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| Name | Class |
|---|---|
| Vince & Associates Clinical Research, Inc. | OTHER |
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This study is designed to evaluate the abuse liability of very low nicotine cigarettes compared to nicotine gum and usual brand cigarettes
This study will be a randomized, two-part, 3-way crossover designed to evaluate the abuse liability, pharmacokinetics (PK), and product use behavior associated with study products, including VLN cigarettes, subjects' own-brand cigarettes, and nicotine polacrilex gum in healthy adult male and female exclusive smokers. Subjects will participate in a standard Screening visit and one 7-day Confined Assessment Phase, which will include a product trial session (Day -1), and two study parts (Part A and Part B). Following the Screening visit, eligible subjects will check-in to the study site on Day -1. Following the polacrilex gum training session, subjects will be required to abstain from nicotine- and tobacco-containing products for approximately 20 hours until the first product use session on Days 1 to 3; use of other nicotine-containing products will be prohibited throughout the study. No additional tobacco or nicotine products will be provided after the second product use on Days 4 to 6.
On Day 1, subjects will be randomized to one of three product sequence groups in Part A, which will consist of an ad libitum product use session for each of the following study products for 4 hours in a randomized crossover manner (Days 1 to 3; one product per day):
Product A: VLN cigarette
Product B: Own-brand filtered standard king size cigarette
Product C: 4 mg Nicotine polacrilex gum
A pharmacodynamic measure ("use product again" Visual Analog Scale (VAS)) will be administered at the end of each ad libitum product use period. Product use behaviors (i.e., number of units consumed,duration of gum in mouth) will be collected throughout each ad libitum product use period. Upon completion of Part A, subjects will be randomized to one of three product sequence groups in Part B, which will consist of 3 study days (Days 4 to 6), with one product per day. Each study day will consist of: 1) Controlled Product Use Session (10 puffs from their own-brand cigarette or VLN cigarette [maximum 3 ± 2 seconds per puff] at approximately 30 ± 5-second interpuff intervals, or chew the nicotine polacrilex gum using the "chew and park" method for 10 minutes); and 2) Uncontrolled Product Use Session (ad libitum use for 10 minutes). The Controlled Product Use Session and Uncontrolled Product Use Session will be separated by approximately 6 hours. During Part B, pharmacodynamic measures, PK, and product use behavior (Uncontrolled only) will be collected at various time points each day.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VLN Cigarettes (A) | Experimental | Subjects will smoke VLN cigarettes |
|
| Usual Brand Cigarettes (B) | Experimental | Subjects will smoke their usual brand cigarettes |
|
| Nicotine Gum (C) | Experimental | Subjects will chew nicotine gum |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VLN cigarettes (A) | Other | 0.4mg nicotine / g tobacco king size filter cigarette |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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) |
| Emax_plst(controlled) | The largest VAS score recorded for the response to the question "Is the product "Pleasant" right now?" (Direct Effects of Product Questionnaire) 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) |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax(controlled); Maximum Nicotine Concentration | Maximum measured plasma nicotine concentration during the Controlled Use Session. | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| T1/2(controlled); Terminal Half Life |
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Inclusion Criteria:
Subjects will be required to meet each one of the following inclusion criteria in order to be eligible for participation in the study:
Exclusion Criteria:
Subjects will not be eligible to participate in this study if any one of the following exclusion criteria is met:
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| Name | Affiliation | Role |
|---|---|---|
| Debra Kelsh, MD | Vince & Associates Clinical Research, Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vince & Associates Clinical Research, Inc | Overland Park | Kansas | 66212 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 15, 2018 | Mar 23, 2020 | SAP_001.pdf |
| Prot | Yes | No | No | Study Protocol | Apr 11, 2018 | Mar 23, 2020 | Prot_002.pdf |
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| ID | Term |
|---|---|
| D064424 | Tobacco Use |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D000074164 | Nicotine Chewing Gum |
| ID | Term |
|---|---|
| D002638 | Chewing Gum |
| D053149 | Plant Gums |
| D001704 | Biopolymers |
| D011108 | Polymers |
| D046911 |
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In part A each subject will have the opportunity to use either their own brand cigarette, nicotine gum or VLN 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.
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| Usual Brand Cigarettes (B) | Other | Usual brand king size non-menthol cigarettes |
|
| Nicotine gum (C) | Drug | 4 mg nicotine gum |
|
Apparent first-order terminal nicotine elimination half-life calculated as 0.693/Kel of the plasma concentration-time curve from time zero (defined as the start of controlled use) to 180 minutes
| Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| Kel(controlled); Elimination Rate Constant | Apparent first-order terminal nicotine elimination rate constant calculated from a semi-log plot of the plasma concentration-time curve of the Controlled Use Session. | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| Tmax(controlled); Maximum Time | Time of the maximum measured plasma nicotine concentration during the Controlled Use Session. | 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 | Area under the nicotine concentration-time curve calculated using linear trapezoidal summation from time zero (defined as the start of controlled use) to 180 minutes (or the last quantifiable concentration during that interval). | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| Cmax(uncontrolled); Maximum Nicotine Concentration | Maximum measured plasma nicotine concentration during the Uncontrolled Use Session. | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| T1/2(uncontrolled); Terminal Half Life | Apparent first-order terminal nicotine elimination half-life calculated as 0.693/Kel of the plasma concentration-time curve from time zero (defined as the start of uncontrolled use) to 540 minutes. | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| Kel(uncontrolled); Elimination Rate Constant | Apparent first-order terminal nicotine elimination rate constant calculated from a semi-log plot of the plasma concentration-time curve of the Controlled Use Session. | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| Tmax(uncontrolled); Maximum Time | Time of the maximum measured plasma nicotine concentration during the Uncontrolled Use Session. | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| AUC(uncontrolled); Area under the nicotine concentration-time curve | Area under the nicotine concentration-time curve calculated using linear trapezoidal summation from time 360 (defined as the start of uncontrolled use) to 540 minutes (or the last quantifiable concentration during that interval). | Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150 ,and 180 minutes |
| Emax_urge (Uncontrolled) | The largest VAS score recorded for the response to "Urges to Smoke" (Tobacco/nicotine withdrawal questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_anx (Controlled) | The largest VAS score recorded for the response to "Anxious" (Tobacco/nicotine withdrawal questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_anx (Uncontrolled) | The largest VAS score recorded for the response to "Anxious" (Tobacco/nicotine withdrawal questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_diffct (Controlled) | The largest VAS score recorded for the response to "Difficulty Concentrating" (Tobacco/nicotine withdrawal questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_diffct (Uncontrolled) | The largest VAS score recorded for the response to "Difficulty Concentrating" (Tobacco/nicotine withdrawal questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_impat (Controlled) | The largest VAS score recorded for the response to "Impatient" (Tobacco/nicotine withdrawal questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_impat (Uncontrolled) | The largest VAS score recorded for the response to "Impatient" (Tobacco/nicotine withdrawal questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_crav (Controlled) | The largest VAS score recorded for the response to "Craving a Cigarette" (Tobacco/nicotine withdrawal questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_crav (Uncontrolled) | The largest VAS score recorded for the response to "Craving a Cigarette" (Tobacco/nicotine withdrawal questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_plas (Uncontrolled) | The largest VAS score recorded for the response to "Pleasant" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_stf (Uncontrolled) | The largest VAS score recorded for the response to "Satisfying" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_stf (Controlled) | The largest VAS score recorded for the response to "Satisfying" (Direct effects of product questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_calm (Uncontrolled) | The largest VAS score recorded for the response to "Calm" (Direct effects of product questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_calm (Controlled) | The largest VAS score recorded for the response to "Calm" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_conc (Uncontrolled) | The largest VAS score recorded for the response to "Concentrate" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_conc (controlled) | The largest VAS score recorded for the response to "Concentrate" (Direct effects of product questionnaire) during the product use in controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_awake (Uncontrolled) | The largest VAS score recorded for the response to "Awake" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_awake (controlled) | The largest VAS score recorded for the response to "Awake" (Direct effects of product questionnaire) during the product use in controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_sick (Uncontrolled) | The largest VAS score recorded for the response to "Sick" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_sick (Controlled) | The largest VAS score recorded for the response to "Sick" (Direct effects of product questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_hunger (Uncontrolled) | The largest VAS score recorded for the response to "Hunger" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_hunger (Controlled) | The largest VAS score recorded for the response to "Hunger" (Direct effects of product questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_more (Uncontrolled) | The largest VAS score recorded for the response to "More" (Direct effects of product questionnaire) during the product use in Uncontrolled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Emax_more (Controlled) | The largest VAS score recorded for the response to "More" (Direct effects of product questionnaire) during the product use in Controlled Section of Part B. | pre, 5, 15, 30, 60, and 90 minutes |
| Inhalations | Number of product inhalations (cigarettes only) during uncontrolled use sessions | 3 product use days (Use of each product on a different day) |
| Puff durations | Duration of inhalations (cigarettes only) during uncontrolled use sessions | 2 product use days (Use of each product on a different day) |
| Gum durations | Duration of gum in mouth during uncontrolled use sessions | 1 product use day |
| Use Product Again | The VAS score recorded for the response to "Use Product Again" (Use product again questionnaire) during the ad libitum product use in Part A. | 1 product use day |
| Macromolecular Substances |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
| D061485 | Tobacco Use Cessation Devices |
| D013812 | Therapeutics |
| D002182 | Candy |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |