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This is a two-arm, single use, single-center, randomized, 10-sequence per arm, open-label, crossover pharmacokinetic/pharmacodynamic (PK/PD) study, designed to evaluate elements of abuse liability (AL) including subjective effects, plasma nicotine uptake, and physiological measures during and following ad libitum use of the study investigational products (IPs) by generally healthy subjects.
Cigarette smokers and smokers who also use smokeless tobacco (SST) [e.g., snus, moist snuff] will be recruited into the study.
Starting on Day -1, eligible subjects will be confined at the clinical site for 6 days. Subjects will be randomized to evaluate one IP in each of five separate Test Sessions, such that each subject will evaluate five IPs: one of two forms of the nicotine lozenge in three different regimens, a commercially-available nicotine replacement therapy (NRT) nicotine lozenge, and the subjects' usual brand (UB) cigarettes.
Each Test Session will last for approximately 6 hours during and following IP use and will include collection of subjective measures, PK assessments and physiological measures.
On Day -1, subjects will be instructed on how to use both the specific lozenge IP in their assigned study arm and the NRT lozenge and will have one trial use of both IP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hard nicotine lozenge arm | Experimental | Subjects will use each of the 5 products sequentially during an evaluation period, followed by a 6 hour Test Session. |
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| Soft nicotine lozenge arm | Experimental | Subjects will use each of the 5 products sequentially during an evaluation period, followed by a 6 hour Test Session. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Product A | Other | Usual brand (UB) filtered, combustible cigarette |
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| Measure | Description | Time Frame |
|---|---|---|
| AUEC PL 5-360 | area under the effects curve (AUEC) for product liking (PL) Visual Analogue Scale (VAS) score-versus-time curve from 5 minutes to 360 minutes after the start of IP use. Data is collected from a 100 point VAS scale; Range from 0 = "Strongly dislike" to 100 = "Strongly Like" | 5, 7.5, 10, 15, 20, 30, 45, 60, 120, 180, 240, and 360 minutes |
| Emax PL | maximum product liking Visual Analogue Scale (VAS) score after the start of IP use. Data is collected from a 100 point VAS scale; Range from 0 = "Strongly dislike" to 100 = "Strongly Like" | 360 Minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christine Campbell | RAIS | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| High Point Clinical Trials Center | High Point | North Carolina | 27265 | United States |
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| Product B | Other | NicoretteĀ® Mint 4 mg nicotine lozenge |
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| Product C | Other | CSD1903-11, a hard nicotine lozenge, 2 mg nicotine |
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| Product D | Other | CSD1903-11, a hard nicotine lozenge, 4 mg nicotine |
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| Product E | Other | CSD1903-11, a hard nicotine lozenge, 8 mg nicotine |
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| Product F | Other | CSD1903-12, a soft nicotine lozenge, 2 mg nicotine |
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| Product G | Other | CSD1903-12, a soft nicotine lozenge, 4 mg nicotine |
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| Product H | Other | CSD1903-12, a soft nicotine lozenge, 8 mg nicotine |
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| ID | Term |
|---|---|
| D012907 | Smoking |
| D064424 | Tobacco Use |
| D000073869 | Tobacco Smoking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| C476054 | HTR3D protein, human |
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