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ETHICS APPROVAL
ONCOLOGY
All procedures were approved by the University of North Carolina at Chapel Hill Oncology Protocol Review Committee (LCCC1707) and Institutional Review Board (#16‐3409) and performed in accordance with ethical standards of the 1964 Helsinki Declaration and its later amendments.
PMC10469755
CLINICALTRIALS.GOV IDENTIFIER
NCT03569605.
PMC10469755
ACKNOWLEDGMENTS
cancer
CANCER, RECRUITMENT
We are grateful for the valuable contributions of study team members, including Dr. Donald Rosenstein, Dr. Kristen Polzien, Dr. Lindsey Camp, Karen Hatley, Erin Coffman, and Susanna Choi. We thank Dr. Eliza Park, Dr. Andrew Smitherman, Lauren Lux, Dr. Allison Lazard, and community‐based organizations that helped with s...
PMC10469755
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request. The data are not publicly available due to privacy or ethical restrictions.
PMC10469755
REFERENCES
PMC10469755
Background
diphtheria, tetanus, poliomyelitis
DIPHTHERIA, TETANUS, POLIOMYELITIS, PERTUSSIS
Vaccination schedules differ from country to country. In France, the diphtheria, tetanus, pertussis, poliomyelitis (dTcaP) booster vaccine coverage for adults aged 25 has been lower than those recommended. We evaluated the impact of an awareness campaign undertaken by the French national health insurance system in 2021...
PMC10463893
Methods
A randomized, controlled study with adults residing in the Ardennes region was conducted to evaluate the effect on vaccine coverage of the booster vaccine reminder campaign carried out via letter and/or email and/or SMS. The randomization unit was the municipal administrative area (canton). Ten cantons were grouped int...
PMC10463893
Results
A total of 1,975 adults were included (INT: 67.3% vs. CON: 32.7%). Of them, 331 received a booster vaccine (INT: 17.4% vs. CON: 15.5%; p = 0.29), and 1,442 consulted a GP (INT: 73.7% vs. CON: 76.8%; p = 0.14). Those who consulted a GP had more frequent vaccine delivery (INT: 19.1% vs. CON: 10.5%; p < 0.0001).
PMC10463893
Conclusions
This study found that the awareness campaign run by the French national health insurance did not improve the uptake of the dTcaP booster and that there was a low rate of vaccinated adults aged 25 years. A GP consultation was associated with dTcaP booster vaccine delivery which may show that there is a need of involving...
PMC10463893
Keywords
PMC10463893
Background
diphtheria, tetanus, poliomyelitis
DIPHTHERIA, PERTUSSIS, TETANUS, POLIOMYELITIS, INFLUENZA
Vaccination schedules differ from country to country and are followed according to local recommendations. According to literature, the best scheduling model in Europe for the diphtheria, tetanus, pertussis and poliomyelitis (DTPP) vaccination in children as well as the influenza vaccination for people over 65 years is ...
PMC10463893
Methods
PMC10463893
Study design
A prospective, randomized, controlled study was conducted in the Ardennes region in 2021. Participants included were those aged 25 years in 2020, residing in the region in June 2021 and who had not had a dTcaP booster vaccine dispensed from a pharmacy between January 1, 2019 and June 1, 2021. Those that were not affili...
PMC10463893
Study variables
The randomization unit was a municipal administrative area known as the canton. Among the 19 cantons in the Ardennes region, participants were pooled out of 10 cantons that were randomly selected to constitute the intervention group (INT) and of nine cantons that made up the control group (CON). The choice of the canto...
PMC10463893
Data collection
Data was collected on the dispensing of the dTcaP booster vaccine by pharmacies and pro-pharmacies within 12 months that the information by the CPAM had been disseminated. Outcomes included the dTcaP booster vaccine delivery (which was assessed using the Club Inter Pharmaceutic (CIP) codes corresponding to the vaccine ...
PMC10463893
Ethical considerations
MAY
Data processing was carried out in compliance with the French regulations, in particular the General Data Protection Regulation (GDPR) 2016/679 of the European Parliament and the Council of April 27, 2016 applicable since May 25, 2018 as well as the Data Protection Act of January 6, 1978 (amended in 2018). Participants...
PMC10463893
Statistical analysis
Data were described using numbers and percentages (%). The analysis of the outcomes consisted of a comparison between the percentage of dTcaP booster vaccine delivery and the percentage of GP visits in both the INT and CON groups using Chi-square tests. The significance level was set at 0.05. Statistical analysis was p...
PMC10463893
Results
Among the 2,653 adults included in this study, a total of 678 (25.6%) received a dTcaP booster vaccine from a pharmacy or pro-pharmacy in 2021. The remaining 1,975 eligible adults were identified by the local CPAM Pole (INT: 67.3% vs. CON: 32.7%) (Fig.  Study flow chart. *municipal administrative areas, CPAM; The dTcaP...
PMC10463893
Discussion
This study found that the awareness campaign run by the CPAM did not improve the uptake of the dTcaP booster for adults aged 25 years. These findings may be inconsistent with existing literature on the effectiveness of patient reminders for vaccinations [Since this study was conducted in 2021, the effects of the COVID-...
PMC10463893
Conclusions
Vaccination coverage of the dTcaP booster vaccine for 25-year-olds was low in the Ardennes region in France in 2021 and the awareness campaign run by the CPAM did not improve vaccine uptake. A GP consultation was associated with dTcaP booster vaccine delivery which may show that there is a need of involving GPs in vacc...
PMC10463893
Acknowledgements
The authors would like to thank Sarina Yaghobian and Marty Brucato from AcaciaTools for their reviewing and proofreading services.
PMC10463893
Authors’ contributions
CC, AH, BV, and AB participated in the design and helped interpret the results of the study as well as co-authored the article. AH, B-NP and SS participated in interpreting the results and contributed to the article’s writing. MC conducted the data collection, participated in the interpretation of the results, and co-a...
PMC10463893
Funding
None.
PMC10463893
Data availability
The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
PMC10463893
Declarations
PMC10463893
Ethics approval and consent to participate
The study was conducted according to the Declaration of Helsinki guidelines and was approved by the Ethics Committee of
PMC10463893
Consent for publication
Not applicable.
PMC10463893
Competing interests
The authors declare no competing interests.
PMC10463893
References
PMC10463893
Subject terms
toxicities, cancer
ADVERSE EVENTS, CANCER, ADVERSE EVENT, SOLID TUMORS
This phase I, dose-escalation trial evaluates the safety of combining interferon-gamma (IFN-γ) and nivolumab in patients with metastatic solid tumors. Twenty-six patients are treated in four cohorts assessing increasing doses of IFN-γ with nivolumab to evaluate the primary endpoint of safety and determine the recommend...
PMC10374608
Introduction
osteopetrosis, death, cancers
CANCERS, CHRONIC GRANULOMATOUS DISEASE, SOLID TUMORS, OSTEOPETROSIS, DISEASES
Systemic immune checkpoint blockade (ICB) with drugs targeting the programmed death one (PD-1) pathway has revolutionized oncology. ICB offers the potential for some patients to experience durable anti-tumor responses; however, the majority of patients do not respond to single-agent ICBCytokines have been used for deca...
PMC10374608
Results
PMC10374608
Evaluable patients
Of the 26 patients accrued, all were evaluable for the primary safety analysis, and 23 were evaluable for exploratory efficacy analysis. Three patients in the 25 mcg/m
PMC10374608
Safety
All-grade, TNBC, DLTs, arthralgias
ADVERSE EVENTS, ADVERSE EVENT
Adverse events are summarized in Table All-grade adverse events occurring in >2 patientsAll grade adverse events occurring in > 2 patients attributed as at least possibly related to either drug and stratified by dose level and grade (* denotes dose limiting toxicity).There were three DLTs on the trial, one in the 75 mc...
PMC10374608
Efficacy
Twenty-three patients were evaluable for post-hoc exploratory efficacy analysis (Fig. 
PMC10374608
Tumor biopsy analysis
tumor
SECONDARY, TUMOR
Planned secondary analyses of baseline tumor biopsies were compared to on-treatment biopsies collected after IFN-γ induction but prior to the administration of nivolumab. Of 21 patients with biopsy specimens evaluable for comparison of PD-L1 expression, TPS was >1% at baseline in 52% of patients (Supplementary Table 
PMC10374608
Peripheral blood flow cytometry
As pre-specified we performed exploratory immune phenotyping of peripheral blood by multi-parametric flow cytometry to quantify subsets of monocytes and T cells, as well as their expression of various biomarkers. Across all four cohorts, while the frequency of classical monocytes remained relatively unchanged throughou...
PMC10374608
Impacts of IFN-γ and PD-1 blockade on monocytes.
Counts of (Several treatment-related changes were also observed in the peripheral T-cell populations. First, patients with longer duration of therapy tended to have higher numbers of CD4
PMC10374608
Cytokine analysis
In an exploratory post-hoc analysis performed to assess the relative paucity of irAEs, we noted a statistically significant increase in plasma concentrations of six chemokines from baseline compared to both C1D1 and C2D15. These included known IFN-γ inducible chemokines CXCL9, CXCL10, and CXCL11 (Fig. 
PMC10374608
Changes in IFNγ-associated chemokines after induction and addition of nivolumab.
Box plots displaying distribution of chemokine concentrations at three time points on study: baseline, C1D1, C2D15.
PMC10374608
Discussion
ascites, cancers, pleural effusion, DLTs, tumor, pleural or peritoneal disease, pleural disease, TNBC, RCC, esophagogastric carcinoma, tumors
PLEURAL EFFUSION, ASCITES, CANCERS, OVARIAN CANCER, TUMOR, PROLIFERATION, DISEASE, PLEURAL DISEASE, SOLID TUMOR, EFFUSIONS, PLEURAL EFFUSIONS, EVENTS, TUMORS, RCC
IFN-γ signaling plays an integral role in regulating immune activation and senescence in the TME, induces the expression of PD-L1 and is an essential component of an effective anti-tumor response with PD-1 pathway targeted agentsOverall, the combination was well tolerated. An increased burden of flu-like symptoms was p...
PMC10374608
Methods
PMC10374608
Study design
tumor, DLTs, toxicity, toxicities, Chase Cancer
FOX, TUMOR, DISEASE PROGRESSION
The study was conducted in accordance with the principles of Good Clinical Practice and the Declaration of Helsinki and was approved by the Fox Chase Cancer Center (FCCC) Institutional Review Board. This was a single-center, investigator-initiated phase I trial. The study was pre-registered at clinicaltrials.gov and fi...
PMC10374608
Study population
DISEASE
Eligible patients were ≥ 18 years of age, and could have any metastatic solid tumor type where there was demonstrated evidence of potential efficacy to anti-PD-1 pathway targeted therapy at the time of study design. All genders were eligible and patients self-reported. All patients needed to have received at least one ...
PMC10374608
Study objectives
tumor, esophagogastric carcinoma
SECONDARY, TUMOR, METASTATIC CANCER
The primary endpoint of the study was the safety of the combination and to establish a RP2D. A final RP2D was to be established by the study steering committee at the conclusion of all accrued dose cohorts. Initial secondary efficacy endpoints included PFS, OS (median and at 1 year), and ORR for patients in the planned...
PMC10374608
Pre-specified exploratory correlative assessments
tumor, Tumor
PATHOLOGY, TUMOR, INFILTRATION, TUMOR
All patients were required to undergo a baseline tumor biopsy within 28 days prior to starting trial treatment, and then underwent a second tumor biopsy of the same site after the IFN-γ induction phase but before receiving nivolumab. Tumor specimens were to be evaluated by immunohistochemistry for PD-L1 expression and ...
PMC10374608
Post-hoc correlative analyses
In a post-hoc analysis prompted by clinical observations during the trial, cytokines in plasma were analyzed by the FCCC High Throughput Screening Facility utilizing the Human Chemokine Panel 40-plex (Bio-Plex Pro, Bio-Rad cat # 171AK99MR2) following manufacturer’s protocols and plates were read on a Bio-Plex 100/200 (...
PMC10374608
Statistical analysis
death
REGRESSION
PFS and OS in all evaluable patients were calculated using Kaplan-Meier curves. PFS was the interval to progression or death in those evaluable for efficacy. Duration of treatment was defined as the date from first dose of IFN-γ to progression, death, or completion of all treatments. The ORR was calculated using RECIST...
PMC10374608
Reporting summary
Further information on research design is available in the 
PMC10374608
Supplementary information
Supplementary InformationPeer Review FileReporting Summary
PMC10374608
Supplementary information
The online version contains supplementary material available at 10.1038/s41467-023-40028-z.
PMC10374608
Acknowledgements
Cancer
CANCER
The authors thank Irina Shchaveleva, Chun Zhou, and Judy Fang from the FCCC Immune Monitoring/Cell Sorting Facility for technical support. Jeffrey Sherman, Jeffrey Nieves, and Amy Grahn for support from Horizon Pharma. The NCI Cancer Center Support Grant (CA06927; FCCC) for support of core facilities utilized (Immune M...
PMC10374608
Author contributions
T.M., J.O.
PATHOLOGY
M.Z. is the corresponding author, conceptualized and designed the study, was the principal investigator of the clinical trial, coordinated data analysis and wrote and edited the manuscript. E.R.P. provided oversight for trial design and conduct, participated in data analysis and provided editorial support. K.S.C. coord...
PMC10374608
Peer review
PMC10374608
Data availability
Source data are provided with this paper. The minimum dataset necessary to interpret, verify and extend this research has been provided within the source data file wherever applicable. Per ICMJE guidelines de-identified participant data has been provided within the source data file. The study protocol has been provided...
PMC10374608
Competing interests
Chase Cancer
FOX
M.Z.: Institutionally directed research funding from Horizon Therapeutics and Bristol-Myers Squibb; Advisory Board Honorarium from Horizon Therapeutics. K.S.C.: Advisory Board Honorarium from Horizon Therapeutics, institutionally-directed research funding from Bristol-Myers Squibb. E.R.P.: Advisory Board Honorarium fro...
PMC10374608
References
PMC10374608
Purpose:
hearing preservation
Editor-in-Chief: Ryan W. McCreeryEditor: Andrea Warner-CzyzCochlear implant (CI) recipients with hearing preservation experience significant improvements in speech recognition with electric–acoustic stimulation (EAS) as compared to with a CI alone, although outcomes across EAS users vary. The individual differences in...
PMC10166189
Method:
Twenty-one participants were randomized at EAS activation to listen exclusively with a default or place-based map. For both groups, the unaided thresholds determined the acoustic cutoff frequency (i.e., > 65 dB HL). For default maps, the electric filter frequencies were assigned to avoid spectral gaps in frequency info...
PMC10166189
Results:
For participants with default maps, electric mismatch at 1500 Hz ranged from 2 to −12.0 semitones (
PMC10166189
Conclusions:
The present sample of EAS users experienced better initial performance when electric mismatches were small or eliminated. These data suggest the utility of methods that reduce electric mismatches, such as place-based mapping procedures. Investigation is ongoing to determine whether these differences persist with long-t...
PMC10166189
Supplemental Material:
hearing preservation
Adult cochlear implant (CI) recipients with hearing preservation experience significant improvements in speech recognition with electric–acoustic stimulation (EAS) as compared to preoperative performance or postactivation with a CI alone, although performance across EAS users remains widely variable (Maps that align t...
PMC10166189
Method
Preliminary data were reviewed from an ongoing, prospective investigation of performance with default versus place-based maps for CI recipients. The study site institutional review board approved the procedures, and participants provided consent. Participants were randomized to listen exclusively with either a default ...
PMC10166189
Participants
Adult CI recipients were considered for inclusion if they underwent cochlear implantation at the study site, received a MED-EL lateral wall electrode array, were 18–80 years of age at the time of surgery, and presented with an unaided hearing threshold of ≤ 65 dB HL at 125 Hz in the implanted ear at device activation. ...
PMC10166189
Procedure
Unaided detection thresholds in the implanted ear were measured behaviorally using pure-tone stimuli presented over insert earphones at each interval. A low-frequency pure-tone average (LFPTA) was calculated from the unaided detection thresholds at 125, 250, and 500 Hz.Participants were fit with the ear-level Sonnet2Fo...
PMC10166189
Electric Frequency-to-Place Mismatch
Electric frequency-to-place mismatch was quantified as the semitone deviation between the electric center frequency and the SG place frequency for the electrode contact closest to the 1500-Hz cochlear place (~267°). The 1500-Hz place frequency was selected because it has been shown to be an important region for frequen...
PMC10166189
Data Analysis
Linear mixed models (LMMs) implemented in R using the
PMC10166189
Results
REGRESSION
The data included 21 participants (11 female) who were randomized to listen with either a default map (Demographic information for electric–acoustic stimulation users listening with either a default map or a place-based map. Unaided air-conduction pure-tone detection thresholds for each participant at initial activatio...
PMC10166189
Discussion
vowel and word recognition
SEPARATION
This report prospectively evaluated the early speech recognition for EAS users as a function of electric mismatch. Participants listened exclusively with either default maps (median electric mismatch: −5 semitones) or place-based maps that eliminated electric mismatches for low- to mid-frequency information. Poorer spe...
PMC10166189
Conclusions
These preliminary data suggest that EAS users experience better speech recognition when electric frequency-to-place mismatches are minimal and that the negative effects of larger magnitudes of electric mismatches are observed up to 6 months of listening experience. Methods to minimize electric mismatches, such as place...
PMC10166189
Data Availability Statement
The present preliminary data are available by e-mailing Margaret T. Dillon (
PMC10166189
Supplementary Material
PMC10166189
Descriptive statistics of the vowel recognition and consonant–nucleus–consonant (CNC) word recognition (percent correct) for participants with default maps and participants with place-based maps at each interval.
Click here for additional data file.
PMC10166189
Acknowledgments
Deafness
DISORDERS, BROWN
The work was supported in part by a research grant provided to the university from MED-EL Corporation. Funding was also provided by the National Institute on Deafness and Other Communication Disorders (R21DC018389 awarded to Margaret Dillon and Kevin Brown, and T32DC005360 awarded to Paul Manis). The content is solely ...
PMC10166189
Footnote
Twelve semitones equal one octave. In the statistical models, electric mismatch was converted to an absolute value, removing the distinction between basal and apical shifts.
PMC10166189
References
PMC10166189
1. Introduction
tumor, Glioblastoma, aggressive cancer, BrICS-LIT, metabolic abnormalities
TUMOR, INFILTRATION, DISEASE, GLIOBLASTOMA, BRAIN TUMOR, AGGRESSIVE CANCER, BRAIN, TUMOR PROGRESSION, TUMOR RECURRENCE
Glioblastoma (GBM) is a fatal disease, with poor prognosis exacerbated by difficulty in assessing tumor extent with imaging. Spectroscopic MRI (sMRI) is a non-contrast imaging technique measuring endogenous metabolite levels of the brain that can serve as biomarkers for tumor extension. We completed a three-site study ...
PMC9964256
2. Materials and Methods
PMC9964256
2.1. Clinical Trial Treatment Protocol
IDH
After newly diagnosed GBM patients completed surgery, sMRI scans were acquired along with standard imaging to guide radiation treatment. At each participating site, a Siemens 3T scanner was used to perform an echo planar sMRI pulse sequence with GRAPPA parallelization with either a 32- or 20-channel head coil. The scan...
PMC9964256
2.2. Follow-Up
BrICS-LIT, tumor
PATHOLOGY, TUMOR, BRAIN TUMOR
After patients completed RT, they returned for follow-up imaging every 2–3 months. At University of Miami and Emory University, follow-up occurred every 2 months, while patients at Johns Hopkins University had follow-up visits at 3-month intervals. Standard clinical follow-up was performed using the institution standar...
PMC9964256
2.3. Tumor Recurrence Determination
BrICS-LIT, tumor, necrosis
DISEASE PROGRESSION, TUMOR, PROLIFERATION, TUMOR PROGRESSION, NECROSIS, PATHOLOGY, TUMOR RECURRENCE
With BrICS-LIT, we graphed lesion volumes and BT-RADS scores over each patient’s follow-up period to observe long-term trends. As tumor-mimicking treatment effects such as pseudo-progression and radiation necrosis are commonly associated with high-dose radiation, we sought to use BrICS-LIT and clinical pathology report...
PMC9964256
2.4. Survival Analysis
All survival outcomes were assessed using the lifelines Python survival analysis library [
PMC9964256
3. Results
PMC9964256
3.1. Survival Analysis
deaths
TUMOR PROGRESSION
Eighteen months after completing enrollment, the median PFS time was 16.6 months (As mentioned previously, fourteen out of nineteen patients with tumor progression had confirmed progression before their deaths. The criteria we outlined for determining progression were applied to this subgroup with additional details in...
PMC9964256
4. Discussion
tumor, toxicity, toxicities, edema, necrosis, BrICS-LIT, IDH
DISEASE PROGRESSION, TUMOR, RECURRENCE, EDEMA, TUMOR PROGRESSION, NECROSIS, PATHOLOGY, TUMOR RECURRENCE
In this study we describe the use of novel imaging visualization tools and structured reporting to analyze the results to date of our 30-patient clinical trial utilizing dose-escalated radiation guided by Cho/NAA sMRI maps. With standard-of-care therapy including standard RT with concurrent and adjuvant TMZ, GBM progno...
PMC9964256
5. Conclusions
glioblastoma, BrICS-LIT, necrosis
RECURRENCE, TUMOR PROGRESSION, NECROSIS, GLIOBLASTOMA, PATHOLOGY, TUMOR RECURRENCE
With a median time to follow-up of 20.3 months for censored patients, guiding escalated radiation dose to glioblastoma patients through spectroscopic MRI led to a median PFS of 16.6 months with a one-year incidence of recurrence from treatment of 30%, half that of standard therapy. These results are extremely encouragi...
PMC9964256
Author Contributions
Conceptualization, E.A.M., M.G., P.B.B., S.S.G., E.S., H.H., M.H., L.R.K., H.-K.G.S., H.S. and B.D.W.; Methodology, K.K.R., V.H., P.B.B., S.S.G., E.S., H.-K.G.S., H.S. and B.D.W.; Software, K.K.R., S.S.G., E.S., H.S. and B.D.W.; Validation, E.A.M., M.d.l.F., M.H., H.-K.G.S., H.S. and B.D.W.; Formal analysis, K.K.R., V....
PMC9964256
Institutional Review Board Statement
The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Institutional Review Board (or Ethics Committee) of Emory University (IRB00094188 on 4/14/2017).
PMC9964256
Informed Consent Statement
Informed consent was obtained from all subjects involved in the study.
PMC9964256
Data Availability Statement
The data presented in this study are available on request from the corresponding author.
PMC9964256
Conflicts of Interest
The authors declare no conflict of interest.
PMC9964256
References
tumor
TUMOR, RESIDUAL TUMOR, BRAIN, TUMOR PROGRESSION, CAVITY
A comparison between the ratio map of choline to N-acetylaspartate (Cho/NAA) and T1-weighted contrast-enhanced (T1w-CE) imaging for three patients on the trial. For each patient, the top left image contains the Cho/NAA ratio map superimposed on the T1w image along with a contour encompassing all voxels with a Cho/NAA ≥...
PMC9964256
Purpose
We assessed the efficiency of low-dose recombinant human bone morphogenetic protein-2 (rhBMP-2) incorporated biomimetic calcium phosphate on β-tricalcium phosphate (β-TCP) (rhBMP-2/BioCaP/β-TCP) on bone formation in a model of socket preservation using cone beam computed tomography (CBCT) scanning and histological exam...
PMC10579201
Methods
tooth
Forty patients undergoing minimally invasive single-root tooth extraction for dental implantation were randomized to three groups according to the material used for socket preservation: filling with rhBMP-2/BioCaP/β-TCP, β-TCP, or natural healing (kept unfilled) (controls). The alveolar sockets (including the control g...
PMC10579201
Results
±
The mean (± standard deviation) changes of GVs of the CBCT scans at the central area of filled materials were as follows: 373.19 ± 157.16 in the rhBMP-2/BioCaP/β-TCP group, 112.26 ± 197.25 in the β-TCP group, and -257 ± 273.51 in the control group. The decrease of GVs in the rhBMP-2/BioCaP/β-TCP group as compared with ...
PMC10579201
Graphical Abstract
PMC10579201
Keywords
PMC10579201
Introduction
tooth loss, tumors, neoplasm, trauma
ATROPHIC, NEOPLASM, TUMORS, DISEASES, HYDROXYAPATITE
Sufficient alveolar bone is a prerequisite for successful placement of dental implants. However, atrophic maxilla or mandible is a common finding in clinical practice due to tooth loss, trauma, tumors, neoplasm resection, or bone metabolism diseases [Different materials, such as autografts, allografts, and xenografts h...
PMC10579201
Methods
PMC10579201
Patient selection and study design
fasting blood glucose, Obese, inflammation, periodontitis, allergy, tooth, diabetes
UNCONTROLLED HYPERTENSION, PERIAPICAL PERIODONTITIS, OBESE, INFLAMMATION, PERIODONTITIS, ALLERGY, DIABETES
The study was approved by the Clinical Research Ethics Committees of the Academic Center for Dentistry of Amsterdam (code ACTA 202061), Vrije Universiteit Amsterdam, The Netherlands, and Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, School of Medicine (code SH9H-2019-T231-4), China. This trial was co...
PMC10579201