Trial Review

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With activity expected to increase on the ANZCTR again, there may be extended wait times while we process pending studies, with priority being given to those trials submitted in February. Thank you for your patience.


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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial registered on ANZCTR


Registration number
ACTRN12616001651471
Ethics application status
Approved
Date submitted
21/11/2016
Date registered
30/11/2016
Date last updated
22/12/2021
Date data sharing statement initially provided
26/11/2018
Type of registration
Prospectively registered

Titles & IDs
Public title
Effect of a chlorhexidine-modified filling to treat root decay on cariogenic bacteria in elderly participants: A feasibility study
Scientific title
Effect of a chlorhexidine-modified filling to treat root decay on cariogenic bacteria in elderly participants: A feasibility study
Secondary ID [1] 290148 0
None
Universal Trial Number (UTN)
U1111-1187-2950
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Root caries 300280 0
Condition category
Condition code
Oral and Gastrointestinal 300147 300147 0 0
Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
One tooth with root caries will be restored with 5% chlorhexidine-modified glass-ionomer cement (GIC) restorative material applied using the Atraumatic Restorative Technique (ART). ART only uses hand instruments to clean the cavity and place the restoration. No drilling or local anaesthetic is required. The procedure is expected to take 30-45 min. A clinician with 9 years of experience will be placing the restorations. Intervention will take place at the Faculty of Dentistry, University of Otago.
Intervention code [1] 295912 0
Treatment: Other
Comparator / control treatment
A tooth on the opposite side of the mouth will be restored with conventional GIC restorative material for comparison, also using the Atraumatic Restorative Technique (ART).
Control group
Active

Outcomes
Primary outcome [1] 299639 0
Cariogenic bacterial load in plaque samples
Timepoint [1] 299639 0
1, 3 and 6 months post treatment
Secondary outcome [1] 327719 0
Cariogenic bacterial load in saliva samples
Timepoint [1] 327719 0
1, 3 and 6 months post treatment
Secondary outcome [2] 327720 0
Survival rate of restorations assessed via visual inspection and dental x-ray
Timepoint [2] 327720 0
6 months post treatment
Secondary outcome [3] 327721 0
Treatment delivery acceptability by patients using a 5-point Likert-type scale
Timepoint [3] 327721 0
Baseline and at 1, 3 and 6 months post treatment

Eligibility
Key inclusion criteria
1. Patients who are 18 years and older (females and males)
2. Patients who are partially or fully dentate
3. Patients who have at least two root caries lesions which requires operative intervention.
4. Patients who are willingly to provide signed informed consent.
5. Patients who are willing to follow the research schedule for the period of the study. who are
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
1. Patients with no natural teeth.
2. Patients currently having antibiotic therapy or within 4 weeks of completion of a course of therapy with antibiotics.
3. Patients who are currently receiving or who have had radiotherapy of the head and neck region within the last 12 months.
4. Patients who are currently using or who have used toothpastes and/or mouthwashes containing chlorhexidine within the last 4 weeks.
5. Patients who have active periodontal disease which is likely to require treatment such as root surface debridement (RSD) during the study.
6. Patients who have any condition (including an allergy to chlorhexidine) which could be expected to interfere with the patients safety during the study.
7. Patients who demonstrate an inability to comply with study procedures.

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Not Applicable
Type of endpoint/s
Efficacy
Statistical methods / analysis
Power calculations from previous studies (Percival et al., 1991; Marsh et al., 1992; Percival et al., 1994) have demonstrated that the inclusion of 30 participants is sufficient to detect trends or statistically significant changes with 80% power and a Type 1 error rate of 5%. In this study, 4 more participants will be recruited to allow for dropouts or loss to follow up during the trial period. As these are repeated measurements, this pilot study will generate estimates of Intra Class Correlation (ICC) which will then be used to determine the sample size for future clinical trials.

Recruitment
Recruitment status
Completed
Date of first participant enrolment
Anticipated
23/01/2017
Actual
23/02/2017
Date of last participant enrolment
Anticipated
5/05/2020
Actual
12/05/2020
Date of last data collection
Anticipated
5/11/2020
Actual
6/10/2020
Sample size
Target
34
Accrual to date
Final
26
Recruitment outside Australia
Country [1] 8229 0
New Zealand
State/province [1] 8229 0
Otago

Funding & Sponsors
Funding source category [1] 294526 0
University
Name [1] 294526 0
Faculty of Dentistry, University of Otago
Country [1] 294526 0
New Zealand
Funding source category [2] 301289 0
Government body
Name [2] 301289 0
Lottery grants board
Country [2] 301289 0
New Zealand
Primary sponsor type
University
Name
Prof. Paul Brunton
Address
Dean of Faculty of Dentistry
University of Otago
310 Great King Street
Dunedin 9016
New Zealand
Country
New Zealand
Secondary sponsor category [1] 293884 0
None
Name [1] 293884 0
None
Address [1] 293884 0
Country [1] 293884 0
Other collaborator category [1] 279225 0
Individual
Name [1] 279225 0
Prof. Karl Lyons
Address [1] 279225 0
University of Otago 2nd Floor, Children’s Pavilion 255 Great King Street Dunedin 9054 Dental School, Health Sciences
Country [1] 279225 0
New Zealand
Other collaborator category [2] 279326 0
Individual
Name [2] 279326 0
Mr. Hassan Mohamed Ahmed
Address [2] 279326 0
Faculty of Dentistry University of Otago 310 Great King Street Dunedin 9016 New Zealand
Country [2] 279326 0
New Zealand
Other collaborator category [3] 279327 0
Individual
Name [3] 279327 0
Dr Carolina Loch
Address [3] 279327 0
Faculty of Dentistry University of Otago 310 Great King Street Dunedin 9016 New Zealand
Country [3] 279327 0
New Zealand
Other collaborator category [4] 279872 0
Individual
Name [4] 279872 0
Dr Jithendra Ratnayake
Address [4] 279872 0
Sir John Walsh Research Institute 71 Frederick Street North Dunedin Dunedin 9016
Country [4] 279872 0
New Zealand

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 295959 0
Health and DIsability Ethics Committees
Ethics committee address [1] 295959 0
Ethics committee country [1] 295959 0
New Zealand
Date submitted for ethics approval [1] 295959 0
08/11/2016
Approval date [1] 295959 0
18/11/2016
Ethics approval number [1] 295959 0
16/CEN/174

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes
Attachments [1] 1242 1242 0 0
/AnzctrAttachments/371494-approval letter HDEC.pdf (Ethics approval)
Attachments [2] 1243 1243 0 0
/AnzctrAttachments/371494-Hassan protocol CL.docx (Protocol)
Attachments [3] 1244 1244 0 0
/AnzctrAttachments/371494-INFORMATION SHEET Hassan.docx (Participant information/consent)

Contacts
Principal investigator
Name 69034 0
Prof Paul Brunton
Address 69034 0
Faculty of Dentistry, University of Otago 310 Great King Street Dunedin 9054 PO Box 647
Country 69034 0
New Zealand
Phone 69034 0
+6434797039
Fax 69034 0
Email 69034 0
[email protected]
Contact person for public queries
Name 69035 0
Paul Brunton
Address 69035 0
Faculty of Dentistry, University of Otago 310 Great King Street Dunedin 9054 PO Box 647
Country 69035 0
New Zealand
Phone 69035 0
+6434797039
Fax 69035 0
Email 69035 0
[email protected]
Contact person for scientific queries
Name 69036 0
Paul Brunton
Address 69036 0
Faculty of Dentistry, University of Otago 310 Great King Street Dunedin 9054 PO Box 647
Country 69036 0
New Zealand
Phone 69036 0
+6434797039
Fax 69036 0
Email 69036 0
[email protected]

Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment: The data obtained for this study will be confidential



What supporting documents are/will be available?

Doc. No.TypeCitationLinkEmailOther DetailsAttachment
461Ethical approval    Study-related document.pdf
462Study protocol    Study-related document.docx



Results publications and other study-related documents

Documents added manually
No documents have been uploaded by study researchers.

Documents added automatically
No additional documents have been identified.