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CompletedNCT03727620Updated Nov 1, 2018

Doxycycline in the Treatment of Aggressive Periodontitis

A Phase 1/2 interventional study of amoxicillin plus metronidazole and Doxycycline in Aggressive Periodontitis, sponsored by Mohammed V Souissi University. Completed at 1 site in Morocco. Open to participants aged 16 Years to 36 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-11-01.

Sponsored by Mohammed V Souissi University · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 9 months after the study started (first participant enrolled Jan 2014, registered Oct 2018).
Phase
Phase 1/2
Study type
Interventional
Enrollment
24
Allocation
Non-randomized
Ages
16 Years to 36 Years
Sex
All
01

Study summary

The aim of the study was to compare the clinical effects of systemic use of doxycycline to amoxicillin plus metronidazole as adjunctive treatment in nonsurgical debridement of aggressive periodontitis (AgP). Twenty four patients with aggressive periodontitis were enrolled in this clinical study. They all received oral hygiene instruction and full-mouth nonsurgical debridement using manual instruments. The test group received as adjunctive antibiotic treatment 200 mg of doxycycline the first day followed by 100 mg per day during 14 days. The control group received 500 of amoxicillin and 250 of metronidazole, three times a day for 7 days.

Read the detailed description

This comparative clinical study was conducted in the department of Periodontology, Center for Dental Consultation and Treatment (CDCT), Rabat, Morocco.

Prior to participation, the purpose of the investigation was fully explained to all participants and written informed consent was obtained from all patients. The study protocol was approved by the biomedical ethical committee of University Mohammed V in Rabat, Morocco, and conducted according to the principles outlined in the Declaration of Helsinki on experimentation involving human subjects.

Patients : Twenty four subjects diagnosed with localized (LAgP) or generalized aggressive periodontitis (GAgP) (8 patients with LAgP and 16 with GAgP) were enrolled in the study. Patients were aged between 16 and 26 years and were from both genders (22 female and 2 male).The diagnosis was based on the classification of the American Academy of Periodontology (AAP).

Clinical variables were pocket depth, plaque index, gingival index

At the end of the debridement sessions, patients were assigned doxycycline or the amoxicillin plus metronidazole regardless the type of AgP. So that, experimental group of patients were administered 200 mg of doxycycline the first day followed by 100 mg per day for 14 days, and the control group were administered 250 mg of metronidazole and 500 mg of amoxicillin, three times a day for 7 days.

Data analysis The data were analyzed using the patient as a unit (subject based analysis). The statistical analysis was performed with a statistical program (SPSS Inc., Chicago, IL, USA). The improvement of periodontal status was evaluated by calculating, for each patient, the difference in Plaque Index (DIP), gingival index (DIG) and probing depth (DPD) ≥ 4mm, between baseline and 3 months post treatment. For each patient, the quantitative variables (PI, GI, and MPD) were expressed as medians and quartiles and were compared before and after treatment using the Wilcoxon test. Improved plaque index (DIP), gingival index (DIG), and probing depth (DPD ≥ 4mm) was compared between the two groups (doxycycline and amoxicillin plus metronidazole) using the Mann-Whitney test. A level P\<0,05 was accepted for statistical significance.

02

Conditions studied

  • Aggressive Periodontitis

Keywords

  • aggressive periodontitis
  • systemic antibiotics
  • doxycycline
03

In context

Periodontitis

1,635 studies on the registry are indexed under Periodontitis; 327 are open to participants now.

This study's enrollment of 24 is below the median of 45 across 1,191 interventional studies indexed under Periodontitis.

Browse Periodontitis studies →

Lead sponsor

Mohammed V Souissi University is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 36 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • subjects in good general health,
  • presence of at least 20 teeth,
  • no periodontal treatment performed during the previous 12 months,
  • absence of antibiotic intake during six months before the study,
  • and no known allergies to antibiotics used in the study

Exclusion criteria

Exclusion Criteria:

  • pregnancy,
  • lactation,
  • and smoking.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    doxycycline group

    Drug Longamycine 200 mg the first day , then 100 mg per day for 14 days

    Drug: Doxycycline

  • Active comparator
    amoxicillin plus metronidazole group

    Drug Dispamox 500 mg, 3 times a day for 7 days Flagyl 250 mg, 3 times a day for 7 days

    Drug: amoxicillin plus metronidazole

Interventions

  • Drugamoxicillin plus metronidazole

    patients were administered 250 mg of Flagyl and 500 mg of Dyspamox, three times a day for 7 days

    Also known as: Dispamox and Flagyl

  • DrugDoxycycline

    patients were administered 200 mg of Longamycine the first day and 100 mg per day for 14 days

    Also known as: Longamycine

06

What researchers measure

Primary outcomes

  1. Decrease of periodontal pockets ≥ 4mm

    • Probing pockets depths were assessed to the nearest millimeter using a standard periodontal probe, when recruiting patient at baseline and the re-evaluation 3 months after nonsurgical mechanical debridement.

    Time frame: 3 months

Secondary outcomes

  1. Plaque index decrease

    Plaque index was assessed by using Loe and silness scores at baseline and the re-evaluation 3 months after nonsurgical mechanical debridement

    Time frame: 3 months

  2. Gingival index decrease

    Gingival index was assessed by using Loe and silness scores at baseline and and at the re-evaluation 3 months after nonsurgical mechanical debridement

    Time frame: 3 months

07

Study locations

1 site
  • BENRACHADI Latifa
    Rabat, Morocco
08

References and documents

Publications

  • Herrera D, Sanz M, Jepsen S, Needleman I, Roldan S. A systematic review on the effect of systemic antimicrobials as an adjunct to scaling and root planing in periodontitis patients. J Clin Periodontol. 2002;29 Suppl 3:136-59; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.8.x. PubMed 12787214 ↗
  • Guerrero A, Nibali L, Lambertenghi R, Ready D, Suvan J, Griffiths GS, Wilson M, Tonetti MS. Impact of baseline microbiological status on clinical outcomes in generalized aggressive periodontitis patients treated with or without adjunctive amoxicillin and metronidazole: an exploratory analysis from a randomized controlled clinical trial. J Clin Periodontol. 2014 Nov;41(11):1080-9. doi: 10.1111/jcpe.12299. Epub 2014 Sep 11. PubMed 25139116 ↗
  • Xajigeorgiou C, Sakellari D, Slini T, Baka A, Konstantinidis A. Clinical and microbiological effects of different antimicrobials on generalized aggressive periodontitis. J Clin Periodontol. 2006 Apr;33(4):254-64. doi: 10.1111/j.1600-051X.2006.00905.x. PubMed 16553634 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03727620
Lead sponsor
Mohammed V Souissi University
Responsible party
BENRACHADI Latifa (Professor, Mohammed V Souissi University) — Principal investigator
First posted
Nov 1, 2018
Start date
Jan 6, 2014
Primary completion
Jun 6, 2014
Completion
Dec 8, 2014
Last update
Nov 1, 2018

Study contacts

Latifa BENRACHADI, Professor
principal investigator · Faculty of medicine dentistery, Mohammed V University of Rabat

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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