Exploratory Study of Iocide Oral Rinse in a Diabetic Population (Diabetes)
Primary Purpose
Diabetes Type 2, Periodontitis
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Frio Mouth Rinse Placebo
Frio Mouth Rinse
Sponsored by
About this trial
This is an interventional prevention trial for Diabetes Type 2 focused on measuring Diabetes Type 2, Periodontitis
Eligibility Criteria
Inclusion Criteria:
- Have self-reported type 2 diabetes of more than three months duration.
- A current HbA1c value between 7.0% and 12%.
- Report no change in diabetes-related medications during the three months prior to enrollment.
- Be at least 35 years of age.
- Have at least 16 natural teeth.
- Have moderate to severe chronic periodontitis, defined by loss of clinical attachment of >5 mm on two seperate teeth, and no treatment within six months.
- 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. These methods include oral contraceptives ("the pill"), an intrauterine device (IUD), levonogestrol 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 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
- TPOab positive
- Baseline serum level of TSH <0.35 or >5.5
- Treatment with antibiotic within the three (3) month period prior to the screening examination
- Presence of valvular disease, prosthetic implant, or any other systemic condition requiring antibiotic premedication
- History of thyroid disease
- Purported sensitivity or allergy to iodine
- Known sensitivity or allergy to shellfish
- History of autoimmune disease, or chronic infections such as HIV or hepatitis
- History of cardiovascular disease (heart attack or procedure within the past three months, stroke or history/treatment for transient ischemic attacks in the past three months, or documented history of pulmonary embolus in past six months), unstable angina pectoris or angina pectoris at rest,
- History of renal disease: serum creatinine exceeding 1.4 mg/dl (women) or 1.5 mg/dl (men), or currently receiving dialysis.
- 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 alter the treatment needs during the 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 or current alcohol abuse that, in the opinion of the Investigator, could influence the outcome of the study
- History of, 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 treatment, and to return for follow-up visits as required by the protocol.
Sites / Locations
- The University of Texas Health Science Center at San Antonio, Dental School
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Frio Oral Rinse
Placebo
Arm Description
Prescription Mouth Rinse. Rinse with 15ml twice daily then expectorate.
Prescription Mouth Rinse. Rinse with 15ml twice daily then expectorate.
Outcomes
Primary Outcome Measures
The primary study endpoints are periodontal evaluation including clinical attachment level, pocket depth, plaque index, suppuration and gingival index score.
Secondary Outcome Measures
Secondary endpoints include glycated hemoglobin A1c (HbA1c) and systemic biomarkers (LPS, TNF-a, CRP, IL-6, serum insulin and glucose). Tertiary outcome measures include staining, calculus, opportunistic Candida infection, and patient satisfaction.
Full Information
NCT ID
NCT00801164
First Posted
December 2, 2008
Last Updated
February 1, 2012
Sponsor
Biomedical Development Corporation
Collaborators
Methodist Healthcare Ministries of South Texas, Foundation Of Collaborative Unique Science (FOCUS)
1. Study Identification
Unique Protocol Identification Number
NCT00801164
Brief Title
Exploratory Study of Iocide Oral Rinse in a Diabetic Population
Acronym
Diabetes
Official Title
Exploratory Study of Iocide Oral Rinse in a Diabetic Population
Study Type
Interventional
2. Study Status
Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
April 2010 (Actual)
Study Completion Date
June 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biomedical Development Corporation
Collaborators
Methodist Healthcare Ministries of South Texas, Foundation Of Collaborative Unique Science (FOCUS)
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The goals of this exploratory study are to 1)examine an investigational oral rinse as an adjunctive agent to scaling and root planing in treating chronic periodontitis in a periodontitis-susceptible diabetes population, and 2) evaluate its effect on glycemic control and biomarkers of systemic inflammation.
Detailed Description
This double-blind prospective pilot study will evaluate the effects of an investigational oral rinse as an adjunctive agent to non-surgical periodontal intervention for patients with type 2 diabetes mellitus. Approximately thirty (30) adult (35 years or older) patients with type 2 diabetes mellitus with untreated chronic periodontitis of moderate or worse severity will be enrolled in the 6-month study to provide 24 evaluable subjects (12 per group). All subjects enrolled in the trial will receive standard periodontal therapy including scaling and root planing (SRP). Half will be randomized to receive the investigational oral rinse adjunctively twice daily; the other half will receive placebo rinse twice daily. Study participants will be treated with either Iocide or placebo rinse for the first 90 days of the study only. Follow up examinations will be performed at six months. Evaluation of biological markers associated with systemic inflammation and diabetes will be performed at baseline, three months, and six months. The primary study outcome is clinical measurement of chronic periodontitis (gingival index, bleeding on probing, probing depth, clinical attachment level). Secondary outcomes are change in HbA1c and markers of systemic inflammation measured by serum C-reactive protein, plasma TNF-a, and IL-6.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Type 2, Periodontitis
Keywords
Diabetes Type 2, Periodontitis
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Frio Oral Rinse
Arm Type
Experimental
Arm Description
Prescription Mouth Rinse. Rinse with 15ml twice daily then expectorate.
Arm Title
Placebo
Arm Type
Experimental
Arm Description
Prescription Mouth Rinse. Rinse with 15ml twice daily then expectorate.
Intervention Type
Drug
Intervention Name(s)
Frio Mouth Rinse Placebo
Intervention Description
Prescription Mouth Rinse. Rinse with 15ml twice daily then expectorate.
Intervention Type
Drug
Intervention Name(s)
Frio Mouth Rinse
Intervention Description
Prescription Mouth Rinse. Rinse with 15ml twice daily then expectorate.
Primary Outcome Measure Information:
Title
The primary study endpoints are periodontal evaluation including clinical attachment level, pocket depth, plaque index, suppuration and gingival index score.
Time Frame
6 Months
Secondary Outcome Measure Information:
Title
Secondary endpoints include glycated hemoglobin A1c (HbA1c) and systemic biomarkers (LPS, TNF-a, CRP, IL-6, serum insulin and glucose). Tertiary outcome measures include staining, calculus, opportunistic Candida infection, and patient satisfaction.
Time Frame
6 Months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Have self-reported type 2 diabetes of more than three months duration.
A current HbA1c value between 7.0% and 12%.
Report no change in diabetes-related medications during the three months prior to enrollment.
Be at least 35 years of age.
Have at least 16 natural teeth.
Have moderate to severe chronic periodontitis, defined by loss of clinical attachment of >5 mm on two seperate teeth, and no treatment within six months.
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. These methods include oral contraceptives ("the pill"), an intrauterine device (IUD), levonogestrol 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 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
TPOab positive
Baseline serum level of TSH <0.35 or >5.5
Treatment with antibiotic within the three (3) month period prior to the screening examination
Presence of valvular disease, prosthetic implant, or any other systemic condition requiring antibiotic premedication
History of thyroid disease
Purported sensitivity or allergy to iodine
Known sensitivity or allergy to shellfish
History of autoimmune disease, or chronic infections such as HIV or hepatitis
History of cardiovascular disease (heart attack or procedure within the past three months, stroke or history/treatment for transient ischemic attacks in the past three months, or documented history of pulmonary embolus in past six months), unstable angina pectoris or angina pectoris at rest,
History of renal disease: serum creatinine exceeding 1.4 mg/dl (women) or 1.5 mg/dl (men), or currently receiving dialysis.
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 alter the treatment needs during the 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 or current alcohol abuse that, in the opinion of the Investigator, could influence the outcome of the study
History of, 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 treatment, and to return for follow-up visits as required by the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thomas W. Oates, DMD, Ph.D.
Organizational Affiliation
University of Texas
Official's Role
Principal Investigator
Facility Information:
Facility Name
The University of Texas Health Science Center at San Antonio, Dental School
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
12. IPD Sharing Statement
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