| CTRI Number |
CTRI/2024/07/070040 [Registered on: 05/07/2024] Trial Registered Prospectively |
| Last Modified On: |
04/07/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Case Control Study |
| Study Design |
Other |
|
Public Title of Study
|
Examination of saliva and Blood components substances in patient with gum diseases along with heart disease |
|
Scientific Title of Study
|
Evaluation Of Serum and Salivary Mitofusin-1 and Mitofusin-2 and its Association with Periodontal Diseases and Atherosclerotic Cardiovascular Diseases |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Kaviyapriya |
| Designation |
Post Graduate |
| Affiliation |
SRM Dental College |
| Address |
Department Of Periodontics
SRM Dental college
Bharathi Salai
Ramapuram
Chennai
Chennai TAMIL NADU 600089 India |
| Phone |
8056956543 |
| Fax |
|
| Email |
kvpriya888@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Priyanka |
| Designation |
Associate Professor |
| Affiliation |
SRM Dental College |
| Address |
Department Of Periodontics
SRM Dental college
Bharathi Salai
Ramapuram
Chennai
Chennai TAMIL NADU 600089 India |
| Phone |
9840771507 |
| Fax |
|
| Email |
priyankacholan@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Priyanka |
| Designation |
Associate Professor |
| Affiliation |
SRM Dental College |
| Address |
Department Of Periodontics
SRM Dental college
Bharathi Salai
Ramapuram
Chennai
TAMIL NADU 600089 India |
| Phone |
9840771507 |
| Fax |
|
| Email |
priyankacholan@gmail.com |
|
|
Source of Monetary or Material Support
|
| Department Of Periodontics
3RD Floor post Graduate Clinic
SRM Dental College and Hospitals
Bharathi salai
Ramapuram
Chennai 600089
Tamilnadu |
|
|
Primary Sponsor
|
| Name |
Kaviyapriya.A |
| Address |
Department Of Periodontics
SRM Dental College
Bharathi Salai
Ramapuram
Chennai 600089 |
| Type of Sponsor |
Other [Self Funded] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Priyankacholan |
SRM Dental College And Hospitals |
Department Of Periodontics
3rd Floor
Post Graduate Clinic
Bharathi salai
Ramapuram
Chennai 600089
Chennai TAMIL NADU |
9840771507
priyankacholan@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICAL COMMITTEE AND REVIEW BOARD SRM DENTAL COLLEGE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Systemically Healthy Subjects With Clinically Healthy Gingiva |
| Patients |
(1) ICD-10 Condition: K053||Chronic periodontitis, (2) ICD-10 Condition: I219||Acute myocardial infarction, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
NIL |
NIL |
|
|
Inclusion Criteria
|
| Age From |
35.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
Inclusion criteria for healthy individuals:
Based on the classification system introduced by Kornman and Tonetti et al, 2018.
1. Pristine periodontal health:
· No bleeding on probing.
· Normal gingival sulcus depth.
· Normal bone heights.
· Controlled modifying factors.
· Controlled predisposing factors.
2.Clinical periodontal health (intact periodontium):
· No or minimal bleeding on probing.
· Normal gingival sulcus depth.
· Normal bone heights.
· Controlled modifying factors.
· Controlled predisposing factors.
IInclusion criteria for Stage III/IV Periodontitis:
Based on the classification system introduced by Kornman and Tonetti et al, 2018.
1.Stage III:
• Interdental clinical attachment loss at site of greatest loss ≥ 5mm.
• Radiographic bone loss extending to middle or apical third of root
• Tooth loss due to periodontitis ≤ 4 teeth.
• Probing depth ≥ 6mm.
• Extent: Greater than 30% of teeth involved (Generalized)
2.Stage IV:
• Interdental clinical attachment loss at site of greatest loss ≥ 5mm.
• Radiographic bone loss extending to middle or apical third of root
• Tooth loss due to periodontitis ≥ 5 teeth.
• Extent: Greater than 30% of teeth involved (Generalized)
Atherosclerosis in this study is defined as an event of Acute Myocardial Infarction, Acute coronary syndrome, patients with defined coronary artery disease (Coronary angiography) and patients post bypass and post stenting. Patients with aortic aneurysms (pathogenesis –atherosclerosis)
Inclusion criteria for cardiovascular patients:
1.History of angina and not consuming lipid lowering drugs(statins)
2.Borderline high to high lipid profile inclusive of total cholesterol, Triglycerides and LDL (As per NCEP-ATP III classification)
a. Total cholesterol level above 200 mg/dL
b. Triglycerides above 150 mg/dL
c.HDL above 60 mg/dL
d.LDL above 130mg/dL
|
|
| ExclusionCriteria |
| Details |
1. Patients with immunodeficiency disorders.
2. Patients with other systemic inflammatory conditions like sepsis, pneumonia, pleural effusion, intra-abdominal infections, inflammatory bowel disorders, inflammatory rheumatoid disorders, chronic kidney disease, Diabetes, cancers, COPD, asthma, HIV and hepatitis will be excluded from the study.
3. History of periodontal treatment within the last 6 months.
4. History of antibiotic therapy in the past 3 months.
5. Subjects who are not willing to participate in the study. |
|
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Method of Generating Random Sequence
|
|
|
Method of Concealment
|
|
|
Blinding/Masking
|
|
|
Primary Outcome
|
| Outcome |
TimePoints |
To correlate the ability of Mitofusin-1 and Mitofusin-2 as a potential common Serum and Salivary biomarker for stage III/IV Periodontitis and risk of developing Atherosclerotic cardiovascular disease
|
Baseline
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="76" Sample Size from India="76"
Final Enrollment numbers achieved (Total)= "76"
Final Enrollment numbers achieved (India)="76" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
05/08/2024 |
| Date of Study Completion (India) |
05/08/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
In Periodontal diseases, mitochondrial dynamics are influenced in several ways such as reduced energy production and increased production of Reactive oxygen species(ROS) Dysregulated mitochondrial dynamics also affect the apoptosis of host cells and immune cells, impacting the overall homeostasis in the periodontal dysbiotic environment And In atherosclerosis, Mitochondrial dysfunction influenced in increased ROS production and oxidative damage. Disrupted mitochondrial dynamics in endothelial cells impair nitric oxide bioavailability, worsening endothelial dysfunction, a critical early event in early plaque formation.Mitochondrial dynamics are influencing in regulation of inflammation and plays a crucial role in both periodontal and cardiovascular diseases. Dysfunctional mitochondrial dynamics can lead to increased oxidative stress and inflammation, which are key drivers in the pathogenesis of both diseases .Mitochondrial dysfunction is linked to Mitofusin proteins, namely Mitofusin-1 and Mitofusin-2. Modulating mitochondrial fusion through these proteins may influence the release of inflammatory mediators Alterations in the levels of Mitofusin-1 and Mitofusin-2 could impact cellular susceptibility to apoptosis, potentially affecting overall tissue integrity in both periodontitis and cardiovascular diseases.Hence , we aim to assess, compare and correlate the ability of MFN1 & MFN2 as a potential common Serum and Salivary biomarker for stage III/IV Periodontitis and risk of developing Atherosclerotic cardiovascular diseases. |