Trial Outcomes & Findings for Two Different Antibiotic Agents to Treat Generalized Aggressive Periodontitis (NCT NCT02969928)

NCT ID: NCT02969928

Last Updated: 2021-12-28

Results Overview

Evaluate the difference between baseline and 6 months CAL measures.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

46 participants

Primary outcome timeframe

Baseline, 3 and 6 months

Results posted on

2021-12-28

Participant Flow

Participant milestones

Participant milestones
Measure
Amoxicillin and Metronidazole
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
Overall Study
STARTED
23
23
Overall Study
COMPLETED
23
23
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Two Different Antibiotic Agents to Treat Generalized Aggressive Periodontitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Amoxicillin and Metronidazole
n=23 Participants
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
n=23 Participants
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
Total
n=46 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
23 Participants
n=7 Participants
46 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
19 Participants
n=7 Participants
35 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Region of Enrollment
Brazil
23 participants
n=5 Participants
23 participants
n=7 Participants
46 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 3 and 6 months

Evaluate the difference between baseline and 6 months CAL measures.

Outcome measures

Outcome measures
Measure
Amoxicillin and Metronidazole
n=23 Participants
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
n=23 Participants
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
Change in Clinical Attachment Level (CAL)
Baseline
3.69 mm
Standard Deviation 0.7
3.62 mm
Standard Deviation 0.4
Change in Clinical Attachment Level (CAL)
3 months
2.4 mm
Standard Deviation 0.5
3 mm
Standard Deviation 0.4
Change in Clinical Attachment Level (CAL)
6 months
3 mm
Standard Deviation 0.5
3 mm
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months

Evaluate the difference between baseline and 6 months PB measures.

Outcome measures

Outcome measures
Measure
Amoxicillin and Metronidazole
n=23 Participants
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
n=23 Participants
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
Change in Probing Depth (PB)
Baseline
3.44 mm
Standard Deviation 0.6
3.41 mm
Standard Deviation 0.4
Change in Probing Depth (PB)
3 months
2.5 mm
Standard Deviation 0.3
2.7 mm
Standard Deviation 0.2
Change in Probing Depth (PB)
6 months
2.6 mm
Standard Deviation 0.3
2.7 mm
Standard Deviation 0.25

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months

Evaluate the difference between baseline and 6 months BoP measures.

Outcome measures

Outcome measures
Measure
Amoxicillin and Metronidazole
n=23 Participants
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
n=23 Participants
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
Change in Bleeding on Probe (BoP)
Baseline
53.4 % of sites with bleeding on probe
Standard Deviation 17.4
43.7 % of sites with bleeding on probe
Standard Deviation 8.3
Change in Bleeding on Probe (BoP)
3 months
30.2 % of sites with bleeding on probe
Standard Deviation 9.3
24.8 % of sites with bleeding on probe
Standard Deviation 9.8
Change in Bleeding on Probe (BoP)
6 months
27.3 % of sites with bleeding on probe
Standard Deviation 8.3
23.3 % of sites with bleeding on probe
Standard Deviation 9.3

OTHER_PRE_SPECIFIED outcome

Timeframe: One week post treatment

After 7 days of periodontal treatment, patients will be asked to return any medication not taken and/or the empty bottles. The number of pills not taken by the subject will be documented in order to evaluate compliance.

Outcome measures

Outcome measures
Measure
Amoxicillin and Metronidazole
n=23 Participants
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
n=23 Participants
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
Compliance
# of patients that did not take ≥1 pills
3 Participants
4 Participants
Compliance
# of patients that interrupted the drug intake
2 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: One week post treatment

Patients will be instructed to fill a self-report form about any possible adverse effects in order to help evaluate their adherence to the systemic antimicrobial regimen.

Outcome measures

Outcome measures
Measure
Amoxicillin and Metronidazole
n=23 Participants
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
n=23 Participants
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
Adverse Effects That May be Related to Antibiotic Treatment
Headache
1 Participants
2 Participants
Adverse Effects That May be Related to Antibiotic Treatment
Stomach pain
4 Participants
3 Participants
Adverse Effects That May be Related to Antibiotic Treatment
Nausea/vomiting
3 Participants
6 Participants
Adverse Effects That May be Related to Antibiotic Treatment
Metallic taste
7 Participants
13 Participants
Adverse Effects That May be Related to Antibiotic Treatment
Diarrhea/abdominal pain
3 Participants
3 Participants
Adverse Effects That May be Related to Antibiotic Treatment
Drowsiness
2 Participants
3 Participants
Adverse Effects That May be Related to Antibiotic Treatment
Itching
1 Participants
0 Participants
Adverse Effects That May be Related to Antibiotic Treatment
Skin wounds
0 Participants
0 Participants
Adverse Effects That May be Related to Antibiotic Treatment
None
5 Participants
5 Participants

Adverse Events

Amoxicillin and Metronidazole

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Clarithromycin

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Amoxicillin and Metronidazole
n=23 participants at risk
In this group (n = 23), patients will take Amoxicillin 500 mg tid for 7 days and Metronidazole 400 mg tid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Amoxicillin: Administration of Amoxicillin 500mg tid for 7 days. Metronidazole: Administration of Metronidazole 400mg tid for 7 days.
Clarithromycin
n=23 participants at risk
In this group (n = 23), patients will take Clarithromycin 500 mg bid for 7 days and full-mouth ultrasonic debridement will be performed to treat diseased sites. Full-mouth ultrasonic debridement: Full-mouth ultrasonic debridement will be performed in order to treat diseased sites Clarithromycin: Administration of Clarithromycin 500mg bid for 7 days
General disorders
Headache
4.3%
1/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
8.7%
2/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
Gastrointestinal disorders
Stomach pain
17.4%
4/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
13.0%
3/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
General disorders
Nausea/vomiting
13.0%
3/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
26.1%
6/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
General disorders
Metallic taste
30.4%
7/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
56.5%
13/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
Gastrointestinal disorders
Diarrhea/ abdominal pain
13.0%
3/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
13.0%
3/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
General disorders
Drowsiness
8.7%
2/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
13.0%
3/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
Skin and subcutaneous tissue disorders
Itching
4.3%
1/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
0.00%
0/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
Skin and subcutaneous tissue disorders
Skin wounds
0.00%
0/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.
0.00%
0/23 • during 7 days post-treatment
7 days after the therapy patients returned to fill out a self-report form about 8 possible adverse effects resulting from the antibiotic intake, based on Martys: Headache, Stomach pain, Nausea/vomiting, Metallic taste, Diarrhea/ abdominal pain, Drowsiness, Itching and Skin wounds.

Additional Information

Dr Mauro Pedrine Santamaria

São Paulo State University - Unesp

Phone: +5516981937777

Results disclosure agreements

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