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
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
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
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jérôme Lasserre, PhD
- Phone Number: 5719 00322764
- Email: jerome.lasserre@uclouvain.be
Study Contact Backup
- Name: Marina Peric, DMD
- Phone Number: 5719 00322764
- Email: marina.peric@student.uclouvain.be
Study Locations
-
-
-
Brussels, Belgium, 1200
- Recruiting
- Cliniques Universitaires Saint-luc
-
Contact:
- Jérôme Lasserre, PhD
- Phone Number: 5719 00322764
- Email: jerome.lasserre@uclouvain.be
-
Contact:
- Marina Peric, PhD
- Phone Number: 5719 00322764
- Email: marina.peric@uclouvain.be
-
Sub-Investigator:
- Selena Toma, PhD
-
Sub-Investigator:
- Dominique Maiter, MD, PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
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
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / 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:
|
|
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:
|
What is the study measuring?
Primary Outcome Measures
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
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
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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
Sponsor
Sponsor
Investigators
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
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nutrition Disorders
- Stomatognathic Diseases
- Periodontal Diseases
- Mouth Diseases
- Avitaminosis
- Deficiency Diseases
- Malnutrition
- Periodontitis
- Vitamin D Deficiency
- Chronic Periodontitis
- Physiological Effects of Drugs
- Micronutrients
- Vitamins
- Bone Density Conservation Agents
- Calcium-Regulating Hormones and Agents
- Vitamin D
- Cholecalciferol
Other Study ID Numbers
Other Study ID Numbers
- 2017/06JAN/013
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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