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Not yet recruitingNCT07357155Updated Oct 8, 2026

Oral and Salivary Biomarkers Associated With Stroke

An observational study in Stroke, sponsored by University Hospital Center (CHU) of Constantine, Algeria. Not yet recruiting at 2 sites in Algeria. Open to participants aged 18 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by University Hospital Center (CHU) of Constantine, Algeria · Observational

Updated Oct 8, 2026Start date movedPrimary completion moved+2 moreGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
120
Ages
18 Years to 90 Years
Sex
All
01

Study summary

This observational study aims to investigate associations between oral and salivary biomarkers and stroke. Adults with stroke and healthy controls will undergo clinical oral assessment and unstimulated saliva collection. Salivary inflammatory biomarkers and oral bacterial profiles will be analyzed, including detection of Streptococcus mutans and the cnm gene by PCR/qPCR. The study will explore associations between these biomarkers and stroke status.

Read the detailed description

Stroke is a major cause of morbidity and mortality worldwide. Growing evidence suggests that oral health, oral bacterial profiles, and salivary biomarkers may be associated with systemic inflammatory and vascular conditions.

This observational case-control study is designed to evaluate associations between oral clinical findings, salivary inflammatory biomarkers, oral bacterial profiles, and stroke. Adults with a confirmed diagnosis of ischemic or hemorrhagic stroke and healthy controls will be enrolled. Data collection will include demographic and medical information, oral examination findings, and unstimulated saliva samples.

Salivary samples will be analyzed for inflammatory and biochemical biomarkers and oral bacterial DNA. Molecular analysis will include detection of Streptococcus mutans and the cnm gene using PCR/qPCR. The prevalence of Cnm-positive Streptococcus mutans will be compared between stroke patients and healthy controls and explored in relation to cerebrovascular characteristics.

Stroke patients will be prospectively followed for 90 days after the index stroke. Functional outcome at 90 days will be assessed using the modified Rankin Scale (mRS). Associations between baseline oral and salivary biomarkers, including Cnm-positive Streptococcus mutans status, and 90-day functional outcome will be explored.

This study is observational and involves no therapeutic or experimental intervention.

Study Team: This study is led by Dr. Abdeldjalil Zitouni (Principal Investigator) in collaboration with:

Prof. Fekraoui Boubakeur seddik, Head of the Department of Neurology, Prof. Serradj Fatima, Assistant Professor of Neurology, and Dr. Boutbiba Ikrame, Assistant of Neurology, at the University Hospital Center (CHU) of Constantine, Algeria.

02

Conditions studied

  • Stroke

Keywords

  • Stroke
  • Oral health
  • Salivary biomarkers
  • Cerebrovascular disease
  • Observational study
  • Streptococcus mutans
  • Cnm-positive Streptococcus mutans
  • Cnm gene
  • Oral microbiota
03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's planned enrollment of 120 is below the median of 152 across 1,968 observational studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

This is the only study on the registry with University Hospital Center (CHU) of Constantine, Algeria as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients will be recruited from multiple regions within Algeria, reflecting a diverse national population.

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

  • Adults aged 18 to 90 years.
  • Patients diagnosed with stroke (ischemic or hemorrhagic) confirmed by clinical and imaging criteria for the stroke group.
  • Healthy volunteers without a history of stroke or cerebrovascular disease for the control group.
  • Ability to provide written .

Exclusion criteria

Exclusion Criteria:

  • inflammatory disease at the time of sampling.
  • Chronic or malignant disease.
  • Recent major surgery or trauma within the last 3 months.
  • Pregnancy or breastfeeding.
  • Inability or refusal to provide saliva samples.
Terms in these criteria, in plain language(2)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
120 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Stroke group

    Patients diagnosed with stroke.

  • Healthy control group

    Healthy participants without a history of stroke.

06

What researchers measure

Primary outcomes

  1. Differences in salivary inflammatory biomarker profiles between stroke patients and healthy controls.

    Assessment of salivary inflammatory and neuroendocrine biomarkers, including salivary cortisol and selected inflammatory cytokines (e.g., IL-6 and/or hs-CRP), to identify biomarker patterns associated with stroke.

    Time frame: Single time-point assessment at enrollment

Secondary outcomes

  1. Exploratory association between oral microbiota profiles and stroke status

    Exploratory analysis of the association between oral microbiota profiles and stroke status using saliva or oral swab samples. The analysis aims to identify bacterial profiles potentially associated with stroke and oral-systemic interactions.

    Time frame: Single time-point assessment at enrollment

  2. Association between salivary Cnm-positive Streptococcus mutans and stroke status

    Detection of Streptococcus mutans and the cnm gene in unstimulated saliva using PCR/qPCR. The prevalence of Cnm-positive Streptococcus mutans will be compared between stroke patients and healthy controls to evaluate its association with stroke status.

    Time frame: Single time-point assessment at enrollment

  3. Functional outcome at 90 days after stroke

    Functional outcome will be assessed at 90 days after stroke using the modified Rankin Scale (mRS). The association between baseline oral and salivary biomarkers, including Cnm-positive Streptococcus mutans status, and 90-day functional outcome will be explored.

    Time frame: 90 days after stroke

07

Study locations

2 sites
  • Private Dental Clinic, Constantine
    Constantine, 25000, Algeria
  • University Hospital Center (CHU) of Constantine
    Constantine, 25017, Algeria
08

References and documents

Publications

  • Miyatani F, et al. Collagen-binding activity of Streptococcus mutans and cerebral microbleeds. Stroke. 2015.

Individual participant data

Plan to share: No — Individual participant data will not be shared due to privacy and confidentiality considerations.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added
Show site
  • University Hospital Center (CHU) of Constantine · Constantine, Algeria
Oct 8, 2026
Start date
Mar 20, 2026→Dec 20, 2026
Oct 8, 2026
Primary completion
Dec 2026→Jun 2027
Oct 8, 2026
Study completion
Dec 2026→Sep 2027
Oct 8, 2026
Secondary outcomes
2 added
What changed in the outcomes
  • AddedAssociation between salivary Cnm-positive Streptococcus mutans and stroke statusTime frame: Single time-point assessment at enrollment
  • AddedFunctional outcome at 90 days after strokeTime frame: 90 days after stroke
Oct 8, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Private Dental Clinic, Constantine · Constantine, AlgeriaContact removed d•••@yahoo.fr · •••0202
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    1 site added
    Show site
    • University Hospital Center (CHU) of Constantine · Constantine, Algeria
    Start date Mar 20, 2026→Dec 20, 2026
    Primary completion Dec 2026→Jun 2027
    Study completion Dec 2026→Sep 2027
    Secondary outcomes 2 added
    What changed in the outcomes
    • AddedAssociation between salivary Cnm-positive Streptococcus mutans and stroke statusTime frame: Single time-point assessment at enrollment
    • AddedFunctional outcome at 90 days after strokeTime frame: 90 days after stroke
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Private Dental Clinic, Constantine · Constantine, AlgeriaContact removed d•••@yahoo.fr · •••0202
    + 4 other changes: verification date, description, conditions and design details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07357155
Lead sponsor
University Hospital Center (CHU) of Constantine, Algeria
Responsible party
Abdeldjalil ZITOUNI (Principal Investigator, University Hospital Center (CHU) of Constantine, Algeria) — Principal investigator
First posted
Jan 21, 2026
Start date
Dec 20, 2026 (estimated)
Primary completion
Jun 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Oct 8, 2026

Study contacts

Abdeldjalil Zitouni, DDS
Contact
djalil007_dz@yahoo.fr
+213550400202
Abdeldjalil Zitouni, DDS
principal investigator · Independent Researcher, Constantine, Algeria

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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