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CTRI Number  CTRI/2020/02/023138 [Registered on: 05/02/2020] Trial Registered Prospectively
Last Modified On: 22/01/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Outcomes of non surgical gum therapy in men with infertility 
Scientific Title of Study   Effect of non-surgical periodontal therapy among men diagnosed with infertility - A Randomized controlled clinical trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manikandan N 
Designation  Post Graduate Student 
Affiliation  Manipal College of Dental Sciences,Manipal Manipal 
Address  Room no 3 Department of periodontology MCODS Manipal

Udupi
KARNATAKA
576104
India 
Phone  8682891009  
Fax    
Email  n.manee11@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jothi M Varghese 
Designation  Associate Professor 
Affiliation  Manipal college of Dental sciences,Manipal 
Address  Room no 3 Department of periodontology MCODS Manipal

Udupi
KARNATAKA
576104
India 
Phone  9845208532  
Fax    
Email  jothi.v@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Jothi M Varghese 
Designation  Associate Professor 
Affiliation  Manipal college of Dental sciences,Manipal 
Address  Room no 3 Department of periodontology MCODS Manipal

Udupi
KARNATAKA
576104
India 
Phone  9845208532  
Fax    
Email  jothi.v@manipal.edu  
 
Source of Monetary or Material Support  
Self Funded. Dr Manikandan N Department of Periodontology MCODS,Manipal  
 
Primary Sponsor  
Name  Dr Manikandan N 
Address  Room no 3 Department of Periodontology MCODS,Manipal 
Type of Sponsor  Other [Self funded] 
 
Details of Secondary Sponsor  
Name  Address 
Manipal University  Manipal University,Manipal 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manikandan N  KMC,Manipal  Department of Urology
Udupi
KARNATAKA 
8682891009

n.manee11@gmail.com 
Dr Manikandan N  Manipal college of dental sciences  Room no: 3 Department of Periodontology
Udupi
KARNATAKA 
8682891009

n.manee11@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N469||Male infertility, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Non surgical therapeutic intervention  Patients will be receiving scaling and root planing and to find the effect on patients with infertility using biomarker level,antioxidant and clinical parameters 
Comparator Agent  Oral hygiene instructions  Patients will be receiving oral hygiene instructions and to find the effect on patients with infertility using biomarker level,antioxidant and clinical parameters. 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  45.00 Year(s)
Gender  Male 
Details  Male patients diagnosed with infertility
Diagnosed with gingivitis or periodontitis
Devoid of oral infections/diseases
Patients who are systemically healthy
Patients having grade I and II variocele
 
 
ExclusionCriteria 
Details  Family history of infertility
History of periodontal therapy within 3 months
Exposure to antibiotics within preceeding 6 months
Patients with azoospermia
Consumption of alcohol or smoking
Patients having testicular abnormalities 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The effect of non-surgical periodontal therapy in men with male factor infertility will be evaluated by assessing the change in biochemical,andrological and clinical parameters.  Baseline,3 months 
 
Secondary Outcome  
Outcome  TimePoints 
By the result of primary outcome,patients will understand the link between oral health and systemic conditions and this awarness will help the patients maintaining their oral health
 
Baseline, 3months 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   10/02/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

 This study is a randomized,parallel group,prospective design .Male patients visiting the department of Urology KMC Manipal, diagnosed with male factor infertility (MFI), As per the assesment by andrological parameters like sperm cell (concentration, motility, morphology) and these patients will be considered as the potential participants in this trial. The subjects will undergo oral examination and those matching the inclusion criteria will be included in this study. The subjects voluntarily willing to participate will be explained about the details of the study and an informed consent will be obtained. Following which the patients will be randomly allocated into two groups. Randomization will be done using block randomization with a block size of 4 samples with an allocation ratio of 1:1. Randomization will be done manually by using sequentially numbered opaque envelopes for treatment allocation into 9 blocks with each block containing 4 codes of samples. All patients will receive the standard therapy for infertility as per the protocol of department of urology.  Group 1 Treatment group (TG) and Group 2 control group (CG) will be based on the periodontal non- surgical therapeutic intervention or only oral hygiene instructions. For every patient detailed case history and periodontal parameters - Plaque index (Silness&Loe1964), Gingival index (Loe&Silness1963), Periodontal Probing Depth (PPD), Clinical Attachment Level (CAL) will be charted on a standard proforma. Additional investigation will involve analysis of salivary biomarker level (IL-1β) and antioxidant (Thiol) two ml of unstimulated saliva will be collected by asking the patient to sit in coachman’s position. Sample will be collected in Eppendorf tubes and refrigerate at -800c till further examination. Semen samples collected from the participants will be used for examining the biomarker levels of IL- 1ẞ and Thiol.

In treatment group (TG), patients will be receiving scaling and/ or root planing depending on the periodontal status i.e. Gingivitis and/or Periodontitis along with oral hygiene instructions.

 In control group (CG), patients will be given only oral hygiene instructions.

 
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