NCT02794506

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
52

participants targeted

Target at P25-P50 for phase_4 diabetes-mellitus

Timeline
Completed

Started Jun 2014

Shorter than P25 for phase_4 diabetes-mellitus

Geographic Reach
1 country

1 active site

Status
completed

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

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2015

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

May 29, 2016

Completed
11 days until next milestone

First Posted

Study publicly available on registry

June 9, 2016

Completed
Last Updated

June 9, 2016

Status Verified

May 1, 2016

Enrollment Period

6 months

First QC Date

May 29, 2016

Last Update Submit

June 8, 2016

Conditions

Keywords

Diabetes mellitusChronic periodontitisPropolis

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

EXPERIMENTAL

400 mg oral proplois (capsule) was given to participants once daily for 6 months after performing scaling and root planing.

Drug: Propolis

Placebo

PLACEBO COMPARATOR

Placebo capsule was given to participants once daily for 6 months after performing scaling and root planing.

Drug: Placebo

Interventions

Propolis capsules was taken by the experimental group for 6 months after receiving scaling and root planing (SRP).

Also known as: BioPropolis
Propolis

Placebo capsules was taken by the control group for 6 months after receiving scaling and root planing (SRP).

Also known as: Starch capsules
Placebo

Eligibility Criteria

Age38 Years - 63 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

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

Study Sites (1)

Faculty of Dentistry

Al Mansurah, Dakahlia Governorate, Egypt

Location

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: 16033329BACKGROUND
  • Piarulli 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: 22763581BACKGROUND
  • Folli 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: 21838680BACKGROUND
  • Hegab 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: 22558488BACKGROUND
  • Mahanonda 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: 17214834BACKGROUND
  • Soskolne 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: 11887477BACKGROUND
  • Salvi 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: 9058329BACKGROUND
  • Negishi 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: 15553978BACKGROUND
  • Garcia 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: 25427615BACKGROUND
  • Loe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care. 1993 Jan;16(1):329-34. No abstract available.

    PMID: 8422804BACKGROUND
  • Chen 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: 26136779BACKGROUND
  • Mendez 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: 20309613BACKGROUND
  • Miao 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: 22380690BACKGROUND
  • Gabrys 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: 3749241BACKGROUND
  • Sanghani 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: 25386520BACKGROUND
  • Santos 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: 16161031BACKGROUND
  • Coelho 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: 17760728BACKGROUND
  • Nolkemper 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: 19682876BACKGROUND
  • Banskota 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: 10967477BACKGROUND
  • Czyzewska 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: 25198412BACKGROUND
  • Zhu 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: 21785625BACKGROUND
  • Armutcu 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: 26136862BACKGROUND
  • Tolba 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: 23847089BACKGROUND
  • Armitage 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: 14717852BACKGROUND
  • Abrams 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: 6334156BACKGROUND
  • SILNESS 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: 14158464BACKGROUND
  • LOE 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: 14121956BACKGROUND
  • Rosevear 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

Diabetes MellitusPeriodontitisChronic Periodontitis

Interventions

PropolisStarch

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesPeriodontal DiseasesMouth DiseasesStomatognathic DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Resins, PlantBiopolymersPolymersMacromolecular SubstancesPlant ExudatesBiological ProductsComplex MixturesGlucansDietary CarbohydratesCarbohydratesPolysaccharides

Study Officials

  • Hesham M. El-Sharkawy, Ass.Prof.

    Mansoura University

    STUDY DIRECTOR

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

Locations