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Completed

NCT Number: NCT03694444

A Study of the C3 Complement Inhibitor AMY-101 in Adults With Gingivitis

A Phase 2a Clinical Trial to Assess the Safety and Efficacy of Complement 3 Inhibitor Analog, AMY-101, in Adults with gingivitis.

The study is a 3-month randomized, double-blind, split-mouth study of adults with existing chronic periodontal inflammation determined by the level of gingival index and bleeding on probing. The primary endpoint of change in gingival index will be evaluated at 21, 28 and 90 days after initial treatment (baseline treatment). Subjects will also be followed at Day 3, 7, 14, 21, 28 and 90 for safety evaluations. Change in bleeding on probing plaque index, pocket depth, clinical attachment level and GCF levels of pro-inflammatory cytokines and complement factors will be assessed as secondary outcome measures. Composition of subgingival biofilm will be assessed as an exploratory endpoint.

Subjects who meet inclusion criteria will be enrolled in the study and sites will be randomized to treatment groups (AMY-101 or placebo) in split mouth design. After clinical assessments and sample collection at baseline, both test and placebo treatments will be administered to each of the interproximal papilla and will be repeated on Day 7 and 14.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Forsyth Institute

Cambridge, Massachusetts, 02142, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Provision of signed and dated informed consent form.
  • Stated willingness to comply with all study procedures and availability for the duration of the study.
  • Age 18-65 years old.
  • Equal to or greater than 18 natural teeth present (excluding third molars).
  • Generalized periodontal inflammation determined by modified gingival index and percent bleeding on probing (MGI≥2.0, BOP ≥ 40%).
  • In good general health as evidenced by medical history.
  • For women of reproductive potential, use of licensed hormonal contraception or barrier methods or abstinence for at least 1 month prior to screening and agreement to use such a method during study participation.
  • For men of reproductive potential, agreement to use condoms or other methods to ensure effective contraception with partner.

Exclusion criteria

  • Presence of orthodontic appliances (including fixed lingual retainer).
  • A soft or hard tissue tumor of the oral cavity.
  • Carious lesions requiring immediate treatment.
  • Participation in any other clinical study within 30 days of screening or during the study.
  • Antibiotic therapy within the last 30 days.
  • Chronic use (≥3 times/week) of anti-inflammatory medications [e.g., non-steroidal anti-inflammatory drugs (NSAIDs), steroids]. Low dose (<325 mg) aspirin is allowed.
  • Immune compromised subjects (e.g., subjects with HIV infection, neutropenia, complement deficiency, etc.).
  • Any medical history or any concomitant medication that might affect the assessment of the study treatment or periodontal tissues, such as diabetes (irrespective of level of control), rheumatoid arthritis, Crohn's disease, nifedipine, phenytoin (Dilantin), anticoagulant medications (e.g., warfarin [Coumadin] etc.), ongoing cancer treatment either with radiation or chemotherapy.
  • Involvement in the planning or conduct of the study.
  • History of any clinically significant disease or disorder which, in the opinion of the investigator, may either put the subject at risk because of participation in the study, or interfere with interpretation of the subject's study results.
  • Pregnancy or lactation.
  • Uncontrolled chronic diseases (e.g., kidney disease, COPD, pulmonary fibrosis, Hepatitis C)
  • Autoimmune disorders (Down's Syndrome, Sjogren's Disease, Psoriasis, Chediak-Higashi Syndrome)
  • Conditions requiring antibiotic prophylaxis.
  • Periodontal therapy within the past one year.
  • Gross tooth decay, as determined by the investigator.
  • Periodontal or dental abscesses.
  • Root fragments, pericoronitis, endo-perio lesions.
  • Use of cigarettes or other tobacco products (including e-cigarette or recreational drug use) within 1 year before the screening visit.

Treatment and study plan

AMY-101

Drug

C3 complement inhibitor

Water for injection

Other

Placebo

Primary outcomes

  1. Change in mean gingival index (MGI)

    Time frame: Assessed at 28 days after initial treatment

Secondary outcomes

  1. Gingival inflammation

    Time frame: Assessed at baseline and Days 3, 7, 14, 21, and 28.

  2. Ulceration in the oral cavity

    Time frame: Assessed at baseline and Days 3, 7, 14, 21, and 28.

  3. Oral infections

    Time frame: Assessed at baseline and Days 3, 7, 14, 21, and 28.

  4. Changes in mean gingival index

    Time frame: Assessed at Days 21 and 90

  5. Changes in mean bleeding on probing (BOP)

    Time frame: Assessed at baseline and 21, 28 and 90 days

  6. Changes in mean probing depth (PD)

    Time frame: Assessed at baseline and 21, 28 and 90 days

  7. Number of sites with PD greater or equal to 5 mm

    Time frame: Assessed at baseline and 21, 28 and 90 days

  8. Changes in mean clinical attachment level (CAL)

    Time frame: Assessed at baseline and 21, 28 and 90 days

  9. Changes in plaque index (PI)

    Time frame: Assessed at baseline and 21, 28 and 90 days

  10. Levels of gingival crevicular fluid (GCF)

    Time frame: Assessed at baseline and 21, 28 and 90 days

  11. Levels of proinflammatory mediators in the GCF

    Time frame: Assessed at baseline and 21, 28 and 90 days

Sponsors and collaborators

Lead sponsor

Amyndas Pharmaceuticals S.A.

Industry

Registry information

Official study title

A Phase 2a Clinical Trial to Assess the Safety and Efficacy of C3 Inhibitor AMY-101, in Adults With Gingivitis

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Oct 3, 2018
Registry last updated
Feb 21, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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