PeriodontitisPhase 1/2NCT03137979
Gingiva Mesenchymal Stem Cells Treatment of Chronic Periodontitis
A Phase 1/2 study testing GMSCs and collagen scaffolds, Collagen scaffolds and Open flap debridement in people with Periodontitis, run by Hebei Medical University at 1 site in China.
Trial summary
This study is to evaluate the safety and efficacy of Gingiva Mesenchymal Stem Cell Therapy for Chronic Adult Periodontitis. Read more about this study
- Who is it for?
- Ages 35 to 60 years
- Conditions the study is for
- Periodontitis
- What is being tested?
- GMSCs and collagen scaffolds, Collagen scaffolds and Open flap debridement
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteChina
- Study dates
- Jan 2017to Dec 2019
- Phase
- Phase 1/2
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with adult periodontitis .
- The age is from 35 to 60 years old.
- The bleeding and coagulation function is normal.
- The liver function is normal.
- Patients who are suitable for routine treatment of periodontal curettage and other early treatments.
- Pathological lesion is stable after the routine treatments.
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- Patients with the probing depth ≥6 mm and attachment loss level≥ 3 mm.
- X ray plates show no significant root furcation lesion appears in the diseased teeth and the infrabony pocket is not less than 4mm deep.
- Patients with good oral hygiene and/or in whom the plaque control is maintained excellently under the instruction of oral hygiene.
- Patients who show good compliance.
- Patients with tooth mobility of degreeⅡor less and the width of attached gingiva is considered appropriate for the existing Guided Tissue Regeneration (GTR) .
- Patients who have understand the purposes of this clinical trial and can make an independent decision to comply with trial requirements.
Who cannot join
- Patients with disease of the kidney, liver, blood and/or circulatory system.
- Patients with diabetes (the fasting plasma glucose level≥7.0mmol/l).
- Patients who are receiving treatment of hypertension and/or epilepsy.
- Patients with malignant tumour or the history of this.
- Patients with the genetic background of the periodontitis.
- Patients with bone metabolic diseases.
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- Patients in need of administration of adrenal cortical steroid within 4 weeks.
- Patients with alcoholics.
- Patients who smoke more than 10 pieces of cigarettes.
- Patients who suffer from drug induced gingival hyperplasia.
- Patients with acute symptom of periodontitis.
- The bone destruction is larger than 2/3 of the root length or the mobility tooth is investigated of more than degree Ⅱ.
- Patients who are either pregnant, possibly pregnant or breast-feeding, or who hope to become pregnant during the period of the trial.
- Patients who are participating in in other research team of clinical trial.
- Patients with mental or consciousness disorder.
- Patients with a previous history of hypersensitivity to any biological active drugs.
- Patients who have undergo periodontal treatment within six months.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
the First Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050030
Xianyun Wang, Doctor, 86-311-85917384, wangxianyun_mbb@126.com
About this study
Official title: The Safety and Efficacy Evaluation of Gingiva Mesenchymal Stem Cells Transplantation in Chronic Periodontitis Patients
This study is to evaluate the safety and efficacy of Gingiva Mesenchymal Stem Cell Therapy for Chronic Adult Periodontitis.
Read the detailed description
Periodontitis featured by the progressive destruction loss of support tissues around the teeth has become a prevalent disease affecting the life quality of the adults. Although conventional periodontal treatment including open flap debridement and drug support therapy display reduced pocket depth and inflammation, the functional regeneration of the lost tissue and the repair of alveolar bone are insufficient. Gingiva mesenchymal stem cells (GMSCs) are multipotent cells possess the capacity of multilineage differentiation and have become an attractive optional treatment method for the regeneration of periodontal tissues and function. Therefore, GMSCs will be selected as seed cells to treat periodontitis. This study will recruit 30 patients which will be divided into three groups. 10 patients in group A will receive GMSCs seeded into collagen scaffolds at the local periodontal defects immediately after open flap debridement. 10 patients in group B will only receive collagen scaffolds devoid of GMSCs after open flap debridement. 10 patients in group C will only undergo an open flap debridement. This study will test the safety and efficacy of GMSCs implantation in chronic adult periodontitis through alveolous bone reproduction and other clinical parameters.
- Conditions
- Periodontitis
- Being tested
- GMSCs and collagen scaffolds, Collagen scaffolds, Open flap debridement
- Keywords
- Periodontitis, Gingiva mesenchymal stem cells
- Medical subject headings
- Periodontitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GMSCs and collagen scaffoldsBiological
Patients in this group were given GMSCs and collagen scaffolds.
Collagen scaffoldsBiological
Patients in this group were given collagen scaffolds.
Open flap debridementProcedure or surgery
The patients in this group will only receive the treatment of open flap debridement.
| Study group | Role | What they receive |
|---|---|---|
| Group A: GMSCs and collagen scaffolds | Experimental | Patients in group A will receive GMSCs seeded into collagen scaffolds at the local periodontal defects immediately after open flap debridement. Receives: Biological: GMSCs and collagen scaffolds |
| Group B: collagen scaffolds | Experimental | Patients in group B will receive collagen scaffolds implantation at the local periodontal defects immediately after open flap debridement. Receives: Biological: Collagen scaffolds |
| Group C: comparator | Other | Patients in comparator group will only undergo an open flap debridement. Receives: Procedure: Open flap debridement |
What is being measured
The primary outcome is the main question the study is designed to answer.
The evaluation of alveolar bone regeneration
A increase in the height of alveolar bone in mm examined by computed tomography (CT)
Measured: Baseline and Post cell transplantation: 1,3, 6months after intervention
Secondary outcomes (4)
Probing pocket depth (PPD)
A reduced distance in mm between the gingival margin and the bottom was measured by a manual periodontal probe.
Measured: Baseline and Post cell transplantation: 3, 6 months after intervention.
Attachment level (AL)
A reduced distance in mm from the bottom of the periodontal pocket to the dentinocemental junction was examined by a manual probe.
Measured: Baseline and Post cell transplantation: 3, 6 months after intervention.
Gingival index (GI)
A decreased degree of GI measured by a manual periodontal probe which was divided into 4 grades: 0, 1, 2 and 3.
Measured: Baseline and Post cell transplantation: 3, 6 months after intervention.
Tooth mobility degree (TMD)
A decrease of periotest value was measured by periotest to evaluate the tooth mobility changes.
Measured: Baseline and Post cell transplantation: 1,3, 6months after intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2017
- Study startJan 2017
- Primary completionDec 2018 (estimated)
- Study completionDec 2019 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PeriodontitisStudies 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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hebei Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Quanhai Li, Hebei Medical University
- Investigators
- Baoyong Yan, Doctor, Study chair, Hebei Medical UniversityGuangshun Liu, Master, Study director, The First Hospital of Hebei Medical UniversityQuanhai Li, Doctor, Study director, The First Hospital of Hebei Medical UniversityXianyun Wang, Doctor, Principal investigator, The First Hospital of Hebei Medical UniversityJinhong Zhang, Master, Principal investigator, The First Hospital of Hebei Medical UniversityYao Wang, Bachelor, Principal investigator, the First Hospital of Hebei Medical UniversityTJun Zhang, Master, Principal investigator, The First Hospital of Hebei Medical UniversityXiangwei Ren, Master, Principal investigator, The First Hospital of Hebei Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03137979
- Sponsor's protocol ID
- 17277787D-PD
- Status last verified
- Apr 2017
- First submitted
- 24 Apr 2017
- Last updated
- 3 May 2017
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 May 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Safety and Efficacy Evaluation of Gingiva Mesenchymal Stem Cells Transplantation in Chronic Periodontitis Patients
- ClinicalTrials.gov ID
- NCT03137979
- Acronym / sponsor ID
- 17277787D-PD
- Conditions
- Periodontitis
- Keywords
- Periodontitis, Gingiva mesenchymal stem cells
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Hebei Medical UniversityUniversity, hospital or other
- Study start
- Jan 2017
- Primary completion
- Dec 2018 (estimated)
- Study completion
- Dec 2019 (estimated)
- First posted
- 3 May 2017 (actual)
- 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.
This study is to evaluate the safety and efficacy of Gingiva Mesenchymal Stem Cell Therapy for Chronic Adult Periodontitis.
Detailed description
Periodontitis featured by the progressive destruction loss of support tissues around the teeth has become a prevalent disease affecting the life quality of the adults. Although conventional periodontal treatment including open flap debridement and drug support therapy display reduced pocket depth and inflammation, the functional regeneration of the lost tissue and the repair of alveolar bone are insufficient. Gingiva mesenchymal stem cells (GMSCs) are multipotent cells possess the capacity of multilineage differentiation and have become an attractive optional treatment method for the regeneration of periodontal tissues and function. Therefore, GMSCs will be selected as seed cells to treat periodontitis. This study will recruit 30 patients which will be divided into three groups. 10 patients in group A will receive GMSCs seeded into collagen scaffolds at the local periodontal defects immediately after open flap debridement. 10 patients in group B will only receive collagen scaffolds devoid of GMSCs after open flap debridement. 10 patients in group C will only undergo an open flap debridement. This study will test the safety and efficacy of GMSCs implantation in chronic adult periodontitis through alveolous bone reproduction and other clinical parameters.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group A: GMSCs and collagen scaffolds | Experimental | Biological: GMSCs and collagen scaffoldsPatients in group A will receive GMSCs seeded into collagen scaffolds at the local periodontal defects immediately after open flap debridement. |
| Group B: collagen scaffolds | Experimental | Biological: Collagen scaffoldsPatients in group B will receive collagen scaffolds implantation at the local periodontal defects immediately after open flap debridement. |
| Group C: comparator | Other | Procedure: Open flap debridementPatients in comparator group will only undergo an open flap debridement. |
Who may qualify
- Ages
- 35 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (12 listed)
- Patients with adult periodontitis .
- The age is from 35 to 60 years old.
- The bleeding and coagulation function is normal.
- The liver function is normal.
- Patients who are suitable for routine treatment of periodontal curettage and other early treatments.
Key exclusion criteria (17 listed)
- Patients with disease of the kidney, liver, blood and/or circulatory system.
- Patients with diabetes (the fasting plasma glucose level≥7.0mmol/l).
- Patients who are receiving treatment of hypertension and/or epilepsy.
- Patients with malignant tumour or the history of this.
- Patients with the genetic background of the periodontitis.
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 |
|---|---|---|
| GMSCs and collagen scaffoldsPatients in this group were given GMSCs and collagen scaffolds. | Biological | Group A: GMSCs and collagen scaffolds |
| Collagen scaffoldsPatients in this group were given collagen scaffolds. | Biological | Group B: collagen scaffolds |
| Open flap debridementThe patients in this group will only receive the treatment of open flap debridement. | Procedure or surgery | Group C: comparator |
Primary outcome
The evaluation of alveolar bone regeneration
Time frame: Baseline and Post cell transplantation: 1,3, 6months after intervention
A increase in the height of alveolar bone in mm examined by computed tomography (CT)
4 secondary outcomes
Probing pocket depth (PPD)
Time frame: Baseline and Post cell transplantation: 3, 6 months after intervention.
Attachment level (AL)
Time frame: Baseline and Post cell transplantation: 3, 6 months after intervention.
Gingival index (GI)
Time frame: Baseline and Post cell transplantation: 3, 6 months after intervention.
Tooth mobility degree (TMD)
Time frame: Baseline and Post cell transplantation: 1,3, 6months after intervention
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 May 2017.
- Individual participant dataSharing planned: No
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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.
Baoyong Yan, Doctor study chair
Hebei Medical University
Guangshun Liu, Master study director
The First Hospital of Hebei Medical University
Quanhai Li, Doctor study director
The First Hospital of Hebei Medical University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing GMSCs and collagen scaffolds, Collagen scaffolds and Open flap debridement in people with Periodontitis, run by Hebei Medical University at 1 site in China.
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 12 inclusion and 17 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: status not confirmed, as of the sponsor's last update on 3 May 2017. 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 China. 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.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Quanhai Li, Doctor (86-311-85917287, liquanh2@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The evaluation of alveolar bone regeneration (time frame: Baseline and Post cell transplantation: 1,3, 6months after intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 May 2017.