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HIVOHARTNCT04645693

The Impact of Oral Health in HIV Patients on Antiretroviral Therapy

An observational study of HIV and Periodontal Diseases, run by University of Pennsylvania at 1 site in United States.

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

This is a prospective cohort study designed to investigate the range of metabolic abnormalities observed in patients living with HIV on antiretroviral therapy. This study will also explore the concurrent role of poor oral health in supporting and driving chronic immune activation and inflammation in HIV infection. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV, Periodontal Diseases, Caries
How many people
227 participants
Where
1 siteUnited States
Study dates
24 Feb 2021to 28 Feb 2026
How long will I take part?
2 Years
Phase
Observational
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients living with HIV above the age of 18 will be enrolled in this study.

Who may be able to join

  • Age ≥18 years
  • Has been diagnosed with HIV (as documented by a prior laboratory report of positive HIV-1/2 antibody and/or detectable HIV RNA, available for review by the study team)
  • Has received antiretroviral therapy for at least 12 months
  • Able and willing to provide informed consent prior to initiation of study procedures
  • Willing and able to comply with all study procedures, and likely to be available for the duration of the study

Who cannot join

  • Has been diagnosed with the following xerostomia-related autoimmune conditions: Sjorgen's and sarcoidosis
  • Has never received radiation therapy to the head or neck (including radioactive iodine therapy)
  • Was taking anti-osteoporotic agents (biphosphonates, denosumab) prior to HIV diagnosis.
  • Women who are pregnant at the time of enrollment.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pennsylvania School of Dental Medicine

    Philadelphia, Pennsylvania, 19104

Other trials in United States

About this study

Official title: The Impact of Oral Health on Metabolism and Persistent Inflammation in HIV Patients on Antiretroviral Therapy

This is a prospective cohort study designed to investigate the range of metabolic abnormalities observed in patients living with HIV on antiretroviral therapy. This study will also explore the concurrent role of poor oral health in supporting and driving chronic immune activation and inflammation in HIV infection.

Read the detailed description

This is a prospective cohort study designed to investigate the range of metabolic abnormalities observed in patients living with HIV (PLWH) on antiretroviral therapy (ART). This study will also explore the concurrent role of poor oral health in supporting and driving chronic immune activation and inflammation in HIV infection.

Following enrollment in study, patients will be followed up every 6 months for approximately 2.5 years (30 months). During this period, comprehensive medical records will be obtained, and study data will be updated every 6 months; questionnaires will be handed to patients periodically to assess quality of life and effects of xerostomia on QoL; social history will be assessed using TAPS; oral health will be evaluated every 6 months and blood, saliva, and oral swabs collected every 6 months. DXA scan and panoramic radiographs will also be taken at baseline and 24 months.

At the end of the study, caries rate, periodontal health, bone loss, QoL, salivary quantity and composition, presence or absence of white/red lesions, as well as inflammatory cytokines and immune activation markers will be assessed.

Medical subject headings
Periodontal Diseases, Noncommunicable Diseases, Xerostomia

What participants receive

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

Study groups in NCT04645693
Study groupRoleWhat they receive
HIV Subjects with Non-Communicable DiseasesPatients living with HIV on Antiretroviral Therapy drugs for at least one year with no diagnosis of non-communicable diseases (diabetes, insulin resistance, hyperlipidemia/dyslipidemia, vascular disease, and/or osteoporosis).
HIV Subjects without Non-Communicable DiseasesPatients living with HIV on Antiretroviral Therapy drugs for at least one year with a diagnosis of one or more systemic non-communicable diseases (diabetes, insulin resistance, hyperlipidemia/dyslipidemia, vascular disease, and/or osteoporosis).

What is being measured

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

  1. Dental Caries as assessed by DMFS Score

    Decayed, missing and filled surfaces (DMFS) score to assess dental caries. Minimum value is 0 and maximum value is 128 for 28 teeth. Higher scores mean higher levels of dental decay.

    Measured: Baseline

  2. Dental Caries as assessed by DMFS Score

    Decayed, missing and filled surfaces (DMFS) score to assess dental caries. Minimum value is 0 and maximum value is 128 for 28 teeth. Higher scores mean higher levels of dental decay.

    Measured: 6 months after baseline visit

  3. Dental Caries as assessed by DMFS Score

    Decayed, missing and filled surfaces (DMFS) score to assess dental caries. Minimum value is 0 and maximum value is 128 for 28 teeth. Higher scores mean higher levels of dental decay.

    Measured: 12 months after baseline visit

  4. Dental Caries as assessed by DMFS Score

    Decayed, missing and filled surfaces (DMFS) score to assess dental caries. Minimum value is 0 and maximum value is 128 for 28 teeth. Higher scores mean higher levels of dental decay.

    Measured: 18 months after baseline visit

  5. Dental Caries as assessed by DMFS Score

    Decayed, missing and filled surfaces (DMFS) score to assess dental caries. Minimum value is 0 and maximum value is 128 for 28 teeth. Higher scores mean higher levels of dental decay.

    Measured: 24 months after baseline visit

  6. Periodontal disease

    Incidence of periodontal disease

    Measured: Baseline

  7. Periodontal disease

    Incidence of periodontal disease

    Measured: 12 months after baseline visit

  8. Periodontal disease

    Incidence of periodontal disease

    Measured: 24 months after baseline visit

  9. Osteopenia as assessed by DXA scan findings

    Incidence of osteopenia

    Measured: Baseline

  10. Osteopenia as assessed by DXA scan findings

    Incidence of osteopenia

    Measured: 24 months after baseline visit

  11. Quality of life as assessed by the Xerostomia Quality of Life Scale (XeQoLS)

    The XeQoLS consists of 15 questions. The first 14 questions assess how dryness in the mouth impacts the individual's life, with answer options of "not at all," "a little," "somewhat," "quite a bit," and "very much." The final question asks "if you were to spend the rest of your life with your dry mouth/throat dryness just the way it is now, how would you feel about this?" and includes options ranging from "delighted" to "terrible." All 15 questions can be translated to a score of 0-4, with a score of 4 indicating the most dry mouth-related problems and 0 indicating no dry mouth-related problems.

    Measured: Baseline

  12. Quality of life as assessed by the Xerostomia Quality of Life Scale (XeQoLS)

    The XeQoLS consists of 15 questions. The first 14 questions assess how dryness in the mouth impacts the individual's life, with answer options of "not at all," "a little," "somewhat," "quite a bit," and "very much." The final question asks "if you were to spend the rest of your life with your dry mouth/throat dryness just the way it is now, how would you feel about this?" and includes options ranging from "delighted" to "terrible." All 15 questions can be translated to a score of 0-4, with a score of 4 indicating the most dry mouth-related problems and 0 indicating no dry mouth-related problems.

    Measured: 12 months after baseline visit

  13. Quality of life as assessed by the Xerostomia Quality of Life Scale (XeQoLS)

    The XeQoLS consists of 15 questions. The first 14 questions assess how dryness in the mouth impacts the individual's life, with answer options of "not at all," "a little," "somewhat," "quite a bit," and "very much." The final question asks "if you were to spend the rest of your life with your dry mouth/throat dryness just the way it is now, how would you feel about this?" and includes options ranging from "delighted" to "terrible." All 15 questions can be translated to a score of 0-4, with a score of 4 indicating the most dry mouth-related problems and 0 indicating no dry mouth-related problems.

    Measured: 24 months after baseline visit

  14. Quality of life as assessed by the Oral Health Related Quality of Life (OHRQoL)

    Oral health related quality of life will be assessed using the questionnaire developed for the National Health and Nutrition Examination Survey (NHANES). This questionnaire assesses the topic areas of last visit to dentist or lack of dental care; direct conversation with dental professional about your dental health; dental health perception; oral cancer exam; use of dental floss or dental rinse product; and periodontal disease self-report. Each topic area uses a separate scoring system and may be assessed individually.

    Measured: Baseline

  15. Quality of life as assessed by the Oral Health Related Quality of Life (OHRQoL)

    Oral health related quality of life will be assessed using the questionnaire developed for the National Health and Nutrition Examination Survey (NHANES). This questionnaire assesses the topic areas of last visit to dentist or lack of dental care; direct conversation with dental professional about your dental health; dental health perception; oral cancer exam; use of dental floss or dental rinse product; and periodontal disease self-report. Each topic area uses a separate scoring system and may be assessed individually.

    Measured: 12 months after baseline visit

  16. Quality of life as assessed by the Oral Health Related Quality of Life (OHRQoL)

    Oral health related quality of life will be assessed using the questionnaire developed for the National Health and Nutrition Examination Survey (NHANES). This questionnaire assesses the topic areas of last visit to dentist or lack of dental care; direct conversation with dental professional about your dental health; dental health perception; oral cancer exam; use of dental floss or dental rinse product; and periodontal disease self-report. Each topic area uses a separate scoring system and may be assessed individually.

    Measured: 24 months after baseline visit

  17. Quality of life as assessed by the Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) Tool

    The TAPS tool screens for substance use (including tobacco, alcohol, prescription medication, and other drugs) and includes a brief assessment of abuse risk for those who screen positive. Individuals who screen positive for use of any of the substances are then scored as 0 (no use in the past 3 months), 1 (problem use), and 2+ (high risk for substance use disorder).

    Measured: Baseline

  18. Quality of life as assessed by the Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) Tool

    The TAPS tool screens for substance use (including tobacco, alcohol, prescription medication, and other drugs) and includes a brief assessment of abuse risk for those who screen positive. Individuals who screen positive for use of any of the substances are then scored as 0 (no use in the past 3 months), 1 (problem use), and 2+ (high risk for substance use disorder).

    Measured: 12 months after baseline visit

  19. Quality of life as assessed by the Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) Tool

    The TAPS tool screens for substance use (including tobacco, alcohol, prescription medication, and other drugs) and includes a brief assessment of abuse risk for those who screen positive. Individuals who screen positive for use of any of the substances are then scored as 0 (no use in the past 3 months), 1 (problem use), and 2+ (high risk for substance use disorder).

    Measured: 24 months after baseline visit

Secondary outcomes (5)
  1. Xerostomia as assessed by stimulated saliva secretion rate

    Prevalence of xerostomia

    Measured: Baseline

  2. Xerostomia as assessed by stimulated saliva secretion rate

    Prevalence of xerostomia

    Measured: 6 months after baseline visit

  3. Xerostomia as assessed by stimulated saliva secretion rate

    Prevalence of xerostomia

    Measured: 12 months after baseline visit

  4. Xerostomia as assessed by stimulated saliva secretion rate

    Prevalence of xerostomia

    Measured: 18 months after baseline visit

  5. Xerostomia as assessed by stimulated saliva secretion rate

    Prevalence of xerostomia

    Measured: 24 months after baseline visit

Timeline

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

  1. First posted27 Nov 2020
  2. Study start24 Feb 2021
  3. Primary completion28 Feb 2026
  4. Study completion28 Feb 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
227 participants (actual)
Target duration
2 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04645693
Sponsor's protocol ID
843328
Other IDs
R01DE029648-01
Acronym
OHART
Status last verified
Apr 2026
First submitted
1 Oct 2020
Last updated
5 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Omolehinwa TT, Akintoye SO, Gabinskiy M, Lo Re V 3rd, Mupparapu M, Urbina R, Schaubel DE, Corby PM. Oral health outcomes in an HIV cohort with comorbidities- implementation roadmap for a longitudinal prospective observational study. BMC Oral Health. 2023 Oct 17;23(1):763. doi: 10.1186/s12903-023-03527-5.

    PubMed 37848867

Questions about this trial

What is this clinical trial studying?

An observational study of HIV and Periodontal Diseases, run by University of Pennsylvania at 1 site in United States.

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 4 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 5 May 2026. 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 United States. 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?

Dental Caries as assessed by DMFS Score (time frame: Baseline). The study lists 19 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 NCT04645693, which also lists 1 linked publication.

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 5 May 2026.

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