Trial Outcomes & Findings for Efficacy of Three Experimental Toothpastes to Remove Plaque (NCT NCT02992691)

NCT ID: NCT02992691

Last Updated: 2019-05-29

Results Overview

The dental examiner used Turesky Modification of the Quigley Hein Index to assess plaque on all gradable teeth.Overall plaque scores were calculated taking average over all tooth sites for participant.Plaque was first disclosed using dye solution followed by disclosing solution.They expectorated and rinsed with 10 milliliters (mL) water for 10 seconds (sec),expectorated again. Plaque was assessed with each tooth being divided into 6 areas including mesiofacial,facial,distofacial,mesiolingual,lingual,distolingual surfaces.Disclosed plaque was scored for each tooth surface separately as:0 No plaque;1 Slight flecks of plaque at cervical margin of the tooth;2 A thin continuous band of plaque(1 mm or smaller) at cervical margin of tooth;3 A band of plaque wider than 1 mm but covering less than 1/3 of the crown of tooth;4 Plaque covering at least 1/3 but less than 2/3 of crown of tooth;5 Plaque covering 2/3 or more of crown of tooth. Score range 0-5.Lower scores indicate less plaque area.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

75 participants

Primary outcome timeframe

Up to 5 weeks

Results posted on

2019-05-29

Participant Flow

Participants were recruited at one center in Germany

A total of 100 participants were screened, out of which 25 participants were screening failure. Remaining 75 participants were enrolled in the study. Out of 75 enrolled participants, 6 did not meet eligibility criteria, 3 withdrew their consent, 10 participants, due to other reason (not specified). Remaining 56 were randomized in the study.

Participant milestones

Participant milestones
Measure
Overall Study
This was a single-center, controlled, examiner-blind, five-treatment, five-period, crossover design study in healthy volunteers. Each participant received Test Product 1 (Dentifrice containing 20 percent \[%\] weight by weight \[w/w\] sodium bicarbonate), Test product 2 (Dentifrice containing 35% w/w sodium bicarbonate) Test product 3 (Dentifrice containing 50% w/w sodium bicarbonate), positive control (Dentifrice containing 67% w/w sodium bicarbonate) and negative control (Dentifrice containing 0% sodium bicarbonate and 1450 parts per million (ppm) fluoride).
Overall Study
STARTED
56
Overall Study
Received Test Product 1
55
Overall Study
Received Test Product 2
55
Overall Study
Received Test Product 3
52
Overall Study
Received Positive Control
55
Overall Study
Received Negative Control
55
Overall Study
COMPLETED
53
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Overall Study
This was a single-center, controlled, examiner-blind, five-treatment, five-period, crossover design study in healthy volunteers. Each participant received Test Product 1 (Dentifrice containing 20 percent \[%\] weight by weight \[w/w\] sodium bicarbonate), Test product 2 (Dentifrice containing 35% w/w sodium bicarbonate) Test product 3 (Dentifrice containing 50% w/w sodium bicarbonate), positive control (Dentifrice containing 67% w/w sodium bicarbonate) and negative control (Dentifrice containing 0% sodium bicarbonate and 1450 parts per million (ppm) fluoride).
Overall Study
Adverse Event
2
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Efficacy of Three Experimental Toothpastes to Remove Plaque

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=56 Participants
This was five-treatment, five-period, crossover design study. Each participant received Test Product 1 (Dentifrice containing 20 percent \[%\] weight by weight \[w/w\] sodium bicarbonate), Test product 2 (Dentifrice containing 35% w/w sodium bicarbonate) Test product 3 (Dentifrice containing 50% w/w sodium bicarbonate), positive control (Dentifrice containing 67% w/w sodium bicarbonate) and negative control (Dentifrice containing 0% sodium bicarbonate and 1450 parts per million \[ppm\] fluoride).
Age, Continuous
42.3 Years
STANDARD_DEVIATION 10.59 • n=5 Participants
Sex: Female, Male
Female
40 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 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
56 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 5 weeks

Population: Intent to treat (ITT) population was the primary population of analysis. The ITT population was defined as those participants who were randomized, received at least one dose of study product and had at least one post-baseline efficacy measurement.

The dental examiner used Turesky Modification of the Quigley Hein Index to assess plaque on all gradable teeth.Overall plaque scores were calculated taking average over all tooth sites for participant.Plaque was first disclosed using dye solution followed by disclosing solution.They expectorated and rinsed with 10 milliliters (mL) water for 10 seconds (sec),expectorated again. Plaque was assessed with each tooth being divided into 6 areas including mesiofacial,facial,distofacial,mesiolingual,lingual,distolingual surfaces.Disclosed plaque was scored for each tooth surface separately as:0 No plaque;1 Slight flecks of plaque at cervical margin of the tooth;2 A thin continuous band of plaque(1 mm or smaller) at cervical margin of tooth;3 A band of plaque wider than 1 mm but covering less than 1/3 of the crown of tooth;4 Plaque covering at least 1/3 but less than 2/3 of crown of tooth;5 Plaque covering 2/3 or more of crown of tooth. Score range 0-5.Lower scores indicate less plaque area.

Outcome measures

Outcome measures
Measure
Positive Control
n=55 Participants
Participant applied a full ribbon of dentifrice containing 67% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Negative Control
n=55 Participants
Participant applied a full ribbon of dentifrice containing 0% sodium bicarbonate and 1450 ppm fluoride and brushed their teeth for one timed minute.
Test Product 3
Participant applied a full ribbon of dentifrice containing 50% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Negative Control
Participant applied a full ribbon of dentifrice containing 0% w/w sodium bicarbonate and 1450 ppm fluoride brushed their teeth for one timed minute.
Change From Baseline (Pre-brushing) After a Single Brushing Treatment (Post-brushing) Turesky Modification of Quigley Hein Plaque Index (TPI), Positive Control Versus [vs.] Negative Control
-0.57 Score on a Scale
Standard Deviation 0.247
-0.54 Score on a Scale
Standard Deviation 0.253

SECONDARY outcome

Timeframe: Up to 5 weeks

Population: ITT population was the primary population of analysis. The ITT population was defined as those participants who were randomized, received at least one dose of study product and had at least one post-baseline efficacy measurement.

The dental examiner used Turesky Modification of the Quigley Hein Index to assess plaque on all gradable teeth.Overall plaque scores were calculated taking average over all tooth sites for participant.Plaque was first disclosed using dye solution followed by disclosing solution.They expectorated and rinsed with 10 mL of water for 10 sec,expectorated again. Plaque was assessed with each tooth being divided into 6 areas including mesiofacial,facial,distofacial,mesiolingual,lingual,distolingual surfaces.Disclosed plaque was scored for each tooth surface separately as:0 No plaque;1 Slight flecks of plaque at cervical margin of the tooth;2 A thin continuous band of plaque(1 mm or smaller) at cervical margin of tooth;3 A band of plaque wider than 1 mm but covering less than 1/3 of the crown of tooth;4 Plaque covering at least 1/3 but less than 2/3 of crown of tooth;5 Plaque covering 2/3 or more of crown of tooth. Score range 0-5.Lower scores indicate less plaque area.

Outcome measures

Outcome measures
Measure
Positive Control
n=55 Participants
Participant applied a full ribbon of dentifrice containing 67% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Negative Control
n=52 Participants
Participant applied a full ribbon of dentifrice containing 0% sodium bicarbonate and 1450 ppm fluoride and brushed their teeth for one timed minute.
Test Product 3
n=55 Participants
Participant applied a full ribbon of dentifrice containing 50% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Negative Control
n=55 Participants
Participant applied a full ribbon of dentifrice containing 0% w/w sodium bicarbonate and 1450 ppm fluoride brushed their teeth for one timed minute.
Change From Baseline (Pre-brushing) After a Single Brushing Treatment (Post-brushing) Turesky Modification of Quigley Hein Plaque Index (Test Product 1, 2 and 3 vs Negative Control)
-0.56 Score on a scale
Standard Deviation 0.250
-0.55 Score on a scale
Standard Deviation 0.231
-0.55 Score on a scale
Standard Deviation 0.243
-0.54 Score on a scale
Standard Deviation 0.253

SECONDARY outcome

Timeframe: Up to 5 weeks

Population: ITT population was the primary population of analysis. The ITT population was defined as those participants who were randomized, received at least one dose of study product and had at least one post-baseline efficacy measurement.

The dental examiner used Turesky Modification of the Quigley Hein Index to assess plaque on all gradable teeth.Overall plaque scores were calculated taking average over all tooth sites for participant.Plaque was first disclosed using dye solution followed by disclosing solution.They expectorated and rinsed with 10 mL of water for 10 sec,expectorated again. Plaque was assessed with each tooth being divided into 6 areas including mesiofacial,facial,distofacial,mesiolingual,lingual,distolingual surfaces.Disclosed plaque was scored for each tooth surface separately as:0 No plaque;1 Slight flecks of plaque at cervical margin of the tooth;2 A thin continuous band of plaque(1 mm or smaller) at cervical margin of tooth;3 A band of plaque wider than 1 mm but covering less than 1/3 of the crown of tooth;4 Plaque covering at least 1/3 but less than 2/3 of crown of tooth;5 Plaque covering 2/3 or more of crown of tooth.Score range 0-5.Lower scores indicate less plaque area.

Outcome measures

Outcome measures
Measure
Positive Control
n=55 Participants
Participant applied a full ribbon of dentifrice containing 67% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Negative Control
n=55 Participants
Participant applied a full ribbon of dentifrice containing 0% sodium bicarbonate and 1450 ppm fluoride and brushed their teeth for one timed minute.
Test Product 3
n=52 Participants
Participant applied a full ribbon of dentifrice containing 50% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Negative Control
n=55 Participants
Participant applied a full ribbon of dentifrice containing 0% w/w sodium bicarbonate and 1450 ppm fluoride brushed their teeth for one timed minute.
Change From Baseline (Pre-brushing) After a Single Brushing Treatment (Post-brushing) Turesky Modification of Quigley Hein Plaque Index (Test Product 1, 2 and 3 vs Positive Control)
-0.56 Score on a scale
Standard Deviation 0.250
-0.55 Score on a scale
Standard Deviation 0.231
-0.55 Score on a scale
Standard Deviation 0.243
-0.57 Score on a scale
Standard Deviation 0.247

Adverse Events

Test Product 1

Serious events: 5 serious events
Other events: 0 other events
Deaths: 0 deaths

Test Product 2

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

Test Product 3

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

Positive Control

Serious events: 6 serious events
Other events: 0 other events
Deaths: 0 deaths

Negative Control

Serious events: 6 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Test Product 1
n=55 participants at risk
Participant applied a full ribbon of dentifrice containing 20% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Test Product 2
n=55 participants at risk
Participant applied a full ribbon of dentifrice containing 35% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Test Product 3
n=52 participants at risk
Participant applied a full ribbon of dentifrice containing 50% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Positive Control
n=55 participants at risk
Participant applied a full ribbon of dentifrice containing 67% w/w sodium bicarbonate and brushed their teeth for one timed minute.
Negative Control
n=55 participants at risk
Participant applied a full ribbon of dentifrice containing 0% w/w sodium bicarbonate and 1450 ppm fluoride brushed their teeth for one timed minute.
Infections and infestations
Nasopharyngitis
3.6%
2/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
1.9%
1/52 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
Infections and infestations
Gingivitis
1.8%
1/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
3.8%
2/52 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
Infections and infestations
Oral Herpes
1.8%
1/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
3.8%
2/52 • Up to 5 weeks
3.6%
2/55 • Up to 5 weeks
3.6%
2/55 • Up to 5 weeks
Infections and infestations
Angular Cheilitis
0.00%
0/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
0.00%
0/52 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
Infections and infestations
Pulpitis Dental
0.00%
0/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
0.00%
0/52 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
Gastrointestinal disorders
Gingival Erythema
1.8%
1/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
3.8%
2/52 • Up to 5 weeks
3.6%
2/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
Gastrointestinal disorders
Oral Mucosal Erythema
0.00%
0/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
0.00%
0/52 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
Gastrointestinal disorders
Tongue Coated
0.00%
0/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
1.9%
1/52 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
Respiratory, thoracic and mediastinal disorders
Pharyngeal Erythema
0.00%
0/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
0.00%
0/52 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
Respiratory, thoracic and mediastinal disorders
Tonsillar Erythema
0.00%
0/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks
0.00%
0/52 • Up to 5 weeks
0.00%
0/55 • Up to 5 weeks
1.8%
1/55 • Up to 5 weeks

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