Study to Assess the Inhibition of Plaque Formation in Subjects With a Gingival Index ≤1.5
Primary Purpose
Inhibition of Plaque Formation (by Gingivitis-Index ≤1.5)
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Octenidinedihydrochlorid
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Inhibition of Plaque Formation (by Gingivitis-Index ≤1.5)
Eligibility Criteria
Inclusion Criteria:
- Adult male and female subjects (aged 18 and older);
- Subjects with a total mean gingival index1 (GI, Löe, 1967) ≤1.5 (0.0-1.5);
- Subjects with at least 20 teeth (excluding wisdom teeth) with complete natural "Ramfjord-teeth" or their replacement teeth and 10 natural anterior teeth (excluding teeth provided with prosthetics such as crowns, dental bridges, veneers or large vestibular fillings such as large cervical or frontal teeth fillings; teeth with small interdental and orally oriented fillings are allowed);
- Non-pigmented gingiva;
- Signed informed consent.
Exclusion Criteria:
- Subjects with severe systemic diseases (e.g. hepatitis, human immunodeficiency virus [HIV] infection, tuberculosis, acute cancer treatment);
- Subjects who require endocarditis prophylaxis for dental examination and treatment;
- Subjects with caries requiring treatment (e.g. caries with cavity) or other oral diseases (including gingival hyperplasia, diseases of the oral mucosa);
- Subjects who have a history of chronic or aggressive periodontitis;
- Subjects with current moderate or severe chronic or aggressive periodontitis (periodontal screening index [PSI] >2 in more than 2 sextants or PSI >3);
- Subjects showing a GI score of 3 on at least one tooth;
- Subjects who underwent oral surgery within 14 days prior to Screening;
- Subjects who used antiseptic mouth rinse within 14 days prior to Screening;
- Subjects wearing orthodontic appliances and removable dentures (Wire-retainers after orthodontic treatment are allowed);
- Subjects treated with antibiotics less than 3 months prior to the baseline examination at Visit 1 and/or planning such treatment for the duration of the study;
- Subjects treated with systemically acting corticosteroids or corticosteroids applied via the oral cavity (e.g. asthma sprays);
- Subjects who suffer from xerostomia;
- Subjects who have a known hypersensitivity or allergy to the test product and its ingredients or to medications that have a similar chemical structure;
- Participation of the subject in another clinical study within the last 4 weeks before enrolment in and during this study;
- Incapability of assessing essence and possible consequences of the study (e.g. alcoholism);
- Pregnant or breastfeeding women;
Women with childbearing potential except those who fulfill one of the following criteria:
- Post-menopausal (12 months of natural amenorrhea or 6 months of amenorrhea with serum follicle-stimulating hormone [FSH] >40 U/ml);
- Postoperative (6 weeks after bilateral ovariectomy with or without hysterectomy);
- Continuous and correct application of a highly effective contraception method with a Pearl Index <1% (e.g. implants, depots, oral contraceptives, intrauterine device [IUD]);
- Sexual abstinence; whereas sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the subject;
- Confirmation of vasectomy of the sexual partner;
- Evidence suggesting that the subject is not likely to follow the study protocol (e.g. lacking compliance).
Sites / Locations
- Poliklinik für Parodontologie der Johann Wolfgang Goethe Universität Frankfurt am Main
- Poliklinik für Parodontologie der Med. Fakultät C. G. Carus der TU Dresden
- Poliklinik für Zahnerhaltung und Parodontologie am Universitätsklinikum Leipzig
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Octenidine Mouthwash
Placebo
Arm Description
0.1% Octenidinedihydrochlorid Solution for oromucosal use, mouth rinse with 10 ml for 30 s, 10 applications over 5 days
Placebo Solution for oromucosal use, mouth rinse with 10 ml for 30 s, 10 applications over 5 days
Outcomes
Primary Outcome Measures
Total mean PI (Plaque index according to Silness and Löe) after 5 days of treatment at Visit 2
The total mean PI is the sum of the individual scores divided by the number of investigated sites. The thickness and extension of plaque along the gingival margin will be assessed.
Secondary Outcome Measures
Bacterial count reduction in saliva after a single administration of OML vs placebo
Bacterial count in saliva will be assessed prior to the first administration of study medication and 1 min after the first administration
Change in total mean GI (Gingival Index according to Löe, 1967) from Visit 1 to Visit 2
The total mean GI is the sum of the individual scores divided by the number of investigated sites. The GI for each tooth is the sum of the 4 individual scores divided by 4.
Incidence and severity of AEs (adverse events)
Incidence of SAEs (serious adverse events)
Change in tooth discoloration index from Visit 1 to Visit 2
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03322124
Brief Title
Study to Assess the Inhibition of Plaque Formation in Subjects With a Gingival Index ≤1.5
Official Title
Randomized, Placebo-controlled, Parallel Group, Double-blind, Multi-center Phase III Study to Assess the Inhibition of Plaque Formation of 0.1% Octenidine Mouthwash vs Placebo in Subjects With a Gingival Index ≤1.5
Study Type
Interventional
2. Study Status
Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
January 22, 2018 (Actual)
Primary Completion Date
December 14, 2018 (Actual)
Study Completion Date
December 14, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Schülke & Mayr GmbH
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The objective of the study is to demonstrate the superiority of 0.1% octenidine mouthwash (Octenidin Mundspüllösung, OML) to placebo (PLAC) in the inhibition of plaque formation. The study will consist of a 14-day screening period and a 5-day treatment period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inhibition of Plaque Formation (by Gingivitis-Index ≤1.5)
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Octenidine Mouthwash
Arm Type
Experimental
Arm Description
0.1% Octenidinedihydrochlorid Solution for oromucosal use, mouth rinse with 10 ml for 30 s, 10 applications over 5 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo Solution for oromucosal use, mouth rinse with 10 ml for 30 s, 10 applications over 5 days
Intervention Type
Drug
Intervention Name(s)
Octenidinedihydrochlorid
Other Intervention Name(s)
0.1% Octenidine Mouthwash, OML
Intervention Description
Mouth rinsing of the oral cavity with Octenidinehydrochlorid vs.Placebo over a period of 5 days
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Mouth rinsing of the oral cavity with Octenidinehydrochlorid vs.Placebo over a period of 5 days
Primary Outcome Measure Information:
Title
Total mean PI (Plaque index according to Silness and Löe) after 5 days of treatment at Visit 2
Description
The total mean PI is the sum of the individual scores divided by the number of investigated sites. The thickness and extension of plaque along the gingival margin will be assessed.
Time Frame
after 5 days of treatment
Secondary Outcome Measure Information:
Title
Bacterial count reduction in saliva after a single administration of OML vs placebo
Description
Bacterial count in saliva will be assessed prior to the first administration of study medication and 1 min after the first administration
Time Frame
after 1 minute of rinsing
Title
Change in total mean GI (Gingival Index according to Löe, 1967) from Visit 1 to Visit 2
Description
The total mean GI is the sum of the individual scores divided by the number of investigated sites. The GI for each tooth is the sum of the 4 individual scores divided by 4.
Time Frame
baseline and after 5 days of treatment
Title
Incidence and severity of AEs (adverse events)
Time Frame
5 days
Title
Incidence of SAEs (serious adverse events)
Time Frame
15 days
Title
Change in tooth discoloration index from Visit 1 to Visit 2
Time Frame
baseline and after 5 days of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Adult male and female subjects (aged 18 and older);
Subjects with a total mean gingival index1 (GI, Löe, 1967) ≤1.5 (0.0-1.5);
Subjects with at least 20 teeth (excluding wisdom teeth) with complete natural "Ramfjord-teeth" or their replacement teeth and 10 natural anterior teeth (excluding teeth provided with prosthetics such as crowns, dental bridges, veneers or large vestibular fillings such as large cervical or frontal teeth fillings; teeth with small interdental and orally oriented fillings are allowed);
Non-pigmented gingiva;
Signed informed consent.
Exclusion Criteria:
Subjects with severe systemic diseases (e.g. hepatitis, human immunodeficiency virus [HIV] infection, tuberculosis, acute cancer treatment);
Subjects who require endocarditis prophylaxis for dental examination and treatment;
Subjects with caries requiring treatment (e.g. caries with cavity) or other oral diseases (including gingival hyperplasia, diseases of the oral mucosa);
Subjects who have a history of chronic or aggressive periodontitis;
Subjects with current moderate or severe chronic or aggressive periodontitis (periodontal screening index [PSI] >2 in more than 2 sextants or PSI >3);
Subjects showing a GI score of 3 on at least one tooth;
Subjects who underwent oral surgery within 14 days prior to Screening;
Subjects who used antiseptic mouth rinse within 14 days prior to Screening;
Subjects wearing orthodontic appliances and removable dentures (Wire-retainers after orthodontic treatment are allowed);
Subjects treated with antibiotics less than 3 months prior to the baseline examination at Visit 1 and/or planning such treatment for the duration of the study;
Subjects treated with systemically acting corticosteroids or corticosteroids applied via the oral cavity (e.g. asthma sprays);
Subjects who suffer from xerostomia;
Subjects who have a known hypersensitivity or allergy to the test product and its ingredients or to medications that have a similar chemical structure;
Participation of the subject in another clinical study within the last 4 weeks before enrolment in and during this study;
Incapability of assessing essence and possible consequences of the study (e.g. alcoholism);
Pregnant or breastfeeding women;
Women with childbearing potential except those who fulfill one of the following criteria:
Post-menopausal (12 months of natural amenorrhea or 6 months of amenorrhea with serum follicle-stimulating hormone [FSH] >40 U/ml);
Postoperative (6 weeks after bilateral ovariectomy with or without hysterectomy);
Continuous and correct application of a highly effective contraception method with a Pearl Index <1% (e.g. implants, depots, oral contraceptives, intrauterine device [IUD]);
Sexual abstinence; whereas sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the subject;
Confirmation of vasectomy of the sexual partner;
Evidence suggesting that the subject is not likely to follow the study protocol (e.g. lacking compliance).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Katrin Lorenz, Dr.med.dent.
Organizational Affiliation
Med. Fakultät C. G. Carus der TU Dresden, Poliklinik für Parodontologie
Official's Role
Principal Investigator
Facility Information:
Facility Name
Poliklinik für Parodontologie der Johann Wolfgang Goethe Universität Frankfurt am Main
City
Frankfurt am Main
State/Province
Hesse
ZIP/Postal Code
60596
Country
Germany
Facility Name
Poliklinik für Parodontologie der Med. Fakultät C. G. Carus der TU Dresden
City
Dresden
State/Province
Saxony
ZIP/Postal Code
01307
Country
Germany
Facility Name
Poliklinik für Zahnerhaltung und Parodontologie am Universitätsklinikum Leipzig
City
Leipzig
State/Province
Saxony
ZIP/Postal Code
04103
Country
Germany
12. IPD Sharing Statement
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Study to Assess the Inhibition of Plaque Formation in Subjects With a Gingival Index ≤1.5
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