NCT04971954

Brief Summary

The present study will evaluate the effects of both aging and nicotine on psychophysical tasks and electrophysiological measures. Nicotine will be administered to study participants in the form of gum that is available as an over-the-counter medication. The hypothesis is that nicotine will reverse the detrimental effects of aging on auditory processing. The proposed experiments will characterize the effects of nicotine and may eventually lead to improved treatments of hearing loss in a variety of patient populations and in healthy aging.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
48

participants targeted

Target at P25-P50 for not_applicable

Timeline
2mo left

Started Feb 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress97%
Feb 2022Jun 2026

First Submitted

Initial submission to the registry

June 16, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 22, 2021

Completed
6 months until next milestone

Study Start

First participant enrolled

February 1, 2022

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Last Updated

March 27, 2026

Status Verified

March 1, 2026

Enrollment Period

4.4 years

First QC Date

June 16, 2021

Last Update Submit

March 25, 2026

Conditions

Keywords

nicotinebiomarker

Outcome Measures

Primary Outcomes (3)

  • Hearing thresholds

    Hearing thresholds in dB SPL will be measured as a function of sound frequency from 125 Hz to 8000 Hz in quiet or in noise.

    1 hour

  • Modulation detection

    Amplitude-modulated sounds will be presented at 70 dB SPL or a comfortable level. The detection threshold in percent modulation depth (m= 0 to 100) will be recorded and converted into signal-to-noise ratios in dB (=20log(m)).

    1 hour

  • Envelope following responses

    Electrophysiological responses will be recorded in response to amplitude or frequency-modulated sounds. The sounds will be presented at 70 dB SPL or a comfortable level. The EEG signal strength that is in synchrony with the modulation frequency in micro-Volts will be recorded.

    2 hours

Secondary Outcomes (3)

  • Heart rate

    10 minutes

  • Mood change

    10 minutes

  • Nicotine side effects

    10 minutes

Other Outcomes (1)

  • Cognition

    1 hour

Study Arms (2)

Nicotine gum

EXPERIMENTAL

Nicotine (6 mg) will be administered in the form of polacrilex gum that is available as an over-the-counter medication

Other: Nicotine gum

Placebo gum

PLACEBO COMPARATOR

The placebo will also be a commercially available gum that resembles the nicotine gum in flavor, size, shape, color, and texture.

Other: Placebo gum

Interventions

Nicotine (6 mg) will be administered in the form of polacrilex gum that is available as an over-the-counter medication

Nicotine gum

The placebo will also be a commercially available gum that resembles the nicotine gum in flavor, size, shape, color, and texture.

Placebo gum

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • between 18 and 85 years of age
  • non-smokers with a score of 0-2 out of 10 maximum on the Fagerström index of smoking dependency
  • cognitive performance within two standard deviations of the CERAD mean

You may not qualify if:

  • less than 18 or greater than 85 years of age
  • deafness or excessive hearing loss
  • smokers with a score between 3 and 10 on the Fagerström index of smoking dependency
  • history of psychiatric illness, neurological disorders, diabetes mellitus, renal failure, or cardiovascular disease
  • regular use of prescription medications (excluding oral contraceptives)
  • drug dependency

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hearing and Speech Lab

Irvine, California, 92697, United States

RECRUITING

Related Publications (3)

  • Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict. 1991 Sep;86(9):1119-27. doi: 10.1111/j.1360-0443.1991.tb01879.x.

    PMID: 1932883BACKGROUND
  • Morris JC, Heyman A, Mohs RC, Hughes JP, van Belle G, Fillenbaum G, Mellits ED, Clark C. The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease. Neurology. 1989 Sep;39(9):1159-65. doi: 10.1212/wnl.39.9.1159.

    PMID: 2771064BACKGROUND
  • Pham CQ, Kapolowicz MR, Metherate R, Zeng FG. Nicotine enhances auditory processing in healthy and normal-hearing young adult nonsmokers. Psychopharmacology (Berl). 2020 Mar;237(3):833-840. doi: 10.1007/s00213-019-05421-x. Epub 2019 Dec 12.

MeSH Terms

Conditions

Auditory perceptual impairment

Interventions

Nicotine Chewing Gum

Intervention Hierarchy (Ancestors)

Chewing GumPlant GumsBiopolymersPolymersMacromolecular SubstancesPolysaccharidesCarbohydratesTobacco Use Cessation DevicesTherapeuticsCandyFoodDiet, Food, and NutritionPhysiological PhenomenaFood and Beverages

Study Officials

  • Fan-Gang Zeng, PhD

    University of California, Irvine

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Fan-Gang Zeng

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Nicotine (6 mg) will be administered in the form of polacrilex gum that is available as an over-the-counter medication. The placebo will also be a commercially available gum that resembles the nicotine gum in flavor, size, shape, color, and texture.
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: The nicotine and placebo gums will be administered in randomized, double-blind, counterbalanced fashion.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

June 16, 2021

First Posted

July 22, 2021

Study Start

February 1, 2022

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2026

Last Updated

March 27, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations