A Phase 2 interventional study of KSL-W in Plaque Regrowth, sponsored by U.S. Army Medical Research and Development Command. Completed. Open to participants aged 18 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-15.
Sponsored by U.S. Army Medical Research and Development Command · Phase 2, Interventional, and Prevention
The Safety, efficacy and tolerability of an Antimicrobial Chewing Gum Formulation in Reducing Dental Plaque
A Phase 2 two-armed placebo-controlled, double-blind, randomized (1:1), multiple dose, single center interventional study to evaluate the safety and proof of concept for an antimicrobial decapeptide KSL-W chewing gum formulation 3 times per day over 4 treatment days measuring dental plaque regrowth from specific regions of the upper jaw, lower jaw, buccal and lingual surfaces.
U.S. Army Medical Research and Development Command is the lead sponsor of 151 studies on the registry; 8 are open to participants now.
Of its 23 completed or terminated interventional studies of FDA-regulated products, 16 (70%) have results posted.
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Exclusion Criteria:
E01 Phenylketonuria E02 Acute or chronic medical conditions, organ system disease, or medications that, in the principal investigator's opinion, would impair the subject's ability to participate E03 TMD E04 Self-reported allergy to sucralose or mint flavors E05 Self-reported use of tobacco products including e-cigarettes E06 Use of any type of anticoagulant medications (eg clopidogrel) E07 Routine use of proton pump inhibitors E08 Allergic to any component of the study drug E09 Gross oral pathology, including widespread caries or chronic neglect, extensive restoration, pre-existing gross plaque or calculus, or soft or hard tissue tumor of the oral cavity E010Orthodontic appliances or removable partial dentures that will compromise the ability of the potential subject to participate in the study E011Periodontitis as indicated by periodontal pockets greater than 4 millimeters on more than one site E012 Receipt of any investigational drug/test product within 30 days prior to study entry with study entry defined as Day 0, or currently participating in either the active or follow-up phase of any other investigational study or planning to participate in any other investigational study during participation in this trial E013 Participation in the Phase 1/2a antiplaque study E014 Receipt of antibiotics within 30 days prior to study entry E015 Need for antibiotic prophylaxis prior to invasive dental procedures E016 Receipt of prescription antibacterial oral products (eg products containing chlorhexidine) within 30 days prior to study entry E017 Pregnant or breast-feeding female E018 An employee of the study site directly involved with the study E019 Inability to comply with assigned treatment regimen
3 times per day over 4 treatment days
Drug: KSL-W
3 times per day over 4 treatment days
Drug: KSL-W
Antimicrobial KSL-W Plaque reducing chewing gum
Also known as: Antimicrobial decapeptide KSL-W
Safety, Tolerability and Effectiveness in Reducing Dental Plaque of KLS-W Delivered in a Chewing Gum Formulation
Day 4 Exam Following 72-hours of Chewing Gum Treatment. Exam Included Vital Signs and Whole Mouth Dental Examination (Maxillary Buccal, Maxillary Lingual, Mandibular Buccal and Mandibular Surfaces) Assessing for Local Oral Mucosal Reactions, Systemic Reactions and Serious Total Body Reactions.
Time frame: Baseline, and Day 4 Following Three-days of Chewing Gum Treatment
Score on a Scale of Whole Mouth Change in Plaque Regrowth Based on Sub-scores From Specific Regions of the Upper Jaw, Lower Jaw, Buccal and Lingual Surface Using Standardized QHT Measures
The Amount of Plaque Regrowth Based on Sub-scores From Specific Regions of the Upper Jaw, Lower Jaw, Buccal and Lingual Surface Based on the Quigley-Hein Turskey Plaque Index (QHT) a measure that evaluates plaque on teeth surfaces on a scale of 0 to 5 defined by Quigley \&Hein in 1962 and modified by Turskey et al in 1970. All teeth except the third molars are assessed. An index for the entire mouth is determined by dividing the total score by the number of surfaces examined. Quigley-Hein-Turskey Plaque Index Scale Minimum score 0=no plaque, 1-Isolated flecks of plaque at the gingival margin, 2=A continuous band of plaque up to 1mm at the gingival margin, 3=Plaque greater than 1mm in width and covering up to one third of the tooth surface, 4=Plaque covering from one thirds to two thirds of the tooth surface, Maximum score of 5=Plaque covering more than two thirds of the tooth surface
Time frame: 4 Days
| Milestone | KSL-W 30 mg | Chewing Gum Placebo |
|---|---|---|
| Started | 14 | 13 |
| Completed | 13 | 13 |
| Not completed | 1 | 0 |
| Withdrew: Withdrawal by subject | 1 | 0 |
Day 4 Exam Following 72-hours of Chewing Gum Treatment. Exam Included Vital Signs and Whole Mouth Dental Examination (Maxillary Buccal, Maxillary Lingual, Mandibular Buccal and Mandibular Surfaces) Assessing for Local Oral Mucosal Reactions, Systemic Reactions and Serious Total Body Reactions.
| participants | KSL-W 30 mg | Chewing Gum Placebo |
|---|---|---|
| Local Oral Mucosal Changes | 0 | 0 |
| Systemic Reactions or Serious Total Body Reactions | 0 | 0 |
The Amount of Plaque Regrowth Based on Sub-scores From Specific Regions of the Upper Jaw, Lower Jaw, Buccal and Lingual Surface Based on the Quigley-Hein Turskey Plaque Index (QHT) a measure that evaluates plaque on teeth surfaces on a scale of 0 to 5 defined by Quigley \&Hein in 1962 and modified by Turskey et al in 1970. All teeth except the third molars are assessed. An index for the entire mouth is determined by dividing the total score by the number of surfaces examined. Quigley-Hein-Turskey Plaque Index Scale Minimum score 0=no plaque, 1-Isolated flecks of plaque at the gingival margin, 2=A continuous band of plaque up to 1mm at the gingival margin, 3=Plaque greater than 1mm in width and covering up to one third of the tooth surface, 4=Plaque covering from one thirds to two thirds of the tooth surface, Maximum score of 5=Plaque covering more than two thirds of the tooth surface
| QHT Score, Subscore | Chewing Gum Placebo | KSL-W 30 mg |
|---|---|---|
| Whole Mouth Quigley-Hein-Turskey Plaque Score (Day 0) | 2.95 ± 0.471 | 2.96 ± 0.403 |
| Maxillary Buccal Quigley-Hein-Turskey Plaque Score (Day 0) | 3.05 ± 0.712 | 2.96 ± 0.576 |
| Maxillary Lingual Quigley-Hein-Turskey Plaque Score (Day 0) | 2.52 ± 0.572 | 2.49 ± 0.434 |
| Mandibular Buccal Quigley-Hein-Turskey Plaque Score (Day 0) | 3.07 ± 0.513 | 2.80 ± 0.550 |
| Mandibular Lingual Quigley-Hein-Turskey Plaque Score (Day 0) | 3.20 ± 0.676 | 3.60 ± 0.663 |
| Whole Mouth Quigley-Hein-Turskey Plaque Score (Day 4) | 2.80 ± 0.680 | 1.65 ± 0.725 |
| Maxillary Buccal Quigley-Hein-Turskey Plaque Score (Day 4) | 3.63 ± 0.679 | 2.85 ± 1.064 |
| Maxillary Lingual Quigley-Hein-Turskey Plaque Score (Day 4) | 1.81 ± 0.558 | 0.50 ± 0.477 |
| Mandibular Buccal Quigley-Hein-Turskey Plaque Score (Day 4) | 3.23 ± 0.945 | 2.16 ± 1.011 |
| Mandibullar Lingual Quigley-Hein-Turskey Plaque Score (Day 4) | 2.52 ± 0.858 | 1.14 ± 0.779 |
Collected over 30 mg KSL-W administered in a chewing gum formulation 3 times per day over 4 treatment days. Oral hygiene (teeth brushing, flossing and/or mouth wash rinse) was prohibited throughout the trial, beginning 12 to 16 hours before both the screening and Baseline (Day 0) visits, during the 4 days of treatment (Days 0, 1, 2, and 3), and ending after the periodontal examination and plaque assessment on Day 4.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| KSL-W 30 mg | 0/13 (0%) | 0/13 (0%) | 0/13 (0%) |
| Chewing Gum Placebo | 0/13 (0%) | 0/13 (0%) | 0/13 (0%) |
| Age, Categorical(Participants) | KSL-W 30 mg | Chewing Gum Placebo | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 13 | 13 | 26 |
| >=65 years | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | KSL-W 30 mg | Chewing Gum Placebo | Total |
|---|---|---|---|
| Female | 8 | 9 | 17 |
| Male | 5 | 4 | 9 |
| Ethnicity (NIH/OMB)(Participants) | KSL-W 30 mg | Chewing Gum Placebo | Total |
|---|---|---|---|
| Hispanic or Latino | 2 | 0 | 2 |
| Not Hispanic or Latino | 11 | 13 | 24 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | KSL-W 30 mg | Chewing Gum Placebo | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 1 |
| White | 10 | 13 | 23 |
| More than one race | 1 | 0 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 |
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U.S. Army Medical Research and Development Command