NCT03578900

Brief Summary

The aims of this study are: To compare salivary pH changes and stimulation efficacy of two different Gustatory Stimulants of Salivation (GSSS) in patients with Primary Sjögren Syndrome (PSS); To evaluate Primary Sjögren syndrome (PSS) impact and gustatory stimulants of salivary secretion (GSSS) on oral health related quality of life measured by a Portuguese version of Oral Health Impact Profile-14 (OHIP-14) and specific Xerostomia assessment questionnaires. The Products to be used are the Xeros® Dentaid system and a citric based mouthwash.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
289

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Jan 2013

Longer than P75 for phase_4

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2013

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2014

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2016

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

May 18, 2018

Completed
2 months until next milestone

First Posted

Study publicly available on registry

July 6, 2018

Completed
Last Updated

July 6, 2018

Status Verified

July 1, 2018

Enrollment Period

2 years

First QC Date

May 18, 2018

Last Update Submit

July 5, 2018

Conditions

Keywords

XerostomiaHyposalivationQuality of LifeSjogren's Syndrome

Outcome Measures

Primary Outcomes (2)

  • Time of GSSS induced pH drop below 4.5

    On the day that the system is attributed the subject is asked to use one of the products and saliva is collected. pH variation is determined at fixed intervals during 20 minutes. Time in which salivary pH is below 4.5 is calculated as well as the number needed to treat and the absolute risk reduction.

    20 minutes

  • Overall and sub domains scores for each questionnaire

    Before and after usage of both products at home, the Summated Xerostomia Inventory-5 (range 0 to 15) to measure subjective feeling of dry mouth, Oral Health Impact Profile-14 (range 0 to 56) to measure quality of life perception related to the oral cavity. This last questionnaire is further divided into 7 subdomains: functional limitation, physical pain, psychological discomfort, physical disability, psychologic disability, social disability and handicap each ranging from 0 to 14. In both questionnaires the total score is the result of the sum of the individual scores in each question. In both questionnaires the higher the score the worse the outcome. The before and after scores obtained are then compared.

    15 days

Secondary Outcomes (1)

  • Salivary stimulant induced salivary flow

    20 minutes

Study Arms (5)

Xeros Group - Lozenge

EXPERIMENTAL

Application of Xeros system for 15 days. Lozenge (Malic acid 28.56 mg, Xylitol 421,98 mg, Sodium fluoride 0.55 mg) or Spray (Malic acid 1%, Xylitol 10%, Sodium fluoride 0.05%) 4 times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires. Effects of lozenge on hyposalivation and pH variation determined by saliva collection with pre-weighed falcon and a ph electrode at predetermined times during a 20 minute period.

Drug: Xeros

Mouthwash group

ACTIVE COMPARATOR

Application of citric acid based Mouthwash (0,33% citric acid) for 15 days four times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires. Effects of mouthwash on hyposalivation and pH variation determined by saliva collection with pre-weighed falcon and a pH electrode at predetermined times during a 20 minute period.

Drug: Citric Acid based Mouthwash

Xeros Group - Mouthwash

EXPERIMENTAL

Application of Xeros system for 15 days. Mouthwash (Betaine 1.33%, Xylitol 3.30%, Sodium fluoride 0.05%, Allantoin 0.10%) 2 times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires.

Drug: Xeros

Xeros Group - Gel

EXPERIMENTAL

Application of Xeros system for 15 days. Gel (Betaine 1%, Aloe Vera 0.05%, Xylitol 10%, Sodium Fluoride 0.0033%) before bed. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires.

Drug: Xeros

Xeros Group - Toothpaste

EXPERIMENTAL

Application of Xeros system for 15 days. Toothpaste (Betaine 4%, Xylitol 10%, Sodium Fluoride 0.33%, Allantoin 0.10%) 3 times a day. Effects on Xerostomia and Quality of Life were determined before and after application by answering the questionnaires.

Drug: Xeros

Interventions

XerosDRUG
Xeros Group - GelXeros Group - LozengeXeros Group - MouthwashXeros Group - Toothpaste
Mouthwash group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • unstimulated whole saliva secretion rate \< 0.1 ml/min
  • stimulated whole saliva secretion rate \> 0.2 ml/min
  • above 18 years of age
  • Primary Sjogren Syndrome diagnostic according to the European-American Consensus Group

You may not qualify if:

  • wearer of complete dental prosthesis
  • those who were pregnant or lactating
  • non-speakers of Portuguese.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

XerostomiaSjogren's Syndrome

Interventions

Xeros mouthwash

Condition Hierarchy (Ancestors)

Salivary Gland DiseasesMouth DiseasesStomatognathic DiseasesArthritis, RheumatoidArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesDry Eye SyndromesLacrimal Apparatus DiseasesEye DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 18, 2018

First Posted

July 6, 2018

Study Start

January 1, 2013

Primary Completion

December 31, 2014

Study Completion

December 31, 2016

Last Updated

July 6, 2018

Record last verified: 2018-07