Effect of Arestin-Enhanced SRP on Periodontal and Glycemic Outcomes in Diabetics

NCT ID: NCT07298057

Last Updated: 2025-12-22

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

NOT_YET_RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-15

Study Completion Date

2028-06-30

Brief Summary

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Periodontitis is a prevalent chronic inflammatory disease that exacerbates systemic inflammation and poses challenges for glycemic control in diabetic patients. While scaling and root planing (SRP) remains the cornerstone of periodontal therapy, adjunctive treatments such as Arestin (minocycline microspheres) have shown promise in enhancing clinical outcomes. This study aims to evaluate the impact of adding Arestin to SRP on periodontal pocket closure, glycemic control, and systemic inflammation in diabetic patients with periodontitis.

Detailed Description

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Conditions

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Periodontitis, Diabetes Mellitus Type 2

Keywords

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Scaling and Root Planing Arestin Diabetes Mellitus Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Test Group

Minocycline microspheres (Arestin®) / (4 mg per cartridge) prefilled delivery syringe / Arestin will be placed in the pocket only one time after scaling and root planing.

Group Type EXPERIMENTAL

local antibiotic application of topical minocycline

Intervention Type DRUG

Scaling and Root planing + local application of Arestin ( Minocycline microsphere)

Control Group

Scaling and Root Planing Alone

Group Type ACTIVE_COMPARATOR

Scaling and Root Planing

Intervention Type PROCEDURE

Only scaling and root planing

Interventions

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local antibiotic application of topical minocycline

Scaling and Root planing + local application of Arestin ( Minocycline microsphere)

Intervention Type DRUG

Scaling and Root Planing

Only scaling and root planing

Intervention Type PROCEDURE

Other Intervention Names

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Arestin Minocicline microsphere

Eligibility Criteria

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Inclusion Criteria

1. Adults (≥18 years) with type 2 diabetes mellitus (HbA1c ≥ 7.0% and ≤9.5%)
2. Diagnosed with moderate to severe periodontitis (≥5 mm probing pocket depth in at least 6 distinct interproximal sites, on different teeth)
3. At least 16 teeth present
4. No periodontal treatment in the last 6 months

Exclusion Criteria

1. Allergy to minocycline or tetracycline
2. Unable to receive or to tolerate local anesthesia
3. Unable to tolerate tooth instrumentation with ultrasonic instruments.
4. Require IV sedation to receive scaling and root planing
5. Use of antibiotics within the past 3 months
6. Pregnancy or breastfeeding
7. Morbid Obesity (BMI 40+)
8. Smokers or patients with poorly controlled systemic diseases other than diabetes
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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OraPharma

INDUSTRY

Sponsor Role collaborator

Case Western Reserve University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gian Pietro Schincaglia, DDS, PhD

Role: PRINCIPAL_INVESTIGATOR

Case Western Reserve University

Locations

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Case Western Reserve University

Cleveland, Ohio, United States

Site Status

Countries

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United States

Central Contacts

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Gian Pietro Schincaglia, DDS, PhD

Role: CONTACT

Phone: 216-368-4412

Email: [email protected]

Facility Contacts

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Gian Pietro Schincaglia, DDS, PhD

Role: primary

References

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Skaleric U, Schara R, Medvescek M, Hanlon A, Doherty F, Lessem J. Periodontal treatment by Arestin and its effects on glycemic control in type 1 diabetes patients. J Int Acad Periodontol. 2004 Oct;6(4 Suppl):160-5.

Reference Type RESULT
PMID: 15536785 (View on PubMed)

Simpson TC, Clarkson JE, Worthington HV, MacDonald L, Weldon JC, Needleman I, Iheozor-Ejiofor Z, Wild SH, Qureshi A, Walker A, Patel VA, Boyers D, Twigg J. Treatment of periodontitis for glycaemic control in people with diabetes mellitus. Cochrane Database Syst Rev. 2022 Apr 14;4(4):CD004714. doi: 10.1002/14651858.CD004714.pub4.

Reference Type RESULT
PMID: 35420698 (View on PubMed)

Preshaw PM, Alba AL, Herrera D, Jepsen S, Konstantinidis A, Makrilakis K, Taylor R. Periodontitis and diabetes: a two-way relationship. Diabetologia. 2012 Jan;55(1):21-31. doi: 10.1007/s00125-011-2342-y. Epub 2011 Nov 6.

Reference Type RESULT
PMID: 22057194 (View on PubMed)

Other Identifiers

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STUDY20250753

Identifier Type: -

Identifier Source: org_study_id