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The purpose of this study is to evaluate a methodology to determine the ability of a denture adhesive to restrict food ingress underneath dentures during eating.
This will be a single centre, controlled, open label, randomized, three-treatment, three-period, cross-over design in participants with full upper and full lower dentures. Each treatment period will consist of one day of testing with at least two days between adjacent treatment visits. This study will consist of four visits: Visit 1 - Screening Visit; Visit 2 - Treatment 1 Visit; Visit 3 - Treatment 2 Visit and Visit 4 - Treatment 3 Visit. (Participants will use Test product (denture adhesive) applied to the dentures either in a pattern consistent with standard application or applied to the dentures in a pattern of continuous strips. Participants will also use no adhesive as a control. Participants will cross-over between treatments so that all participants will participate in all 3 treatment arms. An hour after the participant has worn their denture, they will chew a portion of peanuts in a controlled manner. The peanuts that migrate under the denture during this chewing procedure will be collected, washed, dried and weighed. Participant will also answer a short questionnaire on the procedure and record the number of times their denture dislodged during the chewing procedure. The study hypothesis is that this methodology will enable comparisons between denture adhesives and no adhesive to demonstrate the effectiveness of denture adhesives at restricting food ingress under dentures during eating.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Denture Adhesive (Conventional Application) | Experimental | Test denture adhesive will be applied to participants' dentures via conventional pattern of application. |
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| Test Denture Adhesive (Continuous strip Application) | Experimental | Test denture adhesive will be applied to participants' dentures via continuous strips pattern of application. |
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| Negative Control | Other | Participants will not apply any denture adhesive in this treatment arm. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Denture Adhesive Cream (Conventional Application) | Device | The adhesive cream will be extruded from a pre-dosed syringe. 1.6 g of adhesive per treatment will be applied to each participant's dentures. This dose will be split as 1.00±0.05g for the maxillary and 0.60±0.05g for the mandibular dentures. |
| Measure | Description | Time Frame |
|---|---|---|
| Mass of Peanuts Under Combined Maxillary and Mandibular Dentures (Denture Adhesive Applied Per Conventional Pattern) | Participants received 1.6 grams (g) of test adhesive on their dentures in a conventional pattern. After 60 minutes (min), participants were provided with 30-32 g non-salted peanuts, divided into smaller portions of approximately eight peanut halves. Each portion chewed for approximately 20 seconds (s). After consumption of all peanuts, participants had rinse their mouth with water for approximately 5 s. Dentures were removed and any peanuts remaining in the mouth were collected using a gauze. Both denture and gauze were placed in a beaker with hot de-ionized water and sonicated for 30 minutes (min) after which the water was strained through a standard testing sieve. The collected particles were washed and air-dried and transferred to pre-weighed aluminium weighing pans using a spatula and then, were dried in an oven at 40-degree Celsius for 5 hours. The pans were removed, cooled to room temperature and then weighed to determine the mass of the particles collected from each denture. | Upto 9 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| GSK Clinical Trials | GlaxoSmithKline (for GlaxoSmithKline; Human Genome Sciences Inc., a GSK Company; Sirtris, a GSK Company; Stiefel, a GSK Company; ViiV Healthcare) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Fort Wayne | Indiana | 46825 | United States |
A total of 49 participants were screened for entry into the study, of whom 48 were randomized. 1 participant did not meet the study criteria. Out of 48, only 47 subjects started the no adhesive treatment period, since 1 participant discontinued the study due a scheduling (withdrawal of consent).
All the participants were recruited from one center in United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | A-B-C | Sequence of the treatment if A-B-C, where A-conventional application; B- continuous strip application; C- no adhesive |
| FG001 | A-C-B | Sequence of the treatment if A-C-B, where A-conventional application; B- continuous strip application; C- no adhesive |
| FG002 | B-A-C | Sequence of the treatment if B-A-C, where A-conventional application; B- continuous strip application; C- no adhesive |
| FG003 | B-C-A | Sequence of the treatment if B-C-A, where A-conventional application; B- continuous strip application; C- no adhesive |
| FG004 | C-A-B | Sequence of the treatment if C-A-B, where A-conventional application; B- continuous strip application; C- no adhesive |
| FG005 | C-B-A | Sequence of the treatment if C-B-A, where A-conventional application; B- continuous strip application; C- no adhesive |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period-1 |
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| Period-2 |
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| Period-3 |
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47 participants started the no adhesive treatment period, since 1 participant discontinued the study after completing period 2 and therefore did not return for treatment period 3 of no adhesive. The demographic and baseline characteristics has been reported for intent-to-treat (ITT) population (N=48).
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall | Includes participants with conventional application of adhesive, continuous strip application of adhesive and no adhesive |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mass of Peanuts Under Combined Maxillary and Mandibular Dentures (Denture Adhesive Applied Per Conventional Pattern) | Participants received 1.6 grams (g) of test adhesive on their dentures in a conventional pattern. After 60 minutes (min), participants were provided with 30-32 g non-salted peanuts, divided into smaller portions of approximately eight peanut halves. Each portion chewed for approximately 20 seconds (s). After consumption of all peanuts, participants had rinse their mouth with water for approximately 5 s. Dentures were removed and any peanuts remaining in the mouth were collected using a gauze. Both denture and gauze were placed in a beaker with hot de-ionized water and sonicated for 30 minutes (min) after which the water was strained through a standard testing sieve. The collected particles were washed and air-dried and transferred to pre-weighed aluminium weighing pans using a spatula and then, were dried in an oven at 40-degree Celsius for 5 hours. The pans were removed, cooled to room temperature and then weighed to determine the mass of the particles collected from each denture. | The primary endpoint has been measured for intent-to-treat (ITT) population (N=48). The ITT population included all randomized participants who received at least 1 dose of study treatment during the study and consumed peanuts and had at least 1 mass of peanuts from both upper and lower dentures. | Posted | Mean | Standard Deviation | Grams | Upto 9 weeks |
95 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Conventional Application | Participants received the 1.6 grams (g) of adhesive to the denture which was placed in the mouth as 1.0 g for maxillary denture and 0.6 g for mandibular denture. In this group, the test denture adhesive was applied in conventional pattern which is defined as the adhesive was filled in pre-weighed syringe and was applied in short strips (3 strips to the upper denture and 2 strips on the lower denture), not too close to the denture. Participants rinsed their mouth before inserting the dentures and bit down for few seconds to secure hold. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 | GSKClinicalSupportHD@gsk.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 24, 2017 | Dec 14, 2018 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 14, 2017 | Dec 14, 2018 | SAP_001.pdf |
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|
| Denture Adhesive (Continuous Strip Application) | Device | The adhesive cream will be extruded from a pre-dosed syringe. 1.6 g of adhesive per treatment will be applied to each participant's dentures. This dose will be split as 1.00±0.05 g for the maxillary and 0.60±0.05 g for the mandibular dentures. |
|
| No Adhesive | Other | No adhesive applied. |
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| COMPLETED |
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| NOT COMPLETED |
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| COMPLETED |
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| NOT COMPLETED |
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| Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Current Lower Denture Age | Mean | Standard Deviation | Years |
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| Current Upper Denture Age | Mean | Standard Deviation | Years |
|
|
|
|
| 0 |
| 48 |
| 0 |
| 48 |
| 0 |
| 48 |
| EG001 | Continuous Strip Application | Participants received the 1.6 g of adhesive to the denture which was placed in the mouth as 1.0 g for maxillary denture and 0.6 g for mandibular denture. In this group, the test denture adhesive was applied in continuous strip pattern which is defined as the adhesive was filled in pre-weighed syringe and was applied in long, continuous strips (3 strips to the upper denture and 1 strip on the lower denture), not too close to the denture. Participants rinsed their mouth before inserting the dentures and bit down for few seconds to secure hold. | 0 | 48 | 0 | 48 | 0 | 48 |
| EG002 | No Adhesive | Participants did not receive any denture adhesive in this group. | 0 | 47 | 0 | 47 | 0 | 47 |
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