ClinicalTrials.gg
RecruitingNCT05970965NT21Updated May 6, 2025

Periodontitis and Inflammation in Children With Down Syndrome/Trisomy 21: Study on Biological Samples

An interventional study of Biological sampling in Periodontitis and Trisomy 21, sponsored by Assistance Publique - Hôpitaux de Paris. Recruiting at 1 site in France. Open to participants aged 3 Years to 12 Years. Per ClinicalTrials.gov, last updated 2025-05-06.

Sponsored by Assistance Publique - Hôpitaux de Paris · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
3 Years to 12 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 31 studies in Periodontitis with a site in France — 13 open to participants now, 13 under way, none of them phase 3. Periodontitis · France.

Planned enrollment
17th of 19
18 · median 49
Started
2025
with 2 others
No phase
17 of 31
7 open now
Primary completion
2027-04
later than 5 of 12 live
Registered
25th of 31
by date
Lead sponsor
4 of 31
Assistance Publique - Hôpitaux de Paris

Among the 31 studies in Periodontitis with a site in France, this one is the 17th largest by planned enrollment of the 19 interventional ones that give a count, is one of 3 that started in 2025, is one of 17 with no phase, reaches primary completion later than 5 of the 12 other live ones, and was the 25th registered.

Periodontitis

1,231 studies on the registry are indexed under Periodontitis; 295 are open to participants now.

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Open to participants now

13 of the 31 studies in Periodontitis with a site in France are open now. Recruiting first, the newest first:

7 more — sign in →

All 13 open studies →

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

Who these studies take

Of the 158 Periodontitis studies recruiting now, 78 (49%) set no upper age limit and 60 (38%) stop at 75 or younger; 12 take children under 18; 76 take healthy volunteers.

This study: 3 Years to 12 Years · all sexes · no healthy volunteers.

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02

Study summary

Since 2018, the Chicago Classification of Periodontal Diseases and Conditions, has listed Down syndrome (DS)/trisomy 21 (T21) as a systemic disease with periodontal implications. Numerous studies report an increased prevalence and severity of periodontitis in DS/T21 individuals under the age of 35. Approximately 35% of adolescents with DS show early signs of alveolar bone loss. However, very few studies have examined the role of immune deficiency in DS/T21 patients in the pathogenesis of periodontitis. Indeed, periodontitis induced by bacterial plaque is virtually non-existent in the paediatric population, leaving the field to systemically-induced periodontitis.

The investigators hypothesize that specific neutrophil phenotypes in DS/T21 patients are key to explaining the rapid progression to periodontitis.

Investigator's primary objective is to characterize the different oral and blood neutrophil subtypes in DS/T21 children with gingival inflammation.

Investigator's secondary objective is to assess the involvement of different neutrophil subtypes in early periodontitis in children with DS/T21.

Read the detailed description

It's a cross-sectional, monocenter, prospective, open-label, non-randomized case control study to collect saliva and serum samples as part of the patient's routine care in oral medicine department to form a biological collection.

Patients will be recruited in the oral medicine department of AP-HP Charles Foix hospital (Ivry/Seine) by periodontists in 2 groups (CASES: Group 1 for children with DS/T21 divided into 2 subgroups according the periodontal health, and CONTROLS: Group 2 divided into 4 subgroups according to the systemic and periodontal health) Inclusion period is 12 months. There is no specific follow-up due to the research.

Assessment criteria:

  • Primary criteria: Neutrophil subtypes analysis based on co-expression of neutrophil function markers from a panel of 24 markers by flow cytometry.
  • Secondary criteria: assessment of neutrophil sub-types present in the patient's saliva and study of the correlation within blood neutrophils, during periodontal health, gingivitis and periodontitis.
03

Conditions studied

  • Periodontitis
  • Trisomy 21

Keywords

  • Down syndrome
  • Trisomy 21
  • psychomotor retardation
  • gingivitis
  • periodontitis
  • neutrophils
  • biological collection
04

Who can participate

Ages eligible
3 Years to 12 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

Common to all groups:

  • Age: 3 to 12
  • Patient affiliated to a social security program, beneficiary not covered by the AME.
  • Legal representatives who speak and understand French well enough to be able to read and understand the study information.
  • Legal representatives giving written consent for their child's participation in the study.

Specific:

Case Group:

  • Trisomy 21 patient with gingival inflammation (subgroup 1)
  • Trisomy 21 patient with healthy gingiva on intact periodontium with no history of periodontitis (subgroup 2)

Control Group: child meeting one of these criteria:

  • Patient with psychomotor retardation with no known repercussions on the orofacial sphere or immunity, presenting gingival inflammation (subgroup 1)
  • Patients with psychomotor retardation and no known repercussions on orofacial health or immunity, presenting gingival health on intact periodontium with no history of gingival inflammation (subgroup 2).
  • Patients with no known general pathology and gingival inflammation (subgroup 3)
  • Patients with no known general pathology and healthy gingiva on intact periodontium with no history of gingival inflammation (subgroup 4)

Exclusion criteria

Exclusion Criteria:

Common to all groups:

  • Patient having received antibiotic prophylaxis, antibiotic therapy or anti-inflammatory treatment in the 3 months prior to inclusion
  • Patient included in another interventional research protocol or in a period of exclusion.
  • Patient on AME
  • Patients with a to the use of MEOPA:

    • Patients requiring pure oxygen ventilation
    • Intracranial hypertension
    • Unevaluated head trauma
    • New-onset, unexplained neurological abnormalities
    • Pneumothorax
    • Emphysema bubbles
    • Gas embolism
    • Diving accident
    • Abdominal gas distension, occlusion
    • Patient recently treated with ophthalmic gas (SF6, C3F8, C2F6)
    • Known, unsubstituted vitamin B12 deficiency

Specific to Trisomy 21 group:

  • Patient with no genetic diagnosis
Terms in these criteria, in plain language(1)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Child patient consulting the service

    * Trisomy 21 patient with gingival inflammation (subgroup 1) * Trisomy 21 patient with healthy gingiva on intact periodontium with no history of periodontitis (subgroup 2) * Patient with psychomotor retardation with no known repercussions on the orofacial sphere or immunity, presenting gingival inflammation (subgroup 1) * Patients with psychomotor retardation and no known repercussions on orofacial health or immunity, presenting gingival health on intact periodontium with no history of gingival inflammation (subgroup 2). * Patients with no known general pathology and gingival inflammation (subgroup 3) * Patients with no known general pathology and healthy gingiva on intact periodontium with no history of gingival inflammation (subgroup 4)

    Procedure: Biological sampling

Interventions

  • ProcedureBiological sampling

    - Saliva and blood sampling

06

What researchers measure

Primary outcomes

  1. Distinction of neutrophil subtypes according to co-expression of markers of neutrophil function among a panel of 24 markers by flow cytometry

    purification od neutrophils from blood and saliva Fixation Cell sorting using FACS on a panel of 24 markers

    Time frame: 1 year

Secondary outcomes

  1. Evaluation of neutrophil subtypes present in saliva and study of a correlation with blood neutrophils during periodontal health and periodontal inflammation (intra individual analysis)

    Correlation with previous results

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Data are available upon reasonable request : The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients. Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in respect for compliance with the applicable regulations.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Beginning 3 months and ending 3 years following article publication. Requests out of these time frame can also be submitted to the sponsor

Access criteria: Researchers who provide a methodologically sound proposal.

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 Apr 2025 (actual). Primary completion is estimated for Apr 2027, 24 months after the start.

Of 480 non-industry interventional studies with no phase under Periodontitis, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 31. This study's planned 24 months is above that.

Counting every sponsor, half of 494 studies reached it within 16 months; a quarter within 8 and three quarters within 31.

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

Registered
Jul 24, 2023
First posted
Aug 2, 2023
StartActual
Apr 30, 2025
Primary completionEst.
Apr 30, 2027
CompletionEst.
Apr 30, 2027
Last update
May 6, 2025
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 May 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05970965
Responsible party
Sponsor
First posted
Aug 2, 2023
Start date
Apr 30, 2025
Primary completion
Apr 30, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
May 6, 2025

Study contacts

Marjolaine Ms GOSSET, PU-PH
Contact
marjolaine.gosset@aphp.fr; marjolaine.gosset@u-paris.fr
0149594811
Anne Laure Ms BONNET, MCU-PH
Contact
anne-laure.bonnet@aphp.fr
0149594811
Marjolaine Ms GOSSET, PU-PH
principal investigator · APHP

Oversight

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

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