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COPD (Chronic Obstructive Pulmonary Disease)NCT06158633

A Pilot Observation and Feasibility Study of Prevora, Integrated Into Homecare Visits of High-risk Adults

An observational study of COPD (Chronic Obstructive Pulmonary Disease) and CHF (Congestive Heart Failure), run by CHX Technologies Inc..

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Prevora is an antiseptic medication and dental treatment approved by Health Canada for reducing root decay (cavities) in adults at high risk of dental decay. An antiseptic kills germs and harmful bacteria. Prevora is applied to the teeth and gumline by a medical professional, takes about 10 minutes and is painless. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Prevora
Type of treatment
Pill or oral medicine
How many people
30 participants
Where
No sites listed yet
Study dates
Dec 2023to Oct 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Men and women, ≥18years old, who have COPD and/or CHF or on dialysis or with other chronic metabolic conditions (e.g., diabetes, hypertension) which are correlated with chronic oral inflammation, and which are suitable for homecare conducted by the Integrated Comprehensive Care program.

Who may be able to join

  • ≥ 18 years of age
  • Enrollment in the homecare COPD/CHF program or who possibly have other medical conditions such as on dialysis or chronic metabolic condition (e.g. diabetes, hypertension) suitable for entry into the home care program
  • Bleeding on probing at ≥ 12 sites at Screening
  • Minimum of 10 natural teeth
  • Willing and able to provide informed consent as per International Conference on Harmonization - Good Clinical Practices Guidelines (ICH-GCP E6(R2)) and applicable regulations.

Who cannot join

  • Currently smoking one or more cigarettes per day
  • Patients with a prosthetic heart valve
  • Active visual caries which, in the judgement of the investigators, could require surgical restoration or extraction, and referral to a dentist on an urgent basis
  • Severe periodontal disease which, in the judgement of the investigators, could require surgery or a level of periodontal scaling such that participation in the study will be delayed
  • Undergoing periodontal care by a dentist or hygienist which in the judgement of the investigators could confound the study results
  • Known allergies to the ingredients of the study medications (chlorhexidine, Sumatra benzoin, ethanol and polymethylmethacrylate)
Show all 13Show fewer
  • Taking medications for periodontal conditions (e.g., Periostat, chlorhexidine rinse, PerioChip or Arestin).
  • Uncontrolled seizure disorder
  • A gag reflex
  • Cancer that is in an active stage of treatment or has been treated with chemotherapy and/or radiation in the past year or in the next 12 months
  • Behavioural disorders which in the judgement of the investigators threaten the patient's tolerance to treatment and participation in the study
  • Involved in another drug trial
  • Not able to complete subject reported, self-administered questionnaires or not able have a caregiver complete these questionnaires, or cannot fully understand all instructions in English

Trial locations and contacts

No sites are listed yet.

Suzana Damjanovic contact

365-833-8140

DentalStudy@stjoes.ca

Mackensey Bacon contact

289-659-7241

DentalStudy@stjoes.ca

About this study

Official title: A Pilot, Observation and Feasibility Study of Prevora (DIN 02046245) Integrated Into Homecare Visits of Adults With COPD or CHF or on Dialysis or Other Chronic Metabolic Conditions Which Are Correlated With Chronic Oral Inflammation

Prevora is an antiseptic medication and dental treatment approved by Health Canada for reducing root decay (cavities) in adults at high risk of dental decay. An antiseptic kills germs and harmful bacteria. Prevora is applied to the teeth and gumline by a medical professional, takes about 10 minutes and is painless.

Participating site(s) have a homecare program and usual care includes offering patients home care services before discharge from the hospital for some chronic diseases. Usual care includes home visits by a nurse and or personal support worker (PSW).

The aim of this study is to explore the effectiveness, health benefits and feasibility of delivering preventive oral healthcare with Prevora, during a homecare visit by a nurse or PSW. All consenting and eligible subjects will continue with their usual care with the homecare program. The study is 5 months long. Subjects will have a Prevora treatment applied by the homecare nurse or PSW on Day 1, 14 days, 3 months and 4 months. The study includes several follow up visits which will be conducted in the patient's home and or by telephone or videoconferencing if needed. Oral exams, lab tests and subject completed questionnaires will be collected for the study. Changes in medications and any possible side effects will also be monitored during the study.

Read the detailed description

Poor oral health and specifically, inflammation of the gums is linked to respiratory problems, heart problems and inflammation through the body. Worsening oral health and inflammation of the gums occurs often in patients with chronic diseases who are hospitalized and often continues after discharge from the hospital. This can make health recovery more difficult for the patient.

This is a 5 month, prospective, single-arm, open-label, observational and feasibility, phase IV trial evaluating the efficacy and safety of Prevora and is focused on the integration of a preventive oral healthcare service into a hospital-based home healthcare program involving high-risk adults with COPD or CHF or on dialysis, and possibly other chronic metabolic conditions, which make the patient suitable for entry into a home care program. This study will be centrally coordinated by the Research Institute at St Joes and conducted in the homes of consenting and eligible participants in the greater Hamilton, Ontario area.

Approximately 30 subjects will be enrolled in the study which is defined as starting the investigational product. All subjects will continue to receive the usual care that is provided as part of the respective home care program. After signed consent is obtained, subject screening and eligibility assessments will begin. Once a subject is confirmed to be eligible for study participation, investigational product treatment applications and study visits will be scheduled starting with Day 1.

Follow up visits will occur 14 days, 1, 3, 4 and 5 months after Day 1. A delegated and trained homecare nurse or PSW will apply the investigational product during the study visits conducted on day 1, day 14, 3 and 4 months. Study visits will be scheduled at the same time as a standard of care (SOC) home visit or as a study visit only, independent of a SOC home visit. Study visits include evaluation of study outcomes/endpoints, subject completed questionnaires and measuring compliance. Changes in medications and any possible side effects will also be monitored during the study. Data will be captured in the case report form (CRF).

To qualify, men and women must be enrolled in the home healthcare services program. All participants will receive the study intervention (Prevora) and be followed for 5 months.

This study aims to demonstrate that in subjects who receive home healthcare visits and have COPD and/or CHF or on dialysis, and with moderate to severe forms of chronic oral inflammation, the investigational product (Prevora) will significantly decrease oral inflammation over time.

Being tested
Prevora
Keywords
Home healthcare services, Preventive oral care, Chronic oral inflammation
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PrevoraDrug

    Prevora Stage 1, a topical, intra-oral solution of chlorhexidine acetate 100mg/ml followed immediately by Prevora Stage 2 which is a topical solution of polymethylmethacrylate. Prevora Stage 1 and Prevora Stage 2 are applied topically using a small brush and sequentially to the teeth and gum line of the patient/participant.

    All subjects will receive at total 4 applications of Prevora 1 and 2. One on Day 1, 14 days, 3 months and 4 months.

Study groups in NCT06158633
Study groupRoleWhat they receive
Active InterventionAll subjects will be in the active treatment group and receive the study intervention. The study intervention is Prevora.
Receives: Drug: Prevora

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Score Change by Categories of Bleeding on Probing

    To evaluate Prevora's ability to improve oral health in adults with COPD or CHF or on dialysis or with metabolic disorders correlated with chronic oral inflammation, who are receiving home healthcare services.

    Measured: Month 0 to Month 5

  2. Frequency Distribution Change of Study Participants by Categories of Bleeding on Probing

    To evaluate Prevora's ability to improve oral health in adults with COPD or CHF or on dialysis or with metabolic disorders correlated with chronic oral inflammation, who are receiving home healthcare services.

    Measured: Month 0 to Month 5

Secondary outcomes (30)
  1. Mean Score Change by Categories of Pocket Probing Depth

    To further evaluate Prevora's ability to improve oral health in adults with COPD or CHF or on dialysis or with chronic metabolic disorders correlated with chronic oral inflammation, who are receiving home healthcare services.

    Measured: Month 0 to Month 5

  2. Frequency Distribution Change of Study Participants by Categories of Pocket Probing Depth

    To further evaluate Prevora's ability to improve oral health in adults with COPD or CHF or on dialysis or with chronic metabolic disorders correlated with chronic oral inflammation, who are receiving home healthcare services.

    Measured: Month 0 to Month 5

  3. Change in Number of Decayed, Missing and Filled Teeth

    To assess the oral health status of study participants by way of an oral health examination conducted by a mobile independent hygienist in the home.

    Measured: Month 0 to Month 5

  4. Change in Number of Teeth with Active Cavitated Lesions

    To assess the oral health status of study participants by way of an oral health examination conducted by a mobile independent hygienist in the home.

    Measured: Month 0 to Month 5

  5. Change in Level of Xerostomia

    To assess the oral health status of study participants by way of an oral health examination conducted by a mobile independent hygienist in the home.

    Measured: Month 0 to Month 5

  6. Mean Score Change in hsCRP (high sensitivity C-reactive protein)

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  7. Change in Frequency Distribution of hsCRP (high sensitivity C-reactive protein)

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  8. Mean Score Change in ESR (Erythrocyte Sedimentation Rate)

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  9. Change in Frequency Distribution of ESR (Erythrocyte Sedimentation Rate)

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  10. Mean Score Change in Cholesterol

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  11. Change in Frequency Distribution of Cholesterol

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  12. Mean Score Change in Blood Glucose

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  13. Change in Frequency Distribution of Blood Glucose

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  14. Mean Score Change in HbA1c

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  15. Change in Frequency Distribution of HbA1c

    To evaluate Prevora's ability to change blood-based markers of inflammation.

    Measured: Month 0 to Month 5

  16. Change in Mean Scores of Subject Self-Reported Shortness of Breath using a Visual Analogue Scale in Chronic Obstructive Pulmonary Disease participants only.

    To evaluate Prevora's effect on self reported shortness of breath in COPD participants.

    Scale title: Visual Analogue Scale Assessment for Degree of Breathlessness Minimum Value: 0 Maximum Value: 100 Higher Score equals a worse outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  17. Change in Frequency Distribution of Subject Self-Reported Shortness of Breath using a Visual Analogue Scale in Chronic Obstructive Pulmonary Disease participants only.

    To evaluate Prevora's effect on self reported shortness of breath in COPD participants.

    Scale title: Visual Analogue Scale Assessment for Degree of Breathlessness Minimum Value: 0 Maximum Value: 100 Higher Score equals a worse outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  18. Change in Mean Scores of Subject Self-Reported Ankle Swelling using a Visual Analogue Scale in Congestive Heart Failure subjects only.

    To evaluate Prevora's effect on self reported ankle swelling in CHF participants.

    Scale title: Visual Analogue Scale Assessment for Degree of Ankle Swelling Minimum Value: 0 Maximum Value: 100 Higher Score equals a worse outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  19. Change in Frequency Distribution of Subject Self-Reported Ankle Swelling using a Visual Analogue Scale in Congestive Heart Failure subjects only.

    To evaluate Prevora's effect on self reported ankle swelling in CHF participants.

    Scale title: Visual Analogue Scale Assessment for Degree of Ankle Swelling Minimum Value: 0 Maximum Value: 100 Higher Score equals a worse outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  20. Change in Mean Scores of Subject Self-Reported Fatigue using a Visual Analogue Scale in Congestive Heart Failure subjects only.

    To evaluate Prevora's effect on self reported fatigue in CHF participants. Scale title: Visual Analogue Scale Assessment for Degree of Fatigue Minimum Value: 0 Maximum Value: 100 Higher Score equals a worse outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  21. Change in Frequency Distribution of Subject Self-Reported Fatigue using a Visual Analogue Scale in Congestive Heart Failure subjects only.

    To evaluate Prevora's effect on self reported fatigue in CHF participants. Scale title: Visual Analogue Scale Assessment for Degree of Fatigue Minimum Value: 0 Maximum Value: 100 Higher Score equals a worse outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  22. Change in Mean Scores of Subject Self-Reported Energy Level using a Visual Analogue Scale in subjects on dialysis only

    To evaluate Prevora's effect on self reported energy level in participants on dialysis.

    Scale title: Visual Analogue Scale Assessment of Energy Levels Minimum Value: 0 Maximum Value: 100 Higher Score equals a better outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  23. Change in Frequency Distribution of Subject Self-Reported Energy Level using a Visual Analogue Scale in subjects on dialysis only.

    To evaluate Prevora's effect on self reported energy level in participants on dialysis.

    Scale title: Visual Analogue Scale Assessment of Energy Levels Minimum Value: 0 Maximum Value: 100 Higher Score equals a better outcome

    Measured: Month 0, Day 1, 14 days, Month 3, 4 and 5

  24. Subject Self-Reported Tolerance to Study Intervention measured using a Visual Analogue Scale in all subjects Scale title: Visual Analogue Scale Assessment Acceptability Minimum Value: 0 Maximum Value: 100 Higher Score equals a better outcome

    To evaluate qualitative measures of Prevora's treatment effect in terms of a survey of participants for tolerability to treatment.

    Scale title: Visual Analogue Scale Assessment Acceptability Minimum Value: 0 Maximum Value: 100 Higher Score equals a better outcome

    Measured: Month 5 only

  25. Subject Self-Reported General Well-being measured using a Visual Analogue Scale in all subjects

    To evaluate qualitative measures of Prevora's treatment effect in terms of a survey of participants for general well-being.

    Scale title: Visual Analogue Scale Assessment of Importance of Treatment Minimum Value: 0 Maximum Value: 100 Higher Score equals a better outcome

    Measured: Month 5 only

  26. Subject Self-Reported Willingness to Continue Study Intervention, measured using a Visual Analogue Scale in all subjects

    To evaluate qualitative measures of Prevora's treatment effect in terms of a survey of participants for willingness to continue treatment.

    Scale title: Visual Analogue Scale Assessment of Willingness to Continue Treatment Post-Study Minimum Value: 0 Maximum Value: 100 Higher Score equals a better outcome

    Measured: Month 5 only

  27. Mean time to administer Prevora by homecare provider

    To evaluate the feasibility of integrating preventive oral health services into a home healthcare program, including training of the homecare provider, logistics, costs, and revenues so as to define best practices for integration.

    Measured: Day 1, 14 days, Months 3 and 4

  28. Adequacy, comprehension, competence and confidence of the homecare provider as measured by survey

    To evaluate the feasibility of integrating preventive oral health services into a home healthcare program, including training of the homecare provider, logistics, costs, and revenues so as to define best practices for integration. Study intervention is applied by homecare providers. This survey is completed by homecare provider, not participants.

    Measured: At end of study or when homecare provider ends involvement with study

  29. Logistics of administering Prevora in the home as measured by survey

    To evaluate the feasibility of integrating preventive oral health services into a home healthcare program, including training of the homecare provider, logistics, costs, and revenues so as to define best practices for integration. Study intervention is applied by homecare providers. This questionnaire is completed by homecare provider(s), not participants.

    Measured: At end of study or when homecare provider ends involvement with study

  30. Percentage of subjects who are adherent to Prevora treatment regimen

    To determine adherence or compliance to investigational product.

    Measured: Day 1 to Month 4

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Dec 2023
  2. Study startDec 2023 (estimated)
  3. Primary completionSep 2024 (estimated)
  4. Study completionOct 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06158633
Sponsor's protocol ID
CHX2023-002
Status last verified
Dec 2023
First submitted
10 Oct 2023
Last updated
6 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of COPD (Chronic Obstructive Pulmonary Disease) and CHF (Congestive Heart Failure), run by CHX Technologies Inc..

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 6 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Suzana Damjanovic (365-833-8140, DentalStudy@stjoes.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Score Change by Categories of Bleeding on Probing (time frame: Month 0 to Month 5). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2023.

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