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Trial registered on ANZCTR
Registration number
ACTRN12610000817044
Ethics application status
Approved
Date submitted
28/09/2010
Date registered
30/09/2010
Date last updated
17/02/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Associations between periodontal disease and cardiovascular surrogate endpoints in an adult Indigenous population
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Scientific title
Associations between periodontal disease and cardiovascular surrogate endpoints following periodontal treatment in an adult Indigenous population with moderate/severe periodontal disease
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Secondary ID [1]
252782
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n/a
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cardiovascular surrogate endpoints
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periodontal disease
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Condition category
Condition code
Oral and Gastrointestinal
252350
252350
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cardiovascular
258492
258492
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The periodontal intervention involves periodontal therapy ie scaling and root planing of a participant's teeth and gums. It occurs at baseline and takes around half an hour to an hour. A registered dental hygienest provides the care.
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Intervention code [1]
241519
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Treatment: Other
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Intervention code [2]
257300
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Prevention
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Comparator / control treatment
The usual course of care, which in this case is no care. Periodontal services are not provided in the general course of care remit of publicly funded dental services who provide dental care to Aboriginal populations.
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Control group
Active
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Outcomes
Primary outcome [1]
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Carotid Intima-Media Thickness (CIMT). Measured using carotid ultrasound
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Assessment method [1]
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Timepoint [1]
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3- and 12- months following periodontal intervention
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Primary outcome [2]
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Pulse Wave Velocity (PWV)...measured using echocardiogram (ECG)
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Assessment method [2]
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0
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Timepoint [2]
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3- and 12- months following periodontal intervention
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Secondary outcome [1]
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C-Reactive Protein (CRP), measured by plasma assays Interleukin-6 (IL-6), measured by plasma assays
asymmetrical dimethylarginine (ADMA), measured by plasma assays
plasma glucose, measured by plasma assays
high-/low-density and total cholesterol, measured by plasma assays
glucosylated hemoglobin (HbA1c), measured by plasma assays
blood pressure, measured by automatic sphygmomanometer
body mass index, measured by height and weight
waist-hip ratio, measured directly
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Assessment method [1]
262175
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Timepoint [1]
262175
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3- and 12- months following periodontal intervention
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Eligibility
Key inclusion criteria
Indigenous persons aged 25+ years that have lived in their current location for 2+ years, and who plan to live at their current location for the next 2 years, with moderate/severe periodontal disease
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Minimum age
25
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Those with rheumatic heart disease history or other cardiac conditions requiring antibiotic prophylaxis for prevention of subacute bacterial endocarditis, or with obvious endodontic lesions or other sources of oral infection.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants enrolled through community consultation and screening procedures.
Random allocation to intervention or control group occurs through central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer algorithm
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Other
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Other design features
Delayed intervention design; all participants ultimate receive the benefits of the intervention.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/06/2010
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Actual
2/06/2010
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Date of last participant enrolment
Anticipated
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Actual
10/01/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NT
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Adelaide
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Address
122 Frome St
Adelaide
SA 5005
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
251345
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Address [1]
251345
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Country [1]
251345
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259790
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University of Adelaide Human Research Ethics Committee
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Ethics committee address [1]
259790
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Research Branch Research Ethics and Compliance Unit University of Adelaide SA 5005
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Ethics committee country [1]
259790
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Australia
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Date submitted for ethics approval [1]
259790
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Approval date [1]
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15/12/2009
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Ethics approval number [1]
259790
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H-179-2009
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Summary
Brief summary
The relationship between periodontal disease and cardiovascular surrogate endpoints, both of which are high among the Indigenous Australian population, is established. This study seeks to explore the prevalence of cardiovascular surrogate endpoints among this population with periodontal disease, and to determine if implementation of a periodontal intervention leads to improved cardiovascular risk outcomes. There may be benefit in applying this model to other areas of Indigenous health research.
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Trial website
n/a
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Trial related presentations / publications
Trial publications include: Kapellas K, Do LG, Bartold PM, Skilton MR, Maple-Brown LJ, O'Dea K, Brown A, Celermajer DS, Slade GD, Jamieson LM. Effects of full-mouth scaling on the periodontal health of indigenous australians: A randomized controlled trial. Journal of Clinical Periodontology. 2013;40:1016-1024 Trial Presentations include: "Periodontal Outcomes from Single-visit Non-surgical Periodontal Therapy among Indigenous Australians" presented at: International Association of Dental Research 91st General Session, Seattle, Mar 20–23, 2013
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Lisa M Jamieson
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Address
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Australian Research Centre for Population Oral Health University of Adelaide 122 Frome St South Australia 5005
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Country
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Australia
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Phone
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+61883134611
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Lisa Jamieson
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Address
13726
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Australian Research Centre for Population Oral Health
University of Adelaide
122 Frome St
South Australia 5005
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Country
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Australia
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Phone
13726
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+61 8 8313 4611
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Fax
13726
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+61 8 8313 4858
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Email
13726
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[email protected]
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Contact person for scientific queries
Name
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Lisa Jamieson
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Address
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Australian Research Centre for Population Oral Health
University of Adelaide
122 Frome St
South Australia 5005
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Country
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Australia
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Phone
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+61 8 8313 4611
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Fax
4654
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+61 8 8313 4858
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The effect of a periodontal intervention on cardiovascular risk markers in Indigenous Australians with periodontal disease: the PerioCardio study.
2011
N.B. These documents automatically identified may not have been verified by the study sponsor.
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