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Trial registered on ANZCTR
Registration number
ACTRN12606000356561
Ethics application status
Approved
Date submitted
11/08/2006
Date registered
18/08/2006
Date last updated
8/06/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Preventive Strategies for Early Childhood Caries (ECC) from Antenatal to age 24 months
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Scientific title
A randomised phase III study to evaluate the effects of chlorhexidine toothpaste and Casein Phosphopeptide – Amorphous Calcium Phosphate (Tooth Mousse) in the treatment of condition Early Childhood Caries to prevent carious lesions in deciduous teeth.
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Secondary ID [1]
295146
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Early childhood caries
1326
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Condition category
Condition code
Oral and Gastrointestinal
1414
1414
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Toothbrushing daily only with low dose fluoride toothpaste or in combination with either Casein Phosphopeptide – Amorphous Calcium Phosphate (Tooth Mousse) or 0.2% Chlorhexidine toothpaste from eruption of first tooth until child is 24 months of age.
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Intervention code [1]
1228
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Prevention
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Comparator / control treatment
Control group is Toothbrushing daily with only low dose fluoride toothpaste
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Control group
Active
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Outcomes
Primary outcome [1]
1935
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Less numbers of carious lesions and/or demineralised tooth surfaces as detected through visual examination
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Assessment method [1]
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Timepoint [1]
1935
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When child is 24 months
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Secondary outcome [1]
3395
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Lower levels of decy causing bacteria in their saliva.
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Assessment method [1]
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Timepoint [1]
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When the child is 24 months old.
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Eligibility
Key inclusion criteria
Pregnant women and new mothers in the Logan-Beaudesert Health Service District.
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Minimum age
12
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Children with milk protein allergies (due to reaction to preventive agent to be used).
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation concealed by opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using procedures such as coin-tossing and dice-rolling
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data collected is being analysed
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Reason for early stopping/withdrawal
Other reasons/comments
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Other reasons
Introduction of water fluoridation to the community was announced for December 2008. Recruitment ceased before this time so all participants were born pre- water fluoridation introduction.
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Date of first participant enrolment
Anticipated
1/10/2006
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Actual
12/01/2007
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Date of last participant enrolment
Anticipated
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Actual
30/06/2008
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Date of last data collection
Anticipated
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Actual
30/04/2011
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Sample size
Target
3960
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Accrual to date
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Final
1017
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Oral Health Program, Logan-Beaudesert Health Service District, Queensland Health
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Address [1]
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Kingston Oral Health Centre, Juers St Kingston, Q 4114
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
Oral Health Program, Logan-Beaudesert Health Service District, Queensland Health
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Address
Kingston Oral Health Centre, Juers St Kingston, QLD, 4114
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
1359
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Country [1]
1359
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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PAHREC
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Ethics committee address [1]
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Ipswich Road Woolloongabba
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Ethics committee country [1]
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Date submitted for ethics approval [1]
5440
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Approval date [1]
5440
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03/10/2008
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Ethics approval number [1]
5440
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2006/145
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Summary
Brief summary
This project aims to determine the best preventive methods for ECC by assessing variations of strategies. The strategies that will be used are • Education classes to antenatal and new parent groups • Preventive agents – participants will be randomly assigned to the following groups: toothbrushing with low-dose fluoride toothpaste, toothbrushing with 0.2 percent chlorhexidine gel, and toothbrushing with casein-phosphoprotein gel (CPP-ACP, Tooth Mousse) • Support through home visits and phone calls The effectiveness of these strategies will be assessed through • Pre and post questionnaires including dental knowledge, feeding practices and oral hygiene practices • Microbial analysis for the presence of decay-causing bacteria (blinded) • Dental screen analysis of participants having home visits (calibrated operators, not blinded) • Dental screen analysis at the 2 year recall (blinded) • Statistical analysis of data for case and control groups Participants will be recruited either from antenatal classes, pre-registration for maternity ward or new parent classes. All participants will be recalled when their child is approximately 6-9 months, 9-12 months and 15-18 months either through the home visit or by telephone. All will be asked to attend an appointment at the 24-26 month recall with their child. Swab samples of the teeth and gums will be taken and tested for the presence of decay-causing bacteria (mutans streptococci) and general oral bacteria in which participants will be informed of the results. The Mother’s teeth will be wiped with sterile cotton-tipped swabs at the initial contact, when the child is born and at the final recall. Those who wish to participate in home visits will also have their teeth swabbed at the 6-9 month period and their child’s teeth will be swabbed when their child is 6-9 months, 9-12 months and 15-18 months. Resources such as toothbrushes and preventive products will be supplied free of charge for the duration of participation or until the child is 24-26 months.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Kathryn Elsworthy
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Address
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UQ Oral Health Centre, 288 Herston Road, Herston QLD 4006
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Country
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Australia
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Phone
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+61 7 3365 8183
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Kathryn Elsworthy
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Address
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UQ Oral Health Centre, 288 Herston Road, Herston QLD 4006
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Country
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Australia
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Phone
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+61 7 3365 8183
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Fax
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+61 7 3365 8199
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Kathryn Elsworthy
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Address
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UQ Oral Health Centre, 288 Herston Road, Herston QLD 4006
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Country
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Australia
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Phone
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+61 7 3365 8183
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Fax
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+61 7 3365 8199
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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