NIH-funded research R01 grant

Xylitol to Prevent Periodontal Disease and Preterm Birth in Pregnancy and Early Childhood

Official title: Xylitol and the Prevention of Periodontal disease and Preterm Birth (XaPPP) Trial

Funded at University of Washington · NIH-11478593 · Data updated 2026-11-12

A safe, inexpensive chewable gum approach using xylitol is tested to help pregnant people reduce gum disease and lower the chance of preterm birth and related child health problems.

More Preterm research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Washington
NIH-funded
Lab location1 site (Seattle, United States)
Project startSeptember 12, 2025
Project endAugust 31, 2030
Funding year2026
Award (this year)$187,566
NIH project number3R01HD119029-02S1
Project IDNIH-11478593 on NIH RePORTER

Who could benefit from this research

Could help

Pregnant individuals at risk for periodontal disease, recruited during pregnancy.

Less likely to help

Pregnant individuals without periodontal disease or those who do not respond to xylitol may see no benefit.

What this research studies

This study tests whether xylitol-containing chewing gum, used during pregnancy, can reduce maternal periodontal disease and lower preterm birth risk. It will be a double-blinded, 3-arm, placebo-controlled trial to address prior study limitations and find the most effective dosing. If successful, this approach could offer a simple, low-cost intervention that improves outcomes for mothers and babies, especially in low-resource settings like parts of Africa.

Why it matters

Potential benefit: If successful, the trial could provide a simple method to reduce preterm births and improve infant health through better maternal oral health.

How similar studies have gone: A prior cluster-randomized trial in Malawi showed reduced periodontal disease and lower PTB with xylitol chewing gum, but larger, blinded replication is needed.

Where this research is happening

  • University of Washington
    Seattle, United States
    Active

Researchers

  • Principal investigator: Valentine, Gregory Charles — University of Washington
  • Study coordinator: Valentine, Gregory Charles

Related research

Other NIH-funded projects on the same topics.

  • Xylitol for Pregnancy Health and Baby Outcomes

    A safe, affordable gum-based treatment using xylitol is being tested to reduce periodontal disease in pregnant people and lower the chance of preterm birth and related child health issues.

    NIH research University of Washington · Seattle, United States · NIH-11416640

  • Screening and treatment of Chlamydia infection in pregnancy to help prevent preterm birth

    This grant studies whether screening pregnant people for Chlamydia trachomatis and treating those who are positive can reduce the risk of preterm birth.

    NIH research University of California, San Diego · La Jolla, United States · NIH-11617691

  • Screening and treatment for Chlamydia infection to help prevent preterm birth

    A study in pregnant people will test whether screening for Chlamydia trachomatis and treating it during pregnancy can reduce the risk of babies being born too early.

    NIH research University of California, San Diego · La Jolla, United States · NIH-11474446

  • IL-9 Signaling and Immune-Driven Preterm Birth

    This NIH grant supports training a physician-scientist to lead a new lab studying how immune signals, especially IL-9, affect preterm birth.

    NIH research Indiana University Indianapolis · Indianapolis, United States · NIH-11452359

  • Predicting Preterm Birth with Longitudinal Multi-Omics Data

    A new, patient-friendly approach uses time-aware omics data from pregnancy to better predict preterm birth and uncover underlying biology.

    NIH research Washington University · Saint Louis, United States · NIH-11440408

  • Skeletal health after preterm birth in adults

    Researchers will study why people born prematurely have weaker bones and fractures, starting in infancy and following into adulthood.

    NIH research Rush University Medical Center · Chicago, United States · NIH-11427030

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.