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Periodontal Disease in Rare Renal Disorders (PERIO-RA-RE) (PERIO-RA-RE)

3. Mai 2026 aktualisiert von: Stefan Lujinschi

Periodontal Inflammation in Rare Renal Disorders - A Cross-Sectional Controlled Observational Study Assessing the Burden and Phenotypes of Periodontal Disease

This study aims to evaluate the burden and phenotypic spectrum of periodontal disease in patients with rare kidney disorders (such as Alport syndrome, Fabry disease, and tuberous sclerosis complex) and systemic lupus erythematosus (SLE), compared with chronic kidney disease (CKD) controls and population controls.

This is a cross-sectional, case-control observational study. Participants will undergo a single structured evaluation including a full-mouth periodontal examination, a clinical questionnaire, and collection of relevant clinical and nephrological data.

The primary objective is to compare the prevalence of periodontitis across study groups. Secondary objectives include characterization of periodontal disease severity, prevalence of gingivitis and xerostomia, and identification of disease-specific oral phenotypes.

Exploratory analyses will assess associations between periodontal disease and clinical variables such as kidney function, proteinuria, and immunosuppressive exposure.

Studienübersicht

Detaillierte Beschreibung

Periodontal disease is a chronic inflammatory condition associated with systemic inflammation and has been linked to chronic kidney disease (CKD) severity and outcomes. However, data regarding periodontal disease in rare kidney disorders remain limited.

Rare renal diseases such as Alport syndrome, Fabry disease, and tuberous sclerosis complex, as well as systemic lupus erythematosus (SLE), may present unique biological and treatment-related factors influencing periodontal health.

This study is a cross-sectional, controlled observational study designed to evaluate the prevalence and severity of periodontal disease in these populations.

Participants will be recruited from Fundeni Clinical Institute Adult Nephrology Department and general population sources. Each participant will undergo a single study visit including a standardized full-mouth periodontal examination performed by a calibrated dentist, a structured questionnaire, and extraction of clinical data from medical records.

The primary outcome is the prevalence of periodontitis, defined according to the 2018 classification of periodontal diseases. Secondary outcomes include measures of periodontal disease severity and associated oral conditions.

Statistical analyses will include descriptive statistics, group comparisons, and multivariable regression models adjusted for relevant confounders.

Studientyp

Beobachtungs

Einschreibung (Geschätzt)

100

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

      • Bucharest, Rumänien, 022328
        • Fundeni Clinical Institute
        • Kontakt:
        • Unterermittler:
          • Stefan N Lujinschi, MD, PhD candidate
        • Hauptermittler:
          • Bahtiar Ismail, MD, PhD

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Nein

Probenahmeverfahren

Nicht-Wahrscheinlichkeitsprobe

Studienpopulation

Adult participants will be recruited from the Adult Nephrology Department of the Fundeni Clinical Institute, as well as from associated rare disease follow-up programs and dental or clinical care settings.

The study population will include patients with Alport syndrome, Fabry disease, tuberous sclerosis complex, and systemic lupus erythematosus with renal involvement, as well as CKD controls with non-rare etiologies and non-CKD controls recruited from clinical or dental care settings.

Participants will be enrolled consecutively based on eligibility criteria.

Beschreibung

Inclusion Criteria:

  • Age ≥18 years
  • Ability to provide written informed consent
  • At least 10 natural teeth present
  • Belonging to one of the predefined study groups:

    1. Alport syndrome (genetically or clinically confirmed)
    2. Fabry disease (enzymatically or genetically confirmed)
    3. Tuberous sclerosis complex (according to established clinical or genetic criteria)
    4. Systemic lupus erythematosus defined according to the 2019 EULAR/ACR or SLICC 2012 classification criteria, with renal involvement defined by at least one of the following: [1] Biopsy-proven lupus nephritis, [2] Persistent proteinuria (>0.5 g/day or equivalent), [3] Active urinary sediment (hematuria and/or cellular casts) consistent with lupus nephritis
    5. Chronic kidney disease (CKD) of non-rare etiology: defined according to KDIGO criteria (eGFR <60 ml/min/1.73 m² and/or markers of kidney damage)
    6. Individuals without CKD, recruited from clinical or dental care settings as non-CKD controls

Exclusion Criteria:

  • Periodontal treatment within the last 6 months
  • Antibiotic therapy within the last 4 weeks
  • Pregnancy
  • Conditions precluding periodontal examination
  • Inability to comply with study procedures

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

Kohorten und Interventionen

Gruppe / Kohorte
Intervention / Behandlung
Alport Syndrome
Patients with Alport syndrome confirmed by genetic testing or kidney biopsy
Non-interventional observational assessment including periodontal examination and clinical data collection.
Fabry Disease
Patients with enzymatic or genetically confirmed Fabry disease
Non-interventional observational assessment including periodontal examination and clinical data collection.
Tuberous Sclerosis Complex
Patients diagnosed with Tuberous Sclerosis Complex according to established clinical or genetic criteria
Non-interventional observational assessment including periodontal examination and clinical data collection.
Systemic Lupus Erythematosus

Systemic lupus erythematosus defined according to EULAR/ACR 2019 classification criteria, with renal involvement defined by at least one of the following:

  • Biopsy-proven lupus nephritis
  • Persistent proteinuria (>0.5 g/day or equivalent)
  • Active urinary sediment (hematuria and/or cellular casts) consistent with lupus nephritis
Non-interventional observational assessment including periodontal examination and clinical data collection.
CKD Controls
Patients with chronic kidney disease of non-rare etiology
Non-interventional observational assessment including periodontal examination and clinical data collection.
Population Controls
Individuals without known chronic kidney disease
Non-interventional observational assessment including periodontal examination and clinical data collection.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Prevalence of Periodontitis
Zeitfenster: At the single study visit (baseline)
Prevalence of periodontitis defined according to the 2018 classification of periodontal diseases.
At the single study visit (baseline)

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Mean Probing Pocket Depth (PPD)
Zeitfenster: At the single study visit (baseline)
Mean probing pocket depth (in millimeters) measured across all examined sites during full-mouth periodontal examination.
At the single study visit (baseline)
Mean Clinical Attachment Level (CAL)
Zeitfenster: At the single study visit (baseline)
Mean clinical attachment level (in millimeters) measured across all examined sites during full-mouth periodontal examination.
At the single study visit (baseline)
Percentage of Sites with Probing Pocket Depth ≥6 mm
Zeitfenster: At the single study visit (baseline)
Percentage of periodontal sites with probing pocket depth of 6 mm or greater, reflecting severe periodontal involvement.
At the single study visit (baseline)
Percentage of Sites with Bleeding on Probing (BOP)
Zeitfenster: At the single study visit (baseline)
Percentage of periodontal sites exhibiting bleeding on probing during full-mouth periodontal examination, as a marker of gingival inflammation.
At the single study visit (baseline)
Prevalence of Gingivitis
Zeitfenster: At the single study visit (baseline)
Proportion of participants with clinical signs of gingival inflammation without attachment loss, consistent with gingivitis.
At the single study visit (baseline)
Prevalence of Xerostomia
Zeitfenster: At the single study visit (baseline)
Proportion of participants reporting subjective dry mouth symptoms or presenting clinical evidence of reduced salivary flow.
At the single study visit (baseline)
Presence of Disease-Specific Oral Findings
Zeitfenster: At the single study visit (baseline)
Presence of oral manifestations associated with underlying systemic disease, such as gingival fibromas, mucosal lesions, or enamel defects.
At the single study visit (baseline)

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Ermittler

  • Studienstuhl: Gener Ismail, Professor, MD, PhD, Fundeni Clinical Institute
  • Hauptermittler: Bahtiar Ismail, MD, PhD, Emergency University Hospital Bucharest

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Geschätzt)

4. Mai 2026

Primärer Abschluss (Geschätzt)

31. Dezember 2027

Studienabschluss (Geschätzt)

31. Dezember 2027

Studienanmeldedaten

Zuerst eingereicht

3. Mai 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

3. Mai 2026

Zuerst gepostet (Tatsächlich)

8. Mai 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

8. Mai 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

3. Mai 2026

Zuletzt verifiziert

1. Mai 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • 12796 (Andere Kennung: Fundeni Clinical Institute Ethical Committee)
  • PERIO-RA-RE_1 (Andere Kennung: Fundeni Clinical Institute - Adult Nephrology Department)

Plan für individuelle Teilnehmerdaten (IPD)

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UNENTSCHIEDEN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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