A Phase 3 interventional study of Sodium Fluoride (NaF) and Placebo in Dental Caries, sponsored by GlaxoSmithKline. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-01-01.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment
The purpose of this study is to investigate the efficacy of different sodium fluoride (NaF) containing toothpastes in prevention of dental caries. Change from baseline fluoride data at various time points up to four hours after a single brushing with NaF containing toothpastes will be evaluated.
Topical fluorides in a wide variety of delivery systems have been proven to be clinically effective in the prevention of dental caries. It is generally agreed that fluoride has its anti-caries effect mainly by decreasing the rate of enamel demineralization and enhancing the rate of enamel remineralization. There is a general consensus that level of fluoride in plaque fluid, may be directly related to the anti caries effects of fluoride. Also, fluoride levels in the oral fluids decrease rapidly after topical fluoride application, mainly due to the diluting and washing effect of saliva followed by periodic swallowing. To evaluate fluoride content, plaque samples will be collected from the interproximal surfaces of the posterior teeth of participants using a standardized approach. Plaque fluid fluoride will be calculated using a micro analytical method and in comparison to a standard fluoride curve constructed on the same day of the analysis.
1,109 studies on the registry are indexed under Dental Caries; 197 are open to participants now.
This study's enrollment of 65 is close to the median of 60 across 916 interventional studies indexed under Dental Caries.
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Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.
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Exclusion Criteria:
Participants brushed for one timed minute with 1.6g of NaF/silica and 0.4 percent carbopol toothpaste containing 1450ppmF as NaF. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Drug: Sodium Fluoride (NaF)
Participants brushed for one timed minute with 1.6g of NaF toothpaste containing 1400ppmF as NaF. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Drug: Sodium Fluoride (NaF)
Participants brushed for one timed minute with 1.6g of NaMFP/NaF toothpaste containing 1450ppmF from NaMFP and NaF. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Drug: Sodium Fluoride (NaF)
Participants brushed for one timed minute with 1.6g of fluoride free toothpaste. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Drug: Placebo
Different fluoride toothpastes containing between 1400ppmF - 1450ppmF of fluoride as NaF
Also known as: fluoride
Fluoride free toothpaste (0ppmF)
Natural Log Transformed Area Under the Fluoride Concentration in Plaque Fluid by Time Curve (AUC) Between 0-4 Hours
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.
Time frame: Plaque samples collected at 15 minutes, 30 minutes, 1 hour, 2 hours and 4 hours post single application of treatment
Natural Log Transformed AUC for Fluoride Concentration in Plaque Fluid Between 0-4 Hours
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.
Time frame: Plaque samples collected at 15 minutes, 30 minutes, 1 hour, 2 hours and 4 hours post single application of treatment
Change From Baseline in Fluoride Concentration at 15 Minutes After Brushing With Study Treatments
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.
Time frame: Plaque samples were collected at baseline, 15 minutes post single application of study treatment
Change From Baseline in Fluoride Concentration at 30 Minutes Post Brushing With Study Treatments
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.
Time frame: Plaque samples were collected at baseline, 30 minutes post single application of study treatment
Change From Baseline in Fluoride Concentration at 1 Hour Post Brushing With Study Treatments
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.
Time frame: Plaque samples were collected at baseline, 1 hour post single application of study treatment
Change From Baseline in Fluoride Concentration at 2 Hours Post Brushing With Study Treatments
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.
Time frame: Plaque samples were collected at baseline, 2 hour post single application of study treatment
Change From Baseline in Fluoride Concentration at 4 Hours Post Brushing With Study Treatments
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.
Time frame: Plaque samples were collected at baseline, 4 hours post single application of study treatment
Participants were recruited at the clinical site.
| Milestone | Sodium Fluoride (NaF) Toothpaste(1450 Parts Per Million(Ppm)F) | NaF Toothpaste (1400ppmF) | Sodium Monofluorophosphate (NaMFP)/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Started | 16 | 16 | 17 | 16 |
| Completed | 15 | 16 | 16 | 14 |
| Not completed | 1 | 0 | 1 | 2 |
| Withdrew: Protocol violation | 1 | 0 | 1 | 0 |
| Withdrew: Other reason | 0 | 0 | 0 | 2 |
| Milestone | Sodium Fluoride (NaF) Toothpaste(1450 Parts Per Million(Ppm)F) | NaF Toothpaste (1400ppmF) | Sodium Monofluorophosphate (NaMFP)/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Started | 15 | 15 | 16 | 15 |
| Completed | 14 | 13 | 16 | 14 |
| Not completed | 1 | 2 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 1 | 0 | 0 |
| Withdrew: Other reason | 1 | 0 | 0 | 1 |
| Milestone | Sodium Fluoride (NaF) Toothpaste(1450 Parts Per Million(Ppm)F) | NaF Toothpaste (1400ppmF) | Sodium Monofluorophosphate (NaMFP)/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Started | 15 | 14 | 14 | 14 |
| Completed | 14 | 12 | 14 | 14 |
| Not completed | 1 | 2 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 2 | 0 | 0 |
| Withdrew: Other reason | 1 | 0 | 0 | 0 |
| Milestone | Sodium Fluoride (NaF) Toothpaste(1450 Parts Per Million(Ppm)F) | NaF Toothpaste (1400ppmF) | Sodium Monofluorophosphate (NaMFP)/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Started | 12 | 14 | 14 | 14 |
| Completed | 12 | 14 | 14 | 14 |
| Not completed | 0 | 0 | 0 | 0 |
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.
| ln(μg*F*minutes/cm^2) | NaF Toothpaste(1450 Ppm F) | NaF Toothpaste (1400 Ppm F) |
|---|---|---|
| Natural Log Transformed Area Under the Fluoride Concentration in Plaque Fluid by Time Curve (AUC) Between 0-4 Hours | 0.54 ± 0.086 | 0.54 ± 0.087 |
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.
| ln(μg*F*minutes/cm^2) | NaF Toothpaste(1450ppmF) | NaF Toothpaste (1400ppmF) | NaMFP/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Natural Log Transformed AUC for Fluoride Concentration in Plaque Fluid Between 0-4 Hours | 0.54 ± 0.086 | 0.54 ± 0.087 | 0.05 ± 0.086 | -0.90 ± 0.087 |
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.
| μg*F/g | NaF Toothpaste(1450ppmF) | NaF Toothpaste (1400ppmF) | NaMFP/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Change From Baseline in Fluoride Concentration at 15 Minutes After Brushing With Study Treatments | 2.00 ± 4.586 | 1.56 ± 2.806 | 0.76 ± 1.633 | 0.03 ± 0.083 |
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.
| μg*F/g | NaF Toothpaste(1450ppmF) | NaF Toothpaste (1400ppmF) | NaMFP/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Change From Baseline in Fluoride Concentration at 30 Minutes Post Brushing With Study Treatments | 0.71 (0.0 to 7.7) | 0.72 (0.0 to 14.9) | 0.28 (0.0 to 4.7) | 0.02 (-0.3 to 0.3) |
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.
| μg*F/g | NaF Toothpaste(1450ppmF) | NaF Toothpaste (1400ppmF) | NaMFP/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Change From Baseline in Fluoride Concentration at 1 Hour Post Brushing With Study Treatments | 0.20 (0.0 to 3.1) | 0.22 (0.0 to 6.7) | 0.12 (0.0 to 1.6) | 0.01 (0.00 to 0.02) |
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.
| μg*F/g | NaF Toothpaste(1450ppmF) | NaF Toothpaste (1400ppmF) | NaMFP/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Change From Baseline in Fluoride Concentration at 2 Hours Post Brushing With Study Treatments | 0.09 (-0.1 to 0.7) | 0.09 (-0.1 to 1.0) | 0.07 (-0.3 to 0.5) | 0.00 (-0.1 to 0.1) |
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.
| μg*F/g | NaF Toothpaste(1450ppmF) | NaF Toothpaste (1400ppmF) | NaMFP/NaF Toothpaste (1450ppmF) | Placebo Toothpaste (0ppmF) |
|---|---|---|---|---|
| Change From Baseline in Fluoride Concentration at 4 Hours Post Brushing With Study Treatments | 0.04 (-0.1 to 0.7) | 0.04 (-0.1 to 1.2) | 0.02 (-0.3 to 0.2) | -0.01 (-0.1 to 0.1) |
Collected over All adverse events encountered or spontaneously reported following administration of any investigational product (including washout product), or for up to 5 days after the last administration of investigational product were recorded.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| NaF Toothpaste(1450ppmF) | — | 0/58 (0%) | 0/58 (0%) |
| NaF Toothpaste (1400ppmF) | — | 0/59 (0%) | 0/59 (0%) |
| NaMFP/NaF Toothpaste (1450ppmF) | — | 0/61 (0%) | 0/61 (0%) |
| Placebo Toothpaste (0ppmF) | — | 0/59 (0%) | 0/59 (0%) |
| Age, Continuous(years) | Overall Study |
|---|---|
| Mean | 26.4 ± 6.97 |
| Sex: Female, Male(Participants) | Overall Study |
|---|---|
| Female | 31 |
| Male | 34 |
| Region of Enrollment(participants) | Overall Study |
|---|---|
| United States | 65 |
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GlaxoSmithKline