NCT04262011

Brief Summary

The presence of periodontitis has been hypothesized as a risk factor for several systemic outcomes, including chronic kidney disease (CKD). Therefore, the aim of this study is to evaluate the impact of non-surgical periodontal treatment on CRP levels and quality of life of patients with chronic kidney disease undergoing hemodialysis (HD) in Santa Maria-RS.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
88

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2020

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

December 17, 2019

Completed
2 months until next milestone

First Posted

Study publicly available on registry

February 10, 2020

Completed
19 days until next milestone

Study Start

First participant enrolled

February 29, 2020

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2020

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2021

Completed
Last Updated

February 20, 2020

Status Verified

February 1, 2020

Enrollment Period

8 months

First QC Date

December 17, 2019

Last Update Submit

February 18, 2020

Conditions

Keywords

chronic kidney diseasehemodialysisperiodontal diseasesperiodontitis

Outcome Measures

Primary Outcomes (1)

  • effect of periodontal treatment on levels of systemic inflammatory markers

    To evaluate the impacts of periodontal treatment on the levels of systemic inflammatory markers such as C-reactive protein, albumin and transferrin saturation. The patients will be submitted to the collection of blood sample in the baseline, 3 and 6 months to obtain the clinical variables.

    baseline changes by 6 months follow-up

Secondary Outcomes (5)

  • effect of periodontal treatment on oral health-related quality of life

    baseline changes by 6 months follow-up

  • effect of periodontal treatment on overall quality of life

    baseline changes by 6 months follow-up

  • effect of periodontal treatment on overall quality of life and related to kidney disease

    baseline changes by 6 months follow-up

  • effect of periodontal treatment on psychological condition in patients with chronic kidney disease undergoing hemodialysis

    baseline changes by 6 months follow-up

  • effect of periodontal treatment on psychological condition

    baseline changes by 6 months follow-up

Study Arms (2)

immediate treatment

OTHER

After randomization, patients who are allocated to the immediate treatment group will receive treatment.

Procedure: immediate treatment

postponed treatment

OTHER

After randomized patients will be allocated to this group, they will wait for the follow-up of the study to receive delayed treatment.

Procedure: postponed treatment

Interventions

Patients allocated to the immediate treatment group will receive full mouth treatment, and will use 0.12% chlorhexidine mouthwash, every 12 hours for a week, and will receive oral hygiene instructions throughout the follow-up period. Patients will be evaluated at the beginning, at 3 and 6 months.

immediate treatment

Patients allocated to the late treatment group will be assessed at baseline, 3 and 6 months. After the end of the follow-up period, they will receive non-surgical periodontal treatment performed in four sessions.

postponed treatment

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Having been diagnosed with chronic kidney disease (CKD) for at least 90 days.
  • Have at least 8 teeth in the mouth.
  • For the patient to be classified as having periodontal disease, he must have at least two nonadjacent sites with insertion loss of 3mm or more and two nonadjacent sites with probing depth of 4mm or more.

You may not qualify if:

  • Ineligible individuals were characterized by exhibiting one of the following conditions:
  • Patients diagnosed with malignant neoplasia;
  • Patients diagnosed with carriers of the HIV virus;
  • Pregnant or lactating women;
  • Patients with absence of all dental elements (total edentulous);
  • Patients undergoing orthodontic treatment;
  • Patients who have received periodontal treatment in the last 6 months.
  • Patients with active infection (other than periodontitis) who require antibiotic prophylaxis;

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fabricio Batistin Zanatta

Santa Maria, Rua Floriano Peixoto--, 97015-372, Brazil

Location

Related Publications (1)

  • Fang F, Wu B, Qu Q, Gao J, Yan W, Huang X, Ma D, Yue J, Chen T, Liu F, Liu Y. The clinical response and systemic effects of non-surgical periodontal therapy in end-stage renal disease patients: a 6-month randomized controlled clinical trial. J Clin Periodontol. 2015 Jun;42(6):537-46. doi: 10.1111/jcpe.12411. Epub 2015 May 30.

    PMID: 25933364BACKGROUND

MeSH Terms

Conditions

Renal Insufficiency, ChronicPeriodontitisPeriodontal Diseases

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsMouth DiseasesStomatognathic Diseases

Study Officials

  • Raquel P Antoniazzi, pHD

    Universidade Federal de Santa Maria

    STUDY DIRECTOR
  • Samantha S Santi, DS

    Universidade Federal de Santa Maria

    STUDY CHAIR
  • Leandro M Oliveira, MS

    Universidade Federal de Santa Maria

    STUDY CHAIR
  • Rafaela V Palmeira, MS

    Universidade Federal de Santa Maria

    STUDY CHAIR
  • Catiusse C Del'Agnese, MS

    Universidade Federal de Santa Maria

    STUDY CHAIR

Central Study Contacts

Fabricio B Zanatta, pHD

CONTACT

Caroline Schoffer, DS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Outcome assessors will be blind to the group to which the patient belongs, whether immediate or late.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: The study will have two groups, one receiving immediate periodontal treatment and the other receiving late periodontal treatment.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal advisor

Study Record Dates

First Submitted

December 17, 2019

First Posted

February 10, 2020

Study Start

February 29, 2020

Primary Completion

November 1, 2020

Study Completion

June 1, 2021

Last Updated

February 20, 2020

Record last verified: 2020-02

Data Sharing

IPD Sharing
Will not share

Locations