Trial Outcomes & Findings for Dentine Tubule Occlusion Assessment in a Modified in Situ Model (NCT NCT02768194)

NCT ID: NCT02768194

Last Updated: 2018-06-25

Results Overview

Change from baseline (pre-dose) in the mean occlusion classification score was calculated. The degree of occlusion was measured using the following classification grades; 0 Not Evaluable, 1 Occluded, 2 Mostly Occluded, 3 Equally Occluded/Unoccluded, 4 Mostly Unoccluded and 5 Unoccluded

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

Baseline and Day 8

Results posted on

2018-06-25

Participant Flow

Participants were recruited at one center at United Kingdom.

A total of 26 participants were screened, out of which 24 participants were randomized to the study and 2 participants withdrawn their consent.

Participant milestones

Participant milestones
Measure
Test /Negative Control/Reference
Firstly, participants received dentifrice containing 0.454% stannous fluoride (test), secondly mineral water (negative control) and thirdly dentifrice containing 0.76% sodium monofluorophosphate (reference). Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 milliliters (mL) of mineral water for 5 seconds.
Test/Reference/Negative Control
Firstly, participants received test dentifrice, secondly reference dentifrice and thirdly negative control. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Negative Control/Test/Reference
Firstly, participants received negative control, secondly test dentifrice and thirdly reference dentifrice. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Negative Control/Reference/Test
Firstly, participants received negative control, secondly reference dentifrice and thirdly test dentifrice. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Reference/Test/Negative Control
Firstly, participants received reference dentifrice, secondly test dentifrice and thirdly negative control. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Reference/Negative Control/Test
Firstly, participants received reference dentifrice, secondly negative control and thirdly test dentrifrice. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Period 1
STARTED
4
4
4
4
4
4
Period 1
COMPLETED
4
4
4
3
4
4
Period 1
NOT COMPLETED
0
0
0
1
0
0
Period 2
STARTED
4
4
4
3
4
4
Period 2
COMPLETED
3
4
4
3
4
4
Period 2
NOT COMPLETED
1
0
0
0
0
0
Period 3
STARTED
3
4
4
3
4
4
Period 3
COMPLETED
3
3
4
3
4
4
Period 3
NOT COMPLETED
0
1
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Test /Negative Control/Reference
Firstly, participants received dentifrice containing 0.454% stannous fluoride (test), secondly mineral water (negative control) and thirdly dentifrice containing 0.76% sodium monofluorophosphate (reference). Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 milliliters (mL) of mineral water for 5 seconds.
Test/Reference/Negative Control
Firstly, participants received test dentifrice, secondly reference dentifrice and thirdly negative control. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Negative Control/Test/Reference
Firstly, participants received negative control, secondly test dentifrice and thirdly reference dentifrice. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Negative Control/Reference/Test
Firstly, participants received negative control, secondly reference dentifrice and thirdly test dentifrice. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Reference/Test/Negative Control
Firstly, participants received reference dentifrice, secondly test dentifrice and thirdly negative control. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Reference/Negative Control/Test
Firstly, participants received reference dentifrice, secondly negative control and thirdly test dentrifrice. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Period 1
Adverse Event
0
0
0
1
0
0
Period 2
Other (Reason not specified)
1
0
0
0
0
0
Period 3
Other (Reason not specified)
0
1
0
0
0
0

Baseline Characteristics

Dentine Tubule Occlusion Assessment in a Modified in Situ Model

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Randomized Participants
n=24 Participants
All randomized participants were included for baseline evaluation.
Age, Continuous
41.4 Years
STANDARD_DEVIATION 13.31 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Day 8

Population: Per protocol (PP) Population was the primary analysis population, defined as those participants in the ITT (Intent to treat) population for whom all post baseline scanning electron microscopy (SEM) image scores were not deemed to be affected by protocol violations.

Change from baseline (pre-dose) in the mean occlusion classification score was calculated. The degree of occlusion was measured using the following classification grades; 0 Not Evaluable, 1 Occluded, 2 Mostly Occluded, 3 Equally Occluded/Unoccluded, 4 Mostly Unoccluded and 5 Unoccluded

Outcome measures

Outcome measures
Measure
Test Product
n=23 Participants
Participants used dentifrice containing 0.454% stannous fluoride. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Reference Product
n=22 Participants
Participants used dentifrice containing 0.76% sodium monofluorophosphate. Appliances brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Negative Control
n=24 Participants
Participants used commercially available mineral water. Appliances brushed ex situ in mineral water twice daily were then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in mineral water. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Change From Baseline in Mean Occlusion Scores After 8 Days Treatment Application
Pre-dose (Baseline)
4.38 Score on a scale
Standard Deviation 0.383
4.32 Score on a scale
Standard Deviation 0.518
4.36 Score on a scale
Standard Deviation 0.398
Change From Baseline in Mean Occlusion Scores After 8 Days Treatment Application
Post-dose (Post Baseline)
3.43 Score on a scale
Standard Deviation 0.760
3.42 Score on a scale
Standard Deviation 0.754
3.53 Score on a scale
Standard Deviation 0.865
Change From Baseline in Mean Occlusion Scores After 8 Days Treatment Application
Change
-0.95 Score on a scale
Standard Deviation 0.925
-0.90 Score on a scale
Standard Deviation 0.933
-0.83 Score on a scale
Standard Deviation 0.849

SECONDARY outcome

Timeframe: Baseline, Day 1, 4, and 10

Population: PP Population was the primary analysis population, defined as those participants in the ITT (Intent to treat) population for whom all post baseline scanning electron microscopy (SEM) image scores were not deemed to be affected by protocol violations.

Change from baseline (pre-dose) in the mean occlusion classification score was calculated. The degree of occlusion was measured using the following classification grades; 0 Not Evaluable, 1 Occluded, 2 Mostly Occluded, 3 Equally Occluded/Unoccluded, 4 Mostly Unoccluded and 5 Unoccluded

Outcome measures

Outcome measures
Measure
Test Product
n=23 Participants
Participants used dentifrice containing 0.454% stannous fluoride. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Reference Product
n=22 Participants
Participants used dentifrice containing 0.76% sodium monofluorophosphate. Appliances brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Negative Control
n=24 Participants
Participants used commercially available mineral water. Appliances brushed ex situ in mineral water twice daily were then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in mineral water. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 4: Post-dose (Post Baseline)
3.51 Score on a scale
Standard Deviation 0.825
3.60 Score on a scale
Standard Deviation 0.843
3.98 Score on a scale
Standard Deviation 0.762
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 10: Change from Baseline
-1.18 Score on a scale
Standard Deviation 0.910
-0.82 Score on a scale
Standard Deviation 0.827
-0.62 Score on a scale
Standard Deviation 0.958
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 1: Pre-dose (Baseline)
4.30 Score on a scale
Standard Deviation 0.424
4.38 Score on a scale
Standard Deviation 0.364
4.30 Score on a scale
Standard Deviation 0.486
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 1: Post-dose (Post Baseline)
3.96 Score on a scale
Standard Deviation 0.578
4.13 Score on a scale
Standard Deviation 0.769
3.86 Score on a scale
Standard Deviation 0.961
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 1: Change from Baseline
-0.34 Score on a scale
Standard Deviation 0.723
-0.26 Score on a scale
Standard Deviation 0.748
-0.44 Score on a scale
Standard Deviation 0.876
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 4: Pre-dose (Baseline)
4.41 Score on a scale
Standard Deviation 0.465
4.30 Score on a scale
Standard Deviation 0.466
4.23 Score on a scale
Standard Deviation 0.404
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 4: Change from Baseline
-0.91 Score on a scale
Standard Deviation 0.819
-0.70 Score on a scale
Standard Deviation 0.875
-0.25 Score on a scale
Standard Deviation 0.827
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 10: Pre-dose (Baseline)
4.31 Score on a scale
Standard Deviation 0.410
4.31 Score on a scale
Standard Deviation 0.418
4.36 Score on a scale
Standard Deviation 0.428
Change From Baseline in Mean Occlusion Scores After 1, 4, & 10 Days Treatment Application
Day 10: Post-dose (Post Baseline)
3.13 Score on a scale
Standard Deviation 0.958
3.49 Score on a scale
Standard Deviation 0.841
3.74 Score on a scale
Standard Deviation 0.862

Adverse Events

Test Product

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Reference Product

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Negative Control

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Test Product
n=23 participants at risk
Participants used dentifrice containing 0.454% stannous fluoride. Appliances were brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Reference Product
n=22 participants at risk
Participants used dentifrice containing 0.76% sodium monofluorophosphate. Appliances brushed ex situ in 1:3 slurry of freshly prepared dentifrice twice daily then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in a 1:3 slurry of assigned dentifrice. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Negative Control
n=24 participants at risk
Participants used commercially available mineral water. Appliances brushed ex situ in mineral water twice daily were then returned to the participant's mouth. Each appliance was brushed for 1 minute (2 minutes total for both of the participant's appliances) using an electric toothbrush in mineral water. Appliances were returned to the participant's mouth and the participants rinsed with 10 mL of mineral water for 5 seconds.
Gastrointestinal disorders
Sensitivity of Teeth
0.00%
0/23 • Baseline to Day 10
0.00%
0/22 • Baseline to Day 10
4.2%
1/24 • Number of events 1 • Baseline to Day 10
General disorders
Pyrexia
0.00%
0/23 • Baseline to Day 10
4.5%
1/22 • Baseline to Day 10
0.00%
0/24 • Baseline to Day 10
Injury, poisoning and procedural complications
TOOTH FRACTURE
0.00%
0/23 • Baseline to Day 10
4.5%
1/22 • Baseline to Day 10
0.00%
0/24 • Baseline to Day 10
Musculoskeletal and connective tissue disorders
GROIN PAIN
0.00%
0/23 • Baseline to Day 10
4.5%
1/22 • Baseline to Day 10
0.00%
0/24 • Baseline to Day 10
Musculoskeletal and connective tissue disorders
NECK PAIN
0.00%
0/23 • Baseline to Day 10
4.5%
1/22 • Baseline to Day 10
0.00%
0/24 • Baseline to Day 10
Nervous system disorders
HEADACHE
0.00%
0/23 • Baseline to Day 10
0.00%
0/22 • Baseline to Day 10
8.3%
2/24 • Baseline to Day 10
Reproductive system and breast disorders
DYSMENORRHOEA
4.3%
1/23 • Baseline to Day 10
4.5%
1/22 • Baseline to Day 10
0.00%
0/24 • Baseline to Day 10
Respiratory, thoracic and mediastinal disorders
COUGH
4.3%
1/23 • Baseline to Day 10
0.00%
0/22 • Baseline to Day 10
0.00%
0/24 • Baseline to Day 10

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