ClinicalTrials.gg
RecruitingNCT04254861Updated Jul 6, 2026

Autologous Platelet Concentrate (APC) in Intrabony Defects

An interventional study of Simplified Papilla Preservation Flap (SPPF) and PRGF ENDORET (PRGF ENDORET®-KMU16) and Simplified Papilla Preservation Flap (SPPF) and GTR in Periodontal Diseases, sponsored by Queen Mary University of London. Recruiting at 1 site in United Kingdom. Open to participants aged 25 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by Queen Mary University of London · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2021; still recruiting 5 years 8 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
74
Allocation
Randomized
Ages
25 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 18 studies in Periodontal Diseases with a site in United Kingdom — 9 open to participants now, 9 under way, none of them phase 3. Periodontal Diseases · United Kingdom.

Planned enrollment
3rd of 11
74 · median 40
Started
2021
the only one that year
No phase
9 of 18
6 open now
Registered
9th of 18
by date
Lead sponsor
2 of 18
Queen Mary University of London

Among the 18 studies in Periodontal Diseases with a site in United Kingdom, this one is the 3rd largest by planned enrollment of the 11 interventional ones that give a count, is the only one that started in 2021, is one of 9 with no phase, and was the 9th registered.

Periodontal Diseases

867 studies on the registry are indexed under Periodontal Diseases; 189 are open to participants now.

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Open to participants now

9 of the 18 studies in Periodontal Diseases with a site in United Kingdom are open now. Recruiting first, the newest first:

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All 9 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 101 Periodontal Diseases studies recruiting now, 47 (47%) set no upper age limit and 42 (42%) stop at 75 or younger; 5 take children under 18; 58 take healthy volunteers.

This study: 25 Years to 80 Years · all sexes · no healthy volunteers.

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02

Study summary

The aim of this 12-month clinical study is to treat patients affected by gum disease (periodontitis) by a minor gum surgery that aims to reduce the depth of the gum pockets. In particular, the study will compare two types of gum surgery, one based on the use of a product derived from the patients' own blood (PRGF, platelet autologous concentrate), and the other based on the use of an animal-derived bone graft and membrane that have been in the market for the past 30 years. Both procedures aim to regenerate bone and gum tissue that is damaged by the disease. 74, ≥ 25-year-old, otherwise healthy, patients affected by gum disease will be recruited at the Barts and The London Dental Hospital. Participants will be randomly (by chance) assigned to receive one of the two treatments. Throughout the study, we will assess gum's health by taking some measurements around teeth and gums. In addition, we will use non-invasive technologies to assess changes in temperature, blood flow and face's swelling at different time-points. Patients will be given specific questionnaires to evaluate their preferences and the impact that each surgical treatment had in their everyday life. One intra-oral x-ray will be performed before the surgery and after 12 months to assess if new bone has formed around the teeth involved in the surgery, as per standard procedure.

Read the detailed description

This is a randomized, single-blind, parallel-group controlled trial comparing the efficacy of GTR and PRGF ENDORET in the treatment of periodontal intrabony defects. The trial will follow the recommendations of the Consolidated Standards of Reporting Trials (CONSORT) statement.

No negative control (SPPF alone) has been considered for this project since several studies have demonstrated that guided tissue regeneration (GTR) associated or not with bone grafts results in better clinical outcomes than access flap alone in the treatment of periodontal intrabony defects.

The study consists of 9 visits over a minimum period of 13 months and will take place at the Centre for Oral Clinical Research (COCR), at the Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London.

Visit 1 - Baseline -

  • Informed consent, medical/dental history and demographics
  • Record concomitant medications and smoking history
  • Height and weight measurement
  • Standardised peri-apical x-ray in the area selected for the study
  • Periodontal assessment by a blind and calibrated examiner, consisting of full mouth PPD, REC, BOP, mobility and furcation involvement will be recorded. PPD, REC, plaque and BOP will be recorded at 6 sites per tooth.
  • Intra-oral 3D scan in the area selected for the study
  • PROMs assessment (OIDP, and Global ratings of Periodontal Health and Quality of Life, EuroQoI-5D-5L)
  • 3D extra-oral morphometric and Thermal scan
  • Laser speckle contrast imaging, LSCI
  • Pre-treatment hygiene phase, including supragingival scale and polish of all teeth and oral hygiene instructions
  • Randomization to one of the two treatment groups by the study co-ordinator. The treatment allocation will be concealed in an opaque envelope. A treatment visit will be scheduled within the following 6 weeks.

Visit 2 - Surgical intervention - (within 6 weeks from Visit 1)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Recording of the number of defect walls
  • Study treatment according to randomization (PRGF ENDORET or GTR)
  • Intra-oral 3D scan in the area selected for the study (scan taken immediately after surgery)
  • Record of surgery time
  • Post-surgical instructions
  • 3D extra-oral morphometric and thermal scan (scan taken immediately after surgery)

Visit 3 - 2 days follow-up - (2 days ±1 days from Visit 2)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Visual assessment of gingival healing and recording of early healing index (EHI)
  • Laser speckle contrast imaging, LSCI
  • Intra-oral 3D scan in the area selected for the study
  • 3D extra-oral morphometric and Thermal scan
  • PROMs assessment (Evaluation of global changes in quality of life and evaluation of patient perception about therapy)

Visit 4 - Suture removal - (7 days +3 days from visit 2)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Visual assessment of gingival healing and recording of early healing index (EHI)
  • Laser speckle contrast imaging, LSCI
  • Intra-oral 3D scan in the area selected for the study
  • 3D extra-oral morphometric and Thermal scan
  • Suture removal
  • Supra-gingival polishing and reinforcement of oral hygiene instructions
  • PROMs assessment (Evaluation of global changes in quality of life and evaluation of patient perception about therapy)

Visit 5 - 2 weeks follow up visit- (14 days ±3 days from visit 2)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Visual assessment of gingival healing and recording of early healing index (EHI)
  • Laser speckle contrast imaging, LSCI
  • Intra-oral 3D scan in the area selected for the study
  • 3D extra-oral morphometric and thermal scan
  • Supra-gingival polishing and reinforcement of oral hygiene instructions
  • PROMs assessment (Evaluation of global changes in quality of life and evaluation of patient perception about therapy)

Visit 6 - 4 weeks follow up visit- (28 days ±3 days from visit 2)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Visual assessment of gingival healing
  • Intra-oral 3D scan in the area selected for the study
  • 3D extra-oral morphometric and Thermal scan
  • Supra-gingival polishing and reinforcement of oral hygiene instructions
  • PROMs assessment (Global ratings of Periodontal Health and Quality of Life, Evaluation of global changes in quality of life, and Eevaluation of patient perception about therapy and EuroQoI-5D-5L)

Visit 7 - 3 months follow up visit- (3 months ±7 days from visit 2)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Recording of PPD, REC, BOP, PI and mobility on the tooth involved in the surgical intervention and 2 adjacent teeth by a blind and calibrated examiner
  • PROMs assessment (OIDP, Global ratings of Periodontal Health and Quality of Life, and eEvaluation of global changes in quality of life and EuroQoI-5D-5L)
  • Supra-gingival polishing and reinforcement of oral hygiene instructions

Visit 8 - 6 months follow up visit- (6 months ±7 days from visit 2)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Recording of PPD, REC, BOP, PI and mobility on the tooth involved in the surgical intervention and 2 adjacent teeth by a blind and calibrated examiner
  • Supra-gingival polishing and reinforcement of oral hygiene instructions
  • PROMsS assessment (OIDP, Global ratings of Periodontal Health and Quality of Life, and eEvaluation of global changes in quality of life and EuroQoI-5D-5L)

Visit 9 - 12 months follow up visit- (12 months ±7 days from visit 2)

  • Query to update medical/dental history and record adverse events and/or concomitant medications
  • Periodontal assessment by a blind and calibrated examiner, consisting of full mouth PPD, REC, BOP, mobility and furcation involvement will be recorded. PPD, REC, plaque and BOP will be recorded at 6 sites per tooth.
  • PROMS assessment (OIDP, Global ratings of Periodontal Health and Quality of Life, and eEvaluation of global changes in quality of life and EuroQoI-5D-5L)
  • Supra-gingival polishing and reinforcement of oral hygiene instructions
  • Standardised peri-apical x-ray in the area selected for the study

Study randomisation and treatment allocation Following completion of the preparation treatment all individuals enrolled into the study will be randomly assigned to one of the treatment groups.

  • Simplified Papilla Preservation Flap (SPPF) and guided tissue regeneration (GTR) with a porcine collagen membrane and a deproteinized bovine bone substitute.
  • Simplified Papilla Preservation Flap (SPPF) and PRGF ENDORET.

A balanced random permuted block approach (4-unit block size) will be used to prepare the randomisation tables. Minimisation will be carried out to facilitate balancing of smokers in each group.

Allocation to treatment will take place via the study coordinator (or one of their delegate). Treatment allocation details will be concealed in an opaque envelope at the study site.

At the time of enrollment, each participant will be sequentially issued a subject ID. The subject ID consists of two initials and a number. The ID number will consist of three digits and will be assigned in ascending numerical order beginning with 001.

03

Conditions studied

  • Periodontal Diseases

Keywords

  • Intrabony defect
  • Periodontitis
  • PRGF
04

Who can participate

Ages eligible
25 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Systemically healthy males and females ≥25 years old
  • Willingness to read and sign a copy of the Form after reading the Patient Information Sheet, and after the nature of the study has been fully explained
  • Clinical evidence of periodontitis, with one interdental area of PPD ≥6mm, BOP, and attachment loss ≥6mm, with associated intrabony defect ≥3mm in any area of their mouth (excluding third molars and distal of second molars)
  • Full mouth bleeding and plaque scores (FMBS and FMPS) \<25%recorded within the previous 6 weeks
  • Non-surgical treatment completed within 6 months prior to assessment for eligibility

Exclusion criteria

Exclusion Criteria:

  • Medical history that includes diabetes type 1 or hepatic or renal disease, or other serious medical conditions or transmittable diseases (e.g. cardiovascular disease or AIDS).
  • Antibiotic or anti-inflammatory therapy during the month preceding the baseline exam.
  • In chronic treatment (>2 weeks) with anticoagulants, or other medications that can severely impact on bone formation
  • History of alcohol or drug abuse.
  • Smoking ≥10 cigarettes a day
  • Self-reported pregnancy or lactation (this criterion is due to oral tissue changes related to pregnancy and nursing, which can affect interpretation of study results).
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or product administration or may interfere with the interpretation of trial results and, in the judgement of the investigator, would make the subject inappropriate for entry into this trial.
  • Periodontal surgery in the same area selected for the study within the past 12 months.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
74 participants (estimated)

Study arms

  • Experimental
    Simplified Papilla Preservation Flap (SPPF) and PRGF

    Procedure: Simplified Papilla Preservation Flap (SPPF) and PRGF ENDORET (PRGF ENDORET®-KMU16)

  • Active comparator
    Simplified Papilla Preservation Flap (SPPF) and GTR

    Procedure: Simplified Papilla Preservation Flap (SPPF) and GTR

Interventions

  • ProcedureSimplified Papilla Preservation Flap (SPPF) and PRGF ENDORET (PRGF ENDORET®-KMU16)

    A simplified papilla preservation flap (SPPF) will be performed. The clot phase of PRGF ENDORET (F2) will be placed in the defect, while the fibrin membrane phase (F1) will cover it. Blood will be extracted and collected in dedicated tubes and then centrifuged. Up to 8 tubes of 9ml will be extracted. The time from the start of the extraction to the start of the centrifugation of the tubes must not exceed 4mins. After centrifugation, the blood is separated into three components: Plasma rich in growth factors, White cells or leukocytes, red blood cells: this is the red column occupying the bottom of the tube. Following BTI's instructions, fractioning of the centrifuged blood will be performed in order to separate Fraction 2 (F2), which contains a greater number of platelets and growth factors and will be used as a clot inside the periodontal defect from Fraction 1 (F1), which will be used as a fibrin member to cover the clot. The flaps will be repositioned and sutured.

    Also known as: Simplified Papilla Preservation Flap (SPPF) and GTR

  • ProcedureSimplified Papilla Preservation Flap (SPPF) and GTR

    A simplified papilla preservation flap (SPPF) will be performed. The defect will then be treated according to the guided tissue regeneration (GTR) principle (control group). A deproteinized bovine bone mineral (DBBM) graft will be placed in the defect and covered by a collagen membrane.

06

What researchers measure

Primary outcomes

  1. Changed in Probing Pocket Depth (PPD)

    Changes in PPD from baseline to 12 months after treatment

    Time frame: 12 months after treatment

Secondary outcomes

  1. Patients' reported outcomes (PROMs) in Oral Impact on Daily Performances (OIDP) questionnaire (OIDP).

    The OIDP is a well validated and frequently used PROM in studies of oral health. It is a composite measure of the impacts of oral health on the quality of life of people. The OIDP focuses on the impact that the conditions of the teeth and mouth have on the physical (functional), psychological and social wellbeing of the person. More specifically, it assesses the impact of oral conditions on basic daily life activities and behaviours (eating, speaking, cleaning teeth, going out, relaxing, smiling, major work or role, emotional stability, social contact). For each performance, both the frequency and severity of oral impacts are assessed. The overall OIDP score ranges from 0 to 100, with higher scores indicating worse quality of life.

    Time frame: At baseline, 3 months after surgery (visits 2), 6 months after surgery, 12 months after surgery.

  2. PROMs based on Global ratings of Periodontal Health and Quality of Life

    PROMs based on Global ratings of Periodontal Health and Quality of Life

    Time frame: At baseline, 4 weeks after surgery (visit 2), 3 months after surgery, 6 months after surgery, 12 months after surgery.

  3. PROMs based on the evaluation of global changes in quality of life

    Global ratings on health and quality of life will be provided through two methods: a) the Visual Analogue Scale (VAS) included in the EQ5D questionnaire. b) through the following question: 'How would you rate the quality of your life'? The responses will be scored on a six-point scale as: 1. Excellent 2. Very good 3. Good 4. Fair 5. Poor 6. Very poor PROMs based on the evaluation of global changes in quality of life;

    Time frame: At baseline, 2 days after surgery (visit 2), 7 days after surgery, 14 days after surgery, 4 weeks after surgery, 3 months after surgery, 6 months after surgery, 12 months after surgery.

  4. PROMs based on the evaluation of patient perception about therapy

    The extent of discomfort and/or pain experienced will be evaluated using a 100-mm horizontal visual analog scale (VAS). The anchors for each end of the scales will be designated as none and extreme. Patients will be also instructed to quantify the analgesic medication taken. In addition, the extent of discomfort, root hypersensitivity, oedema, hematoma, high fever, and interference in daily activities during the first post-therapy week will be evaluated in the same way.

    Time frame: At baseline, 2 days after surgery (visit 2), 7 days after surgery, 14 days after surgery, 4 weeks after surgery.

  5. Post-operative swelling and oedema

    A series of subtracted images from the baseline will accurately identify the area and magnitude of the swelling, changes in facial shape, volume and temperature to monitor/quantify the healing. For every patient, a person specific template of postoperative facial swelling/ oedema pattern will be created for sequential swelling/thermal changes or oedema volume measurements that will be applied on a unique alignment of the patient's specific consecutive imaging surfaces (self- defined positioning based on patient's facial features).

    Time frame: At baseline, within 6 weeks from baseline (at visit 2 - surgical intervention), 2, 7 and 14 days after surgical intervention (visit 2)

  6. Changes in blood flow

    The vascularization pattern of the peri-implant soft tissues will be evaluated with Laser Speckle Contrast Imaging (LSCI), according to the methodology described by previous studies. LSCI is a radiation-free, non-invasive procedure to assess blood flow. Systolic and diastolic blood pressure as well as pulse rate will be measured with an automatic blood pressure monitor before and after the LSCI measurements. These measures will be combined to give a measure of blood flow to assess patients' vascularization pattern of the peri-implant soft tissues. Each patient will seat comfortably in supine position in a dental chair, and a vacuum pillow will be used for fixing their head. The patient will be left undisturbed for 15 minutes before any measurements will be taken. All measurements will be carried out at a constant room temperature.

    Time frame: At baseline and 2, 7 and 14 days after surgical intervention (visit 2)

  7. Radiographic bone changes

    Standardised intraoral radiographs will be taken on the tooth involved in the surgical intervention at baseline and at 12 months post treatment.

    Time frame: From baseline to 12 months post-surgery

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2021 (actual). Primary completion is estimated for Dec 2026, 69 months after the start.

Of 312 non-industry interventional studies with no phase under Periodontal Diseases, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 27. This study's planned 69 months is above that.

Counting every sponsor, half of 331 studies reached it within 13 months; a quarter within 8 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 27, 2020
First posted
Feb 5, 2020
StartActual
Mar 2, 2021
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Jul 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04254861
Responsible party
Sponsor
First posted
Feb 5, 2020
Start date
Mar 2, 2021
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jul 6, 2026

Study contacts

Elena Calciolari, PhD
Contact
e.calciolari@qmul.ac.uk
0207 882 3134
Vandana Luthra, Dr.
Contact
BHNT.Clinicaloralresearchcentre@nhs.net
02078826348

Oversight

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

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