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CompletedNCT03204071Updated Jun 29, 2017

Locally Delivered Metformin and Aloe Vera for Treatment of Intrabody Defects in Chronic Periodontitis

A Phase 2/3 interventional study of placebo gel and Aloevera in Chronic Periodontitis, sponsored by Government Dental College and Research Institute, Bangalore. Completed. Open to participants aged 25 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-06-29.

Sponsored by Government Dental College and Research Institute, Bangalore · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
25 Years to 50 Years
Sex
All
01

Study summary

Metformin (MF), a biguanide group of anti-diabetic drug has been shown to enhance osteoblasts differentiation and inhibit osteoclast differentiation in vitro, thus may exhibit a favorable effect on alveolar bone.

AloeVera Gel had also been used in dentistry and showed good results.The present study aims to explore the efficacy of 1% MF gel and aloe vera gel as a local drug delivery system in adjunct to scaling and root planing (SRP) for the treatment of subjects with chronic periodontitis (CP) with intrabody defects.

Read the detailed description

Aim: To compare the efficacy of locally delivered 1% MF gel and aloe vera gel in treatment of intrabony defects in chronic periodontitis subjects and compare it with placebo gel.

Methods: Ninety subjects were categorized into three treatment groups: Placebo, aloevera gel(AV) and 1% Metformin (MF)after Scaling and root planning (SRP). Clinical parameters were recorded at baseline, 6 and 12 months; they included plaque index (PI), modified sulcus bleeding index (mSBI), pocket probing depth (PPD), and clinical attachment level (CAL). Radiologic assessment of intra-bony defect (IBD) and percentage defect depth reduction (DDR%) was done at baseline, 6 months and 12 months interval using computer-aided software Results: Mean PPD reduction and mean CAL gain was found to greater in MF group than AV and placebo group at all visits. The DDR% was greater in MF group as compared to AV and placebo group.

Conclusion: There was a greater decrease in mSBI and PPD and more CAL gain at the sites treated with AV and MF as an adjunct to SRP in chronic periodontitis subjects with intrabony defects as compared to placebo. The significant IBD depth reduction effect was seen in case of MFgroup.

02

Conditions studied

  • Chronic Periodontitis
03

Who can participate

Ages eligible
25 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

Systemically healthy patients with sites showing PPD ≥ 5 mm, CAL ≥ 4 mm and vertical bone loss ≥ 3 mm on intraoral periapical radiographs, with no history of periodontal therapy in the last 6 months.

Exclusion criteria

-

Exclusion Criteria:

  • Subjects allergic to MF or AV Those on systemic MF or AV therapy Subjects with aggressive periodontitis Immunocompromised subjects Use of tobacco in any form, alcoholics Lactating, and pregnant females
04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
90 participants (actual)

Study arms

  • Placebo comparator
    Group 1

    Placebo gel without active ingredient to be delivered at baseline, 6 and 12 months.

    Drug: placebo gel

  • Active comparator
    Group 2

    Aloe vera gel to be delivered at baseline, 6 and 12 months.

    Drug: Aloevera

  • Active comparator
    Group 3

    1% metformin gel to be delivered at baseline, 6 and 12 months.

    Drug: Metformin

Interventions

  • Drugplacebo gel

    Oral prophylaxis followed by Placebo gel to be delivered in intrabody sites of chronic periodontitis subjects.

    Also known as: inactive drug

  • DrugAloevera

    Oral prophylaxis followed by placement of aloevera gel

    Also known as: AV

  • DrugMetformin

    Oral prophylaxis followed by placement of metformin gel

    Also known as: MF

05

What researchers measure

Primary outcomes

  1. Change in Bone defect fill

    Assessed in percentage

    Time frame: baseline - 6 months & baseline -12 months

Secondary outcomes

  1. Change in modified sulcus bleeding index

    scale 0-3

    Time frame: baseline, 6 & 12 months

  2. Change in Plaque index

    scale 0-3

    Time frame: baseline, 6 & 12 months

  3. Change in pocket probing depth

    measured in mm

    Time frame: baseline, 6 & 12 months

  4. Clinical attachment level

    measured in mm

    Time frame: baseline, 6 & 12 months

06

Study locations

No study locations are listed for this record.

07

Registry details

Key details

Study ID
NCT03204071
Lead sponsor
Government Dental College and Research Institute, Bangalore
Responsible party
Dr. A R Pradeep (professor, Government Dental College and Research Institute, Bangalore) — Principal investigator
First posted
Jun 29, 2017
Start date
Feb 2016
Primary completion
Feb 2017
Completion
Feb 2017
Last update
Jun 29, 2017
View the source record on ClinicalTrials.gov ↗

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