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Dose-Response Study of Iocide Oral Rinse

Primary Purpose

Gingivitis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Iocide Oral Rinse
Placebo
Sponsored by
Biomedical Development Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gingivitis focused on measuring Gingivitis, Biological Markers

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males or non-pregnant females of at least 18 years of age, and in good general health, as determined by Investigator;
  • Have at least 16 natural, gradable teeth and good dental health, as determined by Investigator;
  • Have > 25% sites with Gingival Index (GI) scores > 2;
  • Have average Plaque Index (PI) score > 2;
  • Use of effective method of contraception for the duration of the study or permanently sterilized;
  • Able and willing to comply with study requirements including following instructions on study treatment and returning for follow-up visits as required by the protocol;
  • Have full understanding of all elements of, and signature and dating of the written informed consent prior to the initiation of protocol specified procedures;
  • Females with childbearing potential must have a negative pregnancy test before and during the study period. Sexually active females must be using an effective form of birth control or abstinence. These methods include oral contraceptives ("the pill"), an intrauterine device (IUD), levonogestrel implants (Norplant®), medroxyprogesterone acetate injections (Depo-provera®) or contraceptive foam with a condom.

Exclusion Criteria:

  • History, or current evidence, of any significant acute or chronic subject-reported medical or psychiatric condition that, in the opinion of the Investigator, would render examination difficult or invalid or prevent the subject from active study participation;
  • ≤24% of sites with GI score >2;
  • TPOab positive >34;
  • Screening serum level of TSH <0.45 or >4.5;
  • Treatment with antibiotic within the one (1) month period prior to the screening examination;
  • History of heart murmur, history of rheumatic fever, valvular disease or prosthetic implant requiring antibiotic premedication;
  • History of thyroid disease;
  • Purported sensitivity or allergy to iodine;
  • Known sensitivity or allergy to shellfish;
  • History of diabetes;
  • History of autoimmune disease;
  • Gross oral pathology (periodontal disease, rampant caries, tissue damage created by poor oral care or treatment, soft or hard tissue tumors) that, in the opinion of the Investigator, could influence the outcome of the study;
  • Periodontal disease screening will be performed by assessing periodontal pocket depths >5mm on six (6) sites per tooth (distofacial, facial, mesiofacial, mesiolingual, lingual and distolingual). A UNC-15 periodontal probe (Hu-Friedy) will be used for all measurements. Any subject with true periodontal pockets > 5 mm will be excluded from participation in this study;
  • Current signs or symptoms of mucosal tissue ulcerations or inflammation, or canker sores;
  • Presence of orthodontic appliances or any removable appliance that impinges on the oral tissues being assessed;
  • History of early onset periodontal disease or acute necrotizing ulcerative gingivitis;
  • Subject reported history in past 6 months or current alcohol abuse that, in the opinion of the Investigator, could influence the outcome of the study;
  • Subject reported history of last past 6 months or current drug abuse;
  • Use of concomitant medication that, in the opinion of the Investigator, might interfere with the outcome of the study (e.g. antibiotics, immuno-suppressants, steroids, or therapeutic doses of non-steroidal anti-inflammatory agents, phenytoin, calcium antagonists, cyclosporine or coumadin);
  • Concomitant therapy with another investigational drug or device without prior approval from the Sponsor within four weeks prior to Visit 2 (Study Day 1);
  • Concomitant endodontic or periodontal therapy other than prophylaxis in the past six (6) months;
  • Females with childbearing potential with a positive pregnancy test, pregnant or nursing mothers, suspected pregnancy, or intention to become pregnant during the study;
  • Residence in the same household as a subject already enrolled in the study (inclusion may create blinding and/or compliance issues);
  • Unable and unwilling to comply with the informed consent process, to meet study requirements including following instructions on study intervention, and to return for follow-up visits as required by the protocol;

Sites / Locations

  • University of Texas Health Science Center at San Antonio

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Lowest Dose

Intermediate Dose

Highest Dose

Placebo Control

Arm Description

Outcomes

Primary Outcome Measures

Gingival Index
The primary outcome measure will be the mean gingival index (GI) score.

Secondary Outcome Measures

Full Information

First Posted
April 12, 2010
Last Updated
January 27, 2013
Sponsor
Biomedical Development Corporation
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), University of Texas
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1. Study Identification

Unique Protocol Identification Number
NCT01103102
Brief Title
Dose-Response Study of Iocide Oral Rinse
Official Title
Phase II Study: Evaluate Dose-Response of Iocide Oral Rinse in a Human Clinical Trial of Gingival Inflammation and Investigate Effects of Biological Markers Indicative of Systemic Disease
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
April 2010 (undefined)
Primary Completion Date
January 2012 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biomedical Development Corporation
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), University of Texas

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to explore the dose-response relationship of Iocide oral rinse in a clinical trial of gingivitis. Approximately sixty (60) otherwise healthy subjects having gingivitis will be randomized into the 3-month study to provide 40 total evaluable subjects (10 per group). Each study participant will have four visits: a screening visit up to 21 days before the beginning of the trial, a baseline visit at day 1, and visits at weeks 8 and 12. The duration of the dose/range study will be three months to facilitate compliance and ensure timely completion of the Phase II study. Three dose/regimens will be evaluated against a placebo control oral rinse. Indices for gingivitis, plaque and bleeding will be scored and blood tests will be performed to determine the effect of the antimicrobial oral rinse on relative levels of biological markers of inflammation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gingivitis
Keywords
Gingivitis, Biological Markers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
97 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lowest Dose
Arm Type
Active Comparator
Arm Title
Intermediate Dose
Arm Type
Active Comparator
Arm Title
Highest Dose
Arm Type
Active Comparator
Arm Title
Placebo Control
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Iocide Oral Rinse
Intervention Description
Oral Rinse; dosages vary by treatment group; once to twice daily use (depending on treatment group); 12 weeks duration
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Gingival Index
Description
The primary outcome measure will be the mean gingival index (GI) score.
Time Frame
Study Day -21 to -7 through Study Day 84

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or non-pregnant females of at least 18 years of age, and in good general health, as determined by Investigator; Have at least 16 natural, gradable teeth and good dental health, as determined by Investigator; Have > 25% sites with Gingival Index (GI) scores > 2; Have average Plaque Index (PI) score > 2; Use of effective method of contraception for the duration of the study or permanently sterilized; Able and willing to comply with study requirements including following instructions on study treatment and returning for follow-up visits as required by the protocol; Have full understanding of all elements of, and signature and dating of the written informed consent prior to the initiation of protocol specified procedures; Females with childbearing potential must have a negative pregnancy test before and during the study period. Sexually active females must be using an effective form of birth control or abstinence. These methods include oral contraceptives ("the pill"), an intrauterine device (IUD), levonogestrel implants (Norplant®), medroxyprogesterone acetate injections (Depo-provera®) or contraceptive foam with a condom. Exclusion Criteria: History, or current evidence, of any significant acute or chronic subject-reported medical or psychiatric condition that, in the opinion of the Investigator, would render examination difficult or invalid or prevent the subject from active study participation; ≤24% of sites with GI score >2; TPOab positive >34; Screening serum level of TSH <0.45 or >4.5; Treatment with antibiotic within the one (1) month period prior to the screening examination; History of heart murmur, history of rheumatic fever, valvular disease or prosthetic implant requiring antibiotic premedication; History of thyroid disease; Purported sensitivity or allergy to iodine; Known sensitivity or allergy to shellfish; History of diabetes; History of autoimmune disease; Gross oral pathology (periodontal disease, rampant caries, tissue damage created by poor oral care or treatment, soft or hard tissue tumors) that, in the opinion of the Investigator, could influence the outcome of the study; Periodontal disease screening will be performed by assessing periodontal pocket depths >5mm on six (6) sites per tooth (distofacial, facial, mesiofacial, mesiolingual, lingual and distolingual). A UNC-15 periodontal probe (Hu-Friedy) will be used for all measurements. Any subject with true periodontal pockets > 5 mm will be excluded from participation in this study; Current signs or symptoms of mucosal tissue ulcerations or inflammation, or canker sores; Presence of orthodontic appliances or any removable appliance that impinges on the oral tissues being assessed; History of early onset periodontal disease or acute necrotizing ulcerative gingivitis; Subject reported history in past 6 months or current alcohol abuse that, in the opinion of the Investigator, could influence the outcome of the study; Subject reported history of last past 6 months or current drug abuse; Use of concomitant medication that, in the opinion of the Investigator, might interfere with the outcome of the study (e.g. antibiotics, immuno-suppressants, steroids, or therapeutic doses of non-steroidal anti-inflammatory agents, phenytoin, calcium antagonists, cyclosporine or coumadin); Concomitant therapy with another investigational drug or device without prior approval from the Sponsor within four weeks prior to Visit 2 (Study Day 1); Concomitant endodontic or periodontal therapy other than prophylaxis in the past six (6) months; Females with childbearing potential with a positive pregnancy test, pregnant or nursing mothers, suspected pregnancy, or intention to become pregnant during the study; Residence in the same household as a subject already enrolled in the study (inclusion may create blinding and/or compliance issues); Unable and unwilling to comply with the informed consent process, to meet study requirements including following instructions on study intervention, and to return for follow-up visits as required by the protocol;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David L. Cochran, DDS, PhD
Organizational Affiliation
The University of Texas Health Science Center at San Antonio
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Texas Health Science Center at San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

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Dose-Response Study of Iocide Oral Rinse

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