An interventional study of Experimental Denture Adhesive and Reference (Marketed) Denture Adhesive in Denture Retention, sponsored by GlaxoSmithKline. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-27.
Sponsored by GlaxoSmithKline · Not applicable, Interventional, and Supportive care
In this clinical study, an experimental denture adhesive with a precision tip nozzle was tested to evaluate the relative efficacy to reduce the ingress of food under the denture compared to use of no adhesive or a standard marketed adhesive.
The aim of this study is to explore the mass of food particle ingress when an adhesive is extruded through the new nozzle with directed application compared to the use of no adhesive and a marketed adhesive (extruded through a flat ribbon nozzle [FRN]) with standard application as per product label, utilizing a peanut occlusion methodology. This was a single center, controlled, single blind (to the examiner performing the safety assessments (oral soft tissue [OST] examination) and the laboratory staff weighing the peanut particles), randomized, three-treatment, three-period, cross-over design in participants with full upper and lower dentures. Each treatment period consisted of one day of testing with at least two days between treatment visits. This study consisted four visits: Visit 1 - Screening Visit; Visit 2 - Treatment 1 Visit; Visit 3 - Treatment 2 Visit and Visit 4 - Treatment 3 Visit.
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Exclusion Criteria:
Participants applied reference denture adhesive as a 3 dabs those were applied to upper denture and 2 dabs those were applied to lower denture which were placed in the mouth.
Device: Reference (Marketed) Denture Adhesive
Participants applied test denture adhesive as 3 continuous strips those were applied to upper denture and one continuous strip that was applied to the lower denture, which were placed in the mouth.
Device: Experimental Denture Adhesive
Participants did not apply any denture adhesive in this treatment arm.
Participants received a single application of test denture adhesive with a Flat Ribbon Nozzle as 3 Continuous strips those were applied to upper denture and one continuous strip that was applied to the lower denture which were placed in the mouth.
Participants received a single application of marketed denture adhesive with a flat ribbon nozzle as a 3 dabs those were applied to upper denture and 2 dabs those were applied to lower denture, which were placed in the mouth.
Combined Mass of Peanuts (Gram) (From Upper and Lower Dentures) for Reference Denture Adhesive and on no Adhesive Use
Participants were provided with 30-32 g (accurately weighed) non-salted peanuts, divided into smaller portions of approximately four whole peanuts. Each portion chewed for approximately 20 seconds. After completion of the peanut consumption, participants rinsed their mouth with water, participants may remove any residual peanut particles from their mouth with water and a gauze pad. Participants than removed their dentures. Peanut particles were collected from the fit surfaces of the dentures and the gauzes, and weighed to evaluate the mass of food particles that had migrated under the denture (keeping the particles associated with the upper and lower dentures separate).
Time frame: Up to 17 days
Combined Mass of Peanuts (Gram) (From Upper and Lower Dentures) for an Experimental Denture Adhesive and on no Adhesive Use
Participants were provided with 30-32 g (accurately weighed) non-salted peanuts, divided into smaller portions of approximately four whole peanuts. Each portion chewed for approximately 20 seconds. After completion of the peanut consumption, participants rinsed their mouth with water, participants may remove any residual peanut particles from their mouth with water and a gauze pad. Participants than removed their dentures. Peanut particles were collected from the fit surfaces of the dentures and the gauzes, and weighed to evaluate the mass of food particles that had migrated under the denture (keeping the particles associated with the upper and lower dentures separate).
Time frame: Up to 17 days
Combined Mass of Peanuts (Gram) (From Upper and Lower Dentures) for an Experimental Denture Adhesive and Reference Denture Adhesive
Participants were provided with 30-32 g (accurately weighed) non-salted peanuts, divided into smaller portions of approximately four whole peanuts. Each portion chewed for approximately 20 seconds. After completion of the peanut consumption, participants rinsed their mouth with water, participants may remove any residual peanut particles from their mouth with water and a gauze pad. Participants than removed their dentures. Peanut particles were collected from the fit surfaces of the dentures and the gauzes, and weighed to evaluate the mass of food particles that had migrated under the denture (keeping the particles associated with the upper and lower dentures separate).
Time frame: up to 17 days
Composite Kapur (Olshan Modification) Index Scores for Denture Retention and Stability
Kapur (Olshan modification) Index score was assessed to examine each denture (upper \& lower) for retention \& stability. Retention was measured as score of 0-5 to assess nature of resistance offered by denture to vertical pull \& lateral force: 5=Excellent;4=Very Good;3=Good;2=Fair;1= Poor;0=No retention. Stability was measured as score of 0-4 to assess nature of rocking offered by denture base on its supporting structures under pressure:4=Excellent (no rocking);3=Good (very slight rocking);2=Fair (slight rocking);1=Poor (moderate rocking);0=No stability (extreme rocking). Composite Kapur (Olshan modification) Index scores was measured as the sum score of retention \& stability for upper or lower dentures separately such that a sum score of zero represents no retention and stability and a sum score of 9 represents excellent retention and stability.
Time frame: Up to 17 days
Kapur (Olshan Modification) Index Scores for Denture Retention
Kapur (Olshan modification) Index scores were assessed to examine each denture (upper \& lower) for its retention ability. Retention was measured as score of 0-5 to assess nature of resistance offered by denture to vertical pull \& lateral force: 5=Excellent - denture offered excellent resistance to vertical pull and lateral force; 4= Very Good- denture offered very good resistance to vertical pull and lateral force; 3= Good- denture offered moderate resistance to vertical pull and lateral force; 2= Fair- denture offered moderate resistance to vertical pull and little or no resistance to lateral forces; 1= Poor- denture offers slight resistance to vertical pull and little or no resistance to lateral force; 0= No retention- when the denture was seated in place, it displaced itself. Higher the score, higher the retention ability of denture.
Time frame: Up to 17 days
Kapur (Olshan Modification) Index Scores for Denture Stability
Kapur (Olshan modification) Index scores were assessed to examine each denture (upper \& lower) for its stability ability. Stability was measured using score of 0-4: 4= Excellent- when denture base offered no rocking on its supporting structures under pressure; 3= Good- when denture base had very slight rocking on its supporting structures under pressure; 2= Fair- when denture base had slight rocking on its supporting structures under pressure; 1= Poor- when denture base had moderate rocking on its supporting structures under pressure; 0= No stability- when denture base had extreme rocking under pressure. Higher the score, higher the stability ability of denture.
Time frame: Up to 17 days
Participants were recruited at a single center in the United States.
| Milestone | Reference Denture Adhesive/Test Denture Adhesive/No Adhesive | Reference Denture Adhesive/No Adhesive/Test Denture Adhesive | Test Denture Adhesive/Reference Denture Adhesive/No Adhesive | Test Denture Adhesive/No Adhesive/Reference Denture Adhesive | No Adhesive/Reference Denture Adhesive/Test Denture Adhesive | No Adhesive/Test Denture Adhesive/Reference Denture Adhesive |
|---|---|---|---|---|---|---|
| Started | 13 | 14 | 14 | 14 | 14 | 14 |
| Completed | 13 | 14 | 14 | 14 | 14 | 14 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Reference Denture Adhesive/Test Denture Adhesive/No Adhesive | Reference Denture Adhesive/No Adhesive/Test Denture Adhesive | Test Denture Adhesive/Reference Denture Adhesive/No Adhesive | Test Denture Adhesive/No Adhesive/Reference Denture Adhesive | No Adhesive/Reference Denture Adhesive/Test Denture Adhesive | No Adhesive/Test Denture Adhesive/Reference Denture Adhesive |
|---|---|---|---|---|---|---|
| Started | 13 | 14 | 14 | 14 | 14 | 14 |
| Completed | 13 | 14 | 14 | 14 | 14 | 14 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Reference Denture Adhesive/Test Denture Adhesive/No Adhesive | Reference Denture Adhesive/No Adhesive/Test Denture Adhesive | Test Denture Adhesive/Reference Denture Adhesive/No Adhesive | Test Denture Adhesive/No Adhesive/Reference Denture Adhesive | No Adhesive/Reference Denture Adhesive/Test Denture Adhesive | No Adhesive/Test Denture Adhesive/Reference Denture Adhesive |
|---|---|---|---|---|---|---|
| Started | 13 | 14 | 14 | 14 | 14 | 14 |
| Completed | 13 | 14 | 14 | 14 | 14 | 14 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Reference Denture Adhesive/Test Denture Adhesive/No Adhesive | Reference Denture Adhesive/No Adhesive/Test Denture Adhesive | Test Denture Adhesive/Reference Denture Adhesive/No Adhesive | Test Denture Adhesive/No Adhesive/Reference Denture Adhesive | No Adhesive/Reference Denture Adhesive/Test Denture Adhesive | No Adhesive/Test Denture Adhesive/Reference Denture Adhesive |
|---|---|---|---|---|---|---|
| Started | 13 | 14 | 14 | 14 | 14 | 14 |
| Completed | 13 | 14 | 14 | 14 | 14 | 14 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Reference Denture Adhesive/Test Denture Adhesive/No Adhesive | Reference Denture Adhesive/No Adhesive/Test Denture Adhesive | Test Denture Adhesive/Reference Denture Adhesive/No Adhesive | Test Denture Adhesive/No Adhesive/Reference Denture Adhesive | No Adhesive/Reference Denture Adhesive/Test Denture Adhesive | No Adhesive/Test Denture Adhesive/Reference Denture Adhesive |
|---|---|---|---|---|---|---|
| Started | 13 | 14 | 14 | 14 | 14 | 14 |
| Completed | 13 | 14 | 14 | 14 | 14 | 14 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
Participants were provided with 30-32 g (accurately weighed) non-salted peanuts, divided into smaller portions of approximately four whole peanuts. Each portion chewed for approximately 20 seconds. After completion of the peanut consumption, participants rinsed their mouth with water, participants may remove any residual peanut particles from their mouth with water and a gauze pad. Participants than removed their dentures. Peanut particles were collected from the fit surfaces of the dentures and the gauzes, and weighed to evaluate the mass of food particles that had migrated under the denture (keeping the particles associated with the upper and lower dentures separate).
| gram (g) | Reference Denture Adhesive | No Adhesive (Negative Control) |
|---|---|---|
| Combined Mass of Peanuts (Gram) (From Upper and Lower Dentures) for Reference Denture Adhesive and on no Adhesive Use | 0.06 ± 0.057 | 0.08 ± 0.151 |
Participants were provided with 30-32 g (accurately weighed) non-salted peanuts, divided into smaller portions of approximately four whole peanuts. Each portion chewed for approximately 20 seconds. After completion of the peanut consumption, participants rinsed their mouth with water, participants may remove any residual peanut particles from their mouth with water and a gauze pad. Participants than removed their dentures. Peanut particles were collected from the fit surfaces of the dentures and the gauzes, and weighed to evaluate the mass of food particles that had migrated under the denture (keeping the particles associated with the upper and lower dentures separate).
| g | Test Denture Adhesive | No Adhesive (Negative Control) |
|---|---|---|
| Combined Mass of Peanuts (Gram) (From Upper and Lower Dentures) for an Experimental Denture Adhesive and on no Adhesive Use | 0.07 ± 0.092 | 0.08 ± 0.151 |
Participants were provided with 30-32 g (accurately weighed) non-salted peanuts, divided into smaller portions of approximately four whole peanuts. Each portion chewed for approximately 20 seconds. After completion of the peanut consumption, participants rinsed their mouth with water, participants may remove any residual peanut particles from their mouth with water and a gauze pad. Participants than removed their dentures. Peanut particles were collected from the fit surfaces of the dentures and the gauzes, and weighed to evaluate the mass of food particles that had migrated under the denture (keeping the particles associated with the upper and lower dentures separate).
| g | Test Denture Adhesive | Reference Denture Adhesive |
|---|---|---|
| Combined Mass of Peanuts (Gram) (From Upper and Lower Dentures) for an Experimental Denture Adhesive and Reference Denture Adhesive | 0.07 ± 0.092 | 0.06 ± 0.057 |
Kapur (Olshan modification) Index score was assessed to examine each denture (upper \& lower) for retention \& stability. Retention was measured as score of 0-5 to assess nature of resistance offered by denture to vertical pull \& lateral force: 5=Excellent;4=Very Good;3=Good;2=Fair;1= Poor;0=No retention. Stability was measured as score of 0-4 to assess nature of rocking offered by denture base on its supporting structures under pressure:4=Excellent (no rocking);3=Good (very slight rocking);2=Fair (slight rocking);1=Poor (moderate rocking);0=No stability (extreme rocking). Composite Kapur (Olshan modification) Index scores was measured as the sum score of retention \& stability for upper or lower dentures separately such that a sum score of zero represents no retention and stability and a sum score of 9 represents excellent retention and stability.
| scores on a scale | Reference Denture Adhesive | Test Denture Adhesive | No Adhesive (Negative Control) |
|---|---|---|---|
| For Upper Denture | 8.67 ± 0.828 | 8.84 ± 0.594 | 8.35 ± 1.224 |
| For Lower Denture | 7.42 ± 1.815 | 8.11 ± 1.593 | 6.36 ± 1.535 |
Kapur (Olshan modification) Index scores were assessed to examine each denture (upper \& lower) for its retention ability. Retention was measured as score of 0-5 to assess nature of resistance offered by denture to vertical pull \& lateral force: 5=Excellent - denture offered excellent resistance to vertical pull and lateral force; 4= Very Good- denture offered very good resistance to vertical pull and lateral force; 3= Good- denture offered moderate resistance to vertical pull and lateral force; 2= Fair- denture offered moderate resistance to vertical pull and little or no resistance to lateral forces; 1= Poor- denture offers slight resistance to vertical pull and little or no resistance to lateral force; 0= No retention- when the denture was seated in place, it displaced itself. Higher the score, higher the retention ability of denture.
| scores on a scale | Reference Denture Adhesive | Test Denture Adhesive | No Adhesive (Negative Control) |
|---|---|---|---|
| For Upper Denture | 4.80 ± 0.512 | 4.90 ± 0.335 | 4.63 ± 0.728 |
| For Lower Denture | 4.05 ± 1.070 | 4.43 ± 0.940 | 3.46 ± 0.874 |
Kapur (Olshan modification) Index scores were assessed to examine each denture (upper \& lower) for its stability ability. Stability was measured using score of 0-4: 4= Excellent- when denture base offered no rocking on its supporting structures under pressure; 3= Good- when denture base had very slight rocking on its supporting structures under pressure; 2= Fair- when denture base had slight rocking on its supporting structures under pressure; 1= Poor- when denture base had moderate rocking on its supporting structures under pressure; 0= No stability- when denture base had extreme rocking under pressure. Higher the score, higher the stability ability of denture.
| scores on a scale | Reference Denture Adhesive | Test Denture Adhesive | No Adhesive (Negative Control) |
|---|---|---|---|
| For Upper Denture | 3.88 ± 0.363 | 3.94 ± 0.286 | 3.72 ± 0.570 |
| For Lower Denture | 3.37 ± 0.807 | 3.67 ± 0.700 | 2.90 ± 0.775 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Reference Denture Adhesive | 0/83 (0%) | 0/83 (0%) | 0/83 (0%) |
| Test Denture Adhesive | 0/83 (0%) | 0/83 (0%) | 0/83 (0%) |
| No Adhesive (Negative Control) | 0/83 (0%) | 0/83 (0%) | 0/83 (0%) |
Baseline analysis was performed on Intention to treat (ITT) population which included all participants who were randomized, received at least one dose of study treatment and had at least one post baseline efficacy assessment.
| Age, Continuous(Years) | Overall Participants |
|---|---|
| Mean | 63.4 ± 12.99 |
| Sex: Female, Male(Participants) | Overall Participants |
|---|---|
| Female | 62 |
| Male | 21 |
| Ethnicity (NIH/OMB)(Participants) | Overall Participants |
|---|---|
| Hispanic or Latino | 1 |
| Not Hispanic or Latino | 82 |
| Unknown or Not Reported | 0 |
| Race (NIH/OMB)(Participants) | Overall Participants |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 1 |
| Black or African American | 12 |
| White | 70 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
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