Title

Efficacy Of A PVP-I Fluoride Varnish
Phase 2 Efficacy Evaluation Of Advantage Anti-Caries Varnish
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    284
The purpose of the study is to determine the efficacy of Advantage Anti-Caries Varnish. Single-center, double-blind, controlled Phase 2 study with parallel groups of children. Subjects will be stratified by early childhood education center and then randomized to receive either test varnish or control varnish topically to the teeth. Treatment will be administered quarterly for up to 24 months. The primary outcome is surface-level primary molar caries increment (d2-4mfs) at 24- months post baseline.
Objectives:

Primary

- To determine if Advantage Anti-Caries Varnish (test varnish) is superior to a control varnish containing only fluoride in the prevention of new caries lesions.

Secondary

To establish that the response of child participants to the test varnish was not inferior to the control varnish
Study Started
Mar 30
2017
Primary Completion
May 07
2019
Study Completion
May 07
2019
Results Posted
Sep 10
2020
Last Update
Sep 10
2020

Drug Test varnish

Topical application of test varnish to the teeth 4 times per year.

Drug Standard varnish

Topical application of test varnish to the teeth 4 times per year

  • Other names: sodium fluoride varnish

Test varnish Experimental

Advantage Anti-Caries Varnish. The active ingredients are Povidone Iodine and Sodium Fluoride .

Standard varnish Active Comparator

The active control varnish will be the same fluoride varnish without iodine with an appropriate FDA approved food dye added to match the color of the test agent. There will be no difference in the treatment and control varnishes except for the povidone iodine.

Criteria

Inclusion Criteria:

The subject's parent or legal guardian must provide signed and dated informed consent (parent permission form).
The subject's parent or legal guardian of the subject must be willing and able to comply with study requirements.
The subject is aged 60-84 months at the time of enrollment.
The subject must be in good general health as evidenced by parent report.

Exclusion Criteria:

Known allergy to iodine
Known allergy to seafood
Known hypersensitivity to fluoride varnish
Diagnosis of thyroid disease
Chronic, prophylactic use of antibiotics
Treatment with another investigational drug or other intervention within 30 days preceding the Baseline Visit.

Summary

Test Varnish

Standard Varnish

All Events

Event Type Organ System Event Term Test Varnish Standard Varnish

Dental Caries for Primary Molars Sound at Baseline

The primary outcome will be the surface-level primary molar caries increment (d2-4mfs) at two years post baseline. Caries, as measured by d2-4mfs, is the total number of surfaces with decay into the enamel (2), dentin (3) or pulp (4), missing due to caries (m), or filled with amalgam, composite or other filling material (f). This scale records whether caries is detected in any of the 5 surfaces of the tooth for up to 8 primary molar teeth that were sound at baseline, and has a range of 0 to 40. Higher values indicate a greater number of caries.

Test Varnish

2.3
units on a scale (Mean)
Standard Deviation: 2.8

Standard Varnish

3.3
units on a scale (Mean)
Standard Deviation: 2.7

Dental Caries for All Primary Teeth Sound at Baseline

The outcome will be the surface-level primary tooth caries increment (d2-4mfs) at two years post baseline that were sound at baseline. Caries, as measured by d2-4mfs, is the total number of surfaces with decay into the enamel (2), dentin (3) or pulp (4), missing due to caries (m), or filled with amalgam, composite or other filling material (f). This scale records whether caries is detected in any of the 4 or 5 surfaces of the tooth for up to 20 primary teeth that were sound at baseline, and has a range of 0 to 88. Higher values indicate a greater number of caries. The measure records whether caries is present on any of the 5 surfaces of the primary molars or 4 surfaces of the other teeth.

Test Varnish

2.0
units on a scale (Mean)
Standard Deviation: 2.8

Standard Varnish

2.7
units on a scale (Mean)
Standard Deviation: 3.3

Child Response to First Treatment

Facial Images Scale which measures the child's response using a series of five happy/sad faces from a very unhappy face (5) to a very happy face (1). The minimum value is 1 which corresponds to a very happy face and the maximum value is 5 which corresponds to a very unhappy face. The possible values of the scale are 1, 2, 3, 4, or 5.

Test Varnish

2.3
units on a scale (Mean)
Standard Deviation: 1.2

Standard Varnish

2.5
units on a scale (Mean)
Standard Deviation: 1.3

Child Response to Fifth Treatment

Facial Images Scale which measures the child's response using a series of five happy/sad faces from a very unhappy face (5) to a very happy face (1). The minimum value is 1 which corresponds to a very happy face and the maximum value is 5 which corresponds to a very unhappy face. The possible values of the scale are 1, 2, 3, 4, or 5.

Test Varnish

2.2
units on a scale (Mean)
Standard Deviation: 1.1

Standard Varnish

2.1
units on a scale (Mean)
Standard Deviation: 1.2

Total

284
Participants

Age, Categorical

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Test Varnish

Standard Varnish