NCT07461155

Brief Summary

The currently used chemical mouth rinse, chlorhexidine, was prescribed widely among dental practitioners for its ability to kill bacteria. However, chlorhexidine prolonged use is limited due to its adverse events such as extrinsic tooth staining, taste disturbance, effects on the oral mucosa such as soreness, irritation, mild desquamation, mucosal ulceration, general burning sensation and calculus formation. Thus, an alternative natural active agent is needed to produce mouth rinse with less side effect but offer similar disease prevention effect. This comprehensive four-phase research initiative aims to advance the development and evaluation of a stingless bee honey mouth rinse, particularly focusing on improved formulation and tested in vitro and clinically. In Phase I and II, the mouth rinse development involve the improved formulation by xylitol addition in the formulation with physicochemical assessment such as shelf-life followed by antimicrobial activities against Staphylococcus aureus and cytotoxicity evaluation against oral keratinocytes. Phase III focuses on clinical trial in a pilot study that will be performed on twenty volunteers divided to two groups; control and test group who will be using mouth rinse as adjunctive periodontal therapy agent (TRL 5). Comparative analyses will assess the adjunctive effect of this stingless bee honey mouth rinse in periodontal therapy. A commercially packaged mouth rinse will be designed and produced in collaboration with Bayu Gagah Marketing and will be given to the public as free samples to obtain feedback and validate its further use in the health industry.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
60

participants targeted

Target at P75+ for early_phase_1

Timeline
16mo left

Started Jul 2026

Status
not yet recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress6%
Jul 2026Nov 2027

First Submitted

Initial submission to the registry

February 26, 2026

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 10, 2026

Completed
4 months until next milestone

Study Start

First participant enrolled

July 6, 2026

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2027

Expected
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2027

Last Updated

March 10, 2026

Status Verified

March 1, 2026

Enrollment Period

1.1 years

First QC Date

February 26, 2026

Last Update Submit

March 4, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • plaque score

    Plaque score percentage will be calculated using dicotomous scale (Ainamo and Bay 1975). Presence of plaque will be assessed using periodontal probe and marked '1' while absence of plaque will be marked '0'. The total number of plaque present will be divided by the total number of sites measured and multiply with 100 to get a percentage.

    one month

  • bleeding score

    Bleeding score will be measured using dichotomous scale (Ainamo \& Bay 1975). A periodontal probe will be used to detect bleeding on probing and '1' will be marked for its presence and '0' will be marked for its absence. The total number of bleeding present will be divided by the total number of sites assessed and multiply with 100 to get a percentage.

    one month

Secondary Outcomes (1)

  • patient acceptance

    one month

Study Arms (3)

Stingless bee honey mouth rinse

EXPERIMENTAL

Stingless Bee Honey mouth rinse formulation that was developed for this study.

Drug: mouth rinseProcedure: scalingBehavioral: oral hygiene education and instruction

chorhexidine mouth rinse

ACTIVE COMPARATOR

0.12% Chlorhexidine mouth rinse as gold standard comparison.

Drug: mouth rinseProcedure: scalingBehavioral: oral hygiene education and instruction

normal saline

PLACEBO COMPARATOR

0.9% Normal saline as control.

Drug: mouth rinseProcedure: scalingBehavioral: oral hygiene education and instruction

Interventions

this is a mouth rinse with anti-inflammatory effect but also is used for cosmetic purposes to relieve bad mouth odour.

Stingless bee honey mouth rinsechorhexidine mouth rinsenormal saline
scalingPROCEDURE

scaling is performed to remove calculus

Stingless bee honey mouth rinsechorhexidine mouth rinsenormal saline

instruction is given on performing plaque control

Stingless bee honey mouth rinsechorhexidine mouth rinsenormal saline

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • to 60 years old patients
  • BPE code 2 and/or below
  • Presence of at least 20 natural teeth

You may not qualify if:

  • Diabetes mellitus
  • Smoking
  • Mucosal lesion
  • Allergic to honey
  • Physical or mental disabilities

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Sharma, S., Sogi, G. M., Saini, V., Chakraborty, T., & Sudan, J. (2022). Effect of liquorice (root extract) mouth rinse on dental plaque and gingivitis - A randomized controlled clinical trial. Journal of Indian Society of Periodontology, 26(1), 51-57. https://doi.org/10.4103/jisp.jisp_517_20

    BACKGROUND

MeSH Terms

Conditions

Gingivitis

Interventions

MouthwashesTooth ExfoliationEducational Status

Condition Hierarchy (Ancestors)

InfectionsGingival DiseasesPeriodontal DiseasesMouth DiseasesStomatognathic Diseases

Intervention Hierarchy (Ancestors)

Biomedical and Dental MaterialsSpecialty Uses of ChemicalsChemical Actions and UsesCosmeticsManufactured MaterialsTechnology, Industry, and AgricultureDental Physiological PhenomenaDigestive System and Oral Physiological PhenomenaSocioeconomic FactorsPopulation Characteristics

Central Study Contacts

Nur Ayman Abdul Hayei

CONTACT

Khadijah Hannah Kahar

CONTACT

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Masking Details
Mouth rinse will be given in a sealed and coded bottle. The assignment for type of mouth rinse will be peeformed by a research assistant who does not perform the treatment and is not responsible in assessing the outcome.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: There will be three groups in this study. Group A will receive stingless bee honey (SBH) mouthrinse, Group B will receive chlorhexidine (Oradex, Malaysia) and Group C will receive 0.9% normal saline solution.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 26, 2026

First Posted

March 10, 2026

Study Start

July 6, 2026

Primary Completion (Estimated)

July 30, 2027

Study Completion (Estimated)

November 30, 2027

Last Updated

March 10, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share