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Trial registered on ANZCTR
Registration number
ACTRN12623001182684
Ethics application status
Approved
Date submitted
25/09/2023
Date registered
15/11/2023
Date last updated
15/11/2023
Date data sharing statement initially provided
15/11/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Should pre-procedure oral vitamin C supplementation be considered in people with diabetes undergoing dental procedures?
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Scientific title
Should pre-procedure oral vitamin C supplementation be considered in people with diabetes undergoing dental procedures? An observational study into vitamin C levels of people with and without diabetes undergoing dental extraction
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Secondary ID [1]
310630
0
nil known
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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:
Dental decay
331507
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Diabetes
331508
0
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Hypovitaminosis C
331509
0
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Delayed wound healing
331511
0
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Condition category
Condition code
Oral and Gastrointestinal
328242
328242
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Diet and Nutrition
328243
328243
0
0
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Other diet and nutrition disorders
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Metabolic and Endocrine
328244
328244
0
0
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Diabetes
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Surgical dental extraction. Fasting blood and urine collection on one occasion to measure paired vitamin C level. The collection of fasting samples will be at the patient's choice - either 1-2 days prior to the extraction appointment, or on the day of the procedure. They will be given food after the fasting samples have been collected.
Participants will be asked to complete a health related questionnaire during their extraction appointment.
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Intervention code [1]
327030
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Early Detection / Screening
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Comparator / control treatment
30 people with diabetes will be assessed alongside 30 people without diabetes to compare vitamin C plasma and urine status, inflammatory markers and renal clearance.
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Control group
Active
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Outcomes
Primary outcome [1]
336112
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Percentage of patients with hypovitaminosis C
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Assessment method [1]
336112
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fasting plasma vitamin C level
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Timepoint [1]
336112
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Single sample (prevalence study)
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Primary outcome [2]
336560
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Urinary vitamin C / urinary creatinine ratio in patients with hypovitaminosis C
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Assessment method [2]
336560
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Fasting urine sample
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Timepoint [2]
336560
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Single sample (prevalence study)
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Secondary outcome [1]
426875
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Hospitalisation within 28 days of surgical dental procedure
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Assessment method [1]
426875
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Hospital stay review
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Timepoint [1]
426875
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At 1 month post surgical dental procedure
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Secondary outcome [2]
427691
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Subjective assessment of vitamin C deficiency quantified through "Scurvy" visual questionnaire
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Assessment method [2]
427691
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"Scurvy" visual (pictorial, tick-box) questionnaire
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Timepoint [2]
427691
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Baseline - (prior to dental extraction)
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Eligibility
Key inclusion criteria
People attending the hospital outpatient dental department for full and partial dental extractions (both groups)
- Able to understand study and give full and informed consent
- Agree to collection of age, ethnicity and health data
- Willing / able to give a fasting blood and urine sample
Group of 30 people without diabetes
- HbA1c below 53 mmol/mol (7%)
- not on any diabetes related medication - such as insulin, metformin, sulphonylurea's, DPPIV inhibitors, GLP1 receptor agonists or SGLT2 inhibitors
Group of 30 people with diabetes
- HbA1c of 53 mmol/mol (7%) or greater
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Minimum age
18
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?
Yes
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Key exclusion criteria
For both groups of participants:
- Unable to fast prior to the sample collection
- Unable to understand the informed consent or study requirements
- Unwilling to participate
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Study design
Purpose
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Duration
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Selection
Convenience sample
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Timing
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Statistical methods / analysis
Fishers exact analysis
Mann-Whitney U analysis
Independant t-tests as appropriate
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/11/2023
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Actual
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Date of last participant enrolment
Anticipated
28/03/2025
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Actual
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Date of last data collection
Anticipated
30/05/2025
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
25776
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New Zealand
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State/province [1]
25776
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Canterbury
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Funding & Sponsors
Funding source category [1]
314846
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Charities/Societies/Foundations
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Name [1]
314846
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New Zealand Society for the Study of Diabetes
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Address [1]
314846
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82 Findlay Road, Pukekohe, Auckland 2678
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Country [1]
314846
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New Zealand
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Funding source category [2]
314851
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Charities/Societies/Foundations
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Name [2]
314851
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Diabetes Christchurch Inc.
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Address [2]
314851
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21 Carlyle Street, Sydenham, Christchurch 8023
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Country [2]
314851
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New Zealand
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Primary sponsor type
Hospital
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Name
Te Whatu Ora - Waitaha Canterbury
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Address
2 Oxford Terrace, Christchurch 8011
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Country
New Zealand
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Secondary sponsor category [1]
316837
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University
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Name [1]
316837
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University of Otago, Christchurch
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Address [1]
316837
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2 Riccarton Avenue, Christchurch 8011
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Country [1]
316837
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
313847
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Health and Disability Ethics Committee, MInistry of Health
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Ethics committee address [1]
313847
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133 Molesworth Street, Thorndon, Wellington 6011
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Ethics committee country [1]
313847
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New Zealand
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Date submitted for ethics approval [1]
313847
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03/09/2023
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Approval date [1]
313847
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18/09/2023
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Ethics approval number [1]
313847
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2023 EXP 17971 (expedited review does not have a specific ethics committee attached to it)
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Summary
Brief summary
This is a feasibility study with the aim of measuring the vitamin C status of people undergoing either a full or partial dental clearance. We will obtain data from 30 people with diabetes (PwD) and 30 people without diabetes who have been referred to the hospital outpatient dental department. Our primary objective is to determine the percentage of people undergoing dental clearance who are vitamin C deficient. We hypothesise that PwD will show evidence of hypovitaminosis C, though a smaller number of people without diabetes may also have low vitamin C levels.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
129538
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A/Prof Helen Lunt
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Address
129538
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Diabetes outpatient department, Christchurch Hospital, 2 Oxford Terrace, Christchurch 8011
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Country
129538
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New Zealand
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Phone
129538
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+64 3 3640 860
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Fax
129538
0
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Email
129538
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[email protected]
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Contact person for public queries
Name
129539
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Leonard Chia
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Address
129539
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Dental outpatient department, Christchurch Hospital, 2 Oxford Terrace, Christchurch 8011
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Country
129539
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New Zealand
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Phone
129539
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+64 3 3640 640
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Fax
129539
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Email
129539
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[email protected]
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Contact person for scientific queries
Name
129540
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Helen Lunt
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Address
129540
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Diabetes outpatient department, Christchurch Hospital, 2 Oxford Terrace, Christchurch 8011
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Country
129540
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New Zealand
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Phone
129540
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+64 3 3640 860
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Fax
129540
0
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Email
129540
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
This is a small feasibility study and we are uncertain whether the small number of participants might allow de-identified data to become re-identifiable.
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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
No additional documents have been identified.
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