ClinicalTrials.gg
CompletedNCT05413382Updated Jun 10, 2022

Effect of an Investigational Lozenge (Biofresh® 4plus) Versus Placebo Control on Oral Malodor (Intra-Oral Halitosis)

An interventional study of Biofresh® 4plus and Placebo in Halitosis, sponsored by Novozymes A/S. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-06-10.

Sponsored by Novozymes A/S · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
53
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is designed to evaluate the effect of an investigational lozenge with the enzyme polyphenol oxidase and green coffee extract in reducing and controlling intra-oral halitosis following immediate use and daily use of the lozenge over a one-week period.

Read the detailed description

This randomized, placebo controlled, double-blind, crossover study will use gas chromatography (GC) and oral microbial measurements to evaluate the reduction and control of intra-oral halitosis by an investigational lozenge containing the enzyme polyphenol oxidase and green coffee extract compared to a placebo control lozenge. A one-week washout period will precede the first crossover period and a one-week washout period will be implemented between periods 1 and 2. The study will consist of five study visits: Screening Visit, Period 1 Baseline Visit, Crossover Period 1 Day 8 Visit, Period 2 Baseline Visit, Crossover Period 2 Day 8 Visit.

02

Conditions studied

  • Halitosis

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03

In context

Halitosis

93 studies on the registry are indexed under Halitosis; 17 are open to participants now.

This study's enrollment of 53 is above the median of 45 across 79 interventional studies indexed under Halitosis.

Browse Halitosis studies →

Lead sponsor

Novozymes A/S is the lead sponsor of 13 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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.

To be eligible for study participation, subjects must meet the following criteria:

Inclusion criteria

Inclusion criteria:

  1. Generally healthy males and females ≥18 years of age.
  2. Able to read, sign and receive a copy of the signed form.
  3. Have an average OralChroma™ reading ≥ 125 ppb hydrogen sulfide (H2S gas), volatile sulfur compound (VSC), based on 2 VSC measurements at Screening (Visit 1) and Baseline (Visit each 2 and 4), at least 12 hours after eating or drinking or oral hygiene.
  4. Difference of the hydrogen sulfide gas readings is ≤ 500 ppb following the two mouth air samples for each VSC measurement for Screening (Visit 1) and Baseline (Visits 2 and 4).
  5. Intra-oral cause of bad breath (non-systemic origin) as determined by health history or exam.
  6. Have at least 18 natural teeth.
  7. Agree to abstain from eating, drinking, breath mints, chewing gum, and any oral hygiene for at least 12 hours prior to evaluation of oral malodor at Screening, Baseline and Day 8 visits.
  8. Agree to avoid drinking alcohol beverages and eating spicy foods, garlic and onions, cabbage, spices, cauliflower, and radishes (sulfur compounds) 48 hours prior to each study visit.
  9. Agree to refrain from tongue brushing/cleaning for the duration of the study.
  10. Adequate oral hygiene and no signs of oral neglect.

Exclusion criteria

Exclusion Criteria:

Subjects presenting with any of the following will not be included in the study:

  1. History of allergy or significant adverse effects following use of oral hygiene products such as toothpastes, mouth rinses, breath mints, lozenges, or chewing gum or their ingredients.
  2. History of allergies to ingredients in the test product.
  3. Self-reported as pregnant or nursing.
  4. Self-reported serious medical conditions.
  5. Based on history and clinical exam: advanced and/or untreated periodontitis, frank caries, and mucosal diseases.
  6. Antibiotic or anti-inflammatory medication within 30 days of screening visit.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
53 participants (actual)

Study arms

  • Active comparator
    Investigational lozenge

    Lozenge containing the enzyme polyphenol oxidase and green coffee extract

    Dietary Supplement: Biofresh® 4plus

  • Placebo comparator
    Placebo lozenge

    Lozenge equal to active comparator but without active ingredients

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementBiofresh® 4plus

    Participants will be instructed to use their assigned lozenge three times per day for seven days, preferably after breakfast, lunch, and dinner meals and to avoid eating and drinking for 30 minutes after consuming the lozenge.

  • Dietary supplementPlacebo

    Participants will be instructed to use their assigned lozenge three times per day for seven days, preferably after breakfast, lunch, and dinner meals and to avoid eating and drinking for 30 minutes after consuming the lozenge.

06

What researchers measure

Primary outcomes

  1. Immediate Total Volatile Sulphur Compounds (T-VSC)

    The primary efficacy endpoint is the immediate (no later than 5 minutes after dissolution of the lozenge) T-VSCs at Day 1 based on OralChroma™ measurement.

    Time frame: The change in T-VSCs from baseline to 5-minutes post-product assessment

Secondary outcomes

  1. T-VSCs over time

    T-VSCs over time, based on OralChroma™ following daily product use

    Time frame: The change in T-VSCs over time from baseline to 1 hour, 2 hours, 4 hours (Day 1), and 7 days post-product assessments

  2. Specific VSCs over time

    VSCs components \[Hydrogen Sulfide (H2S), Methyl Mercaptan (CH3SH), and Dimethyl Sulfide (CH3SCH3) gases\] over time following daily product use

    Time frame: The change in specific VSCs over time from baseline to 1 hour, 2 hours, 4 hours (Day 1), and 7 days post-product assessments

  3. Questionnaire

    Post-product use questionnaire

    Time frame: Day 1 and Day 8

  4. Oral microbiome composition

    Microbiome profile by 16S rRNA sequencing, saliva and tongue biofilm samples collected

    Time frame: Day 1 (pre and immediate post-product use, 5 minutes) and Day 8

Other outcomes

  1. Incidence of adverse events

    Interviews to determine adverse events

    Time frame: Day 1 (4 hours) and Day 8

07

Study locations

1 site
  • Salus Research
    Fort Wayne, Indiana 46825, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2021 to primary completion in Nov 2021, 1 month.

Of 43 interventional studies with no phase under Halitosis, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 18. This study's 1 month is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 5, 2021
First posted
Jun 10, 2022
StartActual
Sep 28, 2021
Primary completionActual
Nov 4, 2021
CompletionActual
Dec 22, 2021
Last update
Jun 10, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05413382
Lead sponsor
Novozymes A/S
Responsible party
Sponsor
First posted
Jun 10, 2022
Start date
Sep 28, 2021
Primary completion
Nov 4, 2021
Completion
Dec 22, 2021
Last update
Jun 10, 2022

Study contacts

Caterina Holz, PhD
study director · Novozymes A/S

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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