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CTRI Number  CTRI/2022/08/044749 [Registered on: 18/08/2022] Trial Registered Prospectively
Last Modified On: 25/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Evaluation of the levels of immune response in teeth that have undergone cell death after placing simvastatin as an root canal medicine.  
Scientific Title of Study   Quantitative Assessment of Interleukin-6(IL-6) in Teeth with Pulpal Necrosis and Symptomatic Apical Periodontitis Following Placement of Simvastatin as an Intracanal Medicament- A Prospective Triple-Blind 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 Nikhil Harikrishnan 
Designation  Post Graduate Student 
Affiliation  SRM dental college 
Address  SRM Dental College Department of Conservative Dentistry and Endodontics 2nd Floor Bharathi Salai Ramapuram Chennai

Chennai
TAMIL NADU
600089
India 
Phone  9400430067  
Fax    
Email  nikhilmeloth@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kavitha Sanjeev 
Designation  Professor 
Affiliation  SRM Dental College 
Address  SRM Dental College Department of Conservative Dentistry and Endodontics 2nd Floor Bharathi Salai Ramapuram Chennai

Chennai
TAMIL NADU
600089
India 
Phone    
Fax    
Email  kavithasanjeev02@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ravikumar N 
Designation  Reader 
Affiliation  SRM Dental College 
Address  SRM Dental College Department of Conservative Dentistry and Endodontics 2nd Floor Bharathi Salai Ramapuram Chennai

Chennai
TAMIL NADU
600089
India 
Phone    
Fax    
Email  drravikumar19@gmail.com  
 
Source of Monetary or Material Support  
SRM Dental college , Ramapuram 
 
Primary Sponsor  
Name  SRM Dental College 
Address  SRM Dental College Department of Conservative Dentistry and Endodontics 2nd Floor Bharathi Salai Ramapuram Chennai 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nikhil Harikrishnan  SRM Dental College  SRM Dental College Department of Conservative Dentistry and Endodontics 2nd Floor Bharathi Salai Ramapuram Chennai
Chennai
TAMIL NADU 
9400430067

nikhilmeloth@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instituional Review Board  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K041||Necrosis of pulp,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Calcium hydroxide  1.2g/0.8ml Frequency/duration for 7 days 
Intervention  Simvastatin  1.2 g/ 100ml Frequency/Duration for 7days. 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA score 1
Healthy patients aged 16-60 years
patients diagnosed with pulpal necrosis and symptomatic apical periodontitis (PAI ≤2)
Single rooted teeth with single canal and closed apex
 
 
ExclusionCriteria 
Details  Patients under ASA 2-5 category.
Patients under any medication for a week.
Patients with periapical pathology (PAI score >2)
Teeth with cracks, vertical root fracture, internal & external resorption.
Multirooted teeth, Single rooted teeth with multiple canals.
Teeth with immature apex. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Quantification and comparison of
Interleukin-6 before and after
placement of simvastatin will show
decrease in its concentration 
Samples will be taken before and after biomechanics preparation and after 7 days of intracanal medication placement. 
 
Secondary Outcome  
Outcome  TimePoints 
Quantification and comparison of
Interleukin-6 before and after
placement of Calcium hydroxide will
show decrease in its concentration. 
Samples will be taken before and after biomechanics preparation and after 7 days of intracanal medication placement. 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="34" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   24/08/2022 
Date of Study Completion (India) 26/12/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="15" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
This study is a triple-blinded randomized controlled clinical trial aimed to compare and evaluate the levels of interleukin-6 in teeth with pulp necrosis and symptomatic apical periodontitis following placement of simvastatin as an intracanal medicament conducted in Chennai, India with the primary outcome measure being a 10% increased efficacy of simvastatin in reduction of Interleukin -6 levels compared to calcium hydroxide after a period of 7 days.
 
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