<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20191024045232N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-11-04</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>Comparative evaluation of locally delivered 1.2% Rosuvastatin gel, 1% Metformin gel and placebo as an adjunct to scaling and root planing in the treatment of moderate to severe chronic periodontitis patients</public_title>
      <acronym></acronym>
      <scientific_title>Comparative evaluation of locally delivered 1.2% Rosuvastatin gel, 1% Metformin gel and placebo as an adjunct to scaling and root planing in the treatment of moderate to severe chronic periodontitis patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/43301</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Not randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Blinding description: In this single blind study, participants did not know which of the two control or experimental groups they belonged to. But the principle investigator knew who was in what group.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Periodontitis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In the first intervention group, treatment has been done by scaling and root planing with only single injection of 0.1ml Resuvastatin gel [consisting of 1.2% Resuvastatin (high purity that has been provided by Abidi Pharmaceutical Company), 4% hydroxypropyl methylcellulose, 5% glycerin And up to 100% water], immediately after scaling the whole mouth using a syringe with blunt tip into the pocket that has the highest probing depth and clinical attachment loss with BoP (one area per patient).                                                                                              In the second intervention group, treatment has been done by scaling and root planing with only single injection of 0.1ml Metformin gel [consisting of 1% Metformin (high purity that has been provided by Abidi Pharmaceutical Company), 4% hydroxypropyl methylcellulose, 5% glycerin and up to 100% water], immediately after scaling the whole mouth using a syringe with blunt tip into the pocket that has the highest probing depth and clinical attachment loss with BoP (one area per patient).                   Patients in both groups are given the same oral hygiene instruction and are advised not to chew any hard or sticky foods and not to brush near the treated site or to use any interdental aids for a duration of one week. No anti-inflammatory or anti-plaque mouthwash and no antibiotics are prescribed after treatment. In the recall visits, any adverse effects are recorded and any supragingival plaque or calculus is removed. Intervention 2: Control group: In the control group, treatment has been done by scaling and root planing with only single injection of 0.1ml placebo gel, immediately after scaling the whole mouth using a syringe with blunt tip into the pocket that has the highest probing depth and clinical attachment loss with BoP (one area per patient).                                                                 Patients are given oral hygiene instruction similar to the intervention  groups and are advised not to chew any hard or sticky foods and not to brush near the treated site or to use any interdental aids for a duration of one week. No anti-inflammatory or anti-plaque mouthwash and no antibiotics are prescribed after treatment. In the recall visits, any adverse effects are recorded and any supragingival plaque or calculus is removed.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no further information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Saminalsadat Ayoubi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 112,West 13th st.,Kianpars</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6155863861</zip>
        <telephone>+98 61 3338 2491</telephone>
        <email>Ayoubi.samin@gmail.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Azarnoosh Aryankia</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of periodontics, Faculty of dentistry, Ahvaz Jundishapur University of Medical Sciences</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>15794 - 61357</zip>
        <telephone>0098 61 3311</telephone>
        <email>aryankiaa@gmail.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Moderate to severe chronic periodontitis patients with probing depth≥5mm and clinical attachment loss≥3mm.
Patients with no history of any kind of periodontal or antibiotic therapy in the last 6 months.</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Individuals with any disabling systemic disease or a systemic disease that affects the periodontium.
Patients on systemic statin or metformin therapy.
Diabetic patients
Patients with known or suspected allergy to statins or metformin.
Immunocompromised patients.
Pregnant or lactating women.
Individuals who use any forms of tobacco and alcoholics.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K05.3</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Chronic periodontitis</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: In the first intervention group, treatment has been done by scaling and root planing with only single injection of 0.1ml Resuvastatin gel [consisting of 1.2% Resuvastatin (high purity that has been provided by Abidi Pharmaceutical Company), 4% hydroxypropyl methylcellulose, 5% glycerin And up to 100% water], immediately after scaling the whole mouth using a syringe with blunt tip into the pocket that has the highest probing depth and clinical attachment loss with BoP (one area per patient).                                                                                              In the second intervention group, treatment has been done by scaling and root planing with only single injection of 0.1ml Metformin gel [consisting of 1% Metformin (high purity that has been provided by Abidi Pharmaceutical Company), 4% hydroxypropyl methylcellulose, 5% glycerin and up to 100% water], immediately after scaling the whole mouth using a syringe with blunt tip into the pocket that has the highest probing depth and clinical attachment loss with BoP (one area per patient).                   Patients in both groups are given the same oral hygiene instruction and are advised not to chew any hard or sticky foods and not to brush near the treated site or to use any interdental aids for a duration of one week. No anti-inflammatory or anti-plaque mouthwash and no antibiotics are prescribed after treatment. In the recall visits, any adverse effects are recorded and any supragingival plaque or calculus is removed.</i_keyword>
      <i_keyword>Control group: In the control group, treatment has been done by scaling and root planing with only single injection of 0.1ml placebo gel, immediately after scaling the whole mouth using a syringe with blunt tip into the pocket that has the highest probing depth and clinical attachment loss with BoP (one area per patient).                                                                 Patients are given oral hygiene instruction similar to the intervention  groups and are advised not to chew any hard or sticky foods and not to brush near the treated site or to use any interdental aids for a duration of one week. No anti-inflammatory or anti-plaque mouthwash and no antibiotics are prescribed after treatment. In the recall visits, any adverse effects are recorded and any supragingival plaque or calculus is removed.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pocket Probing Depth. Timepoint: Before scaling and root planing (baseline) and after 3 months. Method of measurement: UNC 15 color-coded periodontal probe.</prim_outcome>
      <prim_outcome>Clinical Attachment Level. Timepoint: Before scaling and root planing (baseline) and after 3 months. Method of measurement: UNC 15 color-coded periodontal probe.</prim_outcome>
      <prim_outcome>Modified Sulcus Bleeding Index. Timepoint: Before scaling and root planing (baseline) and after 3 months. Method of measurement: Scoring system of Mombelli.</prim_outcome>
      <prim_outcome>Plaque Index. Timepoint: Before scaling and root planing (baseline) and after 3 months. Method of measurement: Scoring system of Silness and Loe.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Ahvaz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-09-21</approval_date>
        <contact_name>Ethics committee of Ahvaz Jundishapur University of Medical Scineces</contact_name>
        <contact_address>No. 112,West 13th st.,Kianpars Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
