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To Evaluate the Efficacy and Tolerability of Sodium Bicarbonate Toothpaste

A Six Month Clinical Study Based in the US to Evaluate the Efficacy and Tolerability of Sodium Bicarbonate Toothpaste

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02207907
Enrollment
247
Registered
2014-08-04
Start date
2014-08-31
Completion date
2015-03-31
Last updated
2017-04-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Oral Hygiene

Brief summary

The primary objectives of this study will be to compare the Gingival Bleeding and Gingival Inflammation following twice daily use of a sodium bicarbonate experimental dentifrice compared to a 0% sodium bicarbonate toothpaste after 24 weeks of use. The study will be conducted at Silverstone Research Group. Participants will be recruited from their database and by use of an external recruitment agency.

Interventions

DRUGSodium bicarbonate plus sodium fluoride

Experimental dentifrice containing sodium bicarbonate plus 1150 parts per million (ppm) fluoride as sodium fluoride

Toothpaste containing 1100 ppm fluoride as sodium fluoride

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Good general health with (in the opinion of the investigator) no clinically significant and relevant abnormalities of medical history or oral/dental examination. * A minimum of 20 permanent gradable teeth * Moderate gingivitis present at the screening visit in the opinion of the investigator * A total of 20 bleeding sites or greater at baseline visit * Positive response to bleeding on brushing present at the screening visit

Exclusion criteria

* Pregnant or breast feeding women * Tobacco chewers * Current or relevant history of any serious, severe or unstable physical or psychiatric illness or any other medical condition (e.g. Diabetes Mellitus) that would make the participant unlikely to fully complete the study or any that increases the risk to the participants or undermines the data validity. * Recent history (within the last year) of alcohol or other substance abuse * Participants requiring prophylactic antibiotic treatment prior to dental therapy * Known or suspected intolerance or hypersensitivity to the study materials (or closely related compounds) or any of their stated ingredients * Have current active caries or any medical conditions which may directly influence gingival bleeding * Use of concomitant or any systemic medication that, in the opinion of the investigator, might interfere with the outcome of the study or have an effect on gingival conditions within 14 days of gingival examinations * Excessive calculus present that interferes with the probing examination for Gingival Bleeding Index * Participation in another clinical study or receipt of an investigational drug or oral care product within 30 days of the screening visit * An employee of the sponsor or the study site or members or their immediate family.

Design outcomes

Primary

MeasureTime frameDescription
Number of Gingival Bleeding Sites at 24 WeeksBaseline, 24 weeksNumber of gingival bleeding sites were measured as bleeding index via a single examiner using a color coded periodontal probe. The probe was engaged approximately 1 millimetre (mm) into the gingival crevice. A moderate pressure was used whilst sweeping from interproximal to interproximal along the sulcular epithelium. The BI scoring system used to measure bleeding sites is as follows: 0= No bleeding after 30 seconds; 1= Bleeding upon probing after 30 seconds; 2= Immediate bleeding observed. A bleeding site was considered as a BI score of 1 or 2.
Modified Gingival Index (MGI) at 24 WeeksBaseline, 24 weeksThe Modified Gingival Index (MGI) was assessed on facial and lingual surfaces at two sites on each tooth (papillae and margin). The scoring of the MGI was performed under dental office conditions using a standard dental light for illuminating the oral cavity. Compressed air, water and mouth mirrors were available to each examiner. This procedure was performed by a single examiner. The MGI scoring system is as follows: 0 = absence of inflammation; 1 = mild inflammation; slight change in color, little change in color; little change in texture of any portion of the marginal or papillary gingival unit; 2 = mild inflammation; criteria as above but involving the entire marginal or papillar gingival units; 3= moderate inflammation; glazing, redness, edema, and/ or hypertrophy of the marginal or papillary gingival unit; 4 = severe inflammation; marked redness, edema and/or hypertrophy of the marginal or papillary gingival unit, spontaneous bleeding, congestion, or ulceration

Secondary

MeasureTime frameDescription
Number of Gingival Bleeding Sites at 6 and 12 Weeks.Baseline, 6 and 12 weeksNumber of gingival bleeding sites were measured as bleeding index via a single examiner using a color coded periodontal probe. The probe was engaged approximately 1 millimetre (mm) into the gingival crevice. A moderate pressure was used whilst sweeping from interproximal to interproximal along the sulcular epithelium. The BI scoring system used to measure bleeding sites is as follows: 0= No bleeding after 30 seconds; 1= Bleeding upon probing after 30 seconds; 2= Immediate bleeding observed. A bleeding site was considered as a BI score of 1 or 2.
Modified Gingival Index (MGI) at 6 and 12 Weeks.Baseline, 6 and 12 weeksMGI was assessed on facial and lingual surfaces at two sites on each tooth (papillae and margin). The scoring of the MGI was performed under dental office conditions using a standard dental light for illuminating the oral cavity. Compressed air, water and mouth mirrors were available to each examiner. This procedure was performed by a single examiner. The MGI scoring system is as follows: 0 = absence of inflammation; 1 = mild inflammation; slight change in color, little change in color; little change in texture of any portion of the marginal or papillary gingival unit; 2 = mild inflammation; criteria as above but involving the entire marginal or papillar gingival units; 3= moderate inflammation; glazing, redness, edema, and/ or hypertrophy of the marginal or papillary gingival unit; 4 = severe inflammation; marked redness, edema and/or hypertrophy of the marginal or papillary gingival unit, spontaneous bleeding, congestion, or ulceration
Bleeding Index at 6, 12 and 24 WeeksBaseline, 6, 12 and 24 weeksThe Bleeding Index was performed by a single examiner using a color coded periodontal probe. The probe was engaged approximately 1 millimetre (mm) into the gingival crevice. A moderate pressure was used whilst sweeping from interproximal to interproximal along the sulcular epithelium. The BI scoring system to be used is as follows: 0= No bleeding after 30 seconds; 1= Bleeding upon probing after 30 seconds; 2= Immediate bleeding observed
Plaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Baseline, 6,12 and 24 weeksThe dental examiner used the Turesky Modification of the Quigley Hein Index to assess plaque on all gradable teeth. The plaque was first disclosed using a dye solution. Participants then rinsed with disclosing solution according to instructions. They had expectorated and rinsed with 10 mL of water for 10 seconds and expectorated again. Plaque was assessed with each tooth being divided into 6 areas including the mesiofacial, facial, distofacial, mesiolingual, lingual and distolingual surfaces. Disclosed plaque was scored as follows: 0= No plaque; 1= Slight flecks of plaque at the cervical margin of the tooth; 2= A thin continuous band of plaque (1 mm or smaller) at the cervical margin of the tooth; 3= A band of plaque wider than 1 mm but covering less than 1/3 of the crown of the tooth; 4= Plaque covering at least 1/3 but less tan 2/3 of the crown of the tooth; 5= Plaque covering 2/3 or more of the crown of the tooth

Countries

United States

Participant flow

Recruitment details

The participants were recruited at a clinical site in the USA.

Participants by arm

ArmCount
Sodium Bicarbonate Dentrifice
Experimental dentifrice containing sodium bicarbonate plus 1150 parts per million (ppm) fluoride as sodium fluoride
124
0% Sodium Bicarbonate Dentrifice
Toothpaste containing 1100 ppm fluoride as sodium fluoride
123
Total247

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDid not meet study criteria30
Overall StudyLost to Follow-up31
Overall StudyPregnancy01
Overall StudyWithdrawal by Subject56

Baseline characteristics

CharacteristicSodium Bicarbonate Dentrifice0% Sodium Bicarbonate DentrificeTotal
Age, Continuous34.52 Years
STANDARD_DEVIATION 13.162
37.55 Years
STANDARD_DEVIATION 13.977
36.03 Years
STANDARD_DEVIATION 13.631
Sex: Female, Male
Female
69 Participants72 Participants141 Participants
Sex: Female, Male
Male
55 Participants51 Participants106 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
7 / 1248 / 123
serious
Total, serious adverse events
0 / 1240 / 123

Outcome results

Primary

Modified Gingival Index (MGI) at 24 Weeks

The Modified Gingival Index (MGI) was assessed on facial and lingual surfaces at two sites on each tooth (papillae and margin). The scoring of the MGI was performed under dental office conditions using a standard dental light for illuminating the oral cavity. Compressed air, water and mouth mirrors were available to each examiner. This procedure was performed by a single examiner. The MGI scoring system is as follows: 0 = absence of inflammation; 1 = mild inflammation; slight change in color, little change in color; little change in texture of any portion of the marginal or papillary gingival unit; 2 = mild inflammation; criteria as above but involving the entire marginal or papillar gingival units; 3= moderate inflammation; glazing, redness, edema, and/ or hypertrophy of the marginal or papillary gingival unit; 4 = severe inflammation; marked redness, edema and/or hypertrophy of the marginal or papillary gingival unit, spontaneous bleeding, congestion, or ulceration

Time frame: Baseline, 24 weeks

Population: Intent-to-Treat (ITT) population, defined as those participants who received study treatment and had at least one post-baseline efficacy measurement

ArmMeasureGroupValue (MEAN)Dispersion
Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 24 WeeksModified Gingival Index at Baseline2.53 Units on a scaleStandard Error 0.017
Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 24 WeeksModified Gingival Index after 24 weeks2.23 Units on a scaleStandard Error 0.021
0% Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 24 WeeksModified Gingival Index at Baseline2.54 Units on a scaleStandard Error 0.018
0% Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 24 WeeksModified Gingival Index after 24 weeks2.43 Units on a scaleStandard Error 0.21
p-value: <0.000195% CI: [-0.237, -0.165]ANCOVA
Primary

Number of Gingival Bleeding Sites at 24 Weeks

Number of gingival bleeding sites were measured as bleeding index via a single examiner using a color coded periodontal probe. The probe was engaged approximately 1 millimetre (mm) into the gingival crevice. A moderate pressure was used whilst sweeping from interproximal to interproximal along the sulcular epithelium. The BI scoring system used to measure bleeding sites is as follows: 0= No bleeding after 30 seconds; 1= Bleeding upon probing after 30 seconds; 2= Immediate bleeding observed. A bleeding site was considered as a BI score of 1 or 2.

Time frame: Baseline, 24 weeks

Population: Intent-to-Treat (ITT) population, defined as those participants who received study treatment and had at least one post-baseline efficacy measurement.

ArmMeasureGroupValue (MEAN)Dispersion
Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 24 WeeksNumber of Bleeding Sites at Baseline45.13 number of gingival bleeding sitesStandard Error 1.393
Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 24 WeeksNumber of Bleeding sites after 24 weeks18.67 number of gingival bleeding sitesStandard Error 1.142
0% Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 24 WeeksNumber of Bleeding Sites at Baseline45.84 number of gingival bleeding sitesStandard Error 1.448
0% Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 24 WeeksNumber of Bleeding sites after 24 weeks36.39 number of gingival bleeding sitesStandard Error 1.51
p-value: <0.000195% CI: [-20.317, -14.664]ANCOVA
Secondary

Bleeding Index at 6, 12 and 24 Weeks

The Bleeding Index was performed by a single examiner using a color coded periodontal probe. The probe was engaged approximately 1 millimetre (mm) into the gingival crevice. A moderate pressure was used whilst sweeping from interproximal to interproximal along the sulcular epithelium. The BI scoring system to be used is as follows: 0= No bleeding after 30 seconds; 1= Bleeding upon probing after 30 seconds; 2= Immediate bleeding observed

Time frame: Baseline, 6, 12 and 24 weeks

Population: Intent-to-Treat (ITT) population, defined as those participants who received study treatment and had at least one post-baseline efficacy measurement

ArmMeasureGroupValue (MEAN)Dispersion
Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score at Baseline0.45 Units on a ScaleStandard Error 0.014
Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score after 6 weeks0.25 Units on a ScaleStandard Error 0.01
Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score after 12 weeks0.21 Units on a ScaleStandard Error 0.009
Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score after 24 weeks0.19 Units on a ScaleStandard Error 0.012
0% Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score after 24 weeks0.37 Units on a ScaleStandard Error 0.014
0% Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score at Baseline0.47 Units on a ScaleStandard Error 0.014
0% Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score after 12 weeks0.35 Units on a ScaleStandard Error 0.012
0% Sodium Bicarbonate DentrificeBleeding Index at 6, 12 and 24 WeeksBleeding Index Score after 6 weeks0.41 Units on a ScaleStandard Error 0.014
Secondary

Modified Gingival Index (MGI) at 6 and 12 Weeks.

MGI was assessed on facial and lingual surfaces at two sites on each tooth (papillae and margin). The scoring of the MGI was performed under dental office conditions using a standard dental light for illuminating the oral cavity. Compressed air, water and mouth mirrors were available to each examiner. This procedure was performed by a single examiner. The MGI scoring system is as follows: 0 = absence of inflammation; 1 = mild inflammation; slight change in color, little change in color; little change in texture of any portion of the marginal or papillary gingival unit; 2 = mild inflammation; criteria as above but involving the entire marginal or papillar gingival units; 3= moderate inflammation; glazing, redness, edema, and/ or hypertrophy of the marginal or papillary gingival unit; 4 = severe inflammation; marked redness, edema and/or hypertrophy of the marginal or papillary gingival unit, spontaneous bleeding, congestion, or ulceration

Time frame: Baseline, 6 and 12 weeks

Population: Intent-to-Treat (ITT) population, defined as those participants who received study treatment and had at least one post-baseline efficacy measurement

ArmMeasureGroupValue (MEAN)Dispersion
Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 6 and 12 Weeks.Modified Gingival Index at Baseline2.53 Units on a scaleStandard Error 0.017
Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 6 and 12 Weeks.Modified Gingival Index after 6 weeks2.28 Units on a scaleStandard Error 0.017
Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 6 and 12 Weeks.Modified Gingival Index after 12 weeks2.24 Units on a scaleStandard Error 0.018
0% Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 6 and 12 Weeks.Modified Gingival Index at Baseline2.54 Units on a scaleStandard Error 0.018
0% Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 6 and 12 Weeks.Modified Gingival Index after 6 weeks2.45 Units on a scaleStandard Error 0.018
0% Sodium Bicarbonate DentrificeModified Gingival Index (MGI) at 6 and 12 Weeks.Modified Gingival Index after 12 weeks2.40 Units on a scaleStandard Error 0.018
Secondary

Number of Gingival Bleeding Sites at 6 and 12 Weeks.

Number of gingival bleeding sites were measured as bleeding index via a single examiner using a color coded periodontal probe. The probe was engaged approximately 1 millimetre (mm) into the gingival crevice. A moderate pressure was used whilst sweeping from interproximal to interproximal along the sulcular epithelium. The BI scoring system used to measure bleeding sites is as follows: 0= No bleeding after 30 seconds; 1= Bleeding upon probing after 30 seconds; 2= Immediate bleeding observed. A bleeding site was considered as a BI score of 1 or 2.

Time frame: Baseline, 6 and 12 weeks

Population: Intent-to-Treat (ITT) population, defined as those participants who received study treatment and had at least one post-baseline efficacy measurement

ArmMeasureGroupValue (MEAN)Dispersion
Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 6 and 12 Weeks.Number of Bleeding Sites at Baseline45.13 number of gingival bleeding sitesStandard Error 1.393
Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 6 and 12 Weeks.Number of Bleeding Sites after 6 weeks25.40 number of gingival bleeding sitesStandard Error 0.999
Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 6 and 12 Weeks.Number of Bleeding sites after 12 weeks20.83 number of gingival bleeding sitesStandard Error 0.915
0% Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 6 and 12 Weeks.Number of Bleeding sites after 12 weeks34.23 number of gingival bleeding sitesStandard Error 1.26
0% Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 6 and 12 Weeks.Number of Bleeding Sites at Baseline45.84 number of gingival bleeding sitesStandard Error 1.448
0% Sodium Bicarbonate DentrificeNumber of Gingival Bleeding Sites at 6 and 12 Weeks.Number of Bleeding Sites after 6 weeks40.27 number of gingival bleeding sitesStandard Error 1.448
Secondary

Plaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.

The dental examiner used the Turesky Modification of the Quigley Hein Index to assess plaque on all gradable teeth. The plaque was first disclosed using a dye solution. Participants then rinsed with disclosing solution according to instructions. They had expectorated and rinsed with 10 mL of water for 10 seconds and expectorated again. Plaque was assessed with each tooth being divided into 6 areas including the mesiofacial, facial, distofacial, mesiolingual, lingual and distolingual surfaces. Disclosed plaque was scored as follows: 0= No plaque; 1= Slight flecks of plaque at the cervical margin of the tooth; 2= A thin continuous band of plaque (1 mm or smaller) at the cervical margin of the tooth; 3= A band of plaque wider than 1 mm but covering less than 1/3 of the crown of the tooth; 4= Plaque covering at least 1/3 but less tan 2/3 of the crown of the tooth; 5= Plaque covering 2/3 or more of the crown of the tooth

Time frame: Baseline, 6,12 and 24 weeks

Population: Intent-to-Treat (ITT) population, defined as those participants who received study treatment and had at least one post-baseline efficacy measurement

ArmMeasureGroupValue (MEAN)Dispersion
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score at Baseline3.04 Units on a scaleStandard Error 0.019
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score after 6 weeks2.65 Units on a scaleStandard Error 0.03
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score after 12 weeks2.55 Units on a scaleStandard Error 0.029
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score after 24 weeks2.52 Units on a scaleStandard Error 0.032
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score at Baseline3.12 Units on a scaleStandard Error 0.019
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score after 6 weeks2.73 Units on a scaleStandard Error 0.029
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score after 12 weeks2.64 Units on a scaleStandard Error 0.028
Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score after 24 weeks2.61 Units on a scaleStandard Error 0.031
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score after 24 weeks3.03 Units on a scaleStandard Error 0.019
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score at Baseline3.00 Units on a scaleStandard Error 0.019
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score at Baseline3.08 Units on a scaleStandard Error 0.018
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score after 6 weeks2.98 Units on a scaleStandard Error 0.021
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score after 12 weeks3.01 Units on a scaleStandard Error 0.022
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score after 12 weeks2.92 Units on a scaleStandard Error 0.025
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Interproximal Plaque Score after 6 weeks3.05 Units on a scaleStandard Error 0.02
0% Sodium Bicarbonate DentrificePlaque Control (Overall and Interproximal Dental Plaque Scores) Using Turesky Modification of Quigley &Amp; Hein Plaque Index at 6, 12 and 24 Weeks.Overall Plaque Score after 24 weeks2.95 Units on a scaleStandard Error 0.02

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026