Safety and Preliminary Efficacy of Lipoxin Analog BLXA4-ME Oral Rinse for the Treatment of Gingivitis (BLXA4)
Primary Purpose
Gingival Inflammation
Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BLXA4
Placebo oral rinse
Sponsored by
About this trial
This is an interventional treatment trial for Gingival Inflammation focused on measuring Safety and efficacy of BLXA4
Eligibility Criteria
Inclusion Criteria:
- Signed consent form
- Good general health as evidenced by medical history
- Age 18 - 65
- Must have a stable address and be available for the duration of the study
- Must have a minimum of 20 natural teeth, excluding third molars
- Must have a mean full mouth MGI of at least 2.0
- Must be willing to use prescribed oral hygiene procedures and products
- Medications for chronic conditions must be stable for at least 3 months prior to enrollment
- Women of reproductive potential must use licensed hormonal contraception or double barrier methods
- Men of reproductive potential must agree to use condoms
- Liver function test (aspartate aminotransferase [AST], alanine aminotransferase [ALT], alkaline phosphatase, and total bilirubin) levels equal to or less than 1.5 times the upper limit of normal
- Serum creatinine levels equal to or less than the upper limit of normal;
- Subjects with complete blood count levels within 10% of the normal laboratory range and erythrocyte sedimentation rate equal to or less than 2 times the upper limit of normal.
Exclusion Criteria:
- Presence of orthodontic appliances or removable partial dentures
- Presence of a soft tissue tumor of the oral cavity
- Presence of gross plaque or calculus (≥ 75% of tooth surfaces)
- Presence of extensive restorations that could affect the marginal gingiva (at the investigators' discretion)
- Preexisting oral pathology, including carious lesions requiring immediate treatment or ulcerations of the mucosa
- Current participation in another clinical trial or product test
- Pregnant or breast feeding
- Residence in the same household as a subject currently enrolled in the study (due to potential blinding and compliance issues)
- Concomitant endodontic therapy or periodontal therapy other than prophylaxis within the past 6 months
- History of early onset periodontitis or acute necrotizing ulcerative gingivitis
- Chronic disease with concomitant oral manifestations, such as autoimmune or immunosuppressive diseases (e.g., human immunodeficiency virus, severe combined immunodeficiency, neutropenia, juvenile arthritis, systemic lupus erythematosus, sickle cell anemia, Crohn's disease, rheumatoid arthritis, Sjögren's syndrome) or immunocompromised status due to cancer chemotherapy, hematopoietic stem cell or solid organ transplant, head and neck radiotherapy, splenectomy, chronic steroid usage
- Recent history of chronic alcohol consumption of more than five 1.5-ounce servings of 80 proof distilled spirits, five 12-ounce servings of beer, or five 5 ounce servings of wine per day
- Tobacco use (former tobacco users may be enrolled, provided they have been tobacco-free for one year or more)
- Diabetes mellitus
- Subjects with urinalysis results suggestive of infection (if a subject meets this criterion, he/she may be rescreened for study participation when he/she no longer meets this exclusion criterion)
- Medical conditions that the investigator considers significant and that may interfere with the examination or the safety of the subject
- Chronic use (2 weeks or more) of medication known to affect periodontal status within one month of enrollment (such as ≥81mg aspirin, phenytoin, calcium antagonists such as nifedipine, NSAIDs, coumarin, cyclosporine, ≥10 mg/day atorvastatin or equivalent dose of another statin [Subramanian et al, 2013]);
- Treatment with antibiotics within one month prior to enrollment
- Medical condition for which antibiotic treatment during the study period is likely or a condition for which antibiotic prophylaxis is recommended before dental procedures (American Heart Association guidelines of 2007 will be followed)
- Known hypersensitivity to any component of the test or placebo products
- Anything that, in the opinion of the investigator, would place the subject at increased risk or prevent the subject from fully complying with or completing the study -
Sites / Locations
- The Forsyth Institute
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Placebo Comparator
No Intervention
Arm Label
BLXA4-ME oral rinse
Placebo oral rinse
No Rinse Control
Arm Description
The topical oral rinse dosage form of BLXA4-ME (also known as ClinRinse-1) will consist of drug substance prepared at a concentration of 1.0 μM in an aqueous vehicle solution
The placebo preparation will consist of formulated oral rinse without BLXA4-ME and will be identical to the test rinse in color, appearance and taste
The no-rinse control group will use no oral rinse, in order to assess the effect of the rinsing action independent of the active ingredients
Outcomes
Primary Outcome Measures
incidence of adverse events
Adverse events will be recorded throughout the study, and may include events reported by subjects or changes observed in oral cavity examinations or vital signs (assessed at baseline, Days 3, 7, 14, 21 and 28). Blood and urine will be collected for safety labs at Days 14 and 28 after product administration, and subjects will undergo close monitoring for mucosal inflammation and irritancy and development of periodontitis, using standard clinical periodontal measurements. Follow-up will also occur at 90 days to assess for adverse events.
Secondary Outcome Measures
Supragingival Plaque
Plaque will be measured using the Silness and Loe Plaque Index [Silness and Loe 1964]
Gingival Inflammation
Gingivitis will be measured using the Modified Gingival Index [Gordon et al 1985]
Gingival Bleeding
Gingival Bleeding will be assessed using the dichotomous bleeding on probing index
Full Information
NCT ID
NCT02342691
First Posted
January 15, 2015
Last Updated
December 8, 2017
Sponsor
The Forsyth Institute
Collaborators
National Institute of Dental and Craniofacial Research (NIDCR)
1. Study Identification
Unique Protocol Identification Number
NCT02342691
Brief Title
Safety and Preliminary Efficacy of Lipoxin Analog BLXA4-ME Oral Rinse for the Treatment of Gingivitis
Acronym
BLXA4
Official Title
A Phase 1 / 2 Clinical Trial to Assess the Safety and Preliminary Efficacy of Lipoxin Analog BLXA4-ME Oral Rinse for the Treatment of Gingivitis
Study Type
Interventional
2. Study Status
Record Verification Date
December 2017
Overall Recruitment Status
Unknown status
Study Start Date
September 2016 (undefined)
Primary Completion Date
September 28, 2017 (Actual)
Study Completion Date
December 2018 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Forsyth Institute
Collaborators
National Institute of Dental and Craniofacial Research (NIDCR)
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The primary objective is to evaluate the safety of an investigational compound, BLXA4-ME, topically applied as a daily oral rinse in adults with gingivitis. Safety will be assessed by the incidence of adverse events, including mucosal inflammation and irritancy and findings from safety labs. Subjects will be monitored for development of periodontitis, and oral flora will be analyzed to detect an increase in opportunistic organisms.
The secondary objective is to assess preliminary efficacy of the oral rinse, by monitoring changes in the plaque index (PI), modified gingival index (MGI), bleeding on probing (BOP) and levels of interleukin -1β (IL-1β) in gingival crevicular fluid (GCF).
The study comprises three groups in a randomized, placebo-controlled double-blind clinical trial design. The treatment group (1.0 μM BLXA4-ME oral rinse) and the placebo rinse group will each include 50 subjects. The no-rinse control group will consist of 25 subjects. Subjects in the treatment and placebo rinse groups will receive oral rinse (BLXA4-ME or placebo) to be applied once daily after morning teeth brushing. Safety parameters will be assessed before and after 3, 7, 14, 21, and 28 days of treatment. Efficacy parameters will be assessed before and after 14 and 28 days of treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gingival Inflammation
Keywords
Safety and efficacy of BLXA4
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
125 (Actual)
8. Arms, Groups, and Interventions
Arm Title
BLXA4-ME oral rinse
Arm Type
Experimental
Arm Description
The topical oral rinse dosage form of BLXA4-ME (also known as ClinRinse-1) will consist of drug substance prepared at a concentration of 1.0 μM in an aqueous vehicle solution
Arm Title
Placebo oral rinse
Arm Type
Placebo Comparator
Arm Description
The placebo preparation will consist of formulated oral rinse without BLXA4-ME and will be identical to the test rinse in color, appearance and taste
Arm Title
No Rinse Control
Arm Type
No Intervention
Arm Description
The no-rinse control group will use no oral rinse, in order to assess the effect of the rinsing action independent of the active ingredients
Intervention Type
Drug
Intervention Name(s)
BLXA4
Intervention Description
BLXA4-ME is a member of a new class of chemically and metabolically stable lipoxin analogs featuring a replacement of the tetraene unit of native lipoxin-A4 (LXA4) with a substituted benzo-fused ring system. The full chemical name of the BLXA4-ME drug substance is (5S, 6R, E)-methyl 5,6-dihydroxy-8-(2-((R,E)-3-hydroxyoct-1-enyl) phenyl) oct-7-enoate.
Intervention Type
Drug
Intervention Name(s)
Placebo oral rinse
Intervention Description
The placebo preparation will consist of formulated oral rinse without BLXA4-ME and will be identical to the test rinse in color, appearance and taste
Primary Outcome Measure Information:
Title
incidence of adverse events
Description
Adverse events will be recorded throughout the study, and may include events reported by subjects or changes observed in oral cavity examinations or vital signs (assessed at baseline, Days 3, 7, 14, 21 and 28). Blood and urine will be collected for safety labs at Days 14 and 28 after product administration, and subjects will undergo close monitoring for mucosal inflammation and irritancy and development of periodontitis, using standard clinical periodontal measurements. Follow-up will also occur at 90 days to assess for adverse events.
Time Frame
up to 90 days
Secondary Outcome Measure Information:
Title
Supragingival Plaque
Description
Plaque will be measured using the Silness and Loe Plaque Index [Silness and Loe 1964]
Time Frame
28 days
Title
Gingival Inflammation
Description
Gingivitis will be measured using the Modified Gingival Index [Gordon et al 1985]
Time Frame
28 days
Title
Gingival Bleeding
Description
Gingival Bleeding will be assessed using the dichotomous bleeding on probing index
Time Frame
28 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Signed consent form
Good general health as evidenced by medical history
Age 18 - 65
Must have a stable address and be available for the duration of the study
Must have a minimum of 20 natural teeth, excluding third molars
Must have a mean full mouth MGI of at least 2.0
Must be willing to use prescribed oral hygiene procedures and products
Medications for chronic conditions must be stable for at least 3 months prior to enrollment
Women of reproductive potential must use licensed hormonal contraception or double barrier methods
Men of reproductive potential must agree to use condoms
Liver function test (aspartate aminotransferase [AST], alanine aminotransferase [ALT], alkaline phosphatase, and total bilirubin) levels equal to or less than 1.5 times the upper limit of normal
Serum creatinine levels equal to or less than the upper limit of normal;
Subjects with complete blood count levels within 10% of the normal laboratory range and erythrocyte sedimentation rate equal to or less than 2 times the upper limit of normal.
Exclusion Criteria:
Presence of orthodontic appliances or removable partial dentures
Presence of a soft tissue tumor of the oral cavity
Presence of gross plaque or calculus (≥ 75% of tooth surfaces)
Presence of extensive restorations that could affect the marginal gingiva (at the investigators' discretion)
Preexisting oral pathology, including carious lesions requiring immediate treatment or ulcerations of the mucosa
Current participation in another clinical trial or product test
Pregnant or breast feeding
Residence in the same household as a subject currently enrolled in the study (due to potential blinding and compliance issues)
Concomitant endodontic therapy or periodontal therapy other than prophylaxis within the past 6 months
History of early onset periodontitis or acute necrotizing ulcerative gingivitis
Chronic disease with concomitant oral manifestations, such as autoimmune or immunosuppressive diseases (e.g., human immunodeficiency virus, severe combined immunodeficiency, neutropenia, juvenile arthritis, systemic lupus erythematosus, sickle cell anemia, Crohn's disease, rheumatoid arthritis, Sjögren's syndrome) or immunocompromised status due to cancer chemotherapy, hematopoietic stem cell or solid organ transplant, head and neck radiotherapy, splenectomy, chronic steroid usage
Recent history of chronic alcohol consumption of more than five 1.5-ounce servings of 80 proof distilled spirits, five 12-ounce servings of beer, or five 5 ounce servings of wine per day
Tobacco use (former tobacco users may be enrolled, provided they have been tobacco-free for one year or more)
Diabetes mellitus
Subjects with urinalysis results suggestive of infection (if a subject meets this criterion, he/she may be rescreened for study participation when he/she no longer meets this exclusion criterion)
Medical conditions that the investigator considers significant and that may interfere with the examination or the safety of the subject
Chronic use (2 weeks or more) of medication known to affect periodontal status within one month of enrollment (such as ≥81mg aspirin, phenytoin, calcium antagonists such as nifedipine, NSAIDs, coumarin, cyclosporine, ≥10 mg/day atorvastatin or equivalent dose of another statin [Subramanian et al, 2013]);
Treatment with antibiotics within one month prior to enrollment
Medical condition for which antibiotic treatment during the study period is likely or a condition for which antibiotic prophylaxis is recommended before dental procedures (American Heart Association guidelines of 2007 will be followed)
Known hypersensitivity to any component of the test or placebo products
Anything that, in the opinion of the investigator, would place the subject at increased risk or prevent the subject from fully complying with or completing the study -
Facility Information:
Facility Name
The Forsyth Institute
City
Cambridge
State/Province
Massachusetts
ZIP/Postal Code
02142
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
34589083
Citation
Hasturk H, Schulte F, Martins M, Sherzai H, Floros C, Cugini M, Chiu CJ, Hardt M, Van Dyke T. Safety and Preliminary Efficacy of a Novel Host-Modulatory Therapy for Reducing Gingival Inflammation. Front Immunol. 2021 Sep 13;12:704163. doi: 10.3389/fimmu.2021.704163. eCollection 2021.
Results Reference
derived
Learn more about this trial
Safety and Preliminary Efficacy of Lipoxin Analog BLXA4-ME Oral Rinse for the Treatment of Gingivitis
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