Evaluation of Melatonin and Metformin Loaded Nanoparticles in the Treatment of Periodontal Intra-bony Defects

NCT ID: NCT05906563

Last Updated: 2023-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-14

Study Completion Date

2024-06-30

Brief Summary

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The goal of this clinical trial is to assess the effectiveness of local delivery of melatonin and metformin loaded nanoparticle gel as adjunct to scaling and root planning (SRP) in the treatment of periodontal intra bony defect.

fifty two healthy patients(n=52) with at least one periodontal intra-bony defect will be included in the study, all selected patients will be motivated about the benefit of plaque control and periodontal treatment . The participant will be selected from outpatient clinic of the Department of Oral Medicine and Periodontology , Faculty of dentistry, Mansoura University . The participant will be classified into four groups :group I and II are test groups but group III and IV are control groups .Patients in group I will be treated with melatonin loaded nanoparticle gel while in group II will be treated with melatonin and metformin loaded nanoparticles which will be applied weekly for four weeks after SRP had been completed and group III will be treated with placebo gel while group IV will be treated with only scaling and root planning.

Detailed Description

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Conditions

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Bone Loss in Jaw

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
triple blinded study

Study Groups

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melatonin loaded nanoparticle (test group)

13 patients will be treated with melatonin loaded nanoparticle gel as adjunct to scaling and root planning .it will be applied once weekly for four weeks.

Group Type ACTIVE_COMPARATOR

Melatonin gel

Intervention Type DRUG

local application of Melatonin gel into the periodontal pocket using a syringe with a blunt cannula until the pocket will be completely filled. It will be applied once weekly for four weeks. After insertion of the local drug delivery system, the region will be secured with a periodontal pack

scaling and root planning

Intervention Type PROCEDURE

full mouth supra- and subgingival scaling and root planning will be performed, and all periodontitis patients will be treated with ultrasonic tips and Gracey curettes for meticulous removal of subgingival and supragingival plaque and calculus.

melatonin and metformin loaded nanoparticle (test group)

13 patients will be treated with melatonin and metformin loaded nanoparticle gel as adjunct to scaling and root planning .It will be applied once weekly for four weeks.

Group Type ACTIVE_COMPARATOR

Metformin and melatonin gel

Intervention Type DRUG

local application of Metformin and melatonin gel into the periodontal pocket using a syringe with a blunt cannula until the pocket will be completely filled. It will be applied once weekly for four weeks. After insertion of the local drug delivery system, the region will be secured with a periodontal pack

scaling and root planning

Intervention Type PROCEDURE

full mouth supra- and subgingival scaling and root planning will be performed, and all periodontitis patients will be treated with ultrasonic tips and Gracey curettes for meticulous removal of subgingival and supragingival plaque and calculus.

placebo gel (control group)

13 patients will be treated with placebo gel as adjunct to scaling and root planning .It will be applied once weekly for four weeks.

Group Type PLACEBO_COMPARATOR

placebo gel

Intervention Type DRUG

Local application of empty nanoparticles gel into the periodontal pocket using a syringe with a blunt cannula until the pocket will be completely filled. It will be applied once weekly for four weeks. After insertion of the local drug delivery system, the region will be secured with a periodontal pack.

scaling and root planning

Intervention Type PROCEDURE

full mouth supra- and subgingival scaling and root planning will be performed, and all periodontitis patients will be treated with ultrasonic tips and Gracey curettes for meticulous removal of subgingival and supragingival plaque and calculus.

no gel (control group)

13 patients will be treated with only scaling and root planning ..

Group Type OTHER

scaling and root planning

Intervention Type PROCEDURE

full mouth supra- and subgingival scaling and root planning will be performed, and all periodontitis patients will be treated with ultrasonic tips and Gracey curettes for meticulous removal of subgingival and supragingival plaque and calculus.

Interventions

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Melatonin gel

local application of Melatonin gel into the periodontal pocket using a syringe with a blunt cannula until the pocket will be completely filled. It will be applied once weekly for four weeks. After insertion of the local drug delivery system, the region will be secured with a periodontal pack

Intervention Type DRUG

Metformin and melatonin gel

local application of Metformin and melatonin gel into the periodontal pocket using a syringe with a blunt cannula until the pocket will be completely filled. It will be applied once weekly for four weeks. After insertion of the local drug delivery system, the region will be secured with a periodontal pack

Intervention Type DRUG

placebo gel

Local application of empty nanoparticles gel into the periodontal pocket using a syringe with a blunt cannula until the pocket will be completely filled. It will be applied once weekly for four weeks. After insertion of the local drug delivery system, the region will be secured with a periodontal pack.

Intervention Type DRUG

scaling and root planning

full mouth supra- and subgingival scaling and root planning will be performed, and all periodontitis patients will be treated with ultrasonic tips and Gracey curettes for meticulous removal of subgingival and supragingival plaque and calculus.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients with at least one intra-bony defect diagnosed clinically and radiographically

Exclusion Criteria

* Patients with systemic diseases.
* Pregnant and lactating females.
* Smokers and tobacco chewers.
* History of antibiotic and periodontal therapy in the last 3 months.
* Patients not compliant with oral hygiene procedures.
* Patients with a known or suspected allergy to the melatonin or metformin.
* Individuals on systemic drug affecting metabolic bone diseases and medically compromised patients.
Minimum Eligible Age

25 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Amira ragab

OTHER

Sponsor Role lead

Responsible Party

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Amira ragab

BDS, clinical demonstrator, Oral Medicine, Periodontology, Diagnosis and Oral Radiology Department

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Amira R AL-Agooz

Role: PRINCIPAL_INVESTIGATOR

Mansoura University, Faculty of Dentistry

Locations

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Amira R agab AL-agooz

Al Mansurah, Dakhlia, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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A06011122

Identifier Type: -

Identifier Source: org_study_id

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