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The main goal of this exploratory study is to evaluate the pharmacokinetic profile of nicotine for the candidate modified risk tobacco product THS 2.1 and for conventional cigarettes (CC).
This 2-period 2-sequence cross-over clinical study intends to explore the profile of nicotine uptake (rate and extent of nicotine absorbed and associated variability) in healthy smokers switching from (CC) to THS 2.1 (single or ad libitum use) compared to smokers continuing to use CC, as a comparator. This study will serve to optimize blood sampling schedules and sample size estimation for further studies. This study will also provide preliminary information on the relationship between nicotine absorption and urge to smoke/withdrawal symptoms when using THS 2.1 as compared to CC, as well as the safety profile, which is related to the use of THS 2.1.
After screening, enrolled subjects will be admitted to the clinic for 8 days. This study duration includes 2 consecutive periods. Each period consists of 1 day for single use of the product preceded by a 24-hour nicotine deprivation, and 1 day for ad libitum product use. After leaving the clinic, the subjects will be followed up for safety over a period of 7 days.
This clinical study will be conducted in compliance with International Conference on Harmonisation of technical requirements for registration of pharmaceuticals for human use (ICH Good Clinical Practice), the Declaration of Helsinki as amended in 2008, and the applicable regulatory requirements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| smoking conventional cigarettes (CC) | Active Comparator | After a 1-day nicotine deprivation, subjects are smoking one single cigarette (usual own brand) on one day and then smoking ad libitum on the subsequent day |
|
| using the Tobacco Heating System 2.1 (THS 2.1) | Experimental | After a 1-day nicotine deprivation, subjects are puffing one single tobacco stick using the THS 2.1 on one day and then puffing ad libitum on the subsequent day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional cigarettes (CC) | Other | Subjects are randomized in a 1:1 fashion to be assigned to one of the 2 sequences, either A) CC and then THS 2.1, or B) THS 2.1 and then CC. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Nicotine Cmax | Maximum plasma concentration (Cmax) | Single use (1 day) |
| Nicotine AUC | Nicotine plasma concentration, area under the curve (AUCt) | Single use (1 day) |
| Measure | Description | Time Frame |
|---|---|---|
| Nicotine concentrations | Time course of plasma nicotine concentration | Single use (1 day); multiple use (1 day) |
| Questionnaire of smoking urges (brief version) (QSU-brief) | QSU-brief measuring subjective effects of smoking |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Adrian J Stewart, MD | Celerion, Belfast, Northern Ireland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celerion, 22-24 Lisburn Road | Belfast | BT9 AD6 | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26438645 | Result | Picavet P, Haziza C, Lama N, Weitkunat R, Ludicke F. Comparison of the Pharmacokinetics of Nicotine Following Single and Ad Libitum Use of a Tobacco Heating System or Combustible Cigarettes. Nicotine Tob Res. 2016 May;18(5):557-63. doi: 10.1093/ntr/ntv220. Epub 2015 Oct 5. |
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| ID | Term |
|---|---|
| D012907 | Smoking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| THS 2.1 | Other | Subjects are randomized in a 1:1 fashion to be assigned in one of the sequences, either A) CC and then THS 2.1, or B) THS 2.1 and then CC |
|
| single use (1 day); multiple use (1 day) |
| Safety monitoring | Monitoring of adverse events, based on clinical and laboratory evaluation | 7 days + 7 days follow-up |
| Nicotine tmax | Time to maximal nicotine concentration in plasma | Single use (1 day) |
| Cough Visual Analog Scale | Visual Analog Scale on cough | 7 days |
| Modified Cigarette Evaluation Questionnaire (MCEQ) | MCEQ measuring effects of smoking | single use (1 day); multiple use (1 day) |