Effects of Vitamin D Supplementation During a Non-surgical Treatment of Generalized Chronic Periodontitis (Protocol01)

Effects of Vitamin D Supplementation During a Non-surgical Treatment of Generalized Chronic Periodontitis: A Randomized Double-blinded Placebo Controlled Clinical Trial

The subjects participating in the trial will be randomly allocated to either the group receiving the treatment under investigation (scaling and root planning (SRP) accompanied by administration of vitamin D) or to a group receiving standard treatment (SRP in conjunction with placebo) as the control. Random assignment of intervention will be done after subjects have been assessed for eligibility and recruited, but before the intervention to be studied begins. After randomization, the two groups of subjects will be followed in exactly the same way and the only differences between them will be the vitamin D/placebo that they will receive.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

It is likely that a chronically low intake of vitamin D and calcium may lead to a negative calcium balance, thus causing a secondary increase in calcium removal from bone, including the alveolar bone. Such bone loss may contribute to weakening of the tooth-attachment apparatus. In addition to its action on skeletal homeostasis, vitamin D, and, in particular, its hormonally active form, 1a,25-dihydroxyvitamin D, has anti-inflammatory and antimicrobial effects via modulation of inflammatory cytokine production by immune cells and stimulated secretion of peptides with antibacterial action by cells of the monocyte-macrophage lineage.These multiple actions of vitamin D are potentially appealing for the management of patients with periodontal disease, whose pathogenesis is based on chronic bacterial-driven inflammation.

Excess of vitamin D leads to a disturbance of the calcium in the body cycle. The symptoms experienced are: weakness, fatigue, headache, nausea, vomiting, diarrhea, polyuria, calciuria, dry mouth, nighttime urination, proteinuria, increased thirst, loss ofappetite, dizziness.

In case of high blood calcium level for a prolonged period, calcium deposits (tissue calcinosis) may occur in the soft tissues, including the kidneys where they cause calculations and calcium deposits in the nephrons, blood vessels, heart, lung and skin. These effects are reversible if the intoxication is detected in time.

Study Type

Interventional

Enrollment (Anticipated)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Brussels, Belgium, 1200
        • Recruiting
        • Cliniques Universitaires Saint-luc
        • Contact:
        • Contact:
        • Sub-Investigator:
          • Selena Toma, PhD
        • Sub-Investigator:
          • Dominique Maiter, MD, PhD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

30 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • All subjects who are in good general health and were diagnosed with GChP (generalized chronic periodontitis) based on the current classification of the AmericanAcademy of Periodontology will be included:
  • ≥ 30 years of age,
  • at least 15 teeth (excluding third molars and teeth with advanced decay indicated for extraction),
  • a minimum of 6 teeth with at least one site each with periodontal probing depth (PPD) and clinical attachment level (CAL) ≥ 5 mm,
  • at least 30% of the sites with PPD and CAL ≥ 4 mm and bleeding on probing (BOP);
  • Caucasians (defined as European and North African);
  • subjects who present a 25(OH)D concentration < 30 ng/mL.

Exclusion Criteria:

  • pregnancy
  • breastfeeding
  • current smoking and former smoking within the past 5 years-smoking status will be recorded as smoker (current) or non-smoker (never or former);
  • systemic diseases that could affect the progression of periodontitis (e.g. diabetes, immunological disorders, osteoporosis);
  • SRP in the previous 12 months;
  • antibiotic therapy in the previous 6 months;
  • long-term intake of anti-inflammatory medications;
  • need for antibiotic pre-medication for routine dental therapy;
  • any current ongoing immunological, neoplasia, endocrine, haematological, hepatic, renal, gastrointestinal, neurological, or psychiatric abnormalities or medical disease;
  • subjects who used a UV light solarium or any type of vitamin D supplement within two months before the screening visit or planned to travel outside European countries during the study
  • subjets under treatment with drugs that may interfere with vitamin D metabolism (e.g., phenobarbital, phenytoin, and glucocorticoids) and those with past or current history of granulomatosis, especially sarcoidosis, urinary lithiasis, and osteomalacia;
  • subjects who present a 25(OH)D concentration > 30 ng/mL, serum creatinine >150 mmol/L and and albumin corrected serum calcium >2.65 mmol/L (corresponding to 10.6 mg/dL) at screening,
  • any sensitivity or allergy to any of the products that will be used in the study or a history of drug and/or alcohol abuse.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Vitamin D
Procedure: SRP Dietary Supplement: Vitamin D3 Oral supplementation 25000 IU once per week for 6 months Other Name: Cholecalciferol
Oral supplementation 25000 IU once per week for 6 months
Other Names:
  • Cholecalciferol
Placebo Comparator: Placebo
Procedure: SRP Dietary Supplement: Placebo Oral supplementation once per week for 6 months
Oral supplementation once per week for 6 months
Other Names:
  • Clear, slightly yellow, oily liquid with an orange odour

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Percentage of subjects reaching ≤ 4 periodontal sites with PPD ≥ 5 mm
Time Frame: up to 6 months
up to 6 months

Secondary Outcome Measures

Outcome Measure
Time Frame
Number of sites with PPD ≥ 5 mm
Time Frame: up to 6 months
up to 6 months
Number of sites with PPD ≥ 6 mm
Time Frame: up to 6 months
up to 6 months
Number of sites with PPD ≥ 7 mm
Time Frame: up to 6 months
up to 6 months
Reduction in the number of sites with PPD ≥ 5 mm
Time Frame: up to 6 months
up to 6 months
Reduction in the number of sites with PPD ≥ 6 mm
Time Frame: up to 6 months
up to 6 months
Reduction in the number of sites with PPD ≥ 7 mm
Time Frame: up to 6 months
up to 6 months
Full-mouth PPD
Time Frame: up to 6 months
up to 6 months
Full-mouth CAL
Time Frame: up to 6 months
up to 6 months
Percentage of sites with BOP
Time Frame: up to 6 months
up to 6 months
Percentage of sites with plaque accumulation
Time Frame: up to 6 months
up to 6 months
Serum vitamin D concentration
Time Frame: 1 month before treatment and up to 6 months
1 month before treatment and up to 6 months
Serum high-sensitivity C-reactive Protein (hs-CRP)
Time Frame: 1 month before treatment, at baseline, at 6 months
1 month before treatment, at baseline, at 6 months
Serum high-density lipoprotein (HDL) cholesterol
Time Frame: 1 month before treatment, at baseline, at 6 months
1 month before treatment, at baseline, at 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Jérôme Lasserre, PhD, Cliniques Universitaires Saint-luc
  • Study Chair: Etienne Cavalier, PhD, Professor and Head of the Department of Clinical Chemistry, CHU Sart-Tilman Liège

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 18, 2017

Primary Completion (Anticipated)

June 30, 2018

Study Completion (Anticipated)

June 30, 2018

Study Registration Dates

First Submitted

May 19, 2017

First Submitted That Met QC Criteria

May 19, 2017

First Posted (Actual)

May 22, 2017

Study Record Updates

Last Update Posted (Actual)

May 23, 2017

Last Update Submitted That Met QC Criteria

May 22, 2017

Last Verified

May 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • 2017/06JAN/013

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

IPD Plan Description

It will be decided at the end of the study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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