The Effectiveness of the Self-Assembling Peptide P11-4 in the Remineralization of Enamel Carious White Spot Lesions (WSL-Curodont)
2026年6月16日 更新者：Dorota Olczak-Kowalczyk、Medical University of Warsaw
A Three-arm Randomized Controlled Trial Evaluating the Effectiveness of Self- Assembling Peptide P11-4 in the Remineralization of Enamel Carious White Spot Lesions
This is three-arm Randomized Controlled Trial.
The main goal is to evaluate the effectiveness of self-assembling peptide P11-4 (SAP P11-4) in the remineralization of enamel carious white spot lesions.
Participants with carious white spot lesions will be assigned to one of three study groups and remineralisation agents will be applied according to the study protocol.
The primary objective is to assess changes in the carious white spot lesions over time using quantitative light-induced fluorescence and clinical evaluation.
調査の概要
状態
募集
詳細な説明
This study will be conducted at an academic center. Recruitment will include patients aged 10 to 18 years presenting with carious white spot lesions on the smooth surfaces of permanent teeth at the Department of Pediatric Dentistry, Medical University of Warsaw. The planned study duration is 1 year. After assessment of the inclusion and exclusion criteria and enrollment into the study, participants will undergo randomization and will be allocated to 1 of 3 study groups.
Group A will receive a single application of Curodont Repair (self-assembling peptide P11-4) at the first visit, together with fluoride varnish application every 3 months (Duraphat Fluoride Varnish, Colgate, 22,600 ppm fluoride). Group B will receive repeated applications of Curodont Repair at the first visit, after 3 months, together with fluoride varnish application every 3 months. Group C, the control group, will receive only fluoride varnish every 3 months.
There is currently limited evidence regarding the effectiveness of repeated applications of remineralization agents containing self-assembling peptide P11-4. In addition, this study includes a relatively long follow-up period, allowing evaluation of the durability of the treatment effect over time.
At each follow-up visit, scheduled every 3 months, white spot lesions will be assessed using quantitative light-induced fluorescence (QLF) and visual clinical examination.
研究の種類
介入
入学 (推定)
75
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Anna Turska-Szybka
- 電話番号：+48 22 116 64 24
- メール：pedodoncja@wum.edu.pl
研究場所
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Masovian Voivodeship
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Warsaw、Masovian Voivodeship、ポーランド、02-097
- 募集
- University Clinical Center of the Medical University of Warsaw, Department of Pediatric Dentistry
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コンタクト：
- Secretariat of the Department of Pediatric Dentistry
- 電話番号：+48 22 116 64 24
- メール：pedodoncja@wum.edu.pl
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主任研究者：
- Dorota Olczak-Kowalczyk, Prof.
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副調査官：
- Anna Turska-Szybka, Assoc. Prof.
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副調査官：
- Julia Sazonowa, Dr.
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 子
- 大人
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Age >10 years and <18 years.
- Presence of at least 2 active enamel carious white spot lesions on a smooth tooth surface (labial/buccal surfaces of permanent teeth) based on International Caries Detection (ICDAS II) and Assessment System -Lesion Activity Assessment (ICDAS-LAA), and Lesion Activity Assessment (LAA criteria).
Tooth eligible for treatment:
- Vital pulp,
- no loss of hard dental tissues within the investigated lesion (ICDAS II) code 1 or 2 , LAA code 1, ICDAS-LAA>7;
- QLF score parameters consistent with demineralization without loss of tissue continuity- code 1 or 2),
- no history of trauma to the tooth.
- Systemically healthy patient.
- No contraindications to the use of fluoride preparations.
- No fixed orthodontic appliance.
- Written consent for participation in the study signed by the legal guardian, or by the legal guardian and the patient.
Exclusion Criteria:
- Systemic diseases or chronic medication use due to chronic conditions.
- Viral/bacterial illness on the day of the visit, e.g., herpetic stomatitis, influenza, tonsillitis (temporary restriction).
- Pregnancy or breastfeeding.
- Allergy to any component of the SAP P11-4 preparation or the fluoride varnish.
- Professional fluoride prophylaxis performed <3 months ago.
- Presence of cavitation (loss of hard tissues) in the treated tooth - ICDAS II code ≥3, ICDAS-LAA<7, LAA code 0, 2-9.
- Carious WSL previously treated with the Icon resin infiltrant (methacrylate resin).
- Developmental enamel defects.
- Patient undergoing orthodontic treatment with fixed appliances.
- Inability to ensure regular follow-up visits.
- Lack of cooperation from the guardian or the patient.
- Refusal to participate in the study and/or absence of written consent.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Single Application of Curodont Repair Plus Fluoride Varnish
Participants will receive a single application of Curodont Repair (self-assembling peptide P11-4) at the first visit (baseline) and fluoride varnish application every 3 months (including baseline visit)
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Self-assembling peptide P11-4 will be applied on enamel carious white spot lesions according to the study protocol.
In the single-application group (group A), the agent will be applied once at the first visit(baseline).
In the repeated-application group (group B), the agent will be applied at the first visit (baseline) and after 3 months.
Fluoride varnish will be applied every 3 months according to the study protocol.
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実験的：Repeated Application of Curodont Repair Plus Fluoride Varnish
Participants will receive applications of Curodont Repair (self-assembling peptide P11-4) at the first visit (baseline), after 3 months, together with fluoride varnish application every 3 months (including baseline visit).
|
Self-assembling peptide P11-4 will be applied on enamel carious white spot lesions according to the study protocol.
In the single-application group (group A), the agent will be applied once at the first visit(baseline).
In the repeated-application group (group B), the agent will be applied at the first visit (baseline) and after 3 months.
Fluoride varnish will be applied every 3 months according to the study protocol.
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アクティブコンパレータ：Fluoride Varnish Only
Participants will receive fluoride varnish application every 3 months only.
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Fluoride varnish will be applied every 3 months according to the study protocol.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Fluorescence Loss (ΔF) of White Spot Lesions From Baseline to 12 Months Assessed by Quantitative Light-Induced Fluorescence
時間枠：baseline and 12 months follow-up
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The primary outcome measure is the change in fluorescence loss of white spot lesions from baseline to the 12-month follow-up, assessed using quantitative light-induced fluorescence (QLF).
Fluorescence loss will be measured using the QLF parameter ΔF and expressed as percentage fluorescence loss (%).
More negative ΔF values indicate greater mineral loss.
The change will be calculated as the ΔF value at 12 months minus the ΔF value at baseline.
A positive change in ΔF from baseline, indicating an increase in ΔF toward zero, will indicate lesion remineralization.
A negative change in ΔF from baseline will indicate lesion demineralization.
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baseline and 12 months follow-up
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Change in lesion volume ΔQ of White Spot Lesions From Baseline to 12 Months Assessed by Quantitative Light-Induced Fluorescence
時間枠：from baseline to the 12-month follow-up
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The primary outcome measure is the change in QLF lesion volume (ΔQ) from baseline to the 12-month follow-up.
ΔQ will be assessed using quantitative light-induced fluorescence (QLF) and expressed as % × mm².
The change will be calculated as the ΔQ value at 12 months minus the ΔQ value at baseline.
More negative ΔQ values indicate larger or more severe lesions.
Therefore, a positive change in ΔQ from baseline indicates lesion improvement, whereas a negative change in ΔQ from baseline indicates lesion progression.
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from baseline to the 12-month follow-up
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in QLF Fluorescence Loss (ΔF) of White Spot Lesions From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Fluorescence loss will be assessed using the QLF parameter ΔF and expressed as percentage fluorescence loss (%).
More negative ΔF values indicate greater mineral loss.
The change will be calculated as the ΔF value at each follow-up visit minus the ΔF value at baseline.
A positive change in ΔF from baseline, indicating an increase in ΔF toward zero, will indicate lesion remineralization.
A negative change in ΔF from baseline will indicate lesion demineralization.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Change in Lesion Area of White Spot Lesions From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Lesion area will be assessed using quantitative light-induced fluorescence (QLF) and expressed in square millimeters (mm²).
The change will be calculated as the lesion area at each follow-up visit minus the lesion area at baseline.
A decrease in lesion area from baseline indicates lesion improvement, whereas an increase in lesion area from baseline indicates lesion progression.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Change in QLF Lesion Volume (ΔQ) of White Spot Lesions From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Lesion volume will be assessed using the QLF parameter ΔQ and expressed as % × mm².
More negative ΔQ values indicate larger or more severe lesions.
An increase in ΔQ toward zero, or a positive change in ΔQ from baseline, will indicate lesion improvement.
A decrease in ΔQ, or a negative change in ΔQ from baseline, will indicate lesion progression.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Mean ICDAS II Score From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Caries lesion severity will be assessed using the International Caries Detection and Assessment System II (ICDAS II).
The ICDAS II score ranges from 0 to 6, where 0 indicates a sound tooth surface and 6 indicates an extensive distinct cavity with visible dentin.
Higher scores indicate greater caries lesion severity.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Mean ICDAS-Lesion Activity Assessment Score From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Lesion activity will be assessed using the ICDAS-Lesion Activity Assessment (ICDAS-LAA) criteria.
The ICDAS-LAA score is calculated by summing points assigned for clinical parameters including visual appearance, gingival inflammation with plaque stagnation, and surface texture.
The total score ranges from 4 to 11 points, with scores ≤7 indicating inactive caries and scores >7 indicating active caries.
Higher scores indicate greater lesion activity.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Number of Lesions in Each Nyvad Lesion Activity Assessment Category From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Lesion activity will be assessed using the Nyvad Lesion Activity Assessment (LAA) criteria.
Each lesion will be classified into one of the following categories: 0 = sound surface, 1 = active caries with intact surface, 2 = active caries with surface discontinuity, 3 = active caries with cavity, 4 = inactive caries with intact surface, 5 = inactive caries with surface discontinuity, 6 = inactive caries with cavity, 7 = filling with sound surface, 8 = filling with active caries, and 9 = filling with inactive caries.
Results will be reported as the number of lesions in each category.
Higher category numbers do not necessarily indicate a better or worse outcome, as the categories represent lesion/restoration status and caries activity.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Mean Plaque Index Score From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Dental plaque accumulation will be assessed using the Plaque Index (PLI).
The PLI is scored from 0 to 3, where 0 indicates no plaque and 3 indicates abundant soft deposits.
The mean PLI score will be calculated for each participant based on four surfaces per tooth.
Higher scores indicate greater plaque accumulation.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Mean Gingival Index Score From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Gingival inflammation will be assessed using the Gingival Index (GI).
The GI is scored from 0 to 3, where 0 indicates normal gingiva and 3 indicates severe inflammation.
The mean GI score will be calculated for each participant based on four surfaces per tooth.
Higher scores indicate worse gingival inflammation.
The results will be interpreted as follows: 0 = healthy gingiva, 0.1-1.0
= mild inflammation, 1.1-2.0
= moderate inflammation, and 2.1-3.0 = severe inflammation.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Percentage of Sites With Bleeding on Probing From Baseline to Each Follow-up Visit
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Gingival status will be assessed using Bleeding on Probing (BOP).
BOP will be expressed as the percentage of sites with bleeding on probing.
Gingival status will be categorized as healthy/no gingivitis when BOP is <10%, localized gingivitis when BOP is 10-30%, and generalized gingivitis when BOP is >30%.The BOP percentage (BOP%) will be calculated as: BOP% = (Number of bleeding sites ÷ Total number of sites examined) × 100
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Mean Visual Analogue Scale Score for Patient-reported Tolerability
時間枠：Baseline, 3 months, 6 months, 9 months, and 12 months
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Patient-reported tolerability will be assessed using the Visual Analogue Scale.
The scale ranges from 0 to 10, with higher scores indicating worse tolerability.
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Baseline, 3 months, 6 months, 9 months, and 12 months
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Number of Adverse Events Throughout the Study Period
時間枠：Baseline through 12 months
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Occurrence of adverse events (AEs) recorded throughout the study period.
Adverse events will be reported as the number of participants experiencing at least one adverse event.
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Baseline through 12 months
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：Dorota Olczak-Kowalczyk, Prof.、Medical University of Warsaw
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
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便利なリンク
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2026年2月2日
一次修了 (推定)
2027年10月31日
研究の完了 (推定)
2027年12月14日
試験登録日
最初に提出
2026年6月10日
QC基準を満たした最初の提出物
2026年6月16日
最初の投稿 (実際)
2026年6月23日
学習記録の更新
投稿された最後の更新 (実際)
2026年6月23日
QC基準を満たした最後の更新が送信されました
2026年6月16日
最終確認日
2026年6月1日
詳しくは
本研究に関する用語
その他の研究ID番号
- CURODONT-WSL-2026
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
いいえ
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
いいえ
米国FDA規制機器製品の研究
いいえ
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