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Cymbopogon Citratus Gel as Local Drug Delivery Agent in Reducing Matrix Metalloproteinase-8 Levels Intra-crevicularly in the Treatment of Stage II Periodontitis

Primary Purpose

Periodontitis Chronic Generalized Moderate

Status
Completed
Phase
Phase 4
Locations
Egypt
Study Type
Interventional
Intervention
Cymbopogon citratus (lemongrass) oil gel
Sponsored by
Souzy Kamal
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Periodontitis Chronic Generalized Moderate

Eligibility Criteria

25 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • systemically healthy individuals of both sexes having moderate periodontitis (stage II), CAL 3-4mm, with an age ranging from 25 to 45 years old.
  • patients with no history of previous periodontal therapy or taken any antibiotic therapy for the past six months

Exclusion Criteria:

  • history of smoking, previous adverse reaction to the products (or similar products) used in this study, grade C category that has rapid rate of progression, and pregnant or lactating women

Sites / Locations

  • department of periodontology. Faculty of dentistry. Alexandria University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Group I (test)

Group II (control)

Arm Description

included twenty patients treated with SRP and intrapocket application of 2% lemongrass oil gel.

included twenty treated with SRP and intrapocket application of placebo gel.

Outcomes

Primary Outcome Measures

Change in periodontal pocket depth
the distance between the gingival margin and depth of probing
Change in clinical attachment loss
the distance between the CEJ and depth of probing
Change in Matrix metalloproteinase-8 level
Human Matrix metalloproteinase-8 level intracrevicularlly by collection of crevicular fluid sample

Secondary Outcome Measures

Full Information

First Posted
January 27, 2022
Last Updated
February 5, 2022
Sponsor
Souzy Kamal
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1. Study Identification

Unique Protocol Identification Number
NCT05241509
Brief Title
Cymbopogon Citratus Gel as Local Drug Delivery Agent in Reducing Matrix Metalloproteinase-8 Levels Intra-crevicularly in the Treatment of Stage II Periodontitis
Official Title
Biochemical Efficacy of Cymbopogon Citratus Gel as Local Drug Delivery Agent in Reducing Matrix Metalloproteinase-8 Levels Intra-crevicularly in the Treatment of Stage II Periodontitis: A Randomized Controlled Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
July 6, 2019 (Actual)
Primary Completion Date
December 14, 2020 (Actual)
Study Completion Date
December 4, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Souzy Kamal

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

Brief Summary
Background: Phytotherapeutics is widely used nowadays as an adjunct to scaling and root planing (SRP) to modulate inflammatory host response and eradicate microbes. Matrix metalloproteinase-8 (MMP-8) is associated with the onset of inflammation and considered an indicative biomarker to the severity of inflammatory response. Since MMP-8 can be used as a predictive biomarker for treatment response; our research aimed to investigate clinically the effectiveness of intra-pocket application of Cymbopogon citratus (lemongrass oil) gel and biochemically on MMP-8 levels in gingival crevicular fluid (GCF) of stage II periodontitis patients. Methods: A randomized controlled clinical trial was conducted on forty patients with stage II periodontitis, divided equally into two groups. Group-I (test) was managed by SRP with intra-pocket application of 2% lemongrass oil gel. Group-II (control) was managed by SRP with intra-pocket application of a placebo gel. Periodontal pocket depth (PPD) and clinical attachment loss (CAL) were measured for both groups, before treatment and twelve weeks after. Moreover, GCF was collected from both groups at baseline, one week, and twelve weeks after treatment. Then analysed by Enzyme-linked Assay (ELISA) technique.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Periodontitis Chronic Generalized Moderate

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group I (test)
Arm Type
Experimental
Arm Description
included twenty patients treated with SRP and intrapocket application of 2% lemongrass oil gel.
Arm Title
Group II (control)
Arm Type
Placebo Comparator
Arm Description
included twenty treated with SRP and intrapocket application of placebo gel.
Intervention Type
Drug
Intervention Name(s)
Cymbopogon citratus (lemongrass) oil gel
Intervention Description
Biochemical Efficacy of Cymbopogon Citratus Gel as Local Drug Delivery Agent in Reducing Matrix Metalloproteinase-8 Levels Intra-crevicularly in the Treatment of Stage II Periodontitis
Primary Outcome Measure Information:
Title
Change in periodontal pocket depth
Description
the distance between the gingival margin and depth of probing
Time Frame
baseline and after 12 weeks
Title
Change in clinical attachment loss
Description
the distance between the CEJ and depth of probing
Time Frame
baseline and after 12 weeks
Title
Change in Matrix metalloproteinase-8 level
Description
Human Matrix metalloproteinase-8 level intracrevicularlly by collection of crevicular fluid sample
Time Frame
baseline and after 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: systemically healthy individuals of both sexes having moderate periodontitis (stage II), CAL 3-4mm, with an age ranging from 25 to 45 years old. patients with no history of previous periodontal therapy or taken any antibiotic therapy for the past six months Exclusion Criteria: history of smoking, previous adverse reaction to the products (or similar products) used in this study, grade C category that has rapid rate of progression, and pregnant or lactating women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Souzy K. Anwar, Ph.D
Organizational Affiliation
periodontology department. Faculty of dentistry. Alexandria university
Official's Role
Principal Investigator
Facility Information:
Facility Name
department of periodontology. Faculty of dentistry. Alexandria University
City
Alexandria
ZIP/Postal Code
21521
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
all IPD that underlie results in a publication

Learn more about this trial

Cymbopogon Citratus Gel as Local Drug Delivery Agent in Reducing Matrix Metalloproteinase-8 Levels Intra-crevicularly in the Treatment of Stage II Periodontitis

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