ISRCTN ISRCTN10220812
DOI https://doi.org/10.1186/ISRCTN10220812
Secondary identifying numbers IL/SBO 22-0928
Submission date
05/01/2023
Registration date
01/02/2023
Last edited
01/02/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Bad breath or halitosis can cause social disharmony, embarrassment, frustration, and despair and ultimately affect a person`s personal and professional life. Previous research shows that bacteria in the mouth can positively or negatively influence bad breath. A well-balanced oral bacteria composition is ideal to maintain oral hygiene and prevent bad breath. This study is designed to investigate the effectiveness of the test product in reducing bad breath and oral bacteria composition.

Who can participate?
Healthy adults aged between 21 to 55 years with bad breath/halitosis

What does the study involve?
The study involves using a mouthwash twice daily for 2 weeks and then a break for 2 weeks and then again another mouthwash for 2 more weeks. Mouth bad odour levels and oral bacterial composition will be analysed at starting of the study period, after 2 weeks and at the end of the study period.

What are the possible benefits and risks of participating?
The possible benefit is a reduction in bad breath and the risk is a possible allergic reaction to the study product.

Where is the study run from?
Innovation Labo Research (Japan)

When is the study starting and how long is it expected to run for?
April 2021 to May 2023

Who is funding the study?
Innovation Labo Research (Japan)

Who is the main contact?
Yuki Ikeda, development@innovationlabo.com

Contact information

Dr Yuki Ikeda
Scientific

Kanaya Bldg 4F
4-11-3
Hatchobori
Chuo-Ku
104-0032
Japan

Phone +81 (0)3 35525335
Email development@innovationlabo.com

Study information

Study designSingle-center interventional crossover randomized double-blind two-arm placebo-controlled clinical trial
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)GP practice
Study typeTreatment
Participant information sheet Not available in web format. Please use contact details to request a participant information sheet
Scientific titleA crossover, randomized, double-blind, two-arm, placebo-controlled, clinical study to evaluate the efficacy of SBO-635 in halitosis and oral microbiota modulation in healthy adult subjects with halimeter score above 200
Study acronymSBO-HM CT
Study objectivesSBO-635, a fermented polysaccharide-based oral care ingredient that shows microbiota-modulating efficacy, can modulate the oral microbiome to reduce halitosis.
Ethics approval(s)Approved 21/10/2022, Ethics Committee of the Japanese Society of Anti-Aging Nutrition (Fugetsudo building 5FGinza, Chuo-ku, Tokyo 6-6-1104-0061, Japan; +81 (0)3 3552 5277; aki.nomura@jaan.jp), ref: JAAN/HTA 22-1021
Health condition(s) or problem(s) studiedHalitosis
InterventionTrial product: Mouthwash containing SBO-635

Placebo: Sensorially similar mouthwash without SBO-635

Duration: 6 weeks

Administration: Subjects will be asked to do 30 seconds swishing inside the mouth with a mouthwash, twice daily for 2 weeks. Then there is a washout period of 2 weeks during which subjects will not be using the trial or placebo products. After cross-over, there is another 2 weeks of twice-daily mouthwash usage for 2 weeks.

Randomization: Block randomization is used to divide potential patients into m blocks of size 2n, randomize each block such that n patients are allocated to A and n to B then choose the blocks randomly. This method ensures equal treatment allocation within each block if the complete block is used.

Crossover: Subjects in the active group and placebo group will crossover to the placebo group and active group respectively after a washout period of 2 weeks.

All test parameters will be checked at baseline, end of interventional period 1 and end of interventional period 2.

All tests and sample collections will be done between 6 am and 8 am after 8 hours of overnight fasting, without performing any oral hygiene measures in the morning.
Intervention typeSupplement
Primary outcome measureHalitosis measured using a Halimeter (Interscan corp., Chatsworth, CA) at baseline (day 0), day 14 and day 42
Secondary outcome measuresOral microbiome diversity measured using 16S rRNA gene sequencing of the V3/V4 (v3-v7) hypervariable region at baseline, day 14 and day 42
Overall study start date12/04/2021
Completion date26/05/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants42
Key inclusion criteria1. Non-smoking healthy subjects between 21 to 55 years (inclusive) of age
2. Subjects with conformed halitosis (Organoleptic score ≥2 and Halimeter score ≥180)
3. Subjects who are free from any active oral infections or inflammatory conditions such as dental caries, mouth ulcers, gingivitis or periodontitis
4. Subjects willing to give written informed consent and willing to comply with the trial protocol
5. Subjects willing to adhere to a standard oral care protocol during the study period
6. Subjects willing to refrain from using alcohol during the study period
7. Subjects who are able to understand the risks/benefits of the protocol
8. Subject should be available for the duration of the study period (6 weeks)
Key exclusion criteria1. Subjects with a history of oral malignancy
2. Subjects with possible extra oral causes for halitosis: laryngopharyngeal reflux, tonsillitis, sinusitis, metabolic acidosis or alkalosis, renal diseases, liver malfunctions, dental brackets or bridges, dental infections and diabetes mellitus
3. Pregnant or lactating females
4. Subjects who have used oral antibiotics, non-steroid anti-inflammatory drugs (NSAIDs) corticosteroids or nutrition supplements within 3 months from the start of the study
5. Subjects who are participating or have participated in any other clinical trial within 3 months from the start of the study
6. Subjects with a history of psychiatric disorder that may impair the ability of subjects to provide written informed consent
7. Drug or alcohol abusers
8. Any other condition that the Principal Investigator thinks may jeopardize the study outcome
Date of first enrolment20/02/2023
Date of final enrolment31/03/2023

Locations

Countries of recruitment

  • Japan

Study participating centre

Medica Tokyo Laboratories
20-1, 3Chome Nishi-Shinjuku
Shunjuku
160-0023
Japan

Sponsor information

Innovation Labo Research
Industry

5F, 1-12-7, Shintomi
Chuo-Ku
1040032
Japan

Phone +81 (0)3 35525335
Email tokyo@innovationlabo.com
Website https://www.innovationlabo.com/

Funders

Funder type

Industry

Innovation Labo Research

No information available

Results and Publications

Intention to publish date31/05/2024
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication a high-impact peer-reviewed journal
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date

Editorial Notes

01/02/2023: Trial's existence confirmed by the Ethics Committee of the Japanese Society of Anti-Aging Nutrition.