NCT03371446

Brief Summary

Periodontitis is related to host genetics, constitution of the dental biofilm and environmental factors such as smoking. DNA methylation is a mechanism of genetic expression that can inhibit or silence gene expression. In this way several researchers have been dedicated to study the genetic influence on the susceptibility and / or increased risk to periodontal disease. Studies have reported association between several epigenetic biomarkers with periodontal inflammation. Considering the hypothesis that there is an association between smoking and methylation in genes related to periodontal disease, the objective of this study was to verify the DNA methylation pattern in oral epithelial cells of patients with chronic periodontitis (CP) in the promoter of a specific gene involved in the control of inflammation, as suppressor of cytokine signaling (SOCS) 1 in smokers and nonsmokers patients.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Jun 2016

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

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 6, 2016

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 16, 2017

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

November 18, 2017

Completed
12 days until next milestone

First Submitted

Initial submission to the registry

November 30, 2017

Completed
13 days until next milestone

First Posted

Study publicly available on registry

December 13, 2017

Completed
Last Updated

December 13, 2017

Status Verified

December 1, 2017

Enrollment Period

1.4 years

First QC Date

November 30, 2017

Last Update Submit

December 11, 2017

Conditions

Keywords

DNA Methylation. Smoking. SOCS-1 gene.

Outcome Measures

Primary Outcomes (1)

  • Extraction of genomic DNA from oral epithelial cells

    Epithelial cells were collected after mouthwash with 5ml dextrose autoclaved 3% and stored under refrigeration at -20ºC. After collection, the samples were taken to the Epigenetics and Reproduction Laboratory of the Department of Genetics of the Medical School of Ribeirão Preto-USP (FMRP-USP) where nucleic acid extraction and molecular analysis were performed. After thawing the saliva, 2ml of each sample collected were transferred separately to eppendorf tubes, for processing. The material was then diluted in 50 μl of cobalt Mili-Q water, incubated at 37 ° C in a water bath for 1 hour and stored in a freezer at -20 ° C. At the end, DNA quality, purity and integrity were measured using a spectrophotometer (NanoDrop 2000-Thermo Scientific), using OD 260/280 and 260/230. Considering ideal values for both reasons, between 1.8 and 2.2.

    Baseline (at the beginning of the study)

Secondary Outcomes (3)

  • Probing pocket depth (PD)

    Baseline (at the beginning of the study)

  • Plaque index (PI)

    Baseline (at the beginning of the study)

  • Bleeding on probing (BOP)

    Baseline (at the beginning of the study)

Study Arms (1)

Smokers/Non-smokers

It was an experimental study with parallel controls, comparing two groups, a group with patients who smoked for more than 10 years, consuming 10 more cigarettes per day and diagnosing chronic periodontitis (case) and another group (control) were non-smokers with chronic periodontitis, according to the standard of World Health Organization (WHO) definition of the smoking population

Genetic: oral epithelial cells obtained by rinsing with 3% sucrose

Interventions

rinsing with 3% sucrose, for a single time of collection, patients received periodontal treatment after collection and data analysis.

Smokers/Non-smokers

Eligibility Criteria

Age30 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients who smoked for more than 10 years, consuming 10 more cigarettes per day and diagnosing chronic periodontitis (case) and another group (control) were non-smokers with chronic periodontitis, according to the standard of WHO definition of the smoking population,The ChP was diagnose in accordance with the recommended standards from the Center for Disease control and Prevention, the American Academy of Periodontology on the condition of patients in good general health, aged over 30 years, presenting with pocket periodontal disease with CAL ≥ 5 mm and radiographic bone loss and bleeding after probing.

You may qualify if:

  • Chronic Periodontitis carriers - presence of proximal insertion loss ≥5 mm in more than 30% of the teeth present.
  • Periodontal pocket ≥ 5mm
  • Smokers who have smoked 10 or more cigarettes per day for the past five years.
  • No positive history of basic periodontal treatment in the last six months.

You may not qualify if:

  • Extensive prosthetic involvement.
  • Using anti-inflammatories.
  • Pregnant or nursing.
  • Presence of systemic alterations that compromise host response or require prophylactic medication for treatment.
  • History of constant use of oral antiseptics in the last six months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Arthur Belem Novaes Junior

Ribeirão Preto, São Paulo, 14040-904, Brazil

Location

Biospecimen

Retention: SAMPLES WITH DNA

ephitelials cells of oral mocose

MeSH Terms

Conditions

Periodontal Diseases

Interventions

Sucrose

Condition Hierarchy (Ancestors)

Mouth DiseasesStomatognathic Diseases

Intervention Hierarchy (Ancestors)

DisaccharidesOligosaccharidesPolysaccharidesCarbohydratesSugars

Study Officials

  • Arthur B. Novaes Junior, DDS, PhD

    Study Principal Investigator

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
OTHER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Teacher of Periodontia- Department of Buco Maxillofacial Surgery and Traumatology and Periodontics

Study Record Dates

First Submitted

November 30, 2017

First Posted

December 13, 2017

Study Start

June 6, 2016

Primary Completion

October 16, 2017

Study Completion

November 18, 2017

Last Updated

December 13, 2017

Record last verified: 2017-12

Data Sharing

IPD Sharing
Will share

Individual participant data will be made available with conclusion of study.

Shared Documents
STUDY PROTOCOL
Time Frame
Data will be available within 2 years of study completion
Access Criteria
Data access criteria will be reviewed by the an external independent review panel.

Locations