Trial Outcomes & Findings for Evaluation of Plaque Fluid Fluoride Retention From Fluoride Toothpastes (NCT NCT00708305)

NCT ID: NCT00708305

Last Updated: 2015-01-01

Results Overview

To evaluate fluoride content, plaque samples were collected from the interproximal surfaces of the posterior teeth of participants using a standardized approach. Plaque fluid fluoride were calculated using a micro analytical method and in comparison to a standard fluoride curve constructed on the same day of the analysis. AUC was determined from 0-4hours using trapezoidal rule and natural log transformation was applied due to failure of assumption of normal distribution of data.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

65 participants

Primary outcome timeframe

Plaque samples collected at 15 minutes, 30 minutes, 1 hour, 2 hours and 4 hours post single application of treatment

Results posted on

2015-01-01

Participant Flow

Participants were recruited at the clinical site.

There was a four-day wash out prior to each treatment period during which participants used the study fluoride-free toothpaste. Two to three days prior to the start of each treatment visit, participants attended the study site for a dental prophylaxis then discontinued all oral hygiene prior to study treatment visit.

Participant milestones

Participant milestones
Measure
Sodium Fluoride (NaF) Toothpaste(1450 Parts Per Million(Ppm)F)
Participants brushed their natural teeth for one timed minute with 1.6 grams (g) of with NaF and 0.4% carbopol toothpaste (1450 ppm F as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400ppmF)
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400 ppm F as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Sodium Monofluorophosphate (NaMFP)/NaF Toothpaste (1450ppmF)
Participants brushed their natural teeth for one timed minute with 1.6 g NaMFP and NaF toothpaste (1450 ppm F - 1000 ppm F as NaMFP and 450 ppm F as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
Participants brushed their natural teeth for one timed minute with 1.6 g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Period 1
STARTED
16
16
17
16
Period 1
COMPLETED
15
16
16
14
Period 1
NOT COMPLETED
1
0
1
2
Period 2
STARTED
15
15
16
15
Period 2
COMPLETED
14
13
16
14
Period 2
NOT COMPLETED
1
2
0
1
Period 3
STARTED
15
14
14
14
Period 3
COMPLETED
14
12
14
14
Period 3
NOT COMPLETED
1
2
0
0
Period 4
STARTED
12
14
14
14
Period 4
COMPLETED
12
14
14
14
Period 4
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sodium Fluoride (NaF) Toothpaste(1450 Parts Per Million(Ppm)F)
Participants brushed their natural teeth for one timed minute with 1.6 grams (g) of with NaF and 0.4% carbopol toothpaste (1450 ppm F as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400ppmF)
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400 ppm F as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Sodium Monofluorophosphate (NaMFP)/NaF Toothpaste (1450ppmF)
Participants brushed their natural teeth for one timed minute with 1.6 g NaMFP and NaF toothpaste (1450 ppm F - 1000 ppm F as NaMFP and 450 ppm F as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
Participants brushed their natural teeth for one timed minute with 1.6 g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Period 1
Protocol Violation
1
0
1
0
Period 1
Other Reason
0
0
0
2
Period 2
Lost to Follow-up
0
1
0
0
Period 2
Protocol Violation
0
1
0
0
Period 2
Other Reason
1
0
0
1
Period 3
Protocol Violation
0
2
0
0
Period 3
Other Reason
1
0
0
0

Baseline Characteristics

Evaluation of Plaque Fluid Fluoride Retention From Fluoride Toothpastes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=65 Participants
All randomized participants
Age, Continuous
26.4 years
STANDARD_DEVIATION 6.97 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
Sex: Female, Male
Male
34 Participants
n=5 Participants
Region of Enrollment
United States
65 participants
n=5 Participants

PRIMARY outcome

Timeframe: Plaque samples collected at 15 minutes, 30 minutes, 1 hour, 2 hours and 4 hours post single application of treatment

Population: Per-Protocol (PP) population: All participants who had at least one post-baseline efficacy assessment but did not have any major protocol deviations. Due to drop outs, there were differences in the "n" per treatment group. Missing data was not imputed.

To evaluate fluoride content, plaque samples were collected from the interproximal surfaces of the posterior teeth of participants using a standardized approach. Plaque fluid fluoride were calculated using a micro analytical method and in comparison to a standard fluoride curve constructed on the same day of the analysis. AUC was determined from 0-4hours using trapezoidal rule and natural log transformation was applied due to failure of assumption of normal distribution of data.

Outcome measures

Outcome measures
Measure
NaF Toothpaste(1450 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g of with NaF and 0.4% carbopol toothpaste (1450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400 Ppm F)
n=57 Participants
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaMFP/NaF Toothpaste (1450ppmF)
Participants brushed their natural teeth for one timed minute with 1.6g NaMFP and NaF toothpaste (1450ppmF - 1000ppmF as NaMFP and 450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
Participants brushed their natural teeth for one timed minute with 1.6g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Natural Log Transformed Area Under the Fluoride Concentration in Plaque Fluid by Time Curve (AUC) Between 0-4 Hours
0.54 ln(μg*F*minutes/cm^2)
Standard Error 0.086
0.54 ln(μg*F*minutes/cm^2)
Standard Error 0.087

SECONDARY outcome

Timeframe: Plaque samples collected at 15 minutes, 30 minutes, 1 hour, 2 hours and 4 hours post single application of treatment

Population: Per-Protocol (PP) population: All participants who had at least one post-baseline efficacy assessment but did not have any major protocol deviations. Due to drop outs, there were differences in the "n" per treatment group. Missing data was not imputed.

To evaluate fluoride content, plaque samples were collected from the interproximal surfaces of the posterior teeth of participants using a standardized approach. Plaque fluid fluoride were calculated using a micro analytical method and in comparison to a standard fluoride curve constructed on the same day of the analysis. AUC was determined from 0-4 hours using trapezoidal rule and natural log transformation was applied.due to failure of assumption of normal distribution of data.

Outcome measures

Outcome measures
Measure
NaF Toothpaste(1450 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g of with NaF and 0.4% carbopol toothpaste (1450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400 Ppm F)
n=57 Participants
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaMFP/NaF Toothpaste (1450ppmF)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g NaMFP and NaF toothpaste (1450ppmF - 1000ppmF as NaMFP and 450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
n=56 Participants
Participants brushed their natural teeth for one timed minute with 1.6g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Natural Log Transformed AUC for Fluoride Concentration in Plaque Fluid Between 0-4 Hours
0.54 ln(μg*F*minutes/cm^2)
Standard Error 0.086
0.54 ln(μg*F*minutes/cm^2)
Standard Error 0.087
0.05 ln(μg*F*minutes/cm^2)
Standard Error 0.086
-0.90 ln(μg*F*minutes/cm^2)
Standard Error 0.087

SECONDARY outcome

Timeframe: Plaque samples were collected at baseline, 15 minutes post single application of study treatment

Population: PP population: All participants who had at least one post-baseline efficacy assessment but did not have any major protocol deviations. Due to drop outs, there were differences in the "n" per treatment group. Missing data was not imputed.

Change from baseline at any time point for a treatment period was calculated as the median post brushing fluoride value at a time point minus the median baseline (pre-brushing) fluoride value for a treatment period.

Outcome measures

Outcome measures
Measure
NaF Toothpaste(1450 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g of with NaF and 0.4% carbopol toothpaste (1450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400 Ppm F)
n=59 Participants
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaMFP/NaF Toothpaste (1450ppmF)
n=60 Participants
Participants brushed their natural teeth for one timed minute with 1.6g NaMFP and NaF toothpaste (1450ppmF - 1000ppmF as NaMFP and 450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Change From Baseline in Fluoride Concentration at 15 Minutes After Brushing With Study Treatments
2.00 μg*F/g
Full Range 4.586 • Interval 0.1 to 21.7
1.56 μg*F/g
Full Range 2.806 • Interval 0.1 to 16.0
0.76 μg*F/g
Full Range 1.633 • Interval 0.1 to 7.2
0.03 μg*F/g
Full Range 0.083 • Interval -0.3 to 0.4

SECONDARY outcome

Timeframe: Plaque samples were collected at baseline, 30 minutes post single application of study treatment

Population: PP population: All participants who had at least one post-baseline efficacy assessment but did not have any major protocol deviations. Due to drop outs, there were differences in the "n" per treatment group. Missing data was not imputed.

Change from baseline at any time point for a treatment period was calculated as the median post brushing fluoride value at a time point minus the median baseline (pre-brushing) fluoride value for a treatment period.

Outcome measures

Outcome measures
Measure
NaF Toothpaste(1450 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g of with NaF and 0.4% carbopol toothpaste (1450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaMFP/NaF Toothpaste (1450ppmF)
n=60 Participants
Participants brushed their natural teeth for one timed minute with 1.6g NaMFP and NaF toothpaste (1450ppmF - 1000ppmF as NaMFP and 450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Change From Baseline in Fluoride Concentration at 30 Minutes Post Brushing With Study Treatments
0.71 μg*F/g
Interval 0.0 to 7.7
0.72 μg*F/g
Interval 0.0 to 14.9
0.28 μg*F/g
Interval 0.0 to 4.7
0.02 μg*F/g
Interval -0.3 to 0.3

SECONDARY outcome

Timeframe: Plaque samples were collected at baseline, 1 hour post single application of study treatment

Population: PP population: All participants who had at least one post-baseline efficacy assessment but did not have any major protocol deviations. Due to drop outs, there were differences in the "n" per treatment group. Missing data was not imputed.

Change from baseline at any time point for a treatment period was calculated as the median post brushing fluoride value at a time point minus the median baseline (pre-brushing) fluoride value for a treatment period.

Outcome measures

Outcome measures
Measure
NaF Toothpaste(1450 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g of with NaF and 0.4% carbopol toothpaste (1450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaMFP/NaF Toothpaste (1450ppmF)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g NaMFP and NaF toothpaste (1450ppmF - 1000ppmF as NaMFP and 450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Change From Baseline in Fluoride Concentration at 1 Hour Post Brushing With Study Treatments
0.20 μg*F/g
Interval 0.0 to 3.1
0.22 μg*F/g
Interval 0.0 to 6.7
0.12 μg*F/g
Interval 0.0 to 1.6
0.01 μg*F/g
Interval 0.0 to 0.02

SECONDARY outcome

Timeframe: Plaque samples were collected at baseline, 2 hour post single application of study treatment

Population: PP population: All participants who had at least one post-baseline efficacy assessment but did not have any major protocol deviations. Due to drop outs, there were differences in the "n" per treatment group. Missing data was not imputed.

Change from baseline at any time point for a treatment period was calculated as the median post brushing fluoride value at a time point minus the median baseline (pre-brushing) fluoride value for a treatment period.

Outcome measures

Outcome measures
Measure
NaF Toothpaste(1450 Ppm F)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g of with NaF and 0.4% carbopol toothpaste (1450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400 Ppm F)
n=59 Participants
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaMFP/NaF Toothpaste (1450ppmF)
n=58 Participants
Participants brushed their natural teeth for one timed minute with 1.6g NaMFP and NaF toothpaste (1450ppmF - 1000ppmF as NaMFP and 450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
n=57 Participants
Participants brushed their natural teeth for one timed minute with 1.6g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Change From Baseline in Fluoride Concentration at 2 Hours Post Brushing With Study Treatments
0.09 μg*F/g
Interval -0.1 to 0.7
0.09 μg*F/g
Interval -0.1 to 1.0
0.07 μg*F/g
Interval -0.3 to 0.5
0.00 μg*F/g
Interval -0.1 to 0.1

SECONDARY outcome

Timeframe: Plaque samples were collected at baseline, 4 hours post single application of study treatment

Population: PP population: All participants who had at least one post-baseline efficacy assessment but did not have any major protocol deviations. Due to drop outs, there were differences in the "n" per treatment group. Missing data was not imputed.

Change from baseline at any time point for a treatment period was calculated as the median post brushing fluoride value at a time point minus the median baseline (pre-brushing) fluoride value for a treatment period.

Outcome measures

Outcome measures
Measure
NaF Toothpaste(1450 Ppm F)
n=57 Participants
Participants brushed their natural teeth for one timed minute with 1.6g of with NaF and 0.4% carbopol toothpaste (1450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF Toothpaste (1400 Ppm F)
n=57 Participants
Participants brushed their natural teeth for one timed minute with 1.6 g NaF toothpaste (1400ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaMFP/NaF Toothpaste (1450ppmF)
n=60 Participants
Participants brushed their natural teeth for one timed minute with 1.6g NaMFP and NaF toothpaste (1450ppmF - 1000ppmF as NaMFP and 450ppmF as NaF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo Toothpaste (0ppmF)
n=57 Participants
Participants brushed their natural teeth for one timed minute with 1.6g fluoride free toothpaste (0ppmF), under the supervision of study staff. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Change From Baseline in Fluoride Concentration at 4 Hours Post Brushing With Study Treatments
0.04 μg*F/g
Interval -0.1 to 0.7
0.04 μg*F/g
Interval -0.1 to 1.2
0.02 μg*F/g
Interval -0.3 to 0.2
-0.01 μg*F/g
Interval -0.1 to 0.1

Adverse Events

NaF Toothpaste(1450ppmF)

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

NaF Toothpaste (1400ppmF)

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

NaMFP/NaF Toothpaste (1450ppmF)

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

Placebo Toothpaste (0ppmF)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER