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The aim of this study is to develop the clinical methodology to characterize the efficacy profiles of an experimental 5% potassium nitrate (KNO3) and 0.454% stannous fluoride (SnF2) combination dentifrice and a marketed desensitizing 0.454% SnF2 only dentifrice for the relief of dentin hypersensitivity (DH), at multiple time points, over an 8 week treatment period.
This will be a single center, 8 week, randomized, controlled, examiner blind, two treatment arm, parallel design, stratified (by maximum baseline Schiff sensitivity score of the two selected test teeth), method development study, in participants in good general health, with pre-existing self-reported tooth sensitivity, and at least two sensitive teeth (diagnosed clinically) that meet all study criteria at the screening and baseline (pre-treatment) visits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test dentifrice | Experimental | Participants in this arm will receive experimental dentifrice containing 5% w/w KNO3 and 0.454% w/w SnF2 (1100 parts per million [ppm] fluoride). |
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| Control dentifrice | Active Comparator | Participants in this arm will receive comparator dentifrice containing 0.454% SnF2 (1100ppm fluoride). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dentifrice containing 5% w/w KNO3 and 0.454% w/w SnF2 (1100 ppm fluoride). | Drug | Participants will be instructed to dose the toothbrush with a strip of dentifrice containing 5% w/w KNO3 and 0.454% w/w SnF2 (1100 ppm fluoride) (a full brush head) and brush for at least 1 timed minute, twice daily (morning and evening), making sure to brush all sensitive areas of their teeth. Participants will be permitted to rinse with tap water post-brushing if they wish to. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Schiff Sensitivity Score at Baseline (Day 0) | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. Lesser the Schiff sensitivity score, lesser is the sensitivity of the tooth. Mean score will be calculated as the average score of the selected two test teeth at baseline. | Baseline (Day 0) |
| Mean Schiff Sensitivity Score at Day 3 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. Lesser the Schiff sensitivity score, lesser is the sensitivity of the tooth. Mean score will be calculated as the average score of the two test teeth on Day 3. | Day 3 |
| Mean Schiff Sensitivity Score at Day 7 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. Lesser the Schiff sensitivity score, lesser is the sensitivity of the tooth. Mean score will be calculated as the average score of the two test teeth on Day 7. | Day 7 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
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The clinical examiner will be blinded to treatment received. The study statistician, data management staff, other employees of the Sponsor and vendors acting on behalf of the sponsor, who may influence study outcomes will also be blinded to the treatment allocation.
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| Dentifrice containing 0.454% w/w SnF2 (1100 ppm fluoride). | Drug | Participants will be instructed to dose the toothbrush with a strip of dentifrice containing 0.454% w/w SnF2 (1100 ppm fluoride) (a full brush head) and brush for at least 1 timed minute, twice daily (morning and evening), making sure to brush all sensitive areas of their teeth. Participants will be permitted to rinse with tap water post-brushing if they wish to. |
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| Mean Schiff Sensitivity Score at Day 14 |
The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. Lesser the Schiff sensitivity score, lesser is the sensitivity of the tooth. Mean score will be calculated as the average score of the two test teeth on Day 14. |
| Day 14 |
| Mean Schiff Sensitivity Score at Day 28 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. Lesser the Schiff sensitivity score, lesser is the sensitivity of the tooth. Mean score will be calculated as the average score of the two test teeth on Day 28. | Day 28 |
| Mean Schiff Sensitivity Score at Day 56 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. Lesser the Schiff sensitivity score, lesser is the sensitivity of the tooth. Mean score will be calculated as the average score of the two test teeth on Day 56. | Day 56 |
| Mean Tactile Threshold at Baseline (Day 0) | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. Mean score will be calculated as the average score of the two test teeth on Baseline (Day 0). | Baseline (Day 0) |
| Mean Tactile Threshold at Day 3 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. Mean score will be calculated as the average score of the two test teeth on Day 3. | Day 3 |
| Mean Tactile Threshold at Day 7 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. Mean score will be calculated as the average score of the two test teeth on Day 7. | Day 7 |
| Mean Tactile Threshold at Day 14 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. Mean score will be calculated as the average score of the two test teeth on Day 14. | Day 14 |
| Mean Tactile Threshold at Day 28 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. Mean score will be calculated as the average score of the two test teeth on Day 28. | Day 28 |
| Mean Tactile Threshold at Day 56 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. Mean score will be calculated as the average score of the two test teeth on Day 56. | Day 56 |
| Change From Baseline (Day 0) in Schiff Sensitivity Score on Day 3 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. A reduction in Schiff Sensitivity score will indicate the improvement in sensitivity. | Baseline (Day 0), Day 3 |
| Change From Baseline (Day 0) in Schiff Sensitivity Score on Day 7 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. A reduction in Schiff Sensitivity score will indicate the improvement in sensitivity. | Baseline (Day 0), Day 7 |
| Change From Baseline (Day 0) in Schiff Sensitivity Score on Day 14 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. A reduction in Schiff Sensitivity score will indicate the improvement in sensitivity. | Baseline (Day 0), Day 14 |
| Change From Baseline (Day 0) in Schiff Sensitivity Score on Day 28 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. A reduction in Schiff Sensitivity score will indicate the improvement in sensitivity. | Baseline (Day 0), Day 28 |
| Change From Baseline (Day 0) in Schiff Sensitivity Score on Day 56 | The examiner will assess the participant's response to an evaporative air stimulus for each tooth using the Schiff Sensitivity Scale scored as follows - 0: Participant does not respond to air stimulation; 1: responds to air stimulus but does not request discontinuation of stimulus; 2: Participant responds to air stimulus and requests discontinuation or moves from stimulus; 3: Participant responds to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. A reduction in Schiff Sensitivity score will indicate the improvement in sensitivity. | Baseline (Day 0), Day 56 |
| Change From Baseline (Day 0) in Tactile Threshold on Day 3 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. | Baseline (Day 0), Day 3 |
| Change From Baseline (Day 0) in Tactile Threshold on Day 7 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. | Baseline (Day 0), Day 7 |
| Change From Baseline (Day 0) in Tactile Threshold on Day 14 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. | Baseline (Day 0), Day 14 |
| Change From Baseline (Day 0) in Tactile Threshold on Day 28 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. | Baseline (Day 0), Day 28 |
| Change From Baseline (Day 0) in Tactile Threshold on Day 56 | The examiner will assess the response to tactile sensitivity using a Yeaple probe which will allow application of a known force to the dentin surface, starting at 10g and rising in increments of 10g until the tactile threshold or maximum force will reach. The tactile threshold for each tooth will be determined by asking the participants whether the sensation caused discomfort. The pressure setting at which the participant will give two consecutive 'yes' responses will be recorded as the tactile threshold. Higher tactile threshold will indicate the less sensitive are the tooth. At baseline, the maximum force will be 20g; at all subsequent visits, it will be 80g. However, in situations where participants will not give a 'yes' response at force of 80g, the tactile threshold will be recorded as >80g. | Baseline (Day 0), Day 56 |
| Number of sensitive teeth (Schiff sensitivity score ≥ 1) on Day 0 (Baseline) | The number of teeth with a Schiff sensitivity score of ≥1 will be consider sensitive teeth. Schiff sensitivity scores were as follows:0= Subject does not respond to air stimulation, 1= if participants respond to air stimulus but does not request discontinuation of stimulus; 2= participants respond to air stimulus and requests discontinuation or moves from stimulus; 3 = participants respond to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. | Baseline (Day 0) |
| Number of sensitive teeth (Schiff sensitivity score ≥ 1) on Day 3 | The number of teeth with a Schiff sensitivity score of ≥1 will be consider sensitive teeth. Schiff sensitivity scores were as follows:0= Subject does not respond to air stimulation, 1= if participants respond to air stimulus but does not request discontinuation of stimulus; 2= participants respond to air stimulus and requests discontinuation or moves from stimulus; 3 = participants respond to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. | Day 3 |
| Number of sensitive teeth (Schiff sensitivity score ≥ 1) on Day 7 | The number of teeth with a Schiff sensitivity score of ≥1 will be consider sensitive teeth. Schiff sensitivity scores were as follows:0= Subject does not respond to air stimulation, 1= if participants respond to air stimulus but does not request discontinuation of stimulus; 2= participants respond to air stimulus and requests discontinuation or moves from stimulus; 3 = participants respond to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. | Day 7 |
| Number of sensitive teeth (Schiff sensitivity score ≥ 1) on Day 14 | The number of teeth with a Schiff sensitivity score of ≥1 will be consider sensitive teeth. Schiff sensitivity scores were as follows:0= Subject does not respond to air stimulation, 1= if participants respond to air stimulus but does not request discontinuation of stimulus; 2= participants respond to air stimulus and requests discontinuation or moves from stimulus; 3 = participants respond to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. | Day 14 |
| Number of sensitive teeth (Schiff sensitivity score ≥ 1) on Day 28 | The number of teeth with a Schiff sensitivity score of ≥1 will be consider sensitive teeth. Schiff sensitivity scores were as follows:0= Subject does not respond to air stimulation, 1= if participants respond to air stimulus but does not request discontinuation of stimulus; 2= participants respond to air stimulus and requests discontinuation or moves from stimulus; 3 = participants respond to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. | Day 28 |
| Number of sensitive teeth (Schiff sensitivity score ≥ 1) on Day 56 | The number of teeth with a Schiff sensitivity score of ≥1 will be consider sensitive teeth. Schiff sensitivity scores were as follows:0= Subject does not respond to air stimulation, 1= if participants respond to air stimulus but does not request discontinuation of stimulus; 2= participants respond to air stimulus and requests discontinuation or moves from stimulus; 3 = participants respond to stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. | Day 56 |
| ID | Term |
|---|---|
| D003807 | Dentin Sensitivity |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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