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CTRI Number  CTRI/2023/09/057700 [Registered on: 15/09/2023] Trial Registered Prospectively
Last Modified On: 16/12/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Single Arm Study 
Public Title of Study   A study to assess the safety and effectiveness of toothpaste in human subjects with diabetes 
Scientific Title of Study   An open label, single arm, multicentric clinical study to evaluate the efficacy and safety of HHTD-092201 (toothpaste) for Comprehensive Oral Care in Individuals with Diabetes 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
HWC/MSCD/PP/027/2023 Version - Final 1.0 Dated 21 Aug 23  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pusthi Purohit 
Designation  Principal Investigator 
Affiliation  Vraj Dental Clinic  
Address  Vraj Dental Clinic, FF 5, Shukan Platinum, Vandematram Cross Road, New S.G. Road, Gota, Ahmedabad, Gujarat Ahmadabad GUJARAT

Ahmadabad
GUJARAT
382481
India 
Phone  07948983895  
Fax    
Email  drpushtipurohit@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrNayan Patel 
Designation  Medical Director 
Affiliation  NovoBliss Research Private Limited 
Address  Office-A - 206, 2nd Floor, Shaligram Lakeview Business Complex, Near Vaishnodevi Circle, Khoraj

Gandhinagar
GUJARAT
382421
India 
Phone  9909013236  
Fax    
Email  dr.nayan@novobliss.in  
 
Details of Contact Person
Public Query
 
Name  Maheshvari Patel 
Designation  Director Operations and Strategic Management 
Affiliation  NovoBliss Research Private Limited 
Address  Office-A - 206, 2nd Floor, Shaligram Lakeview Business Complex, Near Vaishnodevi Circle, Khoraj

Gandhinagar
GUJARAT
382421
India 
Phone  9909013236  
Fax    
Email  maheshvari@novobliss.in  
 
Source of Monetary or Material Support  
Himalaya Wellness Company, Makali, Bengaluru 562 162 
 
Primary Sponsor  
Name  Himalaya Wellness Company 
Address  Makali, Bengaluru 562 162, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Nil  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jahanvi Chavda  Dr.Yogesh Shahs Dental clinic  Clinical Trial Department, 109, Vandemataram Fabula, Malabar County Road, Gota, Ahmedabad – 382481
Ahmadabad
GUJARAT 
07948983895

drjahanvichavda@gmail.com 
Dr Pushti Purohit  Vraj Dental Clinic  Clinical Trial Department FF 5, Shukan Platinum, Vandematram Cross Road, New S.G. Road, Gota, Ahmedabad, Gujarat 382481
Ahmadabad
GUJARAT 
07948983895

drpushtipurohit@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ACEAS – Independent Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E089||Diabetes mellitus due to underlying condition without complications, (2) ICD-10 Condition: K056||Periodontal disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  HHTD-092201  Subjects will be instructed to use one bristle length portion of test product and do brush everyday. Frequency: 2 times daily (morning and evening) Duration: 90 days 
Comparator Agent  None  NA 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Subjects with history of diabetes with HbA1c 6.5 to 10% (as determined by HbA1c report not more than 1 month old)
2. Subjects currently under standard of care for diabetes control.
3. Subjects with age group 25 to 60 years
4. Subjects with mild to moderate periodontal complications as determined by Russell’s Periodontal Index
5. Subjects having at least 20 natural teeth
6. Willing to sign informed consent document and abide by the study procedures 
 
ExclusionCriteria 
Details  1. Subject with history of Periodontal treatment performed within last 6 months of study onset
2. Subjects with intrinsic dental stains like smokers, tobacco chewers, etc
3. Subjects with known history of hypersensitivity to any test product
4. Pregnant and lactating subjects (female with child-bearing potential enrolled after Negative Urine Pregnancy test and advised suitable contraceptive method)
5. Subjects with active infectious diseases or poor immunity (like known case of hepatitis, human immunodeficiency virus, tuberculosis) as determined by the investigator
6. Subjects using any other technique to clean teeth (including tobacco, plant sticks etc) apart from toothpaste and brushing
7. Subjects with poor oral hygiene or poor oral condition which may interfere with the study results as determined by the investigator
8. Subjects with known bleeding disorders or vitamin C deficiency
9. Subjects with previous oral surgery or permanent dental malformations (like oral cyst, tumors, etc)
10. Subjects with orthodontic appliance (like braces, brackets, wires, etc)
11. Subjects with recent history (within 3 months) of dental prosthetic appliances (like partial dentures)
12. Subjects with congenital abnormalities such as cleft lip, cleft palate, tethered labial frenulum, etc)
13. Subject with clinically significant medical or oral conditions (like serious diabetic macrovascular diseases, severely deranged kidney or liver functions, vasculitis) that might interfere with the outcome of the study as determined by the investigator 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. In supporting periodontal health by using Russell’s periodontal index.
2. In improving hydration in oral cavity by using Schirmer test
3. In reducing plaque buildup as evaluated by Loe & Silness Plaque index.
4. In reducing gum inflammation using Loe & Silness Gingival index.
5. In reducing mouth odor, providing mouth freshness, giving clean & healthy mouth feel by using Organoleptic scale. 
Day 1, Day 30, Day 60 and Day 90. 
 
Secondary Outcome  
Outcome  TimePoints 
In suitability to provide comprehensive oral care in individuals with diabetes through Subjective self-assessment questionnaire  Day 1, Day 30, Day 60 and Day 90. 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/09/2023 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is an open label, single arm, multicentric clinical study to evaluate the efficacy of test product in individuals with diabetes.

Enrollment: Following provision of informed consent and completion of all screening assessments, eligible subjects will receive the test product. A total of 50 subjects to be enrolled with a minimum of 40 subjects expected to complete the study.

Test product usage: Before the start of the study all subjects will be given instructions for oral hygiene, and usage of the products, brushing time and technique. Subjects will be instructed to brush their teeth twice daily, in morning before breakfast and at night just before sleeping. All subjects will be asked to avoid eating/drinking food for 30 minutes before the clinical evaluations. All subjects will be asked to clean the mouth thoroughly with fresh water before clinical evaluation.

Duration: The study duration is 12 weeks, during which, the subjects will be instructed to brush their teeth twice daily with the test product. The subjects will undergo safety and efficacy assessments at Day 1, Day 30+2, Day 60+2 and Day 90+2.

Study endpoints:

Efficacy End points:

The efficacy of test product assessed by the difference between mean scores of Investigator assessment scales from baseline to EOS:

Russell’s Periodontal Index

Loe & Silness Gingival index

Loe & Silness Plaque index

Odor analysis by Organoleptic scale

Oral hydration analysis by Schimer’s test

Safety End Point:

The safety of test product assessed by the following:

Non worsening of Buccal Irritation Scoring from baseline to EOS

Adverse events(AE): AEs will be continuously monitored. All AEs will be followed until resolution or deemed stable or until the event is found to be due to another known cause (concurrent condition or medication) and clinical judgment indicates that further evaluation is not warranted. Should an Investigator be made aware of any serious AE (SAE) occurring any time after the active reporting period, the SAE (in case of reasonable causality) will be reported to Sponsor within 24 hours.

 
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