<?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>IRCT20251121068065N6</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-06-16</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>The effect of vitamin D on the cumulative size and number of uterine fibroids in women aged 30-45 years with uterine fibroids and hypovitaminosis D.</public_title>
      <acronym></acronym>
      <scientific_title>The effect of vitamin D on the cumulative size and number of uterine fibroids in women aged 30-45 years with uterine fibroids and hypovitaminosis D.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-06-28</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>130</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/90753</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be randomly allocated to the intervention (vitamin D) or control (placebo) group in a 1:1 ratio using a sealed, opaque envelope randomization method. The randomization sequence will be generated by an independent investigator using Microsoft Excel prior to participant enrollment.  Group allocation cards will be prepared in equal numbers and placed in sequentially numbered, opaque, sealed envelopes. After enrollment, each participant will be assigned to a study group by selecting one envelope. This procedure will ensure random allocation and concealment of group assignment throughout the enrollment process, Blinding description: This study will be conducted using a double-blind design. Participants will be unaware of their group allocation (vitamin D or placebo). In addition, the sonographer responsible for ultrasonographic assessments and the experienced midwife involved in participant follow-up and outcome assessment will be blinded to treatment allocation. Therefore, both participants and outcome assessors will remain unaware of group assignment throughout the study.</study_design>
      <phase>2</phase>
      <hc_freetext>Leiomyoma of uterus (Uterine fibroids).</hc_freetext>
      <i_freetext>Intervention 1: Control group: Participants will receive a placebo administered according to the same dosing schedule and duration as the intervention group. Intervention 2: Intervention group:  Participants with vitamin D insufficiency (12–20 ng/mL) will receive oral vitamin D 1000 IU daily for 3 months. Participants with vitamin D deficiency (&lt;12 ng/mL) will receive vitamin D 50,000 IU weekly for 6–8 weeks followed by 1000 IU daily until completion of the 3-month intervention period.</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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no further information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Noushin Amjadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Beheshti University of Medical Sciences, Faculty of Medicine, Kokod Yar Street, Daneshjoo Blvd., Velenjak, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985717443</zip>
        <telephone>+98 912 616 9342</telephone>
        <email>nooshinamjadi@yahoo.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Maryam Talayeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Arabi Street, Yemen Street, Shahid Chamran Highway, Near Ayatollah Taleghani Hospital, Tehran, Iran.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985717443</zip>
        <telephone>+98 21 7755 3112</telephone>
        <email>m_talayeh@yahoo.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Women aged 30–45 years who are premenopausal.
Presence of uterine fibroids confirmed by abdominal and transvaginal ultrasonography.
Total fibroid volume between 64 and 512 cm³.
Serum 25-hydroxyvitamin D [25(OH)D] level &lt;20 ng/mL (vitamin D deficiency or insufficiency).
Provision of written informed consent.</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>45 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Malabsorption disorders.
Chronic kidney disease or renal failure.
Severe fibroid-related symptoms requiring immediate treatment (e.g., heavy bleeding causing anemia, severe pelvic pain, or significant urinary tract compression).
Cardiovascular disease.
Diabetes mellitus.
Any malignancy.
Osteomalacia or osteoporosis requiring therapeutic vitamin D supplementation.
Withdrawal of consent or unwillingness to continue participation.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>D25</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Leiomyoma of uterus</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>Control group: Participants will receive a placebo administered according to the same dosing schedule and duration as the intervention group.</i_keyword>
      <i_keyword>Intervention group:  Participants with vitamin D insufficiency (12–20 ng/mL) will receive oral vitamin D 1000 IU daily for 3 months. Participants with vitamin D deficiency (&lt;12 ng/mL) will receive vitamin D 50,000 IU weekly for 6–8 weeks followed by 1000 IU daily until completion of the 3-month intervention period.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Number and cumulative size of uterine fibroids. Timepoint: The number and cumulative volume of uterine fibroids will be assessed at two time points: baseline (prior to initiation of the intervention) and at the end of the 3-month intervention period (post-intervention). Method of measurement: Fibroid number and cumulative volume will be assessed by transabdominal ultrasonography (TAS) and transvaginal ultrasonography (TVS) performed by a trained sonographer.</prim_outcome>
      <prim_outcome>Serum 25-hydroxyvitamin D [25(OH)D] level. Timepoint: Serum 25-hydroxyvitamin D levels will be measured at two time points: baseline (before initiation of the intervention) and upon completion of the 3-month intervention period. Method of measurement: Serum 25-hydroxyvitamin D [25(OH)D] levels will be measured using high-performance liquid chromatography (HPLC) with a Pars Azmoon Chromium assay kit.</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>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-05-19</approval_date>
        <contact_name>Research Ethics Committee of School of Medicine - Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>6th Floor, Building No. 2, Shahid Beheshti University of Medical Sciences Headquarters, Arabi Street, Yemen Street, Shahid Chamran Highway, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
