Trial Outcomes & Findings for Trial of Nano-hydroxyapatite-Containing Toothpastes for Relief of Dentin Hypersensitivity (NCT NCT04590040)

NCT ID: NCT04590040

Last Updated: 2023-08-16

Results Overview

The primary efficacy outcome will be the decrease in cold air stimulus sensitivity (VAS score) from baseline to 8 weeks. Assessment of change in cold air sensitivity will be conducted using air delivered from a standard dental unit air syringe at room temperature (\~70°F±3°F)(\~21°C±2°C) and a pressure of 60psi (± 5psi). Assessment of sensitivity will be carried out using Visual Analog Scale (VAS). Tooth sensitivity was measured using a Cold Air Stimulus. When being assessed, participants rated their perception of the pain/discomfort experienced when cold air was directed at the exposed root of each tooth by marking a single vertical line on a Visual Analogue Scale (VAS) scale from 0 to 100 mm, where 0 = No Pain/Discomfort and 100 = Intense Pain/Discomfort.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

192 participants

Primary outcome timeframe

Week 0 (baseline), 4 weeks and 8 weeks

Results posted on

2023-08-16

Participant Flow

Subjects were consented and enrolled, then for one month there was a washout period. Baseline characteristic measurements were taken prior to washout for both Cold Air Sensitivity and Tactile Stimulus.

Participant milestones

Participant milestones
Measure
Toothpaste 1
Toothpaste 1 containing 0% nano-hydroxyapatite (HAP) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. Placebo: 0% nano-HAP toothpaste
Toothpaste 2
Toothpaste 2 containing 15% nano-HAP will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 15% nano-HAP toothpaste: Toothpaste with identical base formulation as the placebo containing 15% nano-HAP
Toothpaste 3
Toothpaste 3 containing 5% potassium nitrate (KNO3) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 5% KNO3 toothpaste: Toothpaste with identical base formulation as the placebo containing 5% KNO3
Washout Period
STARTED
64
64
64
Washout Period
COMPLETED
64
64
64
Washout Period
NOT COMPLETED
0
0
0
Treatment Period
STARTED
64
64
64
Treatment Period
COMPLETED
62
59
62
Treatment Period
NOT COMPLETED
2
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Toothpaste 1
Toothpaste 1 containing 0% nano-hydroxyapatite (HAP) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. Placebo: 0% nano-HAP toothpaste
Toothpaste 2
Toothpaste 2 containing 15% nano-HAP will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 15% nano-HAP toothpaste: Toothpaste with identical base formulation as the placebo containing 15% nano-HAP
Toothpaste 3
Toothpaste 3 containing 5% potassium nitrate (KNO3) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 5% KNO3 toothpaste: Toothpaste with identical base formulation as the placebo containing 5% KNO3
Treatment Period
Lost to Follow-up
2
5
0
Treatment Period
Physician Decision
0
0
2

Baseline Characteristics

Trial of Nano-hydroxyapatite-Containing Toothpastes for Relief of Dentin Hypersensitivity

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Toothpaste 1
n=62 Participants
Toothpaste 1 containing 0% nano-hydroxyapatite (HAP) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. Placebo: 0% nano-HAP toothpaste
Toothpaste 2
n=59 Participants
Toothpaste 2 containing 15% nano-HAP will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 15% nano-HAP toothpaste: Toothpaste with identical base formulation as the placebo containing 15% nano-HAP
Toothpaste 3
n=62 Participants
Toothpaste 3 containing 5% potassium nitrate (KNO3) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 5% KNO3 toothpaste: Toothpaste with identical base formulation as the placebo containing 5% KNO3
Total
n=183 Participants
Total of all reporting groups
Age, Continuous
47 years
STANDARD_DEVIATION 16 • n=5 Participants
47 years
STANDARD_DEVIATION 16 • n=7 Participants
50 years
STANDARD_DEVIATION 14 • n=5 Participants
48 years
STANDARD_DEVIATION 15 • n=4 Participants
Sex: Female, Male
Female
44 Participants
n=5 Participants
43 Participants
n=7 Participants
43 Participants
n=5 Participants
130 Participants
n=4 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
16 Participants
n=7 Participants
19 Participants
n=5 Participants
53 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian
15 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
31 Participants
n=4 Participants
Race/Ethnicity, Customized
Black (not Hispanic)
3 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic
30 Participants
n=5 Participants
28 Participants
n=7 Participants
26 Participants
n=5 Participants
84 Participants
n=4 Participants
Race/Ethnicity, Customized
White (not Hispanic)
14 Participants
n=5 Participants
25 Participants
n=7 Participants
23 Participants
n=5 Participants
62 Participants
n=4 Participants
Region of Enrollment
United States
62 participants
n=5 Participants
59 participants
n=7 Participants
62 participants
n=5 Participants
183 participants
n=4 Participants
Cold Air Sensitivity (VAS)
69 units on a scale
STANDARD_DEVIATION 20 • n=5 Participants
67 units on a scale
STANDARD_DEVIATION 16 • n=7 Participants
65 units on a scale
STANDARD_DEVIATION 18 • n=5 Participants
67 units on a scale
STANDARD_DEVIATION 18 • n=4 Participants
Tactile (g)
15 grams
STANDARD_DEVIATION 7 • n=5 Participants
15 grams
STANDARD_DEVIATION 7 • n=7 Participants
16 grams
STANDARD_DEVIATION 7 • n=5 Participants
15.3 grams
STANDARD_DEVIATION 7 • n=4 Participants

PRIMARY outcome

Timeframe: Week 0 (baseline), 4 weeks and 8 weeks

The primary efficacy outcome will be the decrease in cold air stimulus sensitivity (VAS score) from baseline to 8 weeks. Assessment of change in cold air sensitivity will be conducted using air delivered from a standard dental unit air syringe at room temperature (\~70°F±3°F)(\~21°C±2°C) and a pressure of 60psi (± 5psi). Assessment of sensitivity will be carried out using Visual Analog Scale (VAS). Tooth sensitivity was measured using a Cold Air Stimulus. When being assessed, participants rated their perception of the pain/discomfort experienced when cold air was directed at the exposed root of each tooth by marking a single vertical line on a Visual Analogue Scale (VAS) scale from 0 to 100 mm, where 0 = No Pain/Discomfort and 100 = Intense Pain/Discomfort.

Outcome measures

Outcome measures
Measure
Toothpaste 1
n=62 Participants
Toothpaste 3 containing 5% potassium nitrate (KNO3) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 5% KNO3 toothpaste: Toothpaste with identical base formulation as the placebo containing 5% KNO3
Toothpaste 2
n=59 Participants
Toothpaste 2 containing 15% nano-HAP will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 15% nano-HAP toothpaste: Toothpaste with identical base formulation as the placebo containing 15% nano-HAP
Toothpaste 3
n=62 Participants
Toothpaste 1 containing 0% nano-hydroxyapatite (HAP) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. Placebo: 0% nano-HAP toothpaste
Measurement of Cold Air Stimulus
Week 0 (Baseline)
71.4 units on a scale
Standard Deviation 1.4
72.2 units on a scale
Standard Deviation 1.47
71.9 units on a scale
Standard Deviation 1.61
Measurement of Cold Air Stimulus
Week 4
51.1 units on a scale
Standard Deviation 1.84
51.9 units on a scale
Standard Deviation 2.28
62 units on a scale
Standard Deviation 2
Measurement of Cold Air Stimulus
Week 8
35.6 units on a scale
Standard Deviation 1.9
37.7 units on a scale
Standard Deviation 2.19
48.4 units on a scale
Standard Deviation 2.21

SECONDARY outcome

Timeframe: Week 0 (baseline), 4 weeks and 8 weeks

The secondary efficacy outcome will be the increase in tactile stimulus force from baseline to 8 weeks. Assessment of Change in tactile sensitivity will be assessed using the Yeaple Electronic Force Sensing Probe.The explorer tip will be applied perpendicular to the tooth surface and a pressure load applied starting at 10 g and increasing to 80g. The load at which the subject says "yes" will be recorded. (Baseline screening will begin at 30g).

Outcome measures

Outcome measures
Measure
Toothpaste 1
n=62 Participants
Toothpaste 3 containing 5% potassium nitrate (KNO3) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 5% KNO3 toothpaste: Toothpaste with identical base formulation as the placebo containing 5% KNO3
Toothpaste 2
n=59 Participants
Toothpaste 2 containing 15% nano-HAP will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. 15% nano-HAP toothpaste: Toothpaste with identical base formulation as the placebo containing 15% nano-HAP
Toothpaste 3
n=62 Participants
Toothpaste 1 containing 0% nano-hydroxyapatite (HAP) will be used by subjects to brush their teeth twice daily for 3 minutes in the morning and before bed each night using a 1 inch strip of toothpaste on a soft-bristled toothbrush. Placebo: 0% nano-HAP toothpaste
Measurement of Tactile Stimulus
0 weeks (Baseline)
13.7 Grams
Standard Deviation 0.48
14.1 Grams
Standard Deviation 0.57
14.8 Grams
Standard Deviation 0.57
Measurement of Tactile Stimulus
4 Weeks
23.6 Grams
Standard Deviation 1.15
23.2 Grams
Standard Deviation 1.37
17.7 Grams
Standard Deviation 1.06
Measurement of Tactile Stimulus
8 weeks
31.7 Grams
Standard Deviation 1.58
28.7 Grams
Standard Deviation 1.77
22.9 Grams
Standard Deviation 1.27

Adverse Events

Toothpaste 1

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

Toothpaste 2

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

Toothpaste 3

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

Bennett Amaechi BDS, MD, PhD

UT Health San Antonio

Phone: 210 567 3185

Results disclosure agreements

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