- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05698823
Regular Home-use of Dual-light Photodynamic Therapy in the Management of Chronic Stage III-IV Periodontitis
This study is designed to determine the efficacy of the Lumoral method in chronic periodontitis with a targeted group of stage III and IV periodontitis.
Improved supragingival plaque control can help to also sustain the subgingival plaque management in the long term.
In addition, the method might have a photobiomodulation effect on periodontal tissues.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Kaunas, Lithuania, 50161
- Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Department of Dental and Oral Pathology
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Periodontal disease stage III-IV, according to criteria the American Academy of Periodontology (AAP) with at least 3 mm interdental clinical attachment level (CAL) in the site of greatest loss.
- ≥ 18 years old
- Presence of ≥20 teeth, including implants
- Agreement to participate in the study and to sign a written consent form
- Able to co-operate with the treatment protocol and avoid any other oral hygiene measures outside of the study protocol
Exclusion Criteria:
- Grade A or C periodontitis
- Presence of any physical limitation or restriction that might restrict Lumoral use
- Pregnancy or lactation
- Active smoking
- Medicated diabetes mellitus (DM)
- Any systemic disease (e.g., wound healing dysfunctions) that could alter the progression of periodontal disease
- Use of antibiotics within 4 weeks week prior study
- Periodontal treatment within 3 months prior study
- Removable major prosthesis or major orthodontic appliance
- A need for a hopeless teeth extraction, or open cavities in need for immediate endodontic treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Study group
A complete clinical intraoral examination shall be performed for all subjects. Same demographic and clinical data will be obtained from subjects in both arms. The study group shall receive the Lumoral treatment -device, Lumorinse -tablets and instructions for their use. All subjects shall receive standard oral hygiene instructions for the use of an electric toothbrush, interdental brush, and dental floss. |
The Lumoral treatment -device is a CE-marked antibacterial home-use device for the treatment and prevention of oral diseases caused by bacteria.
It is used in combination with a CE-marked mouth rinse called Lumorinse.
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No Intervention: Control group
A complete clinical intraoral examination shall be performed for all subjects.
Same demographic and clinical data will be obtained from subjects in both arms.
All subjects shall receive standard oral hygiene instructions for the use of an electric toothbrush, interdental brush, and dental floss.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Bleeding on probing (BOP)
Time Frame: 6 months
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Improvement in bleeding on probing (BOP)
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visible plaque index (VPI)
Time Frame: 6 months
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Change in visible plaque index (VPI)
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6 months
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Probing pocket depth (PPD)
Time Frame: 6 months
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Change in probing pocket depth (PPD)
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6 months
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Clinical attachment level (CAL)
Time Frame: 6 months
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Change in clinical attachment level (CAL)
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6 months
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Periodontal microbiological flora
Time Frame: 6 months
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Change in periodontal microbiological flora during the study period
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6 months
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Additional visits
Time Frame: 6 months
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Number of additional visits due to periodontitis status between 2nd and 3rd follow-up visits
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6 months
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OHIP-14
Time Frame: 6 months
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Patient related objectives: Oral-related quality of life measurement (OHIP-14) questionnaire
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6 months
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Active matrix metalloproteinase 8 (aMMP-8)
Time Frame: 6 months
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Change in periodontal inflammation marker aMMP-8
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6 months
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Deep periodontal pockets (over 4 mm)
Time Frame: 6 months
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Change in the number of deep periodontal periodontal pockets (over 4 mm)
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6 months
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Device-related adverse event
Time Frame: 6 months
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Absence of device-related serious adverse events or any patterns of device-related adverse events graded as moderate
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6 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Timo Sorsa, Professor, University of Helsinki
- Study Chair: Tommi Pätilä, Docent, Koite Health
- Principal Investigator: Ingrida Marija Pacauskiene, Doctor, Lithuanian University of Health Sciences
Publications and helpful links
General Publications
- Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997 Aug;25(4):284-90. doi: 10.1111/j.1600-0528.1997.tb00941.x.
- Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, Murray CJL, Marcenes W; GBD 2015 Oral Health Collaborators. Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990-2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. J Dent Res. 2017 Apr;96(4):380-387. doi: 10.1177/0022034517693566.
- Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res. 2014 Nov;93(11):1045-53. doi: 10.1177/0022034514552491. Epub 2014 Sep 26.
- Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review. J Clin Periodontol. 2015 Apr;42 Suppl 16:S59-70. doi: 10.1111/jcpe.12350.
- Nikinmaa S, Moilanen N, Sorsa T, Rantala J, Alapulli H, Kotiranta A, Auvinen P, Kankuri E, Meurman JH, Patila T. Indocyanine Green-Assisted and LED-Light-Activated Antibacterial Photodynamic Therapy Reduces Dental Plaque. Dent J (Basel). 2021 May 3;9(5):52. doi: 10.3390/dj9050052.
Helpful Links
- Levine JI. Medications that increase photosensititivity. FDA document Dec 1990.
- Alaijah, F., Morsi, A., Nasher, R. et al. Photobiomodulation therapy in the treatment of periodontal disease: a literature review. Laser Dent Sci 3, 147-153 (2019)
- Gomes SC, Romagna R, Rossi V, Corvello PC, Melchiors-Angst PD. Supragingival treatment as an aid to reduce subgingival needs: a 450-day investigation Braz. oral res. 28 (1) 2014
- Nikinmaa S, Alapulli H, Auvinen P, et al. (2020) Dual-light photodynamic therapy administered daily provides a sustained antibacterial effect on biofilm and prevents Streptococcus mutans adaptation. PLoS ONE 15(5): e0232775
- Pereira PAB, Aho VTE, Paulin L, et al., (2017) Oral and nasal microbiota in Parkinson's disease. Parkinsonism and Related Disorders 38: 61-67
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- LumoKaunas2023
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
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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