- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04141033
Assessment of Neopterin Levels in Pre- and Post-menopausal Women With Chronic Periodontitis
October 24, 2019 updated by: Abeer Alaa El-Din, Ain Shams University
Assessment of Salivary and Gingival Crevicular Fluid Neopterin Levels in Pre- and Post-menopausal Women With Chronic Periodontitis Following Nonsurgical Periodontal Therapy (A Clinical and Biochemical Study)
Neopterin is an early and valuable biomarker of cellular immunity, shown to be a sensitive assessment parameter for cell-mediated immune reactions.
Hence determination of neopterin concentrations in distinctive body fluids is of diagnostic interest in a wide range of T lymphocytes and macrophages originated diseases.
Increased neopterin production is also found in infections due to intracellular living bacteria and parasites.
Neopterin concentration is directly proportional to the reactive oxygen species levels and is inversely related to the serum concentration of antioxidants like alpha-tocopherol.
Hence it can be regarded as a marker of reactive oxygen species formed by the activated cellular immune system.
Consequentially this is useful for predicting the prognosis and diagnosis of severe form of periodontal diseases.
Menopause accomplishes a wide range of changes in women's body, and the oral cavity is also not exceptional.
As exalted levels of ovarian hormones, detected in pregnancy and oral contraceptive usage, can lead to an increase of gingival inflammation.
On the contrary, menopause shows depleted levels of ovarian sex steroids, which also causes worsening of gingival health.
Post-menopause was found to be more aggressive and destructive in nature compared to pre-menopause.
It has been assessed that the prevalence of oral discomfort was found to be significantly higher along with low flow rates of the saliva with the presence of periodontal disease more frequently.
Studies demonstrated that non-surgical periodontal therapy reduces inflammation and improves periodontal status.
Therefore it can be assumed that overall inflammatory markers also reduce after non-surgical periodontal therapy.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
A total of 30 patients will be selected, 15 per-menopause and 15 post-menopausal women.
Full mouth scaling and root planing will be performed.
All clinical parameters will be recorded at the baseline visit before mechanical debridement and after 3 months of treatment.
Saliva samples will be collected at the primary visit before scaling and root planing as a baseline value, and after 1 month and 3 months postoperatively.
Gingival crevicular fluid (GCF) samples will be collected at the primary visit before scaling and root planing as a baseline value, and after 1 month and 3 months postoperatively.
Neopterin will be measured in the samples using commercially available Enzyme Linked Immunosorbent Assay (ELISA) kit.
Statistical analysis will be performed to the results.
Study Type
Interventional
Enrollment (Actual)
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 Locations
-
-
-
Cairo, Egypt, 1156
- Ain Shams University- Faculty of Dentistry
-
-
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
35 years to 60 years (ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Female patients aged from (35- 60).
- Clinically diagnosed with chronic moderate periodontitis having more than 10 natural teeth and at least two teeth exhibiting clinical attachment loss (CAL) ≥4 mm.
- Systemically healthy individuals and not taking any hormonal therapy or drugs that affect hormonal status.
- Patient compliance
Exclusion Criteria:
- Smokers.
- Pregnant or lactating females.
- Periodontal treatment <6 months prior to the preliminary visit.
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: DIAGNOSTIC
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
OTHER: saliva neopterin levels
assessment of saliva neopterin levels in pre and post-menopausal women
|
neopterin is a macrophage biomarker used for diagnosis of active periodontitis and the response to treatment
|
OTHER: GCF neopterin levels
assessment of GCF neopterin levels in pre and post-menopausal women
|
neopterin is a macrophage biomarker used for diagnosis of active periodontitis and the response to treatment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
assess salivary and gingival crevicular fluid neopterin levels in patients with chronic periodontitis in pre- and post-menopausal women
Time Frame: 3 months
|
measuring of neopterin levels using commercially available ELISA kit
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
evaluate the value of neopterin as a biomarker
Time Frame: 3 months
|
depending on the result, if neopterin is correleated with the disease activity it can be used as a biomarker
|
3 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Nevine H. Kheir El Din, Professor, Faculty of Dentistry- Ain Shams University
- Study Director: Waleed M. Abbas, lecturer, Faculty of Dentistry- Ain Shams University
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)
January 25, 2019
Primary Completion (ACTUAL)
April 25, 2019
Study Completion (ACTUAL)
April 30, 2019
Study Registration Dates
First Submitted
October 19, 2019
First Submitted That Met QC Criteria
October 24, 2019
First Posted (ACTUAL)
October 28, 2019
Study Record Updates
Last Update Posted (ACTUAL)
October 28, 2019
Last Update Submitted That Met QC Criteria
October 24, 2019
Last Verified
October 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Abeer Alaa 88
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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