Cardiovascular DiseasesPerioCardioNCT01609725
Periodontal Therapy in Coronary Artery Patients
A study testing Subgingival scaling and root planing and Oral prophylaxis in people with Cardiovascular Diseases and Atheroma, run by Federal University of Rio Grande do Sul at 1 site in Brazil.
Trial summary
Gingival inflammation has been associated with cardiovascular diseases, including heart attack and stroke, because of elevation of blood risk markers such as cholesterol, glucose and C reactive protein. Read more about this study
- Who is it for?
- Ages 35 to 70 years
- Conditions the study is for
- Cardiovascular Diseases, Atheroma, Coronary Artery Disease
- What is being tested?
- Subgingival scaling and root planing and Oral prophylaxis
- Type of treatment
- Pill or oral medicine, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 93 participants
- Where
- 1 siteBrazil
- Study dates
- Jan 2012to Dec 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 35 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 35 years and older
- coronary artery disease
- more than 10 teeth
- chronic periodontitis defined as 2 non-adjacent teeth with probing depth 5+mm and periodontal attachment loss 4+mm
Who cannot join
- use of antibiotics in the last 6 months
- periodontal therapy in the last 12 months
Trial locations and contacts
1 site in 1 country.
Brazil1 site
Federal University of Rio Grande do Sul, School of Dentistry and University Hospital
Porto Alegre, Rio Grande do Sul, 90035003
About this study
Official title: Impact of Periodontal Therapy in Flow-mediated Dilation and Serum Levels of Cardiovascular Risk Biomarkers in Coronary Artery Disease Patients: 12 Months Randomized Controlled Trial
Gingival inflammation has been associated with cardiovascular diseases, including heart attack and stroke, because of elevation of blood risk markers such as cholesterol, glucose and C reactive protein. The treatment of gingival diseases decreases the concentration of these risk factors in the blood of cardiovascular patients.
- Conditions
- Cardiovascular Diseases, Atheroma, Coronary Artery Disease
- Being tested
- Subgingival scaling and root planing, Oral prophylaxis
- Keywords
- Coronary artery disease, C reactive protein, Periodontitis, Periodontal therapy, Flow-mediated dilation
- Medical subject headings
- Cardiovascular Diseases, Plaque, Atherosclerotic, Coronary Artery Disease, Periodontitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Subgingival scaling and root planingDevice
Oral hygiene instruction and motivation will be provided altogether with scaling and root planing of all teeth affected by periodontitis under local anesthesia
Oral prophylaxisDevice
One session of supraginigval calculus removal
| Study group | Role | What they receive |
|---|---|---|
| Comprehensive treatment | Experimental | Test treatment group Receives: Device: Subgingival scaling and root planing |
| Community treatment | Other | Control treatment group Receives: Device: Oral prophylaxis |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in C reactive protein
Measured: Baseline, 3, 6 and 12 months
Changes in flow-mediated dilation
Measured: Baseline, 1, 3 and 6 months
Secondary outcomes (8)
Changes in Interleukin 1B concentrations
Measured: Baseline, 3, 6, 12 months
Changes in TNF alpha
Measured: Baseline, 3, 6, 12 months
Changes in Interleukin 8
Measured: Baseline, 3, 6, 12 months
Changes in Interleukin 6
Measured: Baseline, 3, 6, 12 months
Changes in Cholesterol
Measured: Baseline, 3, 6, 12 months
Changes in Glycated hemoglobin
Measured: Baseline, 3, 6, 12 months
Changes in LDL/HDL
Measured: Baseline, 3, 6, 12 months
Changes in Fibrinogen
Measured: Baseline, 3, 6, 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2012 (estimated)
- Study startJan 2012
- Primary completionJul 2016
- Study completionDec 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Cardiovascular DiseasesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 93 participants (actual)
Sponsor and investigators
- Lead sponsor
- Federal University of Rio Grande do Sul
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Alex Nogueira Haas, Federal University of Rio Grande do Sul
- Investigators
- Alex N Haas, PhD, Study chair, Federal University of Rio Grande do Sul, PeriodontologyCassiano K Rosing, PhD, Study chair, Federal University of Rio Grande do Sul, PeriodontologyCarisi Polanczyk, PhD, Study chair, Federal University of Rio Grande do Sul, CardiologyEneida RR Rabelo da Silva, PhD, Study chair, Federal University of Rio Grande do SulMarco A Saffi, MS, Principal investigator, Federal University of Rio Grande do Sul, CardiologyCassio Kampits, MS, Principal investigator, Federal University of Rio Grande do Sul, PeriodontologyIngrid Sanada, MS, Principal investigator, Federal University of Rio Grande do Sul, PeriodontologyMarlon Montenegro, MS, Principal investigator, Federal University of Rio Grande do Sul, Periodontology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01609725
- Sponsor's protocol ID
- HCPA110146
- Acronym
- PerioCardio
- Status last verified
- Sep 2019
- First submitted
- 29 May 2012
- Last updated
- 1 Oct 2019
- Results posted
- No
- Data monitoring committee
- No
Publications
Ramirez JH, Arce RM, Contreras A. Periodontal treatment effects on endothelial function and cardiovascular disease biomarkers in subjects with chronic periodontitis: protocol for a randomized clinical trial. Trials. 2011 Feb 16;12:46. doi: 10.1186/1745-6215-12-46.
PubMed 21324167Paraskevas S, Huizinga JD, Loos BG. A systematic review and meta-analyses on C-reactive protein in relation to periodontitis. J Clin Periodontol. 2008 Apr;35(4):277-90. doi: 10.1111/j.1600-051X.2007.01173.x. Epub 2008 Feb 20.
PubMed 18294231Blaizot A, Vergnes JN, Nuwwareh S, Amar J, Sixou M. Periodontal diseases and cardiovascular events: meta-analysis of observational studies. Int Dent J. 2009 Aug;59(4):197-209.
PubMed 19774803Lockhart PB, Bolger AF, Papapanou PN, Osinbowale O, Trevisan M, Levison ME, Taubert KA, Newburger JW, Gornik HL, Gewitz MH, Wilson WR, Smith SC Jr, Baddour LM; American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, Council on Epidemiology and Prevention, Council on Peripheral Vascular Disease, and Council on Clinical Cardiology. Periodontal disease and atherosclerotic vascular disease: does the evidence support an independent association?: a scientific statement from the American Heart Association. Circulation. 2012 May 22;125(20):2520-44. doi: 10.1161/CIR.0b013e31825719f3. Epub 2012 Apr 18.
PubMed 22514251Montenegro MM, Ribeiro IWJ, Kampits C, Saffi MAL, Furtado MV, Polanczyk CA, Haas AN, Rosing CK. Randomized controlled trial of the effect of periodontal treatment on cardiovascular risk biomarkers in patients with stable coronary artery disease: Preliminary findings of 3 months. J Clin Periodontol. 2019 Mar;46(3):321-331. doi: 10.1111/jcpe.13085. Epub 2019 Mar 6.
PubMed 30761568Saffi MA, Furtado MV, Montenegro MM, Ribeiro IW, Kampits C, Rabelo-Silva ER, Polanczyk CA, Rosing CK, Haas AN. The effect of periodontal therapy on C-reactive protein, endothelial function, lipids and proinflammatory biomarkers in patients with stable coronary artery disease: study protocol for a randomized controlled trial. Trials. 2013 Sep 6;14:283. doi: 10.1186/1745-6215-14-283.
PubMed 24010954
Study at a glance
From the registry record, last updated by the sponsor on 1 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Periodontal Therapy in Flow-mediated Dilation and Serum Levels of Cardiovascular Risk Biomarkers in Coronary Artery Disease Patients: 12 Months Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT01609725
- Acronym / sponsor ID
- PerioCardio / HCPA110146
- Conditions
- Cardiovascular Diseases, Atheroma, Coronary Artery Disease
- Keywords
- Coronary artery disease, C reactive protein, Periodontitis, Periodontal therapy, Flow-mediated dilation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 93 participants (actual)
- Lead sponsor
- Federal University of Rio Grande do SulUniversity, hospital or other
- Study start
- Jan 2012
- Primary completion
- Jul 2016 (actual)
- Study completion
- Dec 2017 (actual)
- First posted
- 1 Jun 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Gingival inflammation has been associated with cardiovascular diseases, including heart attack and stroke, because of elevation of blood risk markers such as cholesterol, glucose and C reactive protein. The treatment of gingival diseases decreases the concentration of these risk factors in the blood of cardiovascular patients.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Comprehensive treatment | Experimental | Device: Subgingival scaling and root planingTest treatment group |
| Community treatment | Other | Device: Oral prophylaxisControl treatment group |
Who may qualify
- Ages
- 35 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 35 years and older
- coronary artery disease
- more than 10 teeth
- chronic periodontitis defined as 2 non-adjacent teeth with probing depth 5+mm and periodontal attachment loss 4+mm
Key exclusion criteria (2 listed)
- use of antibiotics in the last 6 months
- periodontal therapy in the last 12 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Subgingival scaling and root planingOral hygiene instruction and motivation will be provided altogether with scaling and root planing of all teeth affected by periodontitis under local anesthesia | Device | Comprehensive treatment |
| Oral prophylaxisOne session of supraginigval calculus removal | Device | Community treatment |
Primary outcome
Changes in C reactive protein
Time frame: Baseline, 3, 6 and 12 months
Changes in flow-mediated dilation
Time frame: Baseline, 1, 3 and 6 months
8 secondary outcomes
Changes in Interleukin 1B concentrations
Time frame: Baseline, 3, 6, 12 months
Changes in TNF alpha
Time frame: Baseline, 3, 6, 12 months
Changes in Interleukin 8
Time frame: Baseline, 3, 6, 12 months
Changes in Interleukin 6
Time frame: Baseline, 3, 6, 12 months
Changes in Cholesterol
Time frame: Baseline, 3, 6, 12 months
Changes in Glycated hemoglobin
Time frame: Baseline, 3, 6, 12 months
Changes in LDL/HDL
Time frame: Baseline, 3, 6, 12 months
Changes in Fibrinogen
Time frame: Baseline, 3, 6, 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Oct 2019.
- Background: PubMed 21324167Ramirez JH, Arce RM, Contreras A. Periodontal treatment effects on endothelial function and cardiovascular disease biomarkers in subjects with chronic periodontitis: protocol for a randomized clinical trial. Trials. 2011 Feb 16;12:46. doi: 10.1186/1745-6215-12-46.
- Background: PubMed 18294231Paraskevas S, Huizinga JD, Loos BG. A systematic review and meta-analyses on C-reactive protein in relation to periodontitis. J Clin Periodontol. 2008 Apr;35(4):277-90. doi: 10.1111/j.1600-051X.2007.01173.x. Epub 2008 Feb 20.
- Background: PubMed 19774803Blaizot A, Vergnes JN, Nuwwareh S, Amar J, Sixou M. Periodontal diseases and cardiovascular events: meta-analysis of observational studies. Int Dent J. 2009 Aug;59(4):197-209.
- Background: PubMed 22514251Lockhart PB, Bolger AF, Papapanou PN, Osinbowale O, Trevisan M, Levison ME, Taubert KA, Newburger JW, Gornik HL, Gewitz MH, Wilson WR, Smith SC Jr, Baddour LM; American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, Council on Epidemiology and Prevention, Council on Peripheral Vascular Disease, and Council on Clinical Cardiology. Periodontal disease and atherosclerotic vascular disease: does the evidence support an independent association?: a scientific statement from the American Heart Association. Circulation. 2012 May 22;125(20):2520-44. doi: 10.1161/CIR.0b013e31825719f3. Epub 2012 Apr 18.
- Derived from this study: PubMed 30761568Montenegro MM, Ribeiro IWJ, Kampits C, Saffi MAL, Furtado MV, Polanczyk CA, Haas AN, Rosing CK. Randomized controlled trial of the effect of periodontal treatment on cardiovascular risk biomarkers in patients with stable coronary artery disease: Preliminary findings of 3 months. J Clin Periodontol. 2019 Mar;46(3):321-331. doi: 10.1111/jcpe.13085. Epub 2019 Mar 6.
- Derived from this study: PubMed 24010954Saffi MA, Furtado MV, Montenegro MM, Ribeiro IW, Kampits C, Rabelo-Silva ER, Polanczyk CA, Rosing CK, Haas AN. The effect of periodontal therapy on C-reactive protein, endothelial function, lipids and proinflammatory biomarkers in patients with stable coronary artery disease: study protocol for a randomized controlled trial. Trials. 2013 Sep 6;14:283. doi: 10.1186/1745-6215-14-283.
- School of Dentistry homepageLink provided by the sponsor.
- University Hospital homepageLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Alex N Haas, PhD study chair
Federal University of Rio Grande do Sul, Periodontology
Cassiano K Rosing, PhD study chair
Federal University of Rio Grande do Sul, Periodontology
Carisi Polanczyk, PhD study chair
Federal University of Rio Grande do Sul, Cardiology
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Subgingival scaling and root planing and Oral prophylaxis in people with Cardiovascular Diseases and Atheroma, run by Federal University of Rio Grande do Sul at 1 site in Brazil.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in C reactive protein (time frame: Baseline, 3, 6 and 12 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01609725, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2019; AzTrials last refreshed its copy on 7 Nov 2026.