- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06142409
Effect of Enzyme-containing Lozenge on Dental Biofilm Formation, Composition and Functionality
The Effect of Non-biocidal Adjuncts on the Formation, Composition, Functionality, and Microscale Architecture of Dental Biofilms: a Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Up to 50 subjects (aged ≥ 18 years old) with 3 or more active caries lesion, will be randomized to receive:
Phase 1: The effect of multiple-enzyme treatment on plaque accumulation in vivo
Phase 1 includes two experimental periods lasting for one day each, with a washout period of two weeks in between. Each experimental period will include two visits, at day 0 and day 1.
At day 0, the participants will receive a professional tooth cleaning and be randomized to receive Sequence 1 or Sequence 2 in a double-blind randomized cross-over design:
Sequence 1: 3 active enzyme-containing lozenges per day for one day (app. 24h) followed by a washout period of two weeks, followed by 3 identical placebo lozenges per day for one day (app. 24h).
Sequence 2: 3 placebo lozenges per day for one day (app. 24h) followed by a washout period of two weeks, followed by 3 identical active enzyme lozenges per day for one day (app. 24h).
The participants will be instructed to take one lozenge three times (morning, noon, evening) for one day. No normal oral hygiene procedures will be allowed during the intervention periods of one day. At the end of both experimental phases, plaque is assessed using planimetric recordings obtained with an intraoral camera and TM-QHPI to provide information on the individual level of plaque formation.
Phase 2: The effect of multiple-enzyme treatment on in situ-grown biofilms
The phase is designed in a double-blind randomized cross-over design, including two experimental periods lasting for 2 days, with a washout period of 5 days in between. Each experimental period will include two visits, on day 0 and day 2. Oral biofilms will be grown in situ on prefabricated non-fluorescent glass slabs for 48 hours. The glass slabs will be mounted on the individual lower-jaw splints.
At day 0, the participants will be randomized to receive Sequence 1 or Sequence 2:
Sequence 1: 3 active enzyme-containing lozenges per day for 2 days followed by a washout period of 5 days, followed by 3 identical placebo lozenges per day for 2 days.
Sequence 2: 3 placebo lozenges per day for 2 days followed by a washout period of 5 days, followed by 3 identical active enzyme lozenges per day for 2 days.
Oral biofilms will be grown in situ on prefabricated non-fluorescent glass slabs for 2-4 experimental periods of 48 hours. After each experimental period, the in situ-grown biofilms will be collected and stored in a research biobank.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Caterina Holz, PhD
- Phone Number: +4930921076550
- Email: caho@novozymes.com
Study Contact Backup
- Name: Inge Knap
- Email: inkn@novozymes.com
Study Locations
-
-
-
Aarhus, Denmark, DK-8000 Aarhus C
- Recruiting
- Department of Dentistry and Oral Health, Aarhus University
-
Contact:
- Sebastian Schlafer, PhD
- Phone Number: (+45) 4297 6020
- Email: sebastians@dent.au.dk
-
Contact:
- Pernille Rikvold
- Email: ptr@dent.au.dk
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Males and females ≥ 18 years old.
- Have three or more active carious lesions.
- Anatomically possible to manufacture an intraoral lower-jaw splint.
- Able to understand and follow instructions, as well as to read and sign the informed consent form.
- A plaque index score ≥ 2 according to the Turesky Modification of the Quigley-Hein Plaque Index (TM-QHPI), following 8 to 12 hours plaque accumulation period.
Exclusion Criteria:
- History of allergies towards any of the ingredients in the test products
- Self-reported pregnant or nursing
- Antibiotic or anti-inflammatory medication within 90 days of the screening visit.
- Orthodontic appliances, including retainers, or removable partial dentures.
- Self-reported serious medical conditions
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Active arm
Enzyme-containing lozenge
|
Lozenge containing multiple enzyme combination
|
Placebo Comparator: Placebo arm
Placebo lozenge
|
Lozenge containing multiple enzyme combination
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in in-vivo dental biofilm accumulation
Time Frame: 1 day
|
To investigate the effect of an enzyme-containing lozenge on dental biofilm accumulation in caries-active subjects in vivo assessed by the planimetric plaque index (PPI)
|
1 day
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in in-vivo dental biofilm accumulation
Time Frame: 1 days
|
To investigate the effect of an enzyme-containing lozenge on dental biofilm accumulation in caries-active subjects in vivo assessed by the Turesky-modified Quigley Hein Plaque Index (TM-QHPI)
|
1 days
|
Change in in-situ grown dental biofilm accumulation
Time Frame: 2 days
|
The effect of enzyme-containing lozenge on changes in the microarchitecture of in situ-grown biofilms from caries-active subjects analyzed by optical coherence tomography.
|
2 days
|
Change in oral microbial community composition of in-situ grown dental biofilm
Time Frame: 2 days
|
Shift in oral microbial community composition of in situ-grown biofilms from caries-active subjects assessed by next-generation sequencing of 16S rRNA genes
|
2 days
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NZ-2022-05
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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