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CompletedNCT00752089Updated Dec 8, 2016Results posted

Experimental Dentifrice Remineralization/Fluoride Uptake in an in Situ Model

A Phase 2 interventional study of NaF/ KNO3/isopentane Dentifrice and NaF/KNO3 Dentifrice in Dental Erosion, sponsored by GlaxoSmithKline. Completed. Open to participants aged 18 Years to 78 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-12-08.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 78 Years
Sex
All
01

Study summary

The purpose of this study is to determine whether an experimental fluoridated dentifrice is effective in the treatment of dental caries

Read the detailed description

Topical fluorides have been proven to be clinically effective in the prevention of dental caries. It is generally agreed that anti-caries effect of fluoride (F) is mainly by decreasing the rate of enamel demineralization and enhancing the rate of enamel remineralization. An in-situ Surface Micro-hardness (SMH) test is widely used to evaluate enamel demineralization and remineralization during the caries process. Determination of fluoride uptake in-situ also provides better estimation of true fluoride bioavailability of fluoride dentifrice products. In this study, an in-situ remineralization fluoride uptake model will be used to compare the efficacy of experimental dentifrice with a marketed dentifrice and placebo dentifrice. Participants wore partial dentures containing two partially demineralized enamel specimens for two weeks- 24 hours per day, except when brushing (twice daily) with test dentifrice. Following each treatment period, the enamel specimens were analyzed for SMH recovery and fluoride uptake through microdrill enamel biopsy technique.

02

Conditions studied

  • Dental Erosion

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Keywords

  • enamel fluoride uptake
  • erosion
  • enamel remineralization
03

In context

Tooth Erosion

47 studies on the registry are indexed under Tooth Erosion; 7 are open to participants now.

This study's enrollment of 20 is below the median of 33 across 33 interventional studies indexed under Tooth Erosion.

Browse Tooth Erosion studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,650 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 241 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 78 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age: Aged between 18 and 78
  2. Fluoride: Currently living in the Indianapolis area which has a fluoridated water supply (1 ppm F) and not taking fluoride supplements for medical reasons
  3. Dentures: Currently wearing a removable mandibular partial denture with sufficient room in the posterior buccal flange area to accommodate two enamel specimens (required dimensions 12 x 7 mm). Willing and capable of wearing their removable partial dentures 24 hours per day during the experimental periods
  4. Dental health:Have no current active caries or periodontal disease that may compromise the study or the health of the participants and all restorations in a good state of repair
  5. Salivary flow:Have a salivary flow rate in the range of normal values (unstimulated whole saliva flow rate ≥ 0.2 mL/min; gum base stimulated whole saliva flow rate ≥ 0.8 mL/min
  6. Compliance: Understands and is willing, able and likely to comply with all study procedures and restrictions
  7. Consent:Demonstrates understanding of the study and willingness to participate as evidenced by voluntary written and has received a signed and dated copy of the informed consent form
  8. General Health: Good general health with (in the opinion of the investigator) no and/or relevant abnormalities of medical history or oral examination that could interfere with participant safety during the study period

Exclusion criteria

Exclusion Criteria:

  1. Antibiotics:Currently taking antibiotics or have taken antibiotics in the two weeks prior to the screening visit
  2. Allergy/Intolerance:Known or suspected intolerance or to the study materials (or closely related compounds) or any of their stated ingredients
  3. Pregnancy:Women who are known to be pregnant or who are intending to become pregnant over the duration of the study.
  4. Breast-feeding:Women who are breast-feeding.
  5. Clinical Study/Experimental Medication: Participation in another clinical study or receipt of an drug within 30 days of the screening visit
  6. Personnel:An employee of the sponsor or the study site who is directly involved in the study
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Sodium fluoride/potassium nitrate/Isopentane dentifrice

    Participants to brush their teeth for one timed minute twice daily with a gel to foam dentifrice containing active ingredients: 1450 ppm F as sodium fluoride (NaF) and 5% potassium nitrate (KNO3) and isopentane as an excipient ingredient.

    Drug: NaF/ KNO3/isopentane Dentifrice

  • Experimental
    NaF/KNO3 Dentifrice

    Participants to brush their teeth for one timed minute twice daily with a gel to foam dentifrice, containing as active ingredients: 1450 ppm NaF and 5% KNO3 but no isopentane.

    Drug: NaF/KNO3 Dentifrice

  • Active comparator
    NaF Dentifrice

    Participants to brush their teeth for one timed minute twice daily with a dentifrice containing 1450 ppm F as NaF.

    Drug: NaF Dentifrice

  • Placebo comparator
    Placebo Dentifrice

    Participants to brush their teeth for one timed minute twice daily with a fluoride free dentifrice (0 ppm F).

    Other: Placebo Dentifrice

Interventions

  • DrugNaF/ KNO3/isopentane Dentifrice

    Experimental toothpaste

  • DrugNaF/KNO3 Dentifrice

    Experimental toothpaste

  • DrugNaF Dentifrice

    Active comparator

  • OtherPlacebo Dentifrice

    Placebo comparator

06

What researchers measure

Primary outcomes

  1. Percentage Surface Micro-hardness Recovery (SMHR) of Enamel Specimens

    SMH test was used to assess mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline (B), after intra-oral exposure (R) and after in-vitro demineralization (D) using formula: \[(D-R)/ (D-B)\]\*100.

    Time frame: Baseline to 14 days

Secondary outcomes

  1. Adjusted Mean Change From Baseline in Enamel Fluoride Uptake

    Enamel fluoride uptake was determined using the microdrill enamel biopsy technique. The amount of fluoride uptake by enamel was calculated based on the amount of fluoride (F) divided by the area of the enamel cores and expressed as ug\*F/cm\^3. The difference between treatments was calculated with respect to fluoride uptake by enamel.

    Time frame: Baseline to 14 days

07

Results

Posted Dec 8, 2016

Participant flow

Participants were recruited at the clinical site.

Participant flow — Overall Study
MilestoneOverall Study
Started20
Received naf/ kno3/ 2% isopentane19
Received naf/kno3/ 0% isopentane17
Received naf18
Received placebo18
Completed14
Not completed6
Withdrew: Adverse event1
Withdrew: Protocol deviation2
Withdrew: Could not attend visit 91
Withdrew: Not capable of wearing partial denture1
Withdrew: Cannot continue the study1

Outcome measures

PrimaryPercentage Surface Micro-hardness Recovery (SMHR) of Enamel Specimens

SMH test was used to assess mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline (B), after intra-oral exposure (R) and after in-vitro demineralization (D) using formula: \[(D-R)/ (D-B)\]\*100.

Time frame:
Baseline to 14 days
Reported as:
Least squares mean · % SMHR
Percentage Surface Micro-hardness Recovery (SMHR) of Enamel Specimens
% SMHRNaF/ KNO3/ 2% Isopentane DentifriceNaF/KNO3/ 0% Isopentane DentifriceNaF DentifricePlacebo Dentifrice
Percentage Surface Micro-hardness Recovery (SMHR) of Enamel Specimens39.46 ± 4.1038.31 ± 4.1136.17 ± 4.1017.26 ± 4.04
Statistical analysis
  • NaF/ KNO3/ 2% Isopentane Dentifrice vs NaF/KNO3/ 0% Isopentane Dentifrice · ANOVA · p = 0.7756 (No adjustment for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 1.146 · 95% CI -6.904 to 9.196Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/ KNO3/ 2% Isopentane Dentifrice vs NaF Dentifrice · ANOVA · p = 0.4194 (No adjustments for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 3.291 · 95% CI -4.840 to 11.421Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/ KNO3/ 2% Isopentane Dentifrice vs Placebo Dentifrice · ANOVA · p = <0.0001 (No adjustment for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 22.200 · 95% CI 14.280 to 30.120Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/KNO3/ 0% Isopentane Dentifrice vs NaF Dentifrice · ANOVA · p = 0.5927 (No adjustment for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 2.145 · 95% CI -5.874 to 10.164Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/KNO3/ 0% Isopentane Dentifrice vs Placebo Dentifrice · ANOVA · p = <0.0001 (No adjustment for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 21.054 · 95% CI 13.189 to 28.919Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF Dentifrice vs Placebo Dentifrice · ANOVA · p = <0.0001 (No adjustment for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 18.909 · 95% CI 11.036 to 26.783Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
SecondaryAdjusted Mean Change From Baseline in Enamel Fluoride Uptake

Enamel fluoride uptake was determined using the microdrill enamel biopsy technique. The amount of fluoride uptake by enamel was calculated based on the amount of fluoride (F) divided by the area of the enamel cores and expressed as ug\*F/cm\^3. The difference between treatments was calculated with respect to fluoride uptake by enamel.

Time frame:
Baseline to 14 days
Reported as:
Least squares mean · ug*F/cm^3
Adjusted Mean Change From Baseline in Enamel Fluoride Uptake
ug*F/cm^3NaF/ KNO3/ 2% Isopentane DentifriceNaF/ KNO3/ 0% Isopentane DentifriceNaF DentifricePlacebo Dentifrice
Adjusted Mean Change From Baseline in Enamel Fluoride Uptake2445.86 ± 256.552767.30 ± 257.162518.54 ± 256.55661.18 ± 252.88
Statistical analysis
  • NaF/ KNO3/ 2% Isopentane Dentifrice vs NaF/ KNO3/ 0% Isopentane Dentifrice · ANOVA · p = 0.1990 (No adjustments for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: -321.438 · 95% CI -818.118 to 175.242Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/ KNO3/ 2% Isopentane Dentifrice vs NaF Dentifrice · ANOVA · p = 0.7718 (No adjustments for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: -72.680 · 95% CI -574.398 to 429.039Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/ KNO3/ 2% Isopentane Dentifrice vs Placebo Dentifrice · ANOVA · p = <0.0001 (No adjustments for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 1784.675 · 95% CI 1296.044 to 2273.306Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/ KNO3/ 0% Isopentane Dentifrice vs NaF Dentifrice · ANOVA · p = 0.3164 (No adjustments for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 248.758 · 95% CI -245.962 to 743.478Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF/ KNO3/ 0% Isopentane Dentifrice vs Placebo Dentifrice · ANOVA · p = <0.0001 (No adjustments for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 2106.113 · 95% CI 1620.906 to 2591.320Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.
  • NaF Dentifrice vs Placebo Dentifrice · ANOVA · p = <0.0001 (No adjustments for multiple comparisons were made as the primary comparison was pre-defined.) · Adjusted mean difference: 1857.355 · 95% CI 1371.637 to 2343.072Difference is first named treatment minus second named treatment such that a positive difference favors the first named treatment.

Adverse events

Collected over Up to 13 weeks. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
NaF/ KNO3/ 2 % Isopentane Dentifrice—0/17 (0%)2/17 (11.8%)
NaF/KNO3/ 0% Isopentane Dentifrice—0/17 (0%)3/17 (17.6%)
NaF Dentifrice—0/18 (0%)4/18 (22.2%)
Placebo Dentifrice—0/18 (0%)2/18 (11.1%)
Most frequent other events
Most frequent other events
EventNaF/ KNO3/ 2 % Isopentane DentifriceNaF/KNO3/ 0% Isopentane DentifriceNaF DentifricePlacebo Dentifrice
Gingival erythemaGastrointestinal disorders0/171/172/180/18
Gingival ulcerationGastrointestinal disorders0/171/171/180/18
Localised infectionInfections and infestations1/170/170/180/18
NasopharyngitisInfections and infestations0/171/170/180/18
Tooth infectionInfections and infestations1/170/170/180/18
Food poisoningGastrointestinal disorders0/170/170/181/18
Tongue coatedGastrointestinal disorders0/170/170/181/18
Tooth fractureInjury, poisoning and procedural complications0/170/171/180/18

Baseline characteristics

Age, Continuous
Age, Continuous(years)Overall Study Participants
Mean65.31 ± 8.226
Sex: Female, Male
Sex: Female, Male(Participants)Overall Study Participants
Female13
Male7
Region of Enrollment
Region of Enrollment(participants)Overall Study Participants
United States20
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00752089
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Sep 15, 2008
Start date
Sep 2007
Primary completion
Jan 2008
Completion
Jan 2008
Results posted
Dec 8, 2016
Last update
Dec 8, 2016

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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