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The purpose of this two-phase study was to evaluate the oral and dermal tolerance of an experimental, non-rinse denture cleansing wipe after 7 and 14 days of use. In addition, the consumer acceptability of the denture cleansing wipes was also evaluated via a consumer acceptability questionnaire. A methodology was also evaluated to assess the efficacy of the denture wipe at removing food debris as exploratory objective.
This was a two phase single-center study. Phase 1 (Food removal testing), was monadic and only the wipe treatment was administered to complete upper dentures. Phase 1 participants then progressed to phase 2 (oral soft tissue [OST] and dermal assessment) which was an examiner blind parallel group, randomized and stratified (by denture type) design where both treatments (a single wipe and water control) were administered. Phase 2 participants included both fully and partially edentulous adult participants. Participants were not permitted to use any denture cleansers other than those provided and were not permitted to use denture fixatives for the duration of the study. The study comprised a Screening/Baseline visit and a 2 week Treatment Period with visits after 1 and 2 weeks use. Following screening participants who were eligible for Phase 1 were assessed for food migration adequacy. Participants consumed 30-32g (gram) of non-salted peanut halves in a controlled manner, then briefly rinsed their mouth with water and removed their upper denture. The investigator visually assessed the peanut particle migration underneath the denture on a 0-3 scale and those participants with a score greater than 0 were wiped by the participant with the experimental denture wipe. The mass of peanuts removed by the wipe and those remaining on the denture was subsequently measured. For a subset of participants (2 participants per peanut particle migration scale score), their dentures were photographed after peanut consumption both before and after use of the experimental denture wipe. Phase 1 participants then continued into Phase 2. All Phase 2 participants undertook an OST examination and a dermatological assessment of both sides of their lead hand, then randomized. The dental examiner and dermatologist were blinded to the treatment allocation. The results of these assessments served as the baseline reading. Participants were then instructed on the use of their assigned treatment with the first application undertaken and supervised at the study site. Participants were provided with a diary card to record their treatment applications and a consumer acceptability questionnaire to be completed at the time of their first at home treatment use. Participants were also provided with denture cleansing tablets for use overnight for the duration of the study in order to maintain denture hygiene. Participants returned to the study site after 7±3 and 14±3 days use of product for repeat OST and dermatological assessments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Denture Wipe | Experimental | Participants of this arm were instructed to use the experimental wipe to clean their dentures up to 4 times daily. |
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| Tap Water | Placebo Comparator | Participants of this arm were instructed to use running tap water to clean their dentures up to 4 times daily. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental Denture Wipe | Device | Participants were instructed to use the experimental wipe to clean their dentures, external to their mouth, up to 4 times daily (once after completion of each of their three main meals and once at any other time) for 14 days. Participants were instructed to use one wipe per denture. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Participants Experiencing or Reporting Treatment Emergent (TE) Oral Adverse Events (AEs) on or Before 14 Days of Use | Proportion of participants experiencing or reporting TE oral AEs on or before 14 days of use treatments were reported. TE AEs include AEs that were identified during an oral soft tissue examination, a dermal assessment or reported by the subject. AEs were categorized as oral or non-oral by the Clinical Research scientist prior to database lock (oral AE's were AEs effecting tissues associated with the oral cavity extending from the labial mucosa to the pharyngeal area). | up to 14 days |
| Proportion of Participants Experiencing or Reporting Treatment Emergent (TE) Oral Adverse Events (AEs) on or Before 7 Days of Use | Proportion of participants experiencing or reporting TE oral AEs on or before 7 days of use treatments were reported. TE AEs include AEs that were identified during an oral soft tissue examination, a dermal assessment or reported by the subject. AEs were categorized as oral or non-oral by the Clinical Research scientist prior to database lock (oral AE's were AEs effecting tissues associated with the oral cavity extending from the labial mucosa to the pharyngeal area). | up to 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Participants Experiencing Skin Irritation Scores of 2 or Greater After 7 and 14 Days of Use | Dermal assessment performed by a suitably qualified dermatologist on the front and back of the participant's dominant hand (hand with which participant used to hold the wipe during use) using skin irritation score that range from 0-4 as follows: 0 = no apparent cutaneous involvement, 0.5= equivocal reaction, 1= slight erythema with or without oedema, 2= moderate erythema, oedema with or without papules, 3= severe erythema, oedema with or without papules, 4= severe erythema, oedema with vesicles or blisters. Any site where skin irritation was scored ≥2, was visually assessed and reported. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Fort Wayne | Indiana | 46825 | United States |
A total of 155 participants were screened, of which first 31 eligible participants with complete upper dentures were included in Phase 1 (food removal testing). Out of 155 participants, 152 were randomized in Phase 2 (oral soft tissue and dermal assessment). 3 participants were not randomized as 2 were screened failure and 1 withdrew from study.
All participants were recruited at one center in the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | Experimental Denture Wipe | All the participants of this arm were instructed to use the experimental wipe to clean their dentures up to 4 times daily. |
| FG001 | Water Rinse | All the participants of this arm were instructed to use running tap water to clean their dentures up to 4 times daily. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Phase 1 |
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| Phase 2 |
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Baseline assessment was performed on safety population, which included all participants who were randomized and received treatment at least once during the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Experimental Denture Wipe | All the participants of this arm were instructed to use the experimental wipe to clean their dentures up to 4 times daily. |
| BG001 | Water Rinse | All the participants of this arm were instructed to use running tap water to clean their dentures up to 4 times daily. |
| 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 | Proportion of Participants Experiencing or Reporting Treatment Emergent (TE) Oral Adverse Events (AEs) on or Before 14 Days of Use | Proportion of participants experiencing or reporting TE oral AEs on or before 14 days of use treatments were reported. TE AEs include AEs that were identified during an oral soft tissue examination, a dermal assessment or reported by the subject. AEs were categorized as oral or non-oral by the Clinical Research scientist prior to database lock (oral AE's were AEs effecting tissues associated with the oral cavity extending from the labial mucosa to the pharyngeal area). | Analysis for this outcome was performed on safety population which included all the participants who were randomized and received treatment at least once during the study. No inferential statistical analysis has been performed for this outcome. | Posted | Number | 95% Confidence Interval | Proportion of participants | up to 14 days |
|
Approximately 17 days (from Screening Visit to Visit 3)
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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 | Experimental Denture Wipe | Participants of this arm were instructed to use the experimental wipe to clean their dentures up to 4 times daily. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Mouth Injury | Injury, poisoning and procedural complications | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 | GSKClinicalSupportHD@gsk.com |
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The dental examiner and dermatologist blinded for both treatment arms.
|
| Tap Water | Other | Participants were instructed to use running tap water to clean their dentures up to 4 times daily (once after completion of each of their three main meals and once at any other time) for 14 days. |
|
| Day 7, Day 14 |
| Number of Participants Responses for Consumer Acceptability Questionnaire Score | All the participants supplied with a consumer acceptability questionnaire (Question [Q] 1 to 4) to complete immediately before & after their first use of treatment at home after eating a meal. The number of participants with individual score was reported. After eating & before cleaning denture: Q1= how fresh does denture feel?, Q2= how clean does denture feel?; Look in the mirror and smile, now answer the following questions: Q3= after eating & before cleaning, how clean does denture/smile look ?, Q4= after removing & cleaning denture, how fresh does denture feel?, Q5= after removing & cleaning denture, run your tongue over denture teeth, how clean does denture feel?, Q6= after removing & cleaning denture, how clean does denture/smile look?, Q7= after removing & cleaning denture, how satisfied are you with amount of debris removed? All questions were scored as follows for respective parameter(fresh/clean/satisfied): 0=Not at all, 1=slightly, 2=moderately, 3=very, 4=extremely. | Day 7 |
| NOT COMPLETED |
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| BG002 | Total | Total of all reporting groups |
| 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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Participants of this arm were instructed to use the experimental wipe to clean their dentures up to 4 times daily. |
| OG001 | Water Rinse | Participants of this arm were instructed to use running tap water to clean their dentures up to 4 times daily. |
|
|
| Primary | Proportion of Participants Experiencing or Reporting Treatment Emergent (TE) Oral Adverse Events (AEs) on or Before 7 Days of Use | Proportion of participants experiencing or reporting TE oral AEs on or before 7 days of use treatments were reported. TE AEs include AEs that were identified during an oral soft tissue examination, a dermal assessment or reported by the subject. AEs were categorized as oral or non-oral by the Clinical Research scientist prior to database lock (oral AE's were AEs effecting tissues associated with the oral cavity extending from the labial mucosa to the pharyngeal area). | Analysis for this outcome was performed on safety population which included all participants who were randomized and received treatment at least once during the study. No inferential statistical analysis has been performed for this outcome. | Posted | Number | 95% Confidence Interval | Proportion of participants | up to 7 days |
|
|
|
| Secondary | Proportion of Participants Experiencing Skin Irritation Scores of 2 or Greater After 7 and 14 Days of Use | Dermal assessment performed by a suitably qualified dermatologist on the front and back of the participant's dominant hand (hand with which participant used to hold the wipe during use) using skin irritation score that range from 0-4 as follows: 0 = no apparent cutaneous involvement, 0.5= equivocal reaction, 1= slight erythema with or without oedema, 2= moderate erythema, oedema with or without papules, 3= severe erythema, oedema with or without papules, 4= severe erythema, oedema with vesicles or blisters. Any site where skin irritation was scored ≥2, was visually assessed and reported. | Analysis for this outcome was performed on safety population which included all participants who were randomized and received treatment at least once during the study. | Posted | Number | Proportion of participants | Day 7, Day 14 |
|
|
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| Secondary | Number of Participants Responses for Consumer Acceptability Questionnaire Score | All the participants supplied with a consumer acceptability questionnaire (Question [Q] 1 to 4) to complete immediately before & after their first use of treatment at home after eating a meal. The number of participants with individual score was reported. After eating & before cleaning denture: Q1= how fresh does denture feel?, Q2= how clean does denture feel?; Look in the mirror and smile, now answer the following questions: Q3= after eating & before cleaning, how clean does denture/smile look ?, Q4= after removing & cleaning denture, how fresh does denture feel?, Q5= after removing & cleaning denture, run your tongue over denture teeth, how clean does denture feel?, Q6= after removing & cleaning denture, how clean does denture/smile look?, Q7= after removing & cleaning denture, how satisfied are you with amount of debris removed? All questions were scored as follows for respective parameter(fresh/clean/satisfied): 0=Not at all, 1=slightly, 2=moderately, 3=very, 4=extremely. | Analysis for this outcome was performed on safety population which included all participants who were randomized and received treatment at least once during the study. | Posted | Count of Participants | Participants | Day 7 |
|
|
|
| 0 |
| 76 |
| 0 |
| 76 |
| 3 |
| 76 |
| EG001 | Water Rinse | Participants of this arm were instructed to use running tap water to clean their dentures up to 4 times daily. | 0 | 76 | 0 | 76 | 1 | 76 |
| Lip Injury | Injury, poisoning and procedural complications | Systematic Assessment |
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| Tongue coated | Gastrointestinal disorders | Systematic Assessment |
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GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| Q1: Score 2 - Moderately fresh |
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| Q1: Score 3 - Very fresh |
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| Q1: Score 4 - Extremely fresh |
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| Q2: Score 0 - Not clean at all |
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| Q2: Score 1 - Slightly clean |
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| Q2: Score 2 - Moderately clean |
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| Q2: Score 3 - Very clean |
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| Q2: Score 4 - Extremely clean |
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| Q3: Score 0 - Not clean at all |
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| Q3: Score 1 - Slightly clean |
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| Q3: Score 2 - Moderately clean |
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| Q3: Score 3 - Very clean |
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| Q3: Score 4 - Extremely clean |
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| Q4: Score 0 - Not fresh at all |
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| Q4: Score 1 - Slightly fresh |
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| Q4: Score 2 - Moderately fresh |
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| Q4: Score 3 - Very fresh |
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| Q4: Score 4 - Extremely fresh |
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| Q5: Score 0 - Not clean at all |
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| Q5: Score 1 - Slightly clean |
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| Q5: Score 2 - Moderately clean |
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| Q5: Score 3 - Very clean |
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| Q5: Score 4 - Extremely clean |
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| Q6: Score 0 - Not clean at all |
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| Q6: Score 1 - Slightly clean |
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| Q6: Score 2 - Moderately clean |
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| Q6: Score 3 - Very clean |
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| Q6: Score 4 - Extremely clean |
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| Q7: Score 0 - Not satisfied at all |
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| Q7: Score 1 - Slightly satisfied |
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| Q7: Score 2 - Moderately satisfied |
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| Q7: Score 3 - Very satisfied |
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| Q7: Score 4 - Extremely satisfied |
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