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The dose-effect curve to estimate a threshold delivery rate for reinforcement. The project addresses the FDA Center for Tobacco Products (CTP) interest #1: Nicotine dependence threshold among youth and adults and impact of nicotine reduction on tobacco product use behavior (e.g., topography, compensation, switching, multiple use, initiation, cessation and relapse). IV nicotine, in contrast to ECs, can deliver precise, reproducible dosing, which is necessary for accurately assessing dose-response and threshold effects. The estimated threshold for reinforcement will establish a benchmark for evaluating the addictive potential of ECs and other inhaled nicotine products.
A placebo-controlled study that will recruit male and female nicotine dependent smokers/EC users (n=18) to complete four separate experimental sessions. Each session will include one randomly assigned infusion that will be either saline or a single dose of nicotine (1 mg per 70 kg body weight) delivered at three different infusion rates, rapid, moderate or slow (0.24, 0.048 or 0.024 mcg per kg body weight per second). A total infusion duration of 10 min will be maintained during each session by adding saline infusions of variable duration after nicotine delivery. This will be achieved by two separate infusion pumps, one for saline and one for nicotine. For example, the rapid 0.24 mcg/kg/s condition will include a 1 min infusion of nicotine followed by a 9 min infusion of saline. The subjects will be blinded to the infusion pump procedures. The rapid delivery rate, which we have used in our prior studies, induces positive subjective drug effects and suppresses symptoms of nicotine withdrawal. The moderate delivery rate,0.048 mcg/kg/s, approximates the rate of nicotine intake encountered while smoking a typical cigarette over 5 min (4). The slowest nicotine delivery rate, 0.024mcg/kg/s, was chosen to approximate the rate of nicotine intake encountered while using a newer EC (5).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| saline 0.00mcg/kg/s | Experimental | 0.00 mcg/kg/s The day order will be randomized per day |
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| 0.24mcg/kg/s | Experimental | 0.24 mcg/kg/s The day order will be randomized per day |
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| 0.048mcg/kg/s | Experimental | 0.048 mcg/kg/s The day order will be randomized per day |
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| 0.024 mcg/kg/s | Experimental | 0.024 mcg/kg/s The day order will be randomized per day |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nicotine saline 0.00mcg/kg/s | Drug | saline 0.00mcg/kg/s |
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| Measure | Description | Time Frame |
|---|---|---|
| Peak Change on items of the Drug Effects Questionnaire (DEQ) | The peak change in the intensity of subjective effects as measured by the DEQ | up to 60 minutes post infusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kevin Jensen, Ph.D. | Yale University | Principal Investigator |
| Mehmet Sofuoglu, M.D.,Ph.D. | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Hospital | West Haven | Connecticut | 06516 | United States |
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| ID | Term |
|---|---|
| D012907 | Smoking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D009538 | Nicotine |
| ID | Term |
|---|---|
| D012991 | Solanaceous Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D011725 | Pyridines |
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The effects of different IV nicotine delivery rates of (saline), 0.24, 0.048 and 0.024 mcg/kg/s), as a within-subject factor, on peak change in the intensity of subjective effects as measured by the DEQ, will be used as a measured of a reinforcing threshold.
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Participant and Investigator will not know nicotine dose or rate of infusion.
| Nicotine 0.24 mcg/kg/s | Drug | nicotine 0.24 mcg/kg/s |
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| Nicotine 0.048 mcg/kg/s | Drug | nicotine 0.048 mcg/kg/s |
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| Nicotine 0.024 mcg/kg/s | Drug | nicotine 0.024 mcg/kg/s |
|
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| D006573 |
| Heterocyclic Compounds, 1-Ring |