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It has been difficult to recruit participants meeting study entry criteria that are >65 years of age and not for any safety reasons.
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The primary objectives of this study are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cytisine 1.5 mg | Experimental | Multiple doses of 1.5 mg cytisine administered per 25-day schedule:
|
|
| Cytisine 3.0 mg | Experimental | Multiple doses of 3.0 mg cytisine administered per 25-day schedule:
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cytisine | Drug | film-coated tablets; depending on arm assignment, 1 or 2 tablets to be taken with 240 mL water for each dose |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) | after the first dose and the last dose on Day 1; after the last dose on Days 2, 3, 12, 16, 20, 24; and after the morning dose on Day 25 | |
| Time of Occurrence of Cmax (Tmax) | after the first dose and the last dose on Day 1; after the last dose on Days 2, 3, 12, 16, 20, 24; and after the morning dose on Day 25 | |
| Minimum Observed Plasma Concentration (Cmin) | after the first dose on Days 4, 13, 17, 21 and 25 | |
| Area Under the Plasma Concentration Versus Time Curve (AUC) From Time Zero to the Last Sampling Time (AUC0-t) | after the administration of the final dose of cytisine on Day 25 | |
| Total AUC From Time Zero to Infinity (AUC0-∞) | after the administration of the final dose of cytisine on Day 25 | |
| Residual Area or Percentage of Extrapolated Part for the Calculation of AUC0-∞ (%AUC) | after the administration of the final dose of cytisine on Day 25 | |
| Apparent Terminal Elimination Rate Constant (λz) | after the administration of the final dose of cytisine on Day 25 | |
| Apparent Terminal Elimination Half-Life (t1/2) | after the administration of the final dose of cytisine on Day 25 | |
| Number of Cigarettes Smoked Daily During Treatment and at Day 26 |
| Measure | Description | Time Frame |
|---|---|---|
| Cytisine Amount Excreted in Urine Over Time (Ae0-24h) | Day 1 (6 times daily at 2-hour intervals); after the administration of the single dose of cytisine on Day 25 | |
| Percent of Drug Excreted in Urine (Ae%) | Day 1 (6 times daily at 2-hour intervals); after the administration of the single dose of cytisine on Day 25 |
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Inclusion Criteria:
Regular moderate cigarette smokers (minimum 10 cigarettes per day) who want to stop smoking.
Urine cotinine >500 ng/mL.
Expired air carbon monoxide (CO) > 11 parts per million (no cigarette 1 hour before test).
Healthy males and females 18-65+ years of age.
Subject with no clinically significant abnormal serum biochemistry, haematology and urine examination values within 28 days before the first dose of cytisine.
Subject with negative urinary drugs of abuse screen, determined within 28 days before the first dose of cytisine (a positive alcohol result may be repeated at Investigator's discretion).
Subject with negative human immunodeficiency virus (HIV), hepatitis B surface antigen (Hep B) and hepatitis C virus antibody (Hep C) results.
Subject with no clinically significant abnormalities in 12-lead ECG determined after minimum of 5 minutes in supine position within 28 days before the first dose of cytisine.
Subject with no clinically significant abnormalities in vital signs (systolic blood pressure between 90-150 mmHg (age 18-65) and 90-160 mmHg (age >65), diastolic blood pressure (DBP) between 50 and 90 mmHg, and pulse rate (PR) between 40 110 bpm, measured on the dominant arm after minimum of 5 minutes in supine position) determined within 28 days before first dose of cytisine.
Subject must be available to complete the study (including in-clinic stays and post study follow-up) and comply with study restrictions.
Subject must provide written informed consent to participate in the study.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Annelize Koch, MD | Simbec Research Ltd (Simbec) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Simbec Research Ltd | Cardiff | CF11 9AB | United Kingdom |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cytisine 1.5 mg | Multiple doses of 1.5 mg cytisine administered per 25-day schedule:
|
| FG001 | Cytisine 3.0 mg | Multiple doses of 3.0 mg cytisine administered per 25-day schedule:
|
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Cytisine 1.5 mg | Multiple doses of 1.5 mg cytisine administered per 25-day schedule:
|
| BG001 | Cytisine 3.0 mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Observed Plasma Concentration (Cmax) | Pharmacokinetic (PK) Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment at given timepoint. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | after the first dose and the last dose on Day 1; after the last dose on Days 2, 3, 12, 16, 20, 24; and after the morning dose on Day 25 |
|
From first dose of study drug through Day 26 plus 6-8 days
TEAEs are presented. TEAEs are defined as AEs not present prior to first administration of investigational product, or AEs present before first administration of investigational product that worsen after the participant receives the first dose of investigational product.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Cytisine 1.5 mg | Multiple doses of 1.5 mg cytisine administered per 25-day schedule:
|
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Daniel Cain, Vice President, Clinical Research | Achieve Life Sciences | 425.686.1546 | dcain@achievelifesciences.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 21, 2017 | Sep 21, 2019 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 23, 2018 | Sep 22, 2019 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D016540 | Smoking Cessation |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| C004712 | cytisine |
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|
| Day 1 through Day 26 |
| Change From Baseline in Number of Cigarettes Smoked Daily up to Day 26 | Baseline, Day 1 through Day 26 |
| Change From Baseline in Expired Air CO up to Day 26 | Baseline, Days 4, 13, 17, 21, 26 |
| Number of Participants Who Ceased or Continued Smoking on Day 26 | A status of "ceased smoking" is defined as not having smoked any cigarettes for the past 24 hours on Day 26 and having an expired CO level <10 ppm on Day 26. | Day 26 |
| Change From Baseline Over Time in Urine Cotinine | Baseline, Days 4, 13, 17, 21, 26 |
| Change From Baseline Over Time in TCQ-SF Score: Emotionality | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Emotionality scores may range from 3 to 21, with lower scores indicating weaker emotional signs of tobacco craving. | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
| Change From Baseline Over Time in TCQ-SF Score: Expectancy | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Expectancy scores may range from 3 to 21, with lower scores indicating less positive expectations about smoking. | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
| Change From Baseline Over Time in TCQ-SF Score: Compulsivity | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly agree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Compulsivity scores may range from 3 to 21, with lower scores indicating compulsion to smoke was a lesser component of tobacco craving. | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
| Change From Baseline Over Time in TCQ-SF Score: Purposefulness | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Purposefulness scores may range from 3 to 21, with lower scores indicating stronger ability to not smoke. | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
| Change From Baseline Over Time in TCQ-SF Score: Total Score | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Total scores may range from 12 to 84, with lower scores indicating lower tobacco craving. | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
| Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuation of Study Drug Due to TEAEs | An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with the treatment. A serious adverse event (SAE) is defined as an AE that results in any of the following: results in death; is life-threatening; requires hospitalisation or prolongs existing inpatient's hospitalisation; results in persistent or significant disability or incapacity; results in a congenital abnormality or birth defect; is an important medical event which requires medical intervention to prevent any of the above outcomes.TEAEs are defined as AEs not present prior to first administration of investigational product, or AEs present before first administration of investigational product that worsen after the participant receives the first dose of investigational product. | From first dose of study drug through Day 26 plus 6-8 days |
| Number of Participants With Clinically Significant Values in Biochemistry, Hematology, and Urinalysis | up to Day 26 |
| Number of Participants With Clinically Significant Values in Vital Signs and Physical Examinations | up to Day 26 |
| Number of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Parameters | up to Day 26 |
| Number of Participants With Holter ECG Outlier Values | Based on the mean of the triplicate recordings at each time point. Increase (↑)/decrease (↓) calculated from Baseline (BL), defined as the mean of all recordings taken prior to dosing on Day 1 (i.e. -30 minutes and -15 minutes). A participant with multiple occurrences of an event is counted only once per event. | on Day 1 and Day 25 at 30 and 15 minutes prior to the first dose and 0.5 hour, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours post dose |
Multiple doses of 3.0 mg cytisine administered per 25-day schedule:
|
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Expired Carbon Monoxide (CO) at Screening | Mean | Standard Deviation | ppm |
|
| Urine Cotinine at Screening | Mean | Standard Deviation | ng/mL |
|
| Number of Cigarettes Smoked in the Past 24 hours on Day -1 | Mean | Standard Deviation | cigarettes |
|
| Tobacco Craving Questionnaire - Short Form (TCQ-SF) Emotionality Score at Day -1 | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Emotionality scores may range from 3 to 21, with lower scores indicating weaker emotional signs of tobacco craving. | Mean | Standard Deviation | score on a scale |
|
| TCQ-SF Expectancy Score at Day -1 | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Expectancy scores may range from 3 to 21, with lower scores indicating less positive expectations about smoking. | Mean | Standard Deviation | score on a scale |
|
| TCQ-SF Compulsivity Score at Day -1 | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly agree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Compulsivity scores may range from 3 to 21, with lower scores indicating compulsion to smoke was a lesser component of tobacco craving. | Mean | Standard Deviation | score on a scale |
|
| TCQ-SF Purposefulness Score at Day -1 | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Purposefulness scores may range from 3 to 21, with lower scores indicating stronger ability to not smoke. | Mean | Standard Deviation | score on a scale |
|
| TCQ-SF Total Score at Day -1 | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Total scores may range from 12 to 84, with lower scores indicating lower tobacco craving. | Mean | Standard Deviation | score on a scale |
|
| Fagerström Test for Nicotine Dependence Total Score at Day -1 | The Fagerström Nicotine Dependence Questionnaire (FTND) is a measure of nicotine dependence. The FTND total score is defined as the sum of the scores from 6 questions, provided all 6 questions have been completed. The FTND responses are assigned numerical values. Total Scores may range from 1 to10, with lower scores indicating less dependence on nicotine.. | Mean | Standard Deviation | score on a scale |
|
Multiple doses of 3.0 mg cytisine administered per 25-day schedule:
|
|
|
| Primary | Time of Occurrence of Cmax (Tmax) | PK Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment at given time point. | Posted | Median | Full Range | hours | after the first dose and the last dose on Day 1; after the last dose on Days 2, 3, 12, 16, 20, 24; and after the morning dose on Day 25 |
|
|
|
| Primary | Minimum Observed Plasma Concentration (Cmin) | PK Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment at given timepoint. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | after the first dose on Days 4, 13, 17, 21 and 25 |
|
|
|
| Primary | Area Under the Plasma Concentration Versus Time Curve (AUC) From Time Zero to the Last Sampling Time (AUC0-t) | PK Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | after the administration of the final dose of cytisine on Day 25 |
|
|
|
| Primary | Total AUC From Time Zero to Infinity (AUC0-∞) | PK Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | after the administration of the final dose of cytisine on Day 25 |
|
|
|
| Primary | Residual Area or Percentage of Extrapolated Part for the Calculation of AUC0-∞ (%AUC) | PK Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment. | Posted | Geometric Mean | Geometric Coefficient of Variation | percentage of extrapolated part | after the administration of the final dose of cytisine on Day 25 |
|
|
|
| Primary | Apparent Terminal Elimination Rate Constant (λz) | PK Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment. | Posted | Geometric Mean | Geometric Coefficient of Variation | 1/hour | after the administration of the final dose of cytisine on Day 25 |
|
|
|
| Primary | Apparent Terminal Elimination Half-Life (t1/2) | PK Set: All randomized participants who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. Participants with an assessment. | Posted | Mean | Standard Deviation | hours | after the administration of the final dose of cytisine on Day 25 |
|
|
|
| Primary | Number of Cigarettes Smoked Daily During Treatment and at Day 26 | Pharmacodynamic (PD) Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation. Participants with a valid assessment at given time point. | Posted | Mean | Standard Deviation | cigarettes smoked in the past 24 hours | Day 1 through Day 26 |
|
|
|
| Primary | Change From Baseline in Number of Cigarettes Smoked Daily up to Day 26 | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation. Participants with a valid assessment at given time point. | Posted | Mean | Standard Deviation | cigarettes smoked in the past 24 hours | Baseline, Day 1 through Day 26 |
|
|
|
| Primary | Change From Baseline in Expired Air CO up to Day 26 | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. | Posted | Mean | Standard Deviation | ppm | Baseline, Days 4, 13, 17, 21, 26 |
|
|
|
| Primary | Number of Participants Who Ceased or Continued Smoking on Day 26 | A status of "ceased smoking" is defined as not having smoked any cigarettes for the past 24 hours on Day 26 and having an expired CO level <10 ppm on Day 26. | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. | Posted | Count of Participants | Participants | Day 26 |
|
|
|
| Primary | Change From Baseline Over Time in Urine Cotinine | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. | Posted | Mean | Standard Deviation | ng/mL | Baseline, Days 4, 13, 17, 21, 26 |
|
|
|
| Primary | Change From Baseline Over Time in TCQ-SF Score: Emotionality | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Emotionality scores may range from 3 to 21, with lower scores indicating weaker emotional signs of tobacco craving. | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
|
|
|
| Primary | Change From Baseline Over Time in TCQ-SF Score: Expectancy | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Expectancy scores may range from 3 to 21, with lower scores indicating less positive expectations about smoking. | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. Participants with an assessment at given time point. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
|
|
|
| Primary | Change From Baseline Over Time in TCQ-SF Score: Compulsivity | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly agree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Compulsivity scores may range from 3 to 21, with lower scores indicating compulsion to smoke was a lesser component of tobacco craving. | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
|
|
|
| Primary | Change From Baseline Over Time in TCQ-SF Score: Purposefulness | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Purposefulness scores may range from 3 to 21, with lower scores indicating stronger ability to not smoke. | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
|
|
|
| Primary | Change From Baseline Over Time in TCQ-SF Score: Total Score | The TCQ-SF is a 12-item questionnaire that assesses 4 components of tobacco craving: emotionality (3 items), expectancy (3 items), compulsivity (3 items) and purposefulness (3 items). Responses to each item are scored from 1 (strongly disagree) through 7 (strongly disagree). Component scores are defined as the sum of the scores within each component. The total score is defined as the sum of the 4 component scores. Total scores may range from 12 to 84, with lower scores indicating lower tobacco craving. | PD Set: All participants in the PK set who had an available baseline result and at least 1 on-treatment result with regards to urine cotinine, expired air CO or daily cigarette consumption and did not incur a major protocol deviation in a way that may have invalidated or biased the PD results. Participants with an assessment at given time point. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day -1), Days 4, 13, 17, 21, 26 |
|
|
|
| Secondary | Cytisine Amount Excreted in Urine Over Time (Ae0-24h) | PK Set: All randomized subjects who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. | Posted | Geometric Mean | Geometric Coefficient of Variation | mg | Day 1 (6 times daily at 2-hour intervals); after the administration of the single dose of cytisine on Day 25 |
|
|
|
| Secondary | Percent of Drug Excreted in Urine (Ae%) | PK Set: All randomized subjects who completed all cytisine dosing on Days 1-3, completed >90% cytisine dosing on Days 4-25 and complied with protocol-specified criteria. | Posted | Geometric Mean | Geometric Coefficient of Variation | percentage of excreted drug | Day 1 (6 times daily at 2-hour intervals); after the administration of the single dose of cytisine on Day 25 |
|
|
|
| Secondary | Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuation of Study Drug Due to TEAEs | An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with the treatment. A serious adverse event (SAE) is defined as an AE that results in any of the following: results in death; is life-threatening; requires hospitalisation or prolongs existing inpatient's hospitalisation; results in persistent or significant disability or incapacity; results in a congenital abnormality or birth defect; is an important medical event which requires medical intervention to prevent any of the above outcomes.TEAEs are defined as AEs not present prior to first administration of investigational product, or AEs present before first administration of investigational product that worsen after the participant receives the first dose of investigational product. | Safety Set: all randomized participants who received at least one dose of cytisine. | Posted | Count of Participants | Participants | No | From first dose of study drug through Day 26 plus 6-8 days |
|
|
|
| Secondary | Number of Participants With Clinically Significant Values in Biochemistry, Hematology, and Urinalysis | Safety Set: all randomized participants who received at least one dose of cytisine. | Posted | Count of Participants | Participants | No | up to Day 26 |
|
|
|
| Secondary | Number of Participants With Clinically Significant Values in Vital Signs and Physical Examinations | Safety Set: all randomized participants who received at least one dose of cytisine. | Posted | Count of Participants | Participants | No | up to Day 26 |
|
|
|
| Secondary | Number of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Parameters | ECG Set: all participants who received at least 1 dose of cytisine, with at least 1 available baseline ECG and at least 1 on-treatment ECG. | Posted | Count of Participants | Participants | No | up to Day 26 |
|
|
|
| Secondary | Number of Participants With Holter ECG Outlier Values | Based on the mean of the triplicate recordings at each time point. Increase (↑)/decrease (↓) calculated from Baseline (BL), defined as the mean of all recordings taken prior to dosing on Day 1 (i.e. -30 minutes and -15 minutes). A participant with multiple occurrences of an event is counted only once per event. | ECG Set: all participants who received at least 1 dose of cytisine, with at least 1 available baseline ECG and at least 1 on-treatment ECG. | Posted | Count of Participants | Participants | No | on Day 1 and Day 25 at 30 and 15 minutes prior to the first dose and 0.5 hour, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours post dose |
|
|
|
| 0 |
| 13 |
| 0 |
| 13 |
| 9 |
| 13 |
| EG001 | Cytisine 3.0 mg | Multiple doses of 3.0 mg cytisine administered per 25-day schedule:
| 0 | 13 | 0 | 13 | 9 | 13 |
| Constipation | Gastrointestinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Flatulence | Gastrointestinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Tooth loss | Gastrointestinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Toothache | Gastrointestinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Chest discomfort | General disorders | MedDRA 20.1. | Systematic Assessment |
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| Medical device site reaction | General disorders | MedDRA 20.1. | Systematic Assessment |
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| Peripheral swelling | General disorders | MedDRA 20.1. | Systematic Assessment |
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| Rhinitis | Infections and infestations | MedDRA 20.1. | Systematic Assessment |
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| Muscle strain | Injury, poisoning and procedural complications | MedDRA 20.1. | Systematic Assessment |
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| Procedural pain | Injury, poisoning and procedural complications | MedDRA 20.1. | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 20.1. | Systematic Assessment |
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| Vision blurred | Nervous system disorders | MedDRA 20.1. | Systematic Assessment |
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| Abnormal dreams | Psychiatric disorders | MedDRA 20.1. | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Sinonasal obstruction | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1. | Systematic Assessment |
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| Rash pruritic | Skin and subcutaneous tissue disorders | MedDRA 20.1. | Systematic Assessment |
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Principal Investigators are bound by requirements outlined in their individual clinical trial agreements with regard to publication of trial results.
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| Discontinuation of Study Drug due to TEAE |
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| Urinalysis |
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| Day 1: PR Interval >200 mSec & ↑ ≥25% |
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| Day 1: QRS Duration >100 mSec & ↑ ≥25% |
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| Day 1: QT Interval >500 mSec & BL ≤500 mSec |
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| Day 1: QTcF Interval >500 mSec & BL ≤500 mSec |
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| Day 1: QTcF Interval >480 mSec & BL ≤480 mSec |
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| Day 1: QTcF Interval >450 mSec & BL ≤450 mSec |
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| Day 25: Heart Rate <50 bpm & ↓ ≥ 25% |
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| Day 25: Heart Rate >100 bpm & ↑ ≥25% |
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| Day 25: PR Interval >200 mSec & ↑ ≥25% |
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| Day 25: QRS Duration >100 mSec & ↑ ≥25% |
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| Day 25: QT Interval >500 mSec & BL ≤500 mSec |
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| Day 25: QTcF Interval >500 mSec & BL ≤500 mSec |
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| Day 25: QTcF Interval >480 mSec & BL ≤480 mSec |
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| Day 25: QTcF Interval >450 mSec & BL ≤450 mSec |
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