<?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>IRCT20121228011912N9</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-08-07</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Investigation of the effect of diet and embedding on serum ghrelin levels and body measurements in individuals with overweight and simple obesity</public_title>
      <acronym></acronym>
      <scientific_title>Assessment of standard diet and Embedding Therapy on Anthropometric Indices, Ghrelin Levels , and Bioelectrical Impedance Analysis parameters in overweight and simple obesity individuals.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>66</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/91001</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block randomization with block sizes of 4 and 6 will be used. The random allocation sequence will be generated using a valid online tool (Randomization.com). To ensure allocation concealment, sequentially numbered, sealed envelopes will be employed.

To prevent selection bias, the standard technique of opaque, sealed, and sequentially numbered envelopes will be applied. The allocation codes generated in the previous step will be written on cards by an individual independent of the research team and outcome assessors. These cards will then be placed inside opaque envelopes.

The envelopes will be sealed and numbered sequentially from 1 to 64 according to the order of participant enrollment. After confirming eligibility criteria, finalizing participant enrollment, and obtaining informed consent, the next envelope in the sequence will be opened. Participants will then be assigned to either the intervention group (embedding plus diet) or the control group (diet only), Blinding description: In this study, blinding was performed as single-blinding, meaning that the participants were unaware of their allocation to the study groups, while the assessors and data analysts were aware of the study conditions. Due to the nature of the intervention, complete blinding of all parties involved was not feasible.</study_design>
      <phase>3</phase>
      <hc_freetext>Over weight &amp; Simple obesity.</hc_freetext>
      <i_freetext>Intervention 1: Control group: Under standard dietary treatment .Participants in the control group will receive a standard nutritional regimen prescribed by a specialized nutritionist. Based on the participants’ Body Mass Index (BMI), daily caloric intake will be gradually reduced as follows: a 500 kcal reduction for individuals with a BMI between 28 and 29.9, and a 700 kcal reduction for those with a BMI between 30 and 40. Before the intervention, as well as 4 and 16 weeks post-intervention, serum ghrelin levels, waist circumference, body fat and muscle mass, and phase angle will be assessed using Bioelectrical Impedance Analysis (BIA). Intervention 2: Intervention group: Under standard dietary &amp; embedding  treatment .In this group, participants will be provided with a customized diet plan under the supervision of a nutritionist. Daily caloric intake will be gradually reduced as follows: a 500 kcal deficit for individuals with a Body Mass Index (BMI) of 28–30, and a 700 kcal deficit for those with a BMI of 30–40. Concurrently with the initiation of the diet, each participant will undergo a single session of PDO thread embedding at twenty specific anatomical points. Serum ghrelin levels, waist circumference, body fat and muscle mass, and phase angle will be measured using Bioelectrical Impedance Analysis (BIA) at three time points: at baseline (pre-intervention), and at 4 and 16 weeks post-intervention.</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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
The statistical details of the data will be mentioned in the published article.

When:
After finishing the research

To whom:
All individuals who have access to the published article or those who obtain permission from the Research Vice‑Chancellor of Mashhad University of Medical Sciences.

Conditions:
With the permission of the principal investigator and the approval of the University Research Council, and solely for informational purposes without any possibility of using or exploiting the data content.

Where to obtain:
After publication of the article, the data will be available to the corresponding author; before publication, if necessary, they may be provided to the principal investigator upon request by the relevant authorities.

How to obtain:
By means of Vice research of Mashhad University of Medical Science

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Sara Mousavinik</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Daneshgah st , Imam Reza hospital</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3841 1538</telephone>
        <email>---mousaviniks4021@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr.Hamidreza Bahrami Taghanaki</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Daneshgah st , Imam Reza hospital</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3841 1538</telephone>
        <email>bahramihr@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>BMI between 28-40
Waist circumference greater than 90 cm in men and 80 cm in women.
More than 6 months postpartum.
blood pressure less than 140/90
no contraindication for embedding
No consumption of weight‑reducing medications.
No hepatic/renal disease</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>history of acupuncture/embedding for weight loss in the past  months
diabetes
presence of febrile disease
pregnancy</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E66.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Obesity due to excess calories</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>Control group: Under standard dietary treatment .Participants in the control group will receive a standard nutritional regimen prescribed by a specialized nutritionist. Based on the participants’ Body Mass Index (BMI), daily caloric intake will be gradually reduced as follows: a 500 kcal reduction for individuals with a BMI between 28 and 29.9, and a 700 kcal reduction for those with a BMI between 30 and 40. Before the intervention, as well as 4 and 16 weeks post-intervention, serum ghrelin levels, waist circumference, body fat and muscle mass, and phase angle will be assessed using Bioelectrical Impedance Analysis (BIA)</i_keyword>
      <i_keyword>Intervention group: Under standard dietary &amp; embedding  treatment .In this group, participants will be provided with a customized diet plan under the supervision of a nutritionist. Daily caloric intake will be gradually reduced as follows: a 500 kcal deficit for individuals with a Body Mass Index (BMI) of 28–30, and a 700 kcal deficit for those with a BMI of 30–40. Concurrently with the initiation of the diet, each participant will undergo a single session of PDO thread embedding at twenty specific anatomical points. Serum ghrelin levels, waist circumference, body fat and muscle mass, and phase angle will be measured using Bioelectrical Impedance Analysis (BIA) at three time points: at baseline (pre-intervention), and at 4 and 16 weeks post-intervention.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Body weight. Timepoint: Before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: Using a weighing scale and a bioimpedance analyzer.</prim_outcome>
      <prim_outcome>Body Mass Index. Timepoint: Before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: Using a bioimpedance analyzer.</prim_outcome>
      <prim_outcome>Weight circumference. Timepoint: Before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: Using a bioimpedance analyzer.</prim_outcome>
      <prim_outcome>Body fat mass. Timepoint: Before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: Using a bioimpedance analyzer.</prim_outcome>
      <prim_outcome>Body muscle mass. Timepoint: Before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: Using a bioimpedance analyzer.</prim_outcome>
      <prim_outcome>Phase angle . Timepoint: Before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: Using a bioimpedance analyzer.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Serum Ghrelin level. Timepoint: before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: Using Plasma sample and Ghrelin kit.</sec_outcome>
      <sec_outcome>Quality of life. Timepoint: before intervention , 4 weeks and 16 weeks after intervention. Method of measurement: World Health Organization (WHO) questionnaire.</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>2026-06-17</approval_date>
        <contact_name>Ethics committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Daneshgah st , acupuncture clinic , Imam Reza hospital Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
