Evaluation of Abuse Liability of Very Low Nicotine (VLN) Mentholated Cigarettes

NCT03559725 | Completed Phase 1

• 1 other identifier: CEG-P1-078
• Study Type: interventional
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

This study is designed to evaluate the abuse liability of mentholated very low nicotine cigarettes compared to nicotine gum and usual brand cigarettes.

Conditions

Tobacco Use

Keywords

Abuse liability

Outcome Measures

Primary Outcomes (1)

• Emax_urge(controlled)

  The maximum reduction in Visual Analog Scale (VAS) score for the question "Urges to smoke" (Tobacco/Nicotine Withdrawal Questionnaire) between pre-use and post-use (i.e., VASpre-use1 - VASpost-use1) during the first product use in Part B.

  3 days - administered at the end of each product use session (Use of each product on a different day)

Secondary Outcomes (39)

• Cmax(controlled); Maximum Nicotine Concentration

  Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes

• T1/2(controlled); Terminal Half Life

  Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes

• Kel(controlled); Elimination Rate Constant

  Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes

• Tmax(controlled); Maximum Time

  Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes

• AUC(controlled); Area under the nicotine concentration-time curve

  Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes

Study Arms (3)

VLN Menthol Cigarettes (A)

EXPERIMENTAL

Subjects will smoke VLN menthol cigarettes

Other: Usual Brand Menthol Cigarettes (B); Drug: Nicotine gum (C)

Usual Brand Menthol Cigarettes (B)

EXPERIMENTAL

Subjects will smoke their usual brand menthol cigarettes

Other: VLN menthol cigarettes (A); Drug: Nicotine gum (C)

Nicotine Gum (C)

EXPERIMENTAL

Subjects will chew nicotine gum

Other: VLN menthol cigarettes (A); Other: Usual Brand Menthol Cigarettes (B)

Interventions

VLN menthol cigarettes (A) OTHER

0.4mg nicotine / g tobacco king size filter menthol cigarette

Nicotine Gum (C); Usual Brand Menthol Cigarettes (B)

Usual Brand Menthol Cigarettes (B) OTHER

Usual brand king size menthol cigarettes

Nicotine Gum (C); VLN Menthol Cigarettes (A)

Nicotine gum (C) DRUG

4 mg nicotine gum

Usual Brand Menthol Cigarettes (B); VLN Menthol Cigarettes (A)

Eligibility Criteria

• Age: 22 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Must provide written informed consent prior to the initiation of any protocol-specific procedures.
• Male and female adults, between 22 to 65 years of age, inclusive.
• Body mass index (BMI) within 18.0 to 35.0 kg/m2, inclusive (minimum weight of at least 50.0 kg at Screening).
• Healthy, as determined by no clinically significant medical history, physical examination, 12-lead ECG, vital signs or laboratory (including hematology, clinical chemistry, urinalysis, and serology) findings at Screening, as judged by an investigator.
• Smoking history of an average of at least 10 manufactured filtered standard (i.e., not slim) king size combustible cigarettes daily for at least 1 year prior to Screening. Brief periods (i.e., up to 7 consecutive days) of non-smoking during the 3 months prior to Screening (e.g., due to illness or participation in a study where smoking was prohibited) will be permitted.
• Self-reporting of desire to smoke within approximately 30 minutes of waking.
• Positive urine cotinine (≥500 ng/mL) at Screening.
• Negative pregnancy test at Screening and Day -1 (check-in) for all female subjects.
• Female subjects of non-childbearing potential must be surgically sterile or 1 year postmenopausal (as confirmed by serum Follicle Stimulating Hormone (FSH) \> 35 U/L). A subject is considered to be surgically sterile if she has had a tubal ligation, hysterectomy, bilateral salpingo-oophorectomy or bilateral oophorectomy, or hysterectomy with bilateral salpingo-oophorectomy. If the subject is of childbearing potential, she must be using a medically accepted method of contraception and agree to continued use of this method for the duration of the study and for 30 days after completion of the study. Acceptable methods of contraception include abstinence, birth control pill, or an intrauterine device (known to have a failure rate of less than 1% per year) or double barrier method of contraception (e.g., male condom in addition to a diaphragm, contraceptive sponge or spermicide).
• Able to speak, read, and understand English sufficiently to allow completion of all study assessments.
• Must be willing to comply with the requirements and restrictions of the study.

You may not qualify if:

• Inability to tolerate 4 mg nicotine polacrilex gum during product use trial on Day -1 (check-in) or dentition prevents subjects from chewing gum.
• History or presence of any clinically significant cardiac, psychiatric, endocrine, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, renal, or other major disease at Screening, which in the opinion of an investigator would jeopardize the safety of the subject or the validity of the study results.
• History or presence of any type of malignant tumors.
• Clinically significant abnormal findings on the vital signs, physical examination (including oral exam), medical history, or clinical laboratory results, in the opinion of an investigator.
• Positive serology test results for human immunodeficiency virus (HIV-1/HIV-2) Antibodies, hepatitis B surface antigen (HbsAg), or hepatitis C Antibody (HCVAb).
• An acute illness (e.g., upper respiratory infection, viral infection) requiring treatment within 2 weeks prior to Day -1 (check-in).
• Drug or alcohol abuse or dependence within the 24 months prior to Screening (except nicotine), as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th edition text revision (DSM-IV-TR), or any self-reported dependence or "addiction" within the subject's lifetime (except nicotine or caffeine).
• Subjects who have ever been in treatment for substance use disorder(s) or who are currently
• Positive urine drug screen (UDS) or urine alcohol test at Screening or Day -1 (check-in).
• History or any current conditions that may interfere with drug absorption, distribution, metabolism, or excretion.
• History of severe allergic reaction (including anaphylaxis) to any substance, or previous status asthmaticus, or food allergies/intolerances/restrictions, or special dietary needs which, in the judgment of an investigator, contraindicates the subject's participation in the study.
• Requires concomitant treatment with prescription or non-prescription products that contain pseudoephedrine (e.g., nasal/sinus decongestants).
• Self-reported use of nicotine polacrilex gum, or other nicotine replacement therapy products in the 30 days prior to Day -1 (check-in). Isolated incidents within 30 days prior to Day -1 (check-in) may be permitted at the discretion of the investigator.
• Subject has unsuitable or difficult venous access or is unwilling or unable to undergo direct venipuncture or catheter insertion.
• Subject has donated or lost 100 to 499 mL whole blood within 30 days or more than 499 mL whole blood within 56 days preceding entry into the Confined Assessment Phase.

Sponsors & Collaborators

• 22nd Century Group, Inc.: lead
• Vince & Associates Clinical Research, Inc.: collaborator

Study Sites (1)

Vince and Associates Clinical Research, Inc

Overland Park, Kansas, 66212, United States

Location

MeSH Terms

Conditions

Tobacco Use

Interventions

Nicotine Chewing Gum

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Chewing Gum; Plant Gums; Biopolymers; Polymers; Macromolecular Substances; Polysaccharides; Carbohydrates; Tobacco Use Cessation Devices; Therapeutics; Candy; Food; Diet, Food, and Nutrition; Physiological Phenomena; Food and Beverages

Study Officials

• Debra Kelsh, MD

  Vince and Associates Clinical Research, INC

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Model Details: In part A each subject will have the opportunity to use either their own brand cigarette, nicotine gum or VLN menthol cigarettes ad libitum for 4 hours after which they will answer a questionnaire on using the product again. In Part B the subjects will have a controlled use session with each product followed by and uncontrolled session.

Study Record Dates

• First Submitted: May 23, 2018
• First Posted: June 18, 2018
• Study Start: May 1, 2018
• Primary Completion: October 4, 2018
• Study Completion: October 4, 2018
• Last Updated: March 25, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)