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A Phase I/II Study to Evaluate the Safety and Efficacy of PerioSept® as Adjunct to SRP in Subjects With Periodontitis

Primary Purpose

Periodontitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PerioSept(r)
Sponsored by
Geistlich Pharma AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Periodontitis focused on measuring periodontitis, taurolidine (PerioSept(r)), scaling and root planing

Eligibility Criteria

18 Years - 74 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • 18 to 74 years of age, inclusive
  • Diagnosed with moderate to severe generalized periodontitis (ADA Classification Case Type III or IV)
  • Must have at least 4 qualifying Study Pockets (PPD ≥ 5mm and BOP) in at least 2 quadrants (main trial)
  • Subjects must sign informed consent document(s) prior to initiation of any study-specific procedures and treatments
  • Agree to utilize study-provided tooth paste and tooth brush and agree to follow their standard oral hygiene routine with limitations noted below from the Day 1 visit through the end of the study
  • Sexually active subjects (both men and women) who agree to use acceptable contraceptive methods for the duration of the study
  • Able and willing to adhere to the study visit schedule and other protocol requirements

Exclusion Criteria:

  • History of and/or known risk of life-threatening anaphylactic reactions to taurolidine, any of the components in the PS drug product, and other drugs or agonists (e.g., penicillin, nuts, insect stings)
  • Presence of an acute periodontal abscess
  • Known endodontic disease
  • Diabetes uncontrolled by medication defined as fasting blood glucose documented at ≥200 mg/dL within 90 days of Day 1
  • History of illegal drug or alcohol abuse within the past 12 months and/or testing positive for illegal drugs (including marijuana) at the Screening Visit
  • Pregnant or nursing female subjects; women of child-bearing potential must have a negative serum or urine pregnancy test within 30 days and within 24 h prior to all treatment/dosing days
  • Use of systemic antibiotics and topically applied oral antibiotics and other antimicrobial agents (e.g., chlorhexidine) during the trial and within 30 days of Day 1.
  • An existing condition that may warrant use of antibiotics during the trial (e.g., white blood cell count indicative of ongoing infection noted at Screening Visit, subject with cystic fibrosis or chronic obstructive pulmonary disorder with history of frequent, recurrent lung infections)
  • History of and/or testing positive for Hepatitis B or C, Human Immunodeficiency Virus or other immunedeficiency syndrome or positive test for such at Screening Visit
  • Use of chewing gum of any kind and dental flossing for one week after all study treatments and use of any other oral dentifrices or oral health agents/treatments other than those provided herein for the study duration
  • Use within 30 days prior to Day 1, during trial or a condition for which use is anticipated during trial: topical oral, nasal and systemic corticosteroids, chronic (2 continuous weeks) non-steroidal anti-inflammatory drugs (NSAIDs)
  • Use of the agents known to affect periodontal status during the trial and/or use within 30 days prior to Day 1: immunesuppressants, calcium antagonist, phenytoin or anticoagulants
  • Heavy smokers/tobacco users are excluded: defined as those smoking ≥ 10 cigarettes or ≥ 4 cigars or ≥ 4 pipes per day
  • For non-heavy smokers, smoking ≥ 10 cigarettes or ≥ 4 cigars or ≥ 4 pipes per day is prohibited for the duration of the trial
  • Use of electronic/smokeless and herbal cigarettes/pipes and oral smokeless/chewing tobacco within 30 days of Day 1 excluded and all use of these products is prohibited during trial
  • Clinically significant (e.g., QTc interval >450 milliseconds) abnormal electrocardiogram (ECG) noted at Screening Visit
  • Participation in another clinical study with an investigational agent within 90 days prior to Day 1
  • Subjects who received oral health treatments/interventions within 90 days of Day 1, which the investigator believes may interfere with the periodontal parameters to be assessed in this study (e.g., significant dental and/or gum/oral tissue work).
  • Subject has a medical and/or dental condition and/or uses medications/supplements which the investigator believes makes him/her unsuitable for participation in the study

Sites / Locations

  • Regenerative solutions
  • University of Michigan School of Dentistry
  • University of Pennsylvania
  • Perio Health Professionals

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Placebo Comparator

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

SRP only

SRP and Placebo

SRP and 0.3% PerioSept(r)

SRP and 1 % PerioSept(r)

SRP and 3% PerioSept(r)

Arm Description

Scaling and root planing only

Scaling and root planing followed by placebo drug administration

Scaling and root planing followed by 0.3% PerioSept(r) drug administration

Scaling and root planing followed by 1% PerioSept(r) drug administration

Scaling and root planing followed by 3% PerioSept(r) drug administration

Outcomes

Primary Outcome Measures

Safety and Tolerability:Hematology safety labs, Chem 14, urine analysis, ECG, treatment emergent adverse events, local irritation, patient reported pain, sensisitivity, burning stinging
Hematology safety labs, Chem 14, urine analysis, ECG, treatment emergent adverse events, local irritation, patient reported pain, sensisitivity, burning stinging
Efficacy: Reduction in probing pocket depth (PPD)
Reduction in probing pocket depth (PPD)

Secondary Outcome Measures

Efficacy REC and CAL: Changes from baseline in Recession (REC)/Clinical attachment level (CAL)
Changes from baseline in Recession (REC)/Clinical attachment level (CAL)
Efficacy BOP: Presence or absence of bleeding on probing (BOP)
Presence or absence of bleeding on probing (BOP)
Efficacy PI: Changes from baseline in Plaque index
Changes from baseline in Plaque index
Efficacy GI: Changes from baseline in Gingival index
Changes from baseline in Gingival index

Full Information

First Posted
December 8, 2014
Last Updated
September 16, 2019
Sponsor
Geistlich Pharma AG
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1. Study Identification

Unique Protocol Identification Number
NCT02313883
Brief Title
A Phase I/II Study to Evaluate the Safety and Efficacy of PerioSept® as Adjunct to SRP in Subjects With Periodontitis
Official Title
A Phase I/II Study to Evaluate the Safety, Tolerability and Efficacy of PerioSept® and Scaling and Root Planing in Subjects With Periodontitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
July 2015 (Actual)
Primary Completion Date
July 2, 2018 (Actual)
Study Completion Date
July 2, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Geistlich Pharma AG

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A Pharmacokinetic Pilot followed by a Phase I/II, Blinded, Randomized, Controlled, Parallel Arm Trial to Evaluate the Safety, Tolerability and Efficacy of PerioSept® and Scaling and Root Planing in Subjects with Periodontitis
Detailed Description
This trial will follow an adaptive trial design, whereby information regarding PerioSept(r) drug levels will be obtained via a PK trial lead in period (PK Pilot) in a limited number of subjects (up to N=8). This will be followed by the main safety and efficacy trial of PerioSept(r) as an adjunct to scaling and root planing (SRP) in subjects with moderate to severe periodontitis (Main Trial, N=87). The PK Pilot will be an open label PK study. Up to 8 qualifying subjects will receive SRP on Day 1 followed by 3% PerioSept(r) administered in a minimum of 4 qualifying periodontal Study Pockets in at least 2 quadrants with a probing pocket depth (PPD) ≥ 5mm and bleeding on probing (BOP) and at least 20 other qualifying pockets (PPD ≥ 5 mm). The Main Trial will be a multi-center, randomized, blinded, placebo controlled, parallel arm trial of PerioSept(r) (0.3%, 1% or 3%) administered up to three times (over Days 1 and 2, at Weeks 4 and 12) into a minimum of 4 qualifying periodontal Study Pockets in at least 2 quadrants with a PPD ≥ 5mm and BOP following SRP at baseline. All other eligible pockets with a PPD ≥ 5mm will also be treated. Full mouth SRP will be initiated on Day 1 followed by randomized treatment of that side. If necessary, SRP and randomized treatment may be completed on the other side of the mouth on Day 2. Treated pockets that still have a PPD ≥ 5mm at the 4 and 12 week visits will be retreated with SRP or SRP plus placebo or PS, as randomized. Assessments will be conducted over a 24 week (6 month) period including safety assessments and assessments of dental parameters (PPD, BOP, Plaque index, Gingival Index, Clinical attachment level).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Periodontitis
Keywords
periodontitis, taurolidine (PerioSept(r)), scaling and root planing

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
127 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SRP only
Arm Type
Placebo Comparator
Arm Description
Scaling and root planing only
Arm Title
SRP and Placebo
Arm Type
Placebo Comparator
Arm Description
Scaling and root planing followed by placebo drug administration
Arm Title
SRP and 0.3% PerioSept(r)
Arm Type
Experimental
Arm Description
Scaling and root planing followed by 0.3% PerioSept(r) drug administration
Arm Title
SRP and 1 % PerioSept(r)
Arm Type
Experimental
Arm Description
Scaling and root planing followed by 1% PerioSept(r) drug administration
Arm Title
SRP and 3% PerioSept(r)
Arm Type
Experimental
Arm Description
Scaling and root planing followed by 3% PerioSept(r) drug administration
Intervention Type
Drug
Intervention Name(s)
PerioSept(r)
Other Intervention Name(s)
Taurolidine
Intervention Description
Taurolidine is derived from the amino acid taurine and has antimicrobial and immune modulating properties
Primary Outcome Measure Information:
Title
Safety and Tolerability:Hematology safety labs, Chem 14, urine analysis, ECG, treatment emergent adverse events, local irritation, patient reported pain, sensisitivity, burning stinging
Description
Hematology safety labs, Chem 14, urine analysis, ECG, treatment emergent adverse events, local irritation, patient reported pain, sensisitivity, burning stinging
Time Frame
6 months
Title
Efficacy: Reduction in probing pocket depth (PPD)
Description
Reduction in probing pocket depth (PPD)
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Efficacy REC and CAL: Changes from baseline in Recession (REC)/Clinical attachment level (CAL)
Description
Changes from baseline in Recession (REC)/Clinical attachment level (CAL)
Time Frame
6 months
Title
Efficacy BOP: Presence or absence of bleeding on probing (BOP)
Description
Presence or absence of bleeding on probing (BOP)
Time Frame
6 months
Title
Efficacy PI: Changes from baseline in Plaque index
Description
Changes from baseline in Plaque index
Time Frame
6 months
Title
Efficacy GI: Changes from baseline in Gingival index
Description
Changes from baseline in Gingival index
Time Frame
6 months
Other Pre-specified Outcome Measures:
Title
Efficacy microbial: Microbial Counts of Periodontal Pathogens
Description
Microbial Counts of Periodontal Pathogens
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 18 to 74 years of age, inclusive Diagnosed with moderate to severe generalized periodontitis (ADA Classification Case Type III or IV) Must have at least 4 qualifying Study Pockets (PPD ≥ 5mm and BOP) in at least 2 quadrants (main trial) Subjects must sign informed consent document(s) prior to initiation of any study-specific procedures and treatments Agree to utilize study-provided tooth paste and tooth brush and agree to follow their standard oral hygiene routine with limitations noted below from the Day 1 visit through the end of the study Sexually active subjects (both men and women) who agree to use acceptable contraceptive methods for the duration of the study Able and willing to adhere to the study visit schedule and other protocol requirements Exclusion Criteria: History of and/or known risk of life-threatening anaphylactic reactions to taurolidine, any of the components in the PS drug product, and other drugs or agonists (e.g., penicillin, nuts, insect stings) Presence of an acute periodontal abscess Known endodontic disease Diabetes uncontrolled by medication defined as fasting blood glucose documented at ≥200 mg/dL within 90 days of Day 1 History of illegal drug or alcohol abuse within the past 12 months and/or testing positive for illegal drugs (including marijuana) at the Screening Visit Pregnant or nursing female subjects; women of child-bearing potential must have a negative serum or urine pregnancy test within 30 days and within 24 h prior to all treatment/dosing days Use of systemic antibiotics and topically applied oral antibiotics and other antimicrobial agents (e.g., chlorhexidine) during the trial and within 30 days of Day 1. An existing condition that may warrant use of antibiotics during the trial (e.g., white blood cell count indicative of ongoing infection noted at Screening Visit, subject with cystic fibrosis or chronic obstructive pulmonary disorder with history of frequent, recurrent lung infections) History of and/or testing positive for Hepatitis B or C, Human Immunodeficiency Virus or other immunedeficiency syndrome or positive test for such at Screening Visit Use of chewing gum of any kind and dental flossing for one week after all study treatments and use of any other oral dentifrices or oral health agents/treatments other than those provided herein for the study duration Use within 30 days prior to Day 1, during trial or a condition for which use is anticipated during trial: topical oral, nasal and systemic corticosteroids, chronic (2 continuous weeks) non-steroidal anti-inflammatory drugs (NSAIDs) Use of the agents known to affect periodontal status during the trial and/or use within 30 days prior to Day 1: immunesuppressants, calcium antagonist, phenytoin or anticoagulants Heavy smokers/tobacco users are excluded: defined as those smoking ≥ 10 cigarettes or ≥ 4 cigars or ≥ 4 pipes per day For non-heavy smokers, smoking ≥ 10 cigarettes or ≥ 4 cigars or ≥ 4 pipes per day is prohibited for the duration of the trial Use of electronic/smokeless and herbal cigarettes/pipes and oral smokeless/chewing tobacco within 30 days of Day 1 excluded and all use of these products is prohibited during trial Clinically significant (e.g., QTc interval >450 milliseconds) abnormal electrocardiogram (ECG) noted at Screening Visit Participation in another clinical study with an investigational agent within 90 days prior to Day 1 Subjects who received oral health treatments/interventions within 90 days of Day 1, which the investigator believes may interfere with the periodontal parameters to be assessed in this study (e.g., significant dental and/or gum/oral tissue work). Subject has a medical and/or dental condition and/or uses medications/supplements which the investigator believes makes him/her unsuitable for participation in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael McGuire, DDS
Organizational Affiliation
PerioHealth Clinic Houston
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Donald Clem, DDS
Organizational Affiliation
Regenerative Solutions
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tae-Ju Oh, DDS
Organizational Affiliation
University of Michigan
Official's Role
Principal Investigator
Facility Information:
Facility Name
Regenerative solutions
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
University of Michigan School of Dentistry
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Perio Health Professionals
City
Houston
State/Province
Texas
ZIP/Postal Code
77063
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Phase I/II Study to Evaluate the Safety and Efficacy of PerioSept® as Adjunct to SRP in Subjects With Periodontitis

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