Propolis Improves Glycemic Control in Subjects With Type 2 Diabetes and Chronic Periodontitis
Propolis Improves Periodontal Status and Glycemic Control in Subjects With Type 2 Diabetes Mellitus and Chronic Periodontitis: a Randomized Clinical Trial
1 other identifier
interventional
52
1 country
1
Brief Summary
Background: Propolis is a natural resin made by bees from various plant sources. Propolis exerts antimicrobial, anti-inflammatory, immunomodulatory, antioxidant, and antidiabetic properties. The purpose of this study was to assess the adjunctive benefit of propolis supplementation in individuals with both chronic periodontitis and type 2 diabetes mellitus (T2DM) receiving scaling and root planing (SRP). Methods: A 6-month randomized blinded clinical trial comparing SRP with placebo (placebo+SRP group, n=26) or combined with a 6- month regimen of 400 mg oral propolis once daily (propolis+SRP group, n=26) was performed in patients with long-standing T2DM and chronic periodontitis. Treatment outcomes included hemoglobin A1c (HbA1c), fasting plasma glucose (FPG), serum N€-(carboxymethyl) lysine (CML) and changes in periodontal parameters.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 diabetes-mellitus
Started Jun 2014
Shorter than P25 for phase_4 diabetes-mellitus
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2015
CompletedFirst Submitted
Initial submission to the registry
May 29, 2016
CompletedFirst Posted
Study publicly available on registry
June 9, 2016
CompletedJune 9, 2016
May 1, 2016
6 months
May 29, 2016
June 8, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change of glycosylated hemoglobin (HbA1c)
HbA1c was evaluated at baseline,3 and 6 months
Baseline, 3 and 6 months
Secondary Outcomes (4)
Change of pocket depth
From baseline and 6 months
Change of clinical attachment level
From baseline and 6 months
Change of fasting plasma glucose level
From baseline and 6 months
Change of serum N- epsilon (carboxymethyl) lysine level
From baseline and 6 months
Study Arms (2)
Propolis
EXPERIMENTAL400 mg oral proplois (capsule) was given to participants once daily for 6 months after performing scaling and root planing.
Placebo
PLACEBO COMPARATORPlacebo capsule was given to participants once daily for 6 months after performing scaling and root planing.
Interventions
Propolis capsules was taken by the experimental group for 6 months after receiving scaling and root planing (SRP).
Placebo capsules was taken by the control group for 6 months after receiving scaling and root planing (SRP).
Eligibility Criteria
You may qualify if:
- Patients had type 2 diabetes mellitus with a minimum of five years duration and had been taking stable doses of oral hypoglycemic drugs and/or insulin for at least 6 months.
- Patients should have chronic periodontitis with probing pocket depth and clinical attachment loss ≥ 5 mm with detectable bleeding on probing in at least one site in each sextant.
- Patients should have a minimum of 20 teeth to be selected.
- All patients were diagnosed to have moderate to severe chronic periodontitis according to Armitage criteria.
You may not qualify if:
- Smokers.
- Recent extended use of antibiotics or non-steroidal anti-inflammatory drugs within the last 3 months.
- Patients who had any periodontal therapy within one year.
- Patients with grade 3 or 4 retinopathy.
- Pregnancy.
- Women using oral contraceptives.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mohamed Aneeslead
- Mansoura Universitycollaborator
Study Sites (1)
Faculty of Dentistry
Al Mansurah, Dakahlia Governorate, Egypt
Related Publications (28)
Schalkwijk CG, Stehouwer CD. Vascular complications in diabetes mellitus: the role of endothelial dysfunction. Clin Sci (Lond). 2005 Aug;109(2):143-59. doi: 10.1042/CS20050025.
PMID: 16033329BACKGROUNDPiarulli F, Sartore G, Lapolla A. Glyco-oxidation and cardiovascular complications in type 2 diabetes: a clinical update. Acta Diabetol. 2013 Apr;50(2):101-10. doi: 10.1007/s00592-012-0412-3. Epub 2012 Jul 5.
PMID: 22763581BACKGROUNDFolli F, Corradi D, Fanti P, Davalli A, Paez A, Giaccari A, Perego C, Muscogiuri G. The role of oxidative stress in the pathogenesis of type 2 diabetes mellitus micro- and macrovascular complications: avenues for a mechanistic-based therapeutic approach. Curr Diabetes Rev. 2011 Sep;7(5):313-24. doi: 10.2174/157339911797415585.
PMID: 21838680BACKGROUNDHegab Z, Gibbons S, Neyses L, Mamas MA. Role of advanced glycation end products in cardiovascular disease. World J Cardiol. 2012 Apr 26;4(4):90-102. doi: 10.4330/wjc.v4.i4.90.
PMID: 22558488BACKGROUNDMahanonda R, Pichyangkul S. Toll-like receptors and their role in periodontal health and disease. Periodontol 2000. 2007;43:41-55. doi: 10.1111/j.1600-0757.2006.00179.x. No abstract available.
PMID: 17214834BACKGROUNDSoskolne WA, Klinger A. The relationship between periodontal diseases and diabetes: an overview. Ann Periodontol. 2001 Dec;6(1):91-8. doi: 10.1902/annals.2001.6.1.91.
PMID: 11887477BACKGROUNDSalvi GE, Yalda B, Collins JG, Jones BH, Smith FW, Arnold RR, Offenbacher S. Inflammatory mediator response as a potential risk marker for periodontal diseases in insulin-dependent diabetes mellitus patients. J Periodontol. 1997 Feb;68(2):127-35. doi: 10.1902/jop.1997.68.2.127.
PMID: 9058329BACKGROUNDNegishi J, Kawanami M, Terada Y, Matsuhashi C, Ogami E, Iwasaka K, Hongo T. Effect of lifestyle on periodontal disease status in diabetic patients. J Int Acad Periodontol. 2004 Oct;6(4):120-4.
PMID: 15553978BACKGROUNDGarcia D, Tarima S, Okunseri C. Periodontitis and glycemic control in diabetes: NHANES 2009 to 2012. J Periodontol. 2015 Apr;86(4):499-506. doi: 10.1902/jop.2014.140364. Epub 2014 Nov 27.
PMID: 25427615BACKGROUNDLoe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care. 1993 Jan;16(1):329-34. No abstract available.
PMID: 8422804BACKGROUNDChen L, Chen R, Wang H, Liang F. Mechanisms Linking Inflammation to Insulin Resistance. Int J Endocrinol. 2015;2015:508409. doi: 10.1155/2015/508409. Epub 2015 Jun 2.
PMID: 26136779BACKGROUNDMendez JD, Xie J, Aguilar-Hernandez M, Mendez-Valenzuela V. Trends in advanced glycation end products research in diabetes mellitus and its complications. Mol Cell Biochem. 2010 Aug;341(1-2):33-41. doi: 10.1007/s11010-010-0434-5. Epub 2010 Mar 23.
PMID: 20309613BACKGROUNDMiao M, Niu Y, Xie T, Yuan B, Qing C, Lu S. Diabetes-impaired wound healing and altered macrophage activation: a possible pathophysiologic correlation. Wound Repair Regen. 2012 Mar-Apr;20(2):203-13. doi: 10.1111/j.1524-475X.2012.00772.x.
PMID: 22380690BACKGROUNDGabrys J, Konecki J, Krol W, Scheller S, Shani J. Free amino acids in bee hive product (propolis) as identified and quantified by gas-liquid chromatography. Pharmacol Res Commun. 1986 Jun;18(6):513-8. doi: 10.1016/0031-6989(86)90146-3.
PMID: 3749241BACKGROUNDSanghani NN, Bm S, S S. Health from the hive: propolis as an adjuvant in the treatment of chronic periodontitis - a clinicomicrobiologic study. J Clin Diagn Res. 2014 Sep;8(9):ZC41-4. doi: 10.7860/JCDR/2014/8817.4856. Epub 2014 Sep 20.
PMID: 25386520BACKGROUNDSantos VR, Pimenta FJ, Aguiar MC, do Carmo MA, Naves MD, Mesquita RA. Oral candidiasis treatment with Brazilian ethanol propolis extract. Phytother Res. 2005 Jul;19(7):652-4. doi: 10.1002/ptr.1715.
PMID: 16161031BACKGROUNDCoelho LG, Bastos EM, Resende CC, Paula e Silva CM, Sanches BS, de Castro FJ, Moretzsohn LD, Vieira WL, Trindade OR. Brazilian green propolis on Helicobacter pylori infection. a pilot clinical study. Helicobacter. 2007 Oct;12(5):572-4. doi: 10.1111/j.1523-5378.2007.00525.x.
PMID: 17760728BACKGROUNDNolkemper S, Reichling J, Sensch KH, Schnitzler P. Mechanism of herpes simplex virus type 2 suppression by propolis extracts. Phytomedicine. 2010 Feb;17(2):132-8. doi: 10.1016/j.phymed.2009.07.006. Epub 2009 Aug 13.
PMID: 19682876BACKGROUNDBanskota AH, Tezuka Y, Adnyana IK, Midorikawa K, Matsushige K, Message D, Huertas AA, Kadota S. Cytotoxic, hepatoprotective and free radical scavenging effects of propolis from Brazil, Peru, the Netherlands and China. J Ethnopharmacol. 2000 Sep;72(1-2):239-46. doi: 10.1016/s0378-8741(00)00252-x.
PMID: 10967477BACKGROUNDCzyzewska U, Kononczuk J, Teul J, Dragowski P, Pawlak-Morka R, Surazynski A, Miltyk W. Verification of chemical composition of commercially available propolis extracts by gas chromatography-mass spectrometry analysis. J Med Food. 2015 May;18(5):584-91. doi: 10.1089/jmf.2014.0069. Epub 2014 Sep 8.
PMID: 25198412BACKGROUNDZhu W, Chen M, Shou Q, Li Y, Hu F. Biological activities of chinese propolis and brazilian propolis on streptozotocin-induced type 1 diabetes mellitus in rats. Evid Based Complement Alternat Med. 2011;2011:468529. doi: 10.1093/ecam/neq025. Epub 2011 Apr 14.
PMID: 21785625BACKGROUNDArmutcu F, Akyol S, Ustunsoy S, Turan FF. Therapeutic potential of caffeic acid phenethyl ester and its anti-inflammatory and immunomodulatory effects (Review). Exp Ther Med. 2015 May;9(5):1582-1588. doi: 10.3892/etm.2015.2346. Epub 2015 Mar 11.
PMID: 26136862BACKGROUNDTolba MF, Azab SS, Khalifa AE, Abdel-Rahman SZ, Abdel-Naim AB. Caffeic acid phenethyl ester, a promising component of propolis with a plethora of biological activities: a review on its anti-inflammatory, neuroprotective, hepatoprotective, and cardioprotective effects. IUBMB Life. 2013 Aug;65(8):699-709. doi: 10.1002/iub.1189. Epub 2013 Jul 11.
PMID: 23847089BACKGROUNDArmitage GC. Periodontal diagnoses and classification of periodontal diseases. Periodontol 2000. 2004;34:9-21. doi: 10.1046/j.0906-6713.2002.003421.x. No abstract available.
PMID: 14717852BACKGROUNDAbrams K, Caton J, Polson A. Histologic comparisons of interproximal gingival tissues related to the presence or absence of bleeding. J Periodontol. 1984 Nov;55(11):629-32. doi: 10.1902/jop.1984.55.11.629.
PMID: 6334156BACKGROUNDSILNESS J, LOE H. PERIODONTAL DISEASE IN PREGNANCY. II. CORRELATION BETWEEN ORAL HYGIENE AND PERIODONTAL CONDTION. Acta Odontol Scand. 1964 Feb;22:121-35. doi: 10.3109/00016356408993968. No abstract available.
PMID: 14158464BACKGROUNDLOE H, SILNESS J. PERIODONTAL DISEASE IN PREGNANCY. I. PREVALENCE AND SEVERITY. Acta Odontol Scand. 1963 Dec;21:533-51. doi: 10.3109/00016356309011240. No abstract available.
PMID: 14121956BACKGROUNDRosevear JW, Pfaff KJ, Service FJ, Molnar GD, Ackerman E. Glucose oxidase method for continuous automated blood glucose determination. Clin Chem. 1969 Aug;15(8):680-98. No abstract available.
PMID: 5808451BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Hesham M. El-Sharkawy, Ass.Prof.
Mansoura University
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Lecturer of Oral Medicine and Periodontology
Study Record Dates
First Submitted
May 29, 2016
First Posted
June 9, 2016
Study Start
June 1, 2014
Primary Completion
December 1, 2014
Study Completion
March 1, 2015
Last Updated
June 9, 2016
Record last verified: 2016-05
Data Sharing
- IPD Sharing
- Will share