Trial Outcomes & Findings for Short-term Effect of 2% Atorvastatin Dentifrice in Periodontal Status. (NCT NCT01929135)

NCT ID: NCT01929135

Last Updated: 2014-07-28

Results Overview

PISA will be computed through an Excel spreadsheet, using data of clinical attachment level, gingival recession and bleeding on probing. Change in PISA: baseline measure minus 1 month later measure.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

38 participants

Primary outcome timeframe

baseline and 1 month later of intervention

Results posted on

2014-07-28

Participant Flow

The investigation was conducted at the Department of Periodontology of Universidad de Los Andes. Patients were enrolled in the study between June 2013 and August 2013, derived from the Health Care Center, Universidad de los Andes (San Bernardo, Santiago, Chile).

Participant milestones

Participant milestones
Measure
Atorvastatin Group
A group of 19 patients received non surgical periodontal therapy accompanied by instruction for oral hygiene, using a medicated 2% atorvastatin dentifrice 2 times a day for two minutes each time for a period of 30 days..
Placebo Group
A group of 19 patients received non surgical periodontal therapy accompanied by instruction for oral hygiene, using a non-medicated dentifrice as placebo 2 times a day for two minutes each time, for 30 days.
Overall Study
STARTED
19
19
Overall Study
COMPLETED
18
18
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Atorvastatin Group
A group of 19 patients received non surgical periodontal therapy accompanied by instruction for oral hygiene, using a medicated 2% atorvastatin dentifrice 2 times a day for two minutes each time for a period of 30 days..
Placebo Group
A group of 19 patients received non surgical periodontal therapy accompanied by instruction for oral hygiene, using a non-medicated dentifrice as placebo 2 times a day for two minutes each time, for 30 days.
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

Short-term Effect of 2% Atorvastatin Dentifrice in Periodontal Status.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Atorvastatin Group
n=18 Participants
A group of 19 patients received non surgical periodontal therapy accompanied by instruction for oral hygiene, using a medicated 2% atorvastatin dentifrice 2 times a day for two minutes each time for a period of 30 days.
Placebo Group
n=18 Participants
A group of 19 patients received non surgical periodontal therapy accompanied by instruction for oral hygiene, using a non-medicated dentifrice as placebo 2 times a day for two minutes each time, for 30 days.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
45.39 years
STANDARD_DEVIATION 9.07 • n=93 Participants
45.72 years
STANDARD_DEVIATION 9.08 • n=4 Participants
45.56 years
STANDARD_DEVIATION 8.95 • n=27 Participants
Sex: Female, Male
Female
14 Participants
n=93 Participants
11 Participants
n=4 Participants
25 Participants
n=27 Participants
Sex: Female, Male
Male
4 Participants
n=93 Participants
7 Participants
n=4 Participants
11 Participants
n=27 Participants
Diabetic
diabetic patients
3 participants
n=93 Participants
1 participants
n=4 Participants
4 participants
n=27 Participants
Diabetic
non-diabetic patients
15 participants
n=93 Participants
17 participants
n=4 Participants
32 participants
n=27 Participants
Smokers
smokers patients
5 participants
n=93 Participants
11 participants
n=4 Participants
16 participants
n=27 Participants
Smokers
non-smokers patients
13 participants
n=93 Participants
7 participants
n=4 Participants
20 participants
n=27 Participants
Probing depth
3.74 millimeters
STANDARD_DEVIATION 0.87 • n=93 Participants
2.80 millimeters
STANDARD_DEVIATION 0.86 • n=4 Participants
3.27 millimeters
STANDARD_DEVIATION 0.98 • n=27 Participants
Clinical attachment level
3.73 millimeters
STANDARD_DEVIATION 1.52 • n=93 Participants
2.52 millimeters
STANDARD_DEVIATION 0.90 • n=4 Participants
3.12 millimeters
STANDARD_DEVIATION 1.38 • n=27 Participants
Bleeding on probing
77.86 Percentage of probed sites with BOP
STANDARD_DEVIATION 18.12 • n=93 Participants
53.47 Percentage of probed sites with BOP
STANDARD_DEVIATION 17.77 • n=4 Participants
65.67 Percentage of probed sites with BOP
STANDARD_DEVIATION 21.59 • n=27 Participants
Recession
0.01 millimeters
STANDARD_DEVIATION 1.14 • n=93 Participants
0.28 millimeters
STANDARD_DEVIATION 0.94 • n=4 Participants
0.14 millimeters
STANDARD_DEVIATION 1.04 • n=27 Participants
Oral hygienic index
7.32 percent of surface without plaque
STANDARD_DEVIATION 16.85 • n=93 Participants
12.88 percent of surface without plaque
STANDARD_DEVIATION 18.01 • n=4 Participants
10.10 percent of surface without plaque
STANDARD_DEVIATION 17.42 • n=27 Participants
Gingival index
1.95 score on a scale
STANDARD_DEVIATION 0.31 • n=93 Participants
1.54 score on a scale
STANDARD_DEVIATION 0.21 • n=4 Participants
1.74 score on a scale
STANDARD_DEVIATION 0.33 • n=27 Participants
Periodontal inflamed surface area (PISA)
1093.18 square millimeters
STANDARD_DEVIATION 435.96 • n=93 Participants
814.82 square millimeters
STANDARD_DEVIATION 488.54 • n=4 Participants
954 square millimeters
STANDARD_DEVIATION 477.67 • n=27 Participants

PRIMARY outcome

Timeframe: baseline and 1 month later of intervention

PISA will be computed through an Excel spreadsheet, using data of clinical attachment level, gingival recession and bleeding on probing. Change in PISA: baseline measure minus 1 month later measure.

Outcome measures

Outcome measures
Measure
Atorvastatin Toothpaste
n=18 Participants
A group of 19 patients will receive the Atorvastatin 2% toothpaste. Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste 2 times a day for two minutes each time for a period of 30 days. Atorvastatin: Toothpaste with Atorvastatin 2% (20 mg per ml), brushing 1 minute 2 time a day, for 30 days.
Non Medicated Gel Toothpaste
n=18 Participants
A group of 19 patients will receive a toothpaste without the drug to act as a placebo.Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste that will be provided, 2 times a day for two minutes each time, for 30 days. Non medicated gel toothpaste: Normal gel toothpaste used as placebo, brushing 1 minute 2 time a day, for 30 days.
Change in Periodontal Inflammation Surface Area (PISA)
638.16 square millimeters
Standard Deviation 398.74
288.72 square millimeters
Standard Deviation 168.20

SECONDARY outcome

Timeframe: baseline and 1 month later

The PD will be defined as the distance from the free gingival margin to the bottom of the pocket. For each tooth will be conducted periodontal probing at 6 sites (mesiobuccal, mediobuccal, distobuccal, mesiolingual / palatal, mediolingual / palatal, distolingual/ palatal). Change in mean PD: baseline measure minus 1 month later measure.

Outcome measures

Outcome measures
Measure
Atorvastatin Toothpaste
n=18 Participants
A group of 19 patients will receive the Atorvastatin 2% toothpaste. Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste 2 times a day for two minutes each time for a period of 30 days. Atorvastatin: Toothpaste with Atorvastatin 2% (20 mg per ml), brushing 1 minute 2 time a day, for 30 days.
Non Medicated Gel Toothpaste
n=18 Participants
A group of 19 patients will receive a toothpaste without the drug to act as a placebo.Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste that will be provided, 2 times a day for two minutes each time, for 30 days. Non medicated gel toothpaste: Normal gel toothpaste used as placebo, brushing 1 minute 2 time a day, for 30 days.
Change in Mean Pocket Depth (PD)
1.29 millimeters
Standard Deviation 0.45
0.70 millimeters
Standard Deviation 0.53

SECONDARY outcome

Timeframe: baseline and 1 month after intervention

The Clinical Attachment Level (CAL) is defined as the distance from the cement-enamel junction to the fornix of the pocket. For each tooth will be performed periodontal probing at 6 sites (mesiobuccal, mediobuccal, distobuccal mesiolingual / palatal mediolingual / distolingual palatal / lingual). Change in CAL: baseline measure minus 1 month later measure.

Outcome measures

Outcome measures
Measure
Atorvastatin Toothpaste
n=18 Participants
A group of 19 patients will receive the Atorvastatin 2% toothpaste. Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste 2 times a day for two minutes each time for a period of 30 days. Atorvastatin: Toothpaste with Atorvastatin 2% (20 mg per ml), brushing 1 minute 2 time a day, for 30 days.
Non Medicated Gel Toothpaste
n=18 Participants
A group of 19 patients will receive a toothpaste without the drug to act as a placebo.Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste that will be provided, 2 times a day for two minutes each time, for 30 days. Non medicated gel toothpaste: Normal gel toothpaste used as placebo, brushing 1 minute 2 time a day, for 30 days.
Change in Clinical Attachment Level (CAL)
0.89 millimeters
Standard Deviation 0.33
0.49 millimeters
Standard Deviation 0.31

SECONDARY outcome

Timeframe: baseline and 1 month after intervention

The bleeding on probing index (BOP) will be determined by assigning + to the presence of bleeding on vestibular / palatine probing of the tooth examined and with a sign - the abscence. Later the + signs will be summed and divided by the number of sites examined. Change in BOP: baseline measure minus 1 month later measure.

Outcome measures

Outcome measures
Measure
Atorvastatin Toothpaste
n=18 Participants
A group of 19 patients will receive the Atorvastatin 2% toothpaste. Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste 2 times a day for two minutes each time for a period of 30 days. Atorvastatin: Toothpaste with Atorvastatin 2% (20 mg per ml), brushing 1 minute 2 time a day, for 30 days.
Non Medicated Gel Toothpaste
n=18 Participants
A group of 19 patients will receive a toothpaste without the drug to act as a placebo.Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste that will be provided, 2 times a day for two minutes each time, for 30 days. Non medicated gel toothpaste: Normal gel toothpaste used as placebo, brushing 1 minute 2 time a day, for 30 days.
Change in Bleeding on Probing Index (BOP)
64.42 percentage of BOP
Standard Deviation 18.08
28.56 percentage of BOP
Standard Deviation 15.56

SECONDARY outcome

Timeframe: baseline and 1 month after intervention

Determined as score assigned to each site evaluated respect to clinical criteria as followed: Score Criteria: 0\. No inflammation 1. Mild inflammation, slight change in color, slight edema, no bleeding on probing. 2. Moderate inflammation, moderate glazing, redness, bleeding on probing. 3. Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding. Then was calculated a score for each sextant summed the score and divided by the number of examined sites. Later was summed each sextant score and divided by sextant evaluated. The change was calculated as baseline measure minus 1 month later measure.

Outcome measures

Outcome measures
Measure
Atorvastatin Toothpaste
n=18 Participants
A group of 19 patients will receive the Atorvastatin 2% toothpaste. Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste 2 times a day for two minutes each time for a period of 30 days. Atorvastatin: Toothpaste with Atorvastatin 2% (20 mg per ml), brushing 1 minute 2 time a day, for 30 days.
Non Medicated Gel Toothpaste
n=18 Participants
A group of 19 patients will receive a toothpaste without the drug to act as a placebo.Therapy will be supplemented with oral hygiene instruction, indicating patients to brush with the toothpaste that will be provided, 2 times a day for two minutes each time, for 30 days. Non medicated gel toothpaste: Normal gel toothpaste used as placebo, brushing 1 minute 2 time a day, for 30 days.
Change in Gingival Index
1.04 score on a scale
Standard Deviation 0.54
0.54 score on a scale
Standard Deviation 0.42

Adverse Events

Atorvastatin Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dra. Catherine Andrade

Universidad de los Andes

Phone: 056-972862308

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place