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Fluoride

Phase 3

Dental Caries | Small molecule | ENT |GSK plc|Last Updated: Jan 1, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment120
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01607411A Clinical Study to Evaluate Experimental Children's Toothpastes in an In-Situ Caries ModelPHASE3 COMPLETED 55Feb 1, 2012May 1, 2012Aug 11, 20141 United States
NCT00708305Evaluation of Plaque Fluid Fluoride Retention From Fluoride ToothpastesPHASE3 COMPLETED 65Jun 1, 2008Oct 1, 2008Jan 1, 20151 United States
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Study Endpoints
Primary Endpoints
Percentage Surface Microhardness Recovery of Test Dentifrices Relative to Placebo Dentifrice
Baseline to 4 hours

Surface microhardness recovery (SMHR) test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMHR was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents rehardening of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline (B), after in-situ hardening (R) and after first demineralization challenge (D1) using formula: \[(D1-R)/ (D1-B)\]\*100.

Natural Log Transformed Area Under the Fluoride Concentration in Plaque Fluid by Time Curve (AUC) Between 0-4 Hours
Plaque samples collected at 15 minutes, 30 minutes, 1 hour, 2 hours and 4 hours post single application of treatment

To evaluate fluoride content, plaque samples were collected from the interproximal surfaces of the posterior teeth of participants using a standardized approach. Plaque fluid fluoride were calculated using a micro analytical method and in comparison to a standard fluoride curve constructed on the same day of the analysis. AUC was determined from 0-4hours using trapezoidal rule and natural log transformation was applied due to failure of assumption of normal distribution of data.

Secondary Endpoints
%SMHR of Enamel Specimens Exposed to Test Treatments
Baseline to 4 hours
Percent Net Acid Resistance (%NAR) of Enamel Specimens
Baseline to 4 hours
Enamel Fluoride Uptake
Baseline to 4 hours
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Fluoride free toothpastePLACEBO_COMPARATORtoothpaste with no fluoride
1426ppm Fluoride ToothpasteEXPERIMENTALExperimental toothpaste containing 1426 ppm Fluoride
1000 ppm Fluoride ToothpasteEXPERIMENTALExperimental toothpaste containing 1000 ppm Fluoride
500 ppm ToothpasteEXPERIMENTALExperimental toothpaste containing 500 ppm Fluoride
NaF toothpaste (1450 parts per million [ppm] fluoride [F])EXPERIMENTALParticipants brushed for one timed minute with 1.6g of NaF/silica and 0.4 percent carbopol toothpaste containing 1450ppmF as NaF. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
NaF toothpaste (1400ppmF)ACTIVE_COMPARATORParticipants brushed for one timed minute with 1.6g of NaF toothpaste containing 1400ppmF as NaF. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Sodium monofluorophosphate (NaMFP)/ NaF toothpaste (1450ppmF))ACTIVE_COMPARATORParticipants brushed for one timed minute with 1.6g of NaMFP/NaF toothpaste containing 1450ppmF from NaMFP and NaF. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Placebo toothpaste (0ppmF)PLACEBO_COMPARATORParticipants brushed for one timed minute with 1.6g of fluoride free toothpaste. Participants then swished the slurry around their mouth for 10 seconds, expectorated, then rinsed with water for 10 seconds.
Interventions
NameTypeDescription
FluorideDRUGFluoride Toothpaste
PlaceboDRUGFluoride free toothpaste
Sodium Fluoride (NaF)DRUGDifferent fluoride toothpastes containing between 1400ppmF - 1450ppmF of fluoride as NaF
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Eligibility Criteria
Age Range11 Years — 14 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Healthy males and females aged 11 to 14 inclusive who have an unstimulated salivary flow rate of at least 0.2 mL/minute and a stimulated salivary flow rate of at least 0.8 mL/minute (Screening Visit 1). Exclusion Criteria: \-

Countries:United States
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