Dry Mouth
Conditions
Brief summary
To determine the duration of effect of a single dose of Biotène Moisturizing Mouth Spray in subjects who complain of a clinically dry mouth. The effect of the product will be compared to a control spray (water).
Interventions
Biotène Dry Mouth Moisturizing Spray contains water, polyglycitol, propylene glycol, sunflower oil, xylitol, milk protein extract, potassium sorbate, acesulfame K, potassium thiocyanate, lysozyme, lactoferrin, lactoperoxidase. 3 sprays, approximately 15 mL.
IND/IDE exempt device primarily water
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults who are in good general health and reply initially affirmatively to the question, Do you feel that your mouth is too dry and causes you discomfort at times during the day other than on awakening from sleep? This question is an adaptation of the question used successfully by Jose and others (2016) to recruit study subjects. * Adults who are able to communicate easily in English and who are able to demonstrate understanding of the study instructions. * Adults who are physically able to perform an unstimulated whole saliva flow rate (UWSFR) test and who produce 0.2 mL/min or less of saliva.
Exclusion criteria
* Adults under the care of a health professional specifically for xerostomia treatment, including those taking prescription systemic parasympathetic medications. * Adults who regularly self-medicate their xerostomia with water or other agents or products designed to treat their xerostomia and are unwilling or unable to cease use of the agent for at least 48 hours prior to the two test visits. * Adults who are primarily mouth breathers (i.e. mouth breathing secondary to nasal obstruction) * Adults who cannot consent for themselves or have physical/mental disabilities requiring a caregiver. * Adults with a known allergy to any of the ingredients in Biotène Spray (eg. dairy allergy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean Duration of Action of Intervention | baseline up to 2 hours | Participant will receive a dose of Biotene or placebo (water) and will be asked if their mouth is dry up to 2 hrs. The time at which their mouth becomes dry again will be the duration of action. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Acceptability of Product | 2 hours | Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: The thickness of the product was acceptable. |
| Mean Continued Use of Project | 2 hours | Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: I would like to continue using this product. |
| Mean Tolerability of Product | 2 hours | Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: The taste of the product was tolerable. |
| Mean Ease of Use of Product | 2 hours | Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: This product is easy to use. |
| Mean Preference for Another Product | 2 hours | Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: I would prefer using another product. |
| Mean Purchase Product Rating | 2 hours | Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: I would purchase this product to use on a regular basis. |
Countries
United States
Participant flow
Pre-assignment details
37 subjects were enrolled. 8 subjects failed screening. 16 were randomized to either the Biotene then placebo arm and 13 were randomized to the water then Biotene arm.
Participants by arm
| Arm | Count |
|---|---|
| Biotene Then Placebo People who present with dry mouth and will receive a single dose of Biotene.
Biotene: Biotène Dry Mouth Moisturizing Spray contains water, polyglycitol, propylene glycol, sunflower oil, xylitol, milk protein extract, potassium sorbate, acesulfame K, potassium thiocyanate, lysozyme, lactoferrin, lactoperoxidase. 3 sprays, approximately 15 mL. | 16 |
| Placebo Then Biotene People who present with dry mouth and will receive a single dose of an alternative agent.
Placebo: IND/IDE exempt device primarily water | 13 |
| Total | 29 |
Baseline characteristics
| Characteristic | Total | Biotene Then Placebo | Placebo Then Biotene |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 9 Participants | 6 Participants | 3 Participants |
| Age, Categorical Between 18 and 65 years | 19 Participants | 9 Participants | 10 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 1 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 28 Participants | 15 Participants | 13 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 6 Participants | 4 Participants | 2 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 23 Participants | 12 Participants | 11 Participants |
| Region of Enrollment United States | 29 participants | 16 participants | 13 participants |
| Sex: Female, Male Female | 21 Participants | 12 Participants | 9 Participants |
| Sex: Female, Male Male | 8 Participants | 4 Participants | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 29 | 0 / 29 |
| other Total, other adverse events | 0 / 29 | 0 / 29 |
| serious Total, serious adverse events | 0 / 29 | 0 / 29 |
Outcome results
Mean Duration of Action of Intervention
Participant will receive a dose of Biotene or placebo (water) and will be asked if their mouth is dry up to 2 hrs. The time at which their mouth becomes dry again will be the duration of action.
Time frame: baseline up to 2 hours
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Biotene | Mean Duration of Action of Intervention | 27 minutes | Standard Deviation 25 |
| Placebo | Mean Duration of Action of Intervention | 26 minutes | Standard Deviation 25 |
Mean Acceptability of Product
Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: The thickness of the product was acceptable.
Time frame: 2 hours
Population: Data from 1 subject was excluded due to inability to comprehend the instructions for rating xerostomia-related oral discomfort.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Biotene | Mean Acceptability of Product | 4.2 score on a scale | Standard Deviation 0.9 |
| Placebo | Mean Acceptability of Product | 3.9 score on a scale | Standard Deviation 1.1 |
Mean Continued Use of Project
Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: I would like to continue using this product.
Time frame: 2 hours
Population: Data from 1 subject was excluded due to inability to comprehend the instructions for rating xerostomia-related oral discomfort.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Biotene | Mean Continued Use of Project | 3.1 score on a scale | Standard Deviation 1.1 |
| Placebo | Mean Continued Use of Project | 2.9 score on a scale | Standard Deviation 1 |
Mean Ease of Use of Product
Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: This product is easy to use.
Time frame: 2 hours
Population: Data from 1 subject was excluded due to inability to comprehend the instructions for rating xerostomia-related oral discomfort.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Biotene | Mean Ease of Use of Product | 4.0 score on a scale | Standard Deviation 0.8 |
| Placebo | Mean Ease of Use of Product | 3.9 score on a scale | Standard Deviation 0.8 |
Mean Preference for Another Product
Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: I would prefer using another product.
Time frame: 2 hours
Population: Data from 1 subject was excluded due to inability to comprehend the instructions for rating xerostomia-related oral discomfort.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Biotene | Mean Preference for Another Product | 3.2 score on a scale | Standard Deviation 0.9 |
| Placebo | Mean Preference for Another Product | 3.4 score on a scale | Standard Deviation 0.9 |
Mean Purchase Product Rating
Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: I would purchase this product to use on a regular basis.
Time frame: 2 hours
Population: Data from 1 subject was excluded due to inability to comprehend the instructions for rating xerostomia-related oral discomfort.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Biotene | Mean Purchase Product Rating | 2.9 score on a scale | Standard Deviation 1.1 |
| Placebo | Mean Purchase Product Rating | 2.6 score on a scale | Standard Deviation 0.9 |
Mean Tolerability of Product
Subjects were asked to agree or disagree with the following statement where 1= strongly agree and 5- strongly disagree: The taste of the product was tolerable.
Time frame: 2 hours
Population: Data from 1 subject was excluded due to inability to comprehend the instructions for rating xerostomia-related oral discomfort.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Biotene | Mean Tolerability of Product | 4.2 score on a scale | Standard Deviation 0.9 |
| Placebo | Mean Tolerability of Product | 3.8 score on a scale | Standard Deviation 1.3 |