- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT07575347
Periodontal Disease in Rare Renal Disorders (PERIO-RA-RE) (PERIO-RA-RE)
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
Status
Bedingungen
Intervention / Behandlung
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
Einschreibung (Geschätzt)
Kontakte und Standorte
Studienkontakt
- Name: Stefan N Lujinschi, MD, PhD candidate
- Telefonnummer: +40728102643
- E-Mail: stefanlujinschi@gmail.com
Studienorte
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-
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Bucharest, Rumänien, 022328
- Fundeni Clinical Institute
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Kontakt:
- Stefan N Lujinschi, MD, PhD candidate
- Telefonnummer: +40728102643
- E-Mail: stefanlujinschi@gmail.com
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Unterermittler:
- Stefan N Lujinschi, MD, PhD candidate
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Hauptermittler:
- Bahtiar Ismail, MD, PhD
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Probenahmeverfahren
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:
- Alport syndrome (genetically or clinically confirmed)
- Fabry disease (enzymatically or genetically confirmed)
- Tuberous sclerosis complex (according to established clinical or genetic criteria)
- 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
- 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)
- 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
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
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Non-interventional observational assessment including periodontal examination and clinical data collection.
|
|
Fabry Disease
Patients with enzymatic or genetically confirmed Fabry disease
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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
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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:
|
Non-interventional observational assessment including periodontal examination and clinical data collection.
|
|
CKD Controls
Patients with chronic kidney disease of non-rare etiology
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Non-interventional observational assessment including periodontal examination and clinical data collection.
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Population Controls
Individuals without known chronic kidney disease
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Non-interventional observational assessment including periodontal examination and clinical data collection.
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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)
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Mean Probing Pocket Depth (PPD)
Zeitfenster: At the single study visit (baseline)
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Mean probing pocket depth (in millimeters) measured across all examined sites during full-mouth periodontal examination.
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At the single study visit (baseline)
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Mean Clinical Attachment Level (CAL)
Zeitfenster: At the single study visit (baseline)
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Mean clinical attachment level (in millimeters) measured across all examined sites during full-mouth periodontal examination.
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At the single study visit (baseline)
|
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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.
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At the single study visit (baseline)
|
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Percentage of Sites with Bleeding on Probing (BOP)
Zeitfenster: At the single study visit (baseline)
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Percentage of periodontal sites exhibiting bleeding on probing during full-mouth periodontal examination, as a marker of gingival inflammation.
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At the single study visit (baseline)
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Prevalence of Gingivitis
Zeitfenster: At the single study visit (baseline)
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Proportion of participants with clinical signs of gingival inflammation without attachment loss, consistent with gingivitis.
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At the single study visit (baseline)
|
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Prevalence of Xerostomia
Zeitfenster: At the single study visit (baseline)
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Proportion of participants reporting subjective dry mouth symptoms or presenting clinical evidence of reduced salivary flow.
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At the single study visit (baseline)
|
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Presence of Disease-Specific Oral Findings
Zeitfenster: At the single study visit (baseline)
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Presence of oral manifestations associated with underlying systemic disease, such as gingival fibromas, mucosal lesions, or enamel defects.
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At the single study visit (baseline)
|
Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Studienstuhl: Gener Ismail, Professor, MD, PhD, Fundeni Clinical Institute
- Hauptermittler: Bahtiar Ismail, MD, PhD, Emergency University Hospital Bucharest
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Urogenitale Erkrankungen
- Mundkrankheiten
- Stomatognathe Erkrankungen
- Zerebrovaskuläre Erkrankungen
- Erkrankungen des Gehirns
- Erkrankungen des zentralen Nervensystems
- Erkrankungen des Nervensystems
- Gefäßerkrankungen
- Herz-Kreislauf-Erkrankungen
- Pathologische Prozesse
- Neubildungen
- Männliche Urogenitalerkrankungen
- Nierenerkrankungen
- Urologische Erkrankungen
- Weibliche Urogenitalerkrankungen
- Weibliche Urogenitalerkrankungen und Schwangerschaftskomplikationen
- Chronische Erkrankung
- Krankheitsattribute
- Stoffwechsel, angeborene Fehler
- Genetische Krankheiten, angeboren
- Stoffwechselerkrankungen
- Bindegewebserkrankungen
- Autoimmunerkrankungen
- Erkrankungen des Immunsystems
- Neurodegenerative Krankheiten
- Niereninsuffizienz
- Angeborene Anomalien
- Heredodegenerative Erkrankungen, Nervensystem
- Neoplastische Syndrome, erblich
- Neurokutane Syndrome
- Störungen des Fettstoffwechsels
- Genetische Krankheiten, X-gebunden
- Lysosomale Speicherkrankheiten
- Gehirnerkrankungen, Stoffwechselerkrankungen, angeboren
- Gehirnerkrankungen, Stoffwechsel
- Hamartom
- Neubildungen, mehrere primäre
- Fehlbildungen der kortikalen Entwicklung, Gruppe I
- Fehlbildungen der kortikalen Entwicklung
- Missbildungen des Nervensystems
- Urogenitale Anomalien
- Fettstoffwechsel, angeborene Fehler
- Nephritis
- Lysosomale Speicherkrankheiten, Nervensystem
- Kollagenerkrankungen
- Zerebrale Erkrankungen der kleinen Gefäße
- Sphingolipidosen
- Lipidosen
- Angeborene, erbliche und neonatale Krankheiten und Anomalien
- Pathologische Zustände, Anzeichen und Symptome
- Ernährungs- und Stoffwechselerkrankungen
- Haut- und Bindegewebserkrankungen
- Parodontitis
- Lupus erythematodes, systemisch
- Tuberöse Sklerose
- Niereninsuffizienz, chronisch
- Parodontale Erkrankungen
- Morbus Fabry
- Nephritis, erblich
Andere Studien-ID-Nummern
- 12796 (Andere Kennung: Fundeni Clinical Institute Ethical Committee)
- PERIO-RA-RE_1 (Andere Kennung: Fundeni Clinical Institute - Adult Nephrology Department)
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Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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