ClinicalTrials.gg
CompletedNCT02533466Updated Aug 2, 2017Results posted

In Vivo Investigation of Initial Stages of Enamel Erosion

An interventional study of Sodium fluoride + potassium nitrate and Potassium nitrate in Tooth Erosion, sponsored by GlaxoSmithKline. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-08-02.

Sponsored by GlaxoSmithKline · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This exploratory study is designed to help develop a clinical model to measure the earlier stages of dietary acid medicated enamel loss. The study will use fluoride as positive control to explore the validity of this design.

02

Conditions studied

  • Tooth Erosion

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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 30 is close to 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 70 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

  • Demonstrates understanding of the study procedures, restrictions and willingness to participate as evidenced by voluntary written and has received a signed and dated copy of the informed consent form.
  • Aged at least 18 years
  • Good general and mental health with, in the opinion of the investigator or medically qualified designee no and relevant abnormalities in medical history or upon oral examination.
  • Absence of any condition that would impact the participant's safety or well-being, or affect the participant's ability to understand and follow study procedures and requirements.
  • Two anterior maxillary teeth, without signs of toothwear or exposed dentine, facial restorations, abutments for fixed or removable partial dentures, full crowns or veneers, orthodontic bands or cracked enamel that would interfere with the study evaluations.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breast feeding women
  • Known or suspected intolerance or to the study materials (or closely related compounds) or any of their stated ingredients
  • Participation in another clinical study (including cosmetic studies) or receipt of an drug within 30 days of the screening visit
  • Recent history (within the last year) of alcohol or other substance abuse
  • Presence of a disease or medication which in the opinion of the investigator, will impact on assessments
  • Gross periodontal disease, treatment of periodontal disease (including surgery) within 12 months of screening, scaling or root planning within 3 months of screening
  • Surface irregularities, discoloration due to trauma, restorations and hypo or hyperplasic areas which, in the opinion of the investigator or dental assessor, would prevent accurate impressions and grading
  • Daily doses of a medication which, in the opinion of the investigator, could impact the assessment, for example acidic medications
  • Any condition that would impact on the subject's safety or wellbeing or affect the individual's ability to understand and follow study procedures and requirements
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
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Test Product

    Subjects will apply a full ribbon of dentifrice and brush their teeth for 1 timed minute using a wetted toothbrush, swish the resulting slurry around the mouth for 30 seconds making sure it contacts the selected teeth, spit out slurry and rinse mouth for 10 seconds with water.

    Other: Sodium fluoride + potassium nitrate

  • Placebo comparator
    Reference Product

    Subjects will apply a full ribbon of dentifrice and brush their teeth for 1 timed minute using a wetted toothbrush, swish the resulting slurry around the mouth for 30 seconds making sure it contacts the selected teeth, spit out slurry and rinse mouth for 10 seconds with water.

    Other: Potassium nitrate

Interventions

  • OtherSodium fluoride + potassium nitrate

    Marketed toothpaste containing 1450ppm fluoride as sodium fluoride and 5% potassium nitrate

  • OtherPotassium nitrate

    Experimental toothpaste containing 5% potassium nitrate

06

What researchers measure

Primary outcomes

  1. Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Immediately Following an Acid Challenge

    The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

    Time frame: Baseline, 30 minutes post dietary acid challenge

Secondary outcomes

  1. Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 2 Hours Post Acid Challenge.

    The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

    Time frame: Baseline, 2 hours post acid challenge

  2. Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 4 Hours Post Acid Challenge

    The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

    Time frame: Baseline, 4 hours post acid challenge

  3. Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 7 Hours Post Acid Challenge

    The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

    Time frame: Baseline, 7 hours post acid challenge

  4. Change From Baseline of Salivary Calcium Concentration at 30 Mins Post Dietary Acid Challenge

    Saliva stored at 0 - 20°C was used for determining calcium concentration

    Time frame: Baseline, 30 mins post dietary acid challenge

  5. Change From Baseline of Salivary Calcium Concentration 7 Hours Post Dietary Acid Challenge

    Saliva stored at 0 - 20°C was used for determining calcium concentration

    Time frame: Baseline, 7 hours post dietary acid challenge

  6. Change From Baseline of pH Measurement at 30 Mins Post Dietary Acid Challenge

    Saliva stored at 0 - 20°C was used for determining pH

    Time frame: Baseline, 30 mins post dietary acid challenge

  7. Change From Baseline of pH Measurement 7 Hours Post Dietary Acid Challenge

    Saliva stored at 0 - 20°C was used for determining pH

    Time frame: Baseline, 7 hours post dietary acid challenge

  8. Change From Baseline in Buffering Capacity at 30 Mins Post Dietary Acid Challenge

    Saliva was collected and stored at 0 - 20°C. A Saliva-check Buffer Kit was used to determine the buffer capacity. The colourimetric assay yielded a coloured pattern on a paper diagnostic using a 0-12 scale where 0-5 was deemed to be very low, 6-9 was deemed low and 10-12 was deemed normal-high.

    Time frame: Baseline, 30 mins post dietary acid challenge

  9. Change From Baseline in Buffering Capacity 7 Hours Post Dietary Acid Challenge

    Saliva was collected and stored at 0 - 20°C. A Saliva-check Buffer Kit was used to determine the buffer capacity. The colourimetric assay yielded a coloured pattern on a paper diagnostic using a 0-12 scale where 0-5 was deemed to be very low, 6-9 was deemed low and 10-12 was deemed normal-high.

    Time frame: Baseline, 7 hours post dietary acid challenge

07

Results

Posted Jun 15, 2017

Participant flow

Participants were recruited at 1 center in United Kingdom.

Participant flow — Overall Study
MilestoneTest ProductReference Product
Started1614
Completed1614
Not completed00

Outcome measures

PrimaryChange From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Immediately Following an Acid Challenge

The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

Time frame:
Baseline, 30 minutes post dietary acid challenge
Reported as:
Median · Scores on grading scale
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Immediately Following an Acid Challenge
Scores on grading scaleTest ProductReference Product
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Immediately Following an Acid Challenge3.75 ± 1.9173.17 ± 1.882
Statistical analysis
  • Test Product vs Reference Product · Wilcoxon Rank Sum test · p = 0.2673 (P-value was calculated from Wilcoxon Rank Sum test.) · Median difference (final values): -0.08 · 95% CI -1.0 to 0.0Median difference and 95% CI intervals were calculated from the Hodges Lehnmann estimate. Difference was calculated as reference product minus test product.
SecondaryChange From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 2 Hours Post Acid Challenge.

The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

Time frame:
Baseline, 2 hours post acid challenge
Reported as:
Median · Scores on grading scale
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 2 Hours Post Acid Challenge.
Scores on grading scaleTest ProductReference Product
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 2 Hours Post Acid Challenge.3.83 (0.0 to 4.0)2.33 (0.0 to 3.8)
Statistical analysis
  • Test Product vs Reference Product · Wilcoxon Rank Sum Test · p = 0.0690 (P-value was calculated from Wilcoxon Rank Sum test.) · Median difference (final values): -0.92 · 95% CI -1.8 to 0.0Median difference and 95% CI intervals were calculated from the Hodges Lehnmann estimate. Difference was calculated as reference product minus test product.
SecondaryChange From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 4 Hours Post Acid Challenge

The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

Time frame:
Baseline, 4 hours post acid challenge
Reported as:
Median · Scores on grading scale
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 4 Hours Post Acid Challenge
Scores on grading scaleTest ProductReference Product
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 4 Hours Post Acid Challenge3.17 (0.0 to 4.0)1.08 (0.0 to 2.7)
Statistical analysis
  • Test Product vs Reference Product · Wilcoxon Rank Sum test · p = 0.0680 (P-value was calculated from Wilcoxon Rank Sum test.) · Median difference (final values): -1.50 · 95% CI -2.7 to 0.0Median difference and 95% CI intervals were calculated from the Hodges Lehnmann estimate. Difference was calculated as reference product minus test product.
SecondaryChange From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 7 Hours Post Acid Challenge

The impressions of the tooth surface were analysed using scanning electron microscopy (SEM) to investigate changes in the enamel surface topography to determine degree of early stage enamel erosion. Interrogation of the tooth surface via impressions using SEM followed by visual image analysis was used to investigate the enamel surface topography. The Images were graded as follows: 1. - No signs of surface erosive wear (no evidence of the "lock and key" structure) 2. - Early signs of erosive surface changes 3. - Mild signs of erosive surface changes (early signs of the "lock and key" structure). 4. - Moderate signs of erosive surface changes 5. - Severe signs of erosive surface changes ("lock and key" structure and enamel "pits") X - Not evaluable

Time frame:
Baseline, 7 hours post acid challenge
Reported as:
Median · Scores on grading scale
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 7 Hours Post Acid Challenge
Scores on grading scaleTest ProductReference Product
Change From Pre-acid Challenge (Baseline) Tooth Impression Grading Score Following 7 Hours Post Acid Challenge2.58 (0.0 to 4.0)0.75 (0.0 to 2.0)
Statistical analysis
  • Test Product vs Reference Product · Wilcoxon Rank Sum test. · p = 0.0654 (P-value is calculated from Wilcoxon Rank Sum test.) · Median difference (final values): -1.83 · 95% CI -3.0 to 0.0Median difference and 95% CI intervals were calculated from the Hodges Lehnmann estimate. Difference was calculated as reference product minus test product
SecondaryChange From Baseline of Salivary Calcium Concentration at 30 Mins Post Dietary Acid Challenge

Saliva stored at 0 - 20°C was used for determining calcium concentration

Time frame:
Baseline, 30 mins post dietary acid challenge
Reported as:
Mean · ppm
Change From Baseline of Salivary Calcium Concentration at 30 Mins Post Dietary Acid Challenge
ppmTest ProductReference Product
Change From Baseline of Salivary Calcium Concentration at 30 Mins Post Dietary Acid Challenge-12.81 ± 9.101-16.29 ± 12.041
Statistical analysis
  • Test Product vs Reference Product · ANCOVA · p = 0.6061 (P value obtained from the ANCOVA analysis) · Mean difference (final values): -1.4 · 95% CI -6.8 to 4.1Difference and 95 % CI obtained from the ANCOVA analysis. Difference was calculated as reference product minus test product.
SecondaryChange From Baseline of Salivary Calcium Concentration 7 Hours Post Dietary Acid Challenge

Saliva stored at 0 - 20°C was used for determining calcium concentration

Time frame:
Baseline, 7 hours post dietary acid challenge
Reported as:
Mean · ppm
Change From Baseline of Salivary Calcium Concentration 7 Hours Post Dietary Acid Challenge
ppmTest ProductReference Product
Change From Baseline of Salivary Calcium Concentration 7 Hours Post Dietary Acid Challenge4.38 ± 10.3080.00 ± 11.094
Statistical analysis
  • Test Product vs Reference Product · ANCOVA · p = 0.4080 (P value obtained from the ANCOVA analysis.) · Mean difference (final values): -2.3 · 95% CI -7.9 to 3.3Difference and 95 % CI obtained from the ANCOVA analysis. Difference was calculated as reference product minus test product
SecondaryChange From Baseline of pH Measurement at 30 Mins Post Dietary Acid Challenge

Saliva stored at 0 - 20°C was used for determining pH

Time frame:
Baseline, 30 mins post dietary acid challenge
Reported as:
Mean · pH units
Change From Baseline of pH Measurement at 30 Mins Post Dietary Acid Challenge
pH unitsTest ProductReference Product
Change From Baseline of pH Measurement at 30 Mins Post Dietary Acid Challenge-0.71 ± 0.854-0.51 ± 0.620
Statistical analysis
  • Test Product vs Reference Product · ANCOVA · p = 0.4611 (P value obtained from the ANCOVA analysis.) · Median difference (final values): 0.21 · 95% CI -0.4 to 0.8Difference and 95 % CI obtained from the ANCOVA analysis. Difference was calculated as reference product minus test product.
SecondaryChange From Baseline of pH Measurement 7 Hours Post Dietary Acid Challenge

Saliva stored at 0 - 20°C was used for determining pH

Time frame:
Baseline, 7 hours post dietary acid challenge
Reported as:
Mean · pH units
Change From Baseline of pH Measurement 7 Hours Post Dietary Acid Challenge
pH unitsTest ProductReference Product
Change From Baseline of pH Measurement 7 Hours Post Dietary Acid Challenge0.00 ± 0.2190.16 ± 0.569
Statistical analysis
  • Test Product vs Reference Product · ANCOVA · p = 0.3939 (P value obtained from the ANCOVA analysis.) · Mean difference (net): 0.09 · 95% CI -0.1 to 0.3
SecondaryChange From Baseline in Buffering Capacity at 30 Mins Post Dietary Acid Challenge

Saliva was collected and stored at 0 - 20°C. A Saliva-check Buffer Kit was used to determine the buffer capacity. The colourimetric assay yielded a coloured pattern on a paper diagnostic using a 0-12 scale where 0-5 was deemed to be very low, 6-9 was deemed low and 10-12 was deemed normal-high.

Time frame:
Baseline, 30 mins post dietary acid challenge
Reported as:
Mean · scores on a scale
Change From Baseline in Buffering Capacity at 30 Mins Post Dietary Acid Challenge
scores on a scaleTest ProductReference Product
Change From Baseline in Buffering Capacity at 30 Mins Post Dietary Acid Challenge-1.81 ± 3.885-1.50 ± 3.322
Statistical analysis
  • Test Product vs Reference Product · ANCOVA · p = 0.7829 (P value obtained from the ANCOVA analysis.) · Mean difference (final values): 0.34 · 95% CI -2.2 to 2.8Difference and 95 % CI obtained from the ANCOVA analysis. Difference was calculated as reference product minus test product.
SecondaryChange From Baseline in Buffering Capacity 7 Hours Post Dietary Acid Challenge

Saliva was collected and stored at 0 - 20°C. A Saliva-check Buffer Kit was used to determine the buffer capacity. The colourimetric assay yielded a coloured pattern on a paper diagnostic using a 0-12 scale where 0-5 was deemed to be very low, 6-9 was deemed low and 10-12 was deemed normal-high.

Time frame:
Baseline, 7 hours post dietary acid challenge
Reported as:
Mean · scores on a scale
Change From Baseline in Buffering Capacity 7 Hours Post Dietary Acid Challenge
scores on a scaleTest ProductReference Product
Change From Baseline in Buffering Capacity 7 Hours Post Dietary Acid Challenge-0.25 ± 2.463-0.36 ± 2.706
Statistical analysis
  • Test Product vs Reference Product · ANCOVA · p = 0.9121 (P value obtained from the ANCOVA analysis.) · Mean difference (final values): -0.08 · 95% CI -1.6 to 1.4Difference and 95 % CI obtained from the ANCOVA analysis. Difference was calculated as reference product minus test product.

Adverse events

Collected over Baseline upto Day 2. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Test Product—0/16 (0%)0/16 (0%)
Reference Product—0/14 (0%)0/14 (0%)

Baseline characteristics

The Per Protocol (PP) population was the primary population.

Age, Continuous
Age, Continuous(Years)Test ProductReference ProductTotal
Mean36.1 ± 11.1738.1 ± 12.2137.1 ± 11.51
Sex: Female, Male
Sex: Female, Male(Participants)Test ProductReference ProductTotal
Female415
Male121325
08

Study locations

1 site
  • GSK Investigational Site
    Bristol, BS1 2LY, United Kingdom
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 2, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02533466
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Aug 26, 2015
Start date
Oct 1, 2015
Primary completion
Nov 6, 2015
Completion
Nov 6, 2015
Results posted
Jun 15, 2017
Last update
Aug 2, 2017

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

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