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PeriodontitisPhase 4EIPRFITCPNCT04178590

Effect of Injectable Platelet-Rich Fibrin (i-PRF) in Initial Treatment of Chronic Periodontitis

A Phase 4 study testing SRP + Injectable Platelet-Rich Fibrin in people with Periodontitis, run by University of Belgrade at 1 site in Serbia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Current treatments of periodontitis have limited efficacy since they fail to suppress microorganisms satisfactorily over time. The aim of present study was to investigate whether there are differences between initial treatment of chronic periodontitis (SRP) and SRP in conjunction with injectable platelet-rich fibrin… Read more about this study

Who is it for?
Ages 20 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Periodontitis
What is being tested?
SRP + Injectable Platelet-Rich Fibrin
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
1 siteSerbia
Study dates
2 Oct 2019to 9 Jul 2020
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 20 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • A minimum of 6 teeth per quadrant;
  • A minimum of 2 teeth in each quadrant with a probing depth (PD) ≥5 mm;
  • Bleeding on probing (BOP) had to be at ≥40% tooth sites;
  • No involvement of furcation;
  • Good general health.

Who cannot join

  • Periodontal therapy within last 12 months;
  • Having surgical therapy;
  • Use of antibiotics over the last 6 months;
  • Ongoing drug therapy that might have an impact on the clinical signs and symptoms of periodontitis;
  • Pregnancy or nursing;
  • Current and former smokers.

Trial locations and contacts

1 site in 1 country.

Serbia1 site
  • Department of Periodontology and Oral medicine, School of Dental Medicine, University of Belgrade

    Belgrade, 11000

Other trials in Serbia

About this study

Official title: Effects of Application Injectable Platelet-Rich Fibrin (i-PRF) as Adjunct Therapy in the Initial Treatment of Periodontitis

Current treatments of periodontitis have limited efficacy since they fail to suppress microorganisms satisfactorily over time. The aim of present study was to investigate whether there are differences between initial treatment of chronic periodontitis (SRP) and SRP in conjunction with injectable platelet-rich fibrin (i-PRF) application.

Read the detailed description

Current treatments of periodontitis have limited efficacy since they fail to suppress microorganisms satisfactorily over time. The aim of present study was to investigate whether there are differences between initial treatment of chronic periodontitis (SRP) and SRP in conjunction with injectable platelet-rich fibrin (i-PRF) application.

Thirty patients with chronic periodontitis who had at least two sites with perriodontal pocket depth (PPD) ≥ 4 mm on contralateral side will be involved in the study. Using a split-mouth design, patients will be treated with SRP + I-PRF -(test group) or SRP only-(control group). Gingival crevicular fluid (GCF) and subgingival plaque will be collected with paper points (DentsplyMaillefer, Tulsa, Oklahoma, USA) at baseline and 1, 3 and 6 months after the treatment. The presence and concentrations of Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), Prevotella intermedia (Pi) and Tannerella forsythia(Tf) will be analyzed by real-time polymerase chain reaction (qPCR). Periodontal parameters, including bleeding on probing (BOP), probing pocket depth (PPD) and the clinical attachment level (CAL), will be recorded on both sides, as well as concentration of TNF-alpha (tumor necrosis factor alpha), ALP(alkaline phosphatase) and MMP-8 (matrix-metalloproteinase-8).

Conditions
Periodontitis
Being tested
SRP + Injectable Platelet-Rich Fibrin, SRP + placebo
Keywords
periodontitis, therapy, Platelet, Rich, Fibrin, Nonsurgical
Medical subject headings
Periodontitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SRP + Injectable Platelet-Rich FibrinDrug

    Also called SRP + i-PRF

    Injectable Platelet-Rich Fibrin application as adjunct to scaling and root planing

  • SRP + placeboDrug

    Also called SRP + saline

    Saline application during scaling and root planing

Study groups in NCT04178590
Study groupRoleWhat they receive
SRP + Injectable Platelet-Rich FibrinExperimentalScaling and root planing in conjunction with Injectable Platelet-Rich Fibrin
Receives: Drug: SRP + Injectable Platelet-Rich Fibrin
SRP + placeboPlacebo comparatorScaling and root planing in conjunction with saline
Receives: Drug: SRP + placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Periodontal Pocket Depth-PPD

    assessment of periodontal pocket depth by probing, mean value of periodontal pockets on one side of the jaw

    Measured: baseline measure (before the intervention)

  2. Periodontal Pocket Depth-PPD - 1m

    assessment of periodontal pocket depth by probing, mean value of periodontal pockets on one side of the jaw

    Measured: after 1 month

  3. Periodontal Pocket Depth-PPD - 3m

    assessment of periodontal pocket depth by probing, mean value of periodontal pockets on one side of the jaw

    Measured: after 3 months

  4. Periodontal Pocket Depth-PPD - 6

    assessment of periodontal pocket depth by probing mean value of one side of the jaw

    Measured: after 6 months

  5. Level of Gingival Margin-LGM

    assessment of level of gingival margin-LGM by probing, i.e.distance between cementoenamel junction and gingival margin (the most coronal point of the gingiva); mean value of one side of the jaw

    Measured: baseline measure (before the intervention)

  6. Level of Gingival Margin-LGM - 1m

    assessment of level of gingival margin-LGM by probing, i.e.distance between cementoenamel junction and gingival margin (the most coronal point of the gingiva); mean value of one side of the jaw

    Measured: after 1 month

  7. Level of Gingival Margin-LGM - 3m

    assessment of level of gingival margin-LGM by probing, i.e. distance between cementoenamel junction and gingival margin (the most coronal point of the gingiva); mean value of one side of the jaw

    Measured: after 3 months

  8. Level of Gingival Margin-LGM - 6m

    assessment of level of gingival margin-LGM by probing, distance between cementoenamel junction and gingival margin (the most coronal point of the gingiva) after 6 months

    Measured: after 6 months

  9. Clinical Attachment Level- CAL

    assessment of clinical attachment level- CAL by probing

    Measured: baseline measure (before the intervention)

  10. Clinical Attachment Level- CAL - 1m

    assessment of clinical attachment level- CAL by probing, mean value of one side of the jaw

    Measured: after 1 month

  11. Clinical Attachment Level- CAL - 3m

    assessment of clinical attachment level- CAL by probing, mean value of one side of the jaw

    Measured: after 3 months

  12. Clinical Attachment Level- CAL - 6m

    assessment of clinical attachment level- CAL by probing, mean value of one side of the jaw

    Measured: after 6 months

  13. Bleeding on Probing-BOP

    assessment of bleeding on probing Mühlemann Papillary Bleeding Index , a four-grade index based on both the extent of bleeding and the time it takes for bleeding to occur after stimulation with a periodontal probe (0-the best outcome, 4-the worst outcome).

    Measured: baseline measure (before the intervention)

  14. Bleeding on Probing-BOP - 1m

    assessment of bleeding on probing Mühlemann Papillary Bleeding Index , a four-grade index based on both the extent of bleeding and the time it takes for bleeding to occur after stimulation with a periodontal probe (0-the best outcome, 4-the worst outcome).

    Measured: after 1 month

  15. Bleeding on Probing-BOP 3m

    assessment of bleeding on probing Mühlemann Papillary Bleeding Index , a four-grade index based on both the extent of bleeding and the time it takes for bleeding to occur after stimulation with a periodontal probe (0-the best outcome, 4-the worst outcome).

    Measured: after 3 months

  16. Bleeding on Probing-BOP - 6m

    assessment of bleeding on probing Mühlemann Papillary Bleeding Index , a four-grade index based on both the extent of bleeding and the time it takes for bleeding to occur after stimulation with a periodontal probe (0-the best outcome, 4-the worst outcome).

    Measured: after 6 months

  17. Plaque Index- PI

    visual assessment of plaque index-PI and by probing Plaque Index (Silness and Löe), 0-the best outcome, 3-the worst outcome

    Measured: baseline measure (before the intervention)

  18. Plaque Index- PI -1m

    visual assessment of plaque index-PI and by probing Plaque Index (Silness and Löe), 0-the best outcome, 3-the worst outcome

    Measured: after 1 month

  19. Plaque Index- PI -3m

    visual assessment of plaque index-PI and by probing Plaque Index (Silness and Löe), 0-the best outcome, 3-the worst outcome

    Measured: after 3 months

  20. Plaque Index- PI - 6m

    visual assessment of plaque index-PI and by probing

    Measured: after 6 months

  21. Number of Periodontal Pockets With Presence/Absence of Aggregatibacter Actinomycetemcomitans (Aa) in Gingival Crevicular Fluid (GCF)

    Number of periodontal pockets with presence/absence of Aggregatibacter actinomycetemcomitans in gingival crevicular fluid (GCF) at baseline

    Measured: baseline measure (before the intervention)

  22. Number of Periodontal Pockets With Presence/Absence of Aggregatibacter Actinomycetemcomitans (Aa) in Gingival Crevicular Fluid (GCF) -1m

    Number of periodontal pockets with presence/absence of Aggregatibacter actinomycetemcomitans in gingival crevicular fluid (GCF) after 1 month

    Measured: after 1 month

  23. Number of Periodontal Pockets With Presence/Absence of Aggregatibacter Actinomycetemcomitans (Aa) in Gingival Crevicular Fluid (GCF) - 3m

    Number of periodontal pockets with presence/absence of Aggregatibacter Actinomycetemcomitans (Aa) in Gingival Crevicular Fluid (GCF) after 3 months

    Measured: after 3 months

  24. Number of Periodontal Pockets With Presence/Absence of Aggregatibacter Actinomycetemcomitans (Aa) in Gingival Crevicular Fluid (GCF) - 6m

    Number of periodontal pockets with presence/absence of Aggregatibacter actinomycetemcomitans in gingival crevicular fluid (GCF) after 6 months

    Measured: after 6 months

  25. Number of Periodontal Pockets With Presence/Absence of Porphyromonas Gingivalis (Pg) in Gingival Crevicular Fluid (GCF)

    Number of periodontal pockets with presence/absence of Porphyromonas gingivalis - Pg in gingival crevicular fluid (GCF) at baseline

    Measured: baseline measure (before the intervention)

  26. Number of Periodontal Pockets With Presence/Absence of Porphyromonas Gingivalis (Pg) in Gingival Crevicular Fluid (GCF) - 1m

    Number of periodontal pockets with presence/absence of Porphyromonas gingivalis - Pg in gingival crevicular fluid (GCF) after 1 month

    Measured: after 1 month

  27. Number of Periodontal Pockets With Presence/Absence of Porphyromonas Gingivalis (Pg) in Gingival Crevicular Fluid (GCF) - 3m

    Number of periodontal pockets with presence/absence of Porphyromonas gingivalis - Pg in gingival crevicular fluid after 3 months.

    Measured: after 3 months

  28. Number of Periodontal Pockets With Presence/Absence of Porphyromonas Gingivalis (Pg) in Gingival Crevicular Fluid (GCF) - 6m

    Number of periodontal pockets with presence/absence of Porphyromonas gingivalis - Pg in gingival crevicular fluid after 6 months.

    Measured: after 6 months

  29. Number of Periodontal Pockets With Presence/Absence of Prevotella Intermedia (Pi) in Gingival Crevicular Fluid (GCF)

    Number of periodontal pockets with presence/absence of Prevotella intermedia-Pi in gingival crevicular fluid (GCF) at baseline

    Measured: baseline measure (before the intervention)

  30. Number of Periodontal Pockets With Presence/Absence of Prevotella Intermedia (Pi) in Gingival Crevicular Fluid (GCF) -1m

    Number of periodontal pockets with presence/absence of Prevotella intermedia-Pi in gingival crevicular fluid (GCF) after 1 month.

    Measured: after 1 month

  31. Number of Periodontal Pockets With Presence/Absence of Prevotella Intermedia (Pi) in Gingival Crevicular Fluid (GCF) - 3m

    Number of periodontal pockets with presence/absence of Prevotella intermedia-Pi in gingival crevicular fluid (GCF) after 3 months.

    Measured: after 3 months

  32. Number of Periodontal Pockets With Presence/Absence of Prevotella Intermedia (Pi) in Gingival Crevicular Fluid (GCF) -6m

    Number of periodontal pockets with presence/absence of Prevotella intermedia-Pi in gingival crevicular fluid (GCF) after 6 months.

    Measured: after 6 months

  33. Number of Periodontal Pockets With Presence/Absence of Tannerella Forsythia (Tf) in Gingival Crevicular Fluid (GCF)

    Number of periodontal pockets with presence/absence of Tannerella forsythia-Tf in gingival crevicular fluid (GCF) at baseline

    Measured: baseline measure (before the intervention)

  34. Number of Periodontal Pockets With Presence/Absence of Tannerella Forsythia (Tf) in Gingival Crevicular Fluid (GCF) - 1m

    Number of periodontal pockets with presence/absence of Tannerella forsythia-Tf in gingival crevicular fluid (GCF) after 1 month.

    Measured: after 1 month

  35. Number of Periodontal Pockets With Presence/Absence of Tannerella Forsythia (Tf) in Gingival Crevicular Fluid (GCF) - 3m

    Number of periodontal pockets with presence/absence of Tannerella forsythia-Tf in gingival crevicular fluid (GCF) after 3 months.

    Measured: after 3 months

  36. Number of Periodontal Pockets With Presence/Absence of Tannerella Forsythia (Tf) in Gingival Crevicular Fluid (GCF) - 6m

    Number of periodontal pockets with presence/absence of Tannerella forsythia-Tf in gingival crevicular fluid (GCF) after 6 months.

    Measured: after 6 months

  37. Periodontal Pocket Microorganisms

    The concentration of periodontal pocket microorganisms determined in gingival crevicular fluid (GCF) by qPCR-real time.

    Measured: baseline measure (before the intervention)

  38. Periodontal Pocket Microorganisms -1m

    The concentration of periodontal pocket microorganisms determined in gingival crevicular fluid (GCF) by qPCR-real time after 1 month.

    Measured: after 1 month

  39. Periodontal Pocket Microorganisms - 3m

    The concentration of periodontal pocket microorganisms determined in gingival crevicular fluid (GCF) by qPCR-real time after 3 months.

    Measured: after 3 months

  40. Periodontal Pocket Microorganisms - 6m

    The concentration of periodontal pocket microorganisms determined in gingival crevicular fluid (GCF) by qPCR-real time after 6 months.

    Measured: after 6 months

  41. Tumor Necrosis Factor Alpha-TNF-α

    concentration of Tumor necrosis factor alpha-TNF-α in GCF using ELISA Kit

    Measured: baseline measure (before the intervention)

  42. Tumor Necrosis Factor Alpha-TNF-α -1m

    The concentration of Tumor necrosis factor alpha-TNF-α in GCF using ELISA Kit

    Measured: after 1 month

  43. Tumor Necrosis Factor Alpha-TNF-α - 3m

    The concentration of Tumor necrosis factor alpha-TNF-α using ELISA Kit after 3 months.

    Measured: after 3 months

  44. Tumor Necrosis Factor Alpha-TNF-α -6m

    The concentration of Tumor necrosis factor alpha-TNF-α using ELISA Kit after 6 months.

    Measured: after 6 months

  45. Matrix Metalloproteinase 8 - MMP-8

    The concentration of Matrix metalloproteinase 8 - MMP-8 in GCF using ELISA Kit

    Measured: baseline measure (before the intervention)

  46. Matrix Metalloproteinase 8 - MMP-8 -1m

    The concentration of Matrix metalloproteinase 8 - MMP-8 in GCF using ELISA Kit after 1 month.

    Measured: after 1 month

  47. Matrix Metalloproteinase 8 - MMP-8 - 3m

    The concentration of Matrix metalloproteinase 8 - MMP-8 using ELISA Kit after 3 months.

    Measured: after 3 months

  48. Matrix Metalloproteinase 8 - MMP-8 - 6m

    The concentration of Matrix metalloproteinase 8 - MMP-8 using ELISA Kit after 6 months.

    Measured: after 6 months

  49. Alkaline Phosphatase - ALP

    The concentration of Alkaline phosphatase - ALP in GCF using ELISA Kit

    Measured: baseline measure (before the intervention)

  50. Alkaline Phosphatase - ALP -1m

    The concentration of Alkaline phosphatase - ALP in GCF using ELISA Kit after 1 month.

    Measured: after 1 month

  51. Alkaline Phosphatase - ALP -3m

    The concentration of Alkaline phosphatase - ALP using ELISA Kitafter 3 months.

    Measured: after 3 months

  52. Alkaline Phosphatase - ALP -6m

    The concentration of Alkaline phosphatase - ALP using ELISA Kit after 6 months.

    Measured: after 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Nov 2019
  2. Study start2 Oct 2019
  3. Primary completion29 Jun 2020
  4. Study completion9 Jul 2020

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
split mouth design
Masking
Single blind
Who is masked
Investigator
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04178590
Sponsor's protocol ID
UBelgrade 783/2
Acronym
EIPRFITCP
Status last verified
Jul 2020
First submitted
21 Nov 2019
Last updated
13 Jul 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing SRP + Injectable Platelet-Rich Fibrin in people with Periodontitis, run by University of Belgrade at 1 site in Serbia.

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 5 inclusion and 6 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 13 Jul 2020. 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 Serbia. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Jun 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Periodontal Pocket Depth-PPD (time frame: baseline measure (before the intervention)). The study lists 52 primary outcomes in all. 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 13 Jul 2020.

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