Trial Outcomes & Findings for Prevention of Adult Caries Study (PACS) (NCT NCT00357877)

NCT ID: NCT00357877

Last Updated: 2017-06-14

Results Overview

Study duration was too short to have progression from D2 (cavitated lesions) to D3 (cavitated lesions that involved dentin). D2 and D3 were treated equivalently for analysis. This measure is computed as the sum of weighted counts of transitions in tooth surface status (root and coronal surfaces combined) from randomization to the 13-month follow-up visit. Disease progression had a positive weight (e.g., S-to-D1 (sound to non-cavitated lesion) or D1-to-D2 (non-cavitated to cavitated lesion) = 1, S-to-D2 (sound to cavitated lesion)= 2). Reversal had a negative weight (e.g., D1-to-S = -1). No change, transitions to or from missing or unscorable, and impossible transitions had 0 weight. Incident fillings and crowns were treated the same as incident D2 lesions for purposes of scoring. More details of the transition weights may be found at Vollmer WM et al. (2010). Design of the Prevention of Adult Caries Study (PACS): a randomized clinical trial assessing the effect of a

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

983 participants

Primary outcome timeframe

(V1) to the 13 month follow-up visit

Results posted on

2017-06-14

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo Dental Coating
Dental coating with all ingredients except Chlorhexidine topically applied by dental professional supragingivally to the full dentition
Active Dental Coating (CHX)
Dental coating with all ingredients including Chlorhexidine topically applied by dental professional supragingivally to the full dentition. 10% w/v chlorhexidine acetate coating FDA IND #45466.
Overall Study
STARTED
493
490
Overall Study
COMPLETED
467
460
Overall Study
NOT COMPLETED
26
30

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo Dental Coating
Dental coating with all ingredients except Chlorhexidine topically applied by dental professional supragingivally to the full dentition
Active Dental Coating (CHX)
Dental coating with all ingredients including Chlorhexidine topically applied by dental professional supragingivally to the full dentition. 10% w/v chlorhexidine acetate coating FDA IND #45466.
Overall Study
Death
2
1
Overall Study
Lost to Follow-up
20
23
Overall Study
Withdrawal by Subject
3
3
Overall Study
Administrative withdrawal
1
1
Overall Study
Other
0
2

Baseline Characteristics

Prevention of Adult Caries Study (PACS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo Dental Coating
n=493 Participants
Dental coating with all ingredients except Chlorhexidine topically applied by dental professional supragingivally to the full dentition
Active Dental Coating
n=490 Participants
Dental coating with all ingredients including Chlorhexidine topically applied by dental professional supragingivally to the full dentition
Total
n=983 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
463 Participants
n=5 Participants
459 Participants
n=7 Participants
922 Participants
n=5 Participants
Age, Categorical
>=65 years
30 Participants
n=5 Participants
31 Participants
n=7 Participants
61 Participants
n=5 Participants
Age, Continuous
42.8 years
STANDARD_DEVIATION 14.3 • n=5 Participants
42.9 years
STANDARD_DEVIATION 14.3 • n=7 Participants
42.8 years
STANDARD_DEVIATION 14.3 • n=5 Participants
Sex: Female, Male
Female
242 Participants
n=5 Participants
250 Participants
n=7 Participants
492 Participants
n=5 Participants
Sex: Female, Male
Male
251 Participants
n=5 Participants
240 Participants
n=7 Participants
491 Participants
n=5 Participants
Region of Enrollment
United States
493 participants
n=5 Participants
490 participants
n=7 Participants
983 participants
n=5 Participants

PRIMARY outcome

Timeframe: (V1) to the 13 month follow-up visit

Population: Intention to treat (ITT) sample. Multiple imputation with 8 datasets imputed via Markov Chain Monte Carlo sampling was used to handle missing data.

Study duration was too short to have progression from D2 (cavitated lesions) to D3 (cavitated lesions that involved dentin). D2 and D3 were treated equivalently for analysis. This measure is computed as the sum of weighted counts of transitions in tooth surface status (root and coronal surfaces combined) from randomization to the 13-month follow-up visit. Disease progression had a positive weight (e.g., S-to-D1 (sound to non-cavitated lesion) or D1-to-D2 (non-cavitated to cavitated lesion) = 1, S-to-D2 (sound to cavitated lesion)= 2). Reversal had a negative weight (e.g., D1-to-S = -1). No change, transitions to or from missing or unscorable, and impossible transitions had 0 weight. Incident fillings and crowns were treated the same as incident D2 lesions for purposes of scoring. More details of the transition weights may be found at Vollmer WM et al. (2010). Design of the Prevention of Adult Caries Study (PACS): a randomized clinical trial assessing the effect of a

Outcome measures

Outcome measures
Measure
Placebo
n=493 Participants
Participants received a placebo dental coating containing no chlorhexidine diacetate (CHX).
Active
n=490 Participants
Participants received a dental coating containing chlorhexidine diacetate (CHX) 10% weight per volume.
Total Net D12FS Caries Increment (Total of Non-cavitated Lesions (D1), Cavitated Lesions (D2) and Sound Surfaces (S))
2.43 weighted increment units/13 months
Standard Error 0.32
2.68 weighted increment units/13 months
Standard Error 0.32

SECONDARY outcome

Timeframe: Visit 1, 7-month follow-up, 13-month follow-up

Population: Intention-to-Treat sample

This measure was computed similar to the total net D12FS increment, but separately scored and combined transitions from the baseline to 7-month visits and from the 7- to 13-month visits, rather than simply looking at the baseline to 13-month visits.

Outcome measures

Outcome measures
Measure
Placebo
n=493 Participants
Participants received a placebo dental coating containing no chlorhexidine diacetate (CHX).
Active
n=490 Participants
Participants received a dental coating containing chlorhexidine diacetate (CHX) 10% weight per volume.
Cumulative Net D12FS Caries Increment
5.53 caries increment units/13 months
Standard Error 0.42
5.88 caries increment units/13 months
Standard Error 0.43

SECONDARY outcome

Timeframe: V1-13-month follow-up

Population: Intention-to-Treat sample

Computed analogous to the total net D12FS caries increment, but ignoring reversals (essentially assigned them zero weight). Computed only using baseline to 13-month visit data.

Outcome measures

Outcome measures
Measure
Placebo
n=493 Participants
Participants received a placebo dental coating containing no chlorhexidine diacetate (CHX).
Active
n=490 Participants
Participants received a dental coating containing chlorhexidine diacetate (CHX) 10% weight per volume.
Total Crude D12FS Caries Increment
6.47 caries increment units/13 months
Standard Error 0.27
5.96 caries increment units/13 months
Standard Error 0.28

SECONDARY outcome

Timeframe: Visit 1, 7-month follow-up, 13-month follow-up

Population: Intention-to-Treat sample

This is computed analogous to the cumulative net D12FS increment, but ignoring reversals by assigning them weights of zero.

Outcome measures

Outcome measures
Measure
Placebo
n=493 Participants
Participants received a placebo dental coating containing no chlorhexidine diacetate (CHX).
Active
n=490 Participants
Participants received a dental coating containing chlorhexidine diacetate (CHX) 10% weight per volume.
Cumulative Crude D12FS Caries Increment
11.39 caries increment units/13 months
Standard Error 0.42
10.72 caries increment units/13 months
Standard Error 0.43

Adverse Events

Placebo

Serious events: 31 serious events
Other events: 87 other events
Deaths: 0 deaths

Active

Serious events: 28 serious events
Other events: 84 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=493 participants at risk
Participants received a placebo dental coating containing no chlorhexidine diacetate (CHX).
Active
n=490 participants at risk
Participants received a dental coating containing chlorhexidine diacetate (CHX) 10% weight per volume.
Cardiac disorders
Acute myocardial infarction
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Blood and lymphatic system disorders
Anaemia
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Cardiac disorders
Angina pectoris
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.41%
2/490 • Number of events 2 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Musculoskeletal and connective tissue disorders
Arthritis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign pancreatic neoplasm
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Cardiac disorders
Cardiovascular disorder
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Cellulitis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Cellulitis of male external genital organ
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Nervous system disorders
Cerebral ventricle dilation
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Musculoskeletal and connective tissue disorders
Cervical spine stenosis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Cervical vertebral fracture
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Hepatobiliary disorders
Cholecystitis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Clavicle fracture
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Psychiatric disorders
Completed suicide
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Concussion
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Nervous system disorders
Convulsion
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Cardiac disorders
Coronary artery disease
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Cystitis
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Diverticulitis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Gastrointestinal disorders
Diverticulum
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Social circumstances
Exposure to communicable disease
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Facial bones fracture
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Surgical and medical procedures
Gastric bypass
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Gastroenteritis viral
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Endocrine disorders
Goitre
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Gastrointestinal disorders
Haematochezia
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Head and neck cancer
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Surgical and medical procedures
Hernia repair
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Gastrointestinal disorders
Hiatus hernia
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Surgical and medical procedures
Hip arthroplasty
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Surgical and medical procedures
Hysterectomy
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Incisional hernia
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Kidney infection
0.41%
2/493 • Number of events 2 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Surgical and medical procedures
Knee arthroplasty
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Gastrointestinal disorders
Large intestine perforation
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Ligament rupture
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Lung injury
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Psychiatric disorders
Mental disorder
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Multiple myeloma
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Renal and urinary disorders
Nephrolithiasis
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
General disorders
Non-cardiac chest pain
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Osteomyelitis
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Gastrointestinal disorders
Pancreatitis
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Pelvic fracture
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Respiratory, thoracic and mediastinal disorders
Pleurisy
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Pneumonia
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.41%
2/490 • Number of events 2 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Postoperative wound infection
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Pyelonephritis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Surgical and medical procedures
Rectal fistula repair
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Rib fracture
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Scapula fracture
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Sepsis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Psychiatric disorders
Suicidal ideation
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Tibia fracture
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Nervous system disorders
Transient ischaemic attack
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Injury, poisoning and procedural complications
Traumatic liver injury
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Musculoskeletal and connective tissue disorders
Trismus
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Upper respiratory tract infection
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Renal and urinary disorders
Ureteric stenosis
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Surgical and medical procedures
Urinary bladder excision
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Urinary tract infection
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.00%
0/490 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.20%
1/493 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.41%
2/490 • Number of events 2 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Infections and infestations
Abdominal wall abscess
0.00%
0/493 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
0.20%
1/490 • Number of events 1 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.

Other adverse events

Other adverse events
Measure
Placebo
n=493 participants at risk
Participants received a placebo dental coating containing no chlorhexidine diacetate (CHX).
Active
n=490 participants at risk
Participants received a dental coating containing chlorhexidine diacetate (CHX) 10% weight per volume.
Infections and infestations
Nasopharyngitis
8.7%
43/493 • Number of events 44 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
6.1%
30/490 • Number of events 31 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Social circumstances
Pharmaceutical product complaint
2.4%
12/493 • Number of events 12 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
5.7%
28/490 • Number of events 28 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
Gastrointestinal disorders
Sensitivity of teeth
6.5%
32/493 • Number of events 36 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.
5.3%
26/490 • Number of events 29 • Adverse events were reported at any time throughout the study and were systematically screened for at the 6-month and 1-year visit.
Systematic assessment of adverse events evaluated during routine completion of standard questionnaire.

Additional Information

Dr. William Vollmer

Kaiser Permanente Data Coordinating Center

Phone: 503-335-6755

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place