events. Timepoint: within half an hour after Kleen Enema dosing (before Dinoprostone Vaginal dosing). Method of measurement: Adverse event monitoring by subject monitoring.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Maternal adverse events. Timepoint: after dosing till delivery for dinoprostone. and after phosphate enema dosing till before the dosing of dinoprostone. Method of measurement: through adverse event monitoring.</sec_outcome>
      <sec_outcome>Fetal Adverse events. Timepoint: After Dinoprostone vaginal tablet dosing till delivery. Method of measurement: CTG &amp; obstetrical examination.</sec_outcome>
      <sec_outcome>Neonatal adverse events. Timepoint: Just after birth at 1 &amp; 5 minutes. Method of measurement: APGAR score.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id>U1111-1167-6717</sec_id>
        <issuing_authority>WHO</issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Nabiqasim Industries (Pvt) Ltd.</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2014-02-15</approval_date>
        <contact_name>Ethics committee of Jinnah Postgraduate Medical Center</contact_name>
        <contact_address>Jinnah Postgraduate Medical Center,  Rafique Shaheed Road Karachi Sindh Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
