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This is a single site, open-label, randomized, cross-over study designed to evaluate elements of abuse liability (AL) including subjective effects and physiological measures (pharmacodynamics [PD]) and plasma nicotine uptake (pharmacokinetics [PK]) during and following ad libitum use of the study investigational products (IPs) by generally healthy subjects.
Cigarette smokers (SMK) and smokers who also use smokeless tobacco (SST) [e.g., snus, moist snuff] will be recruited into the study. An attempt will be made to have approximately one third of the study population made up of SST.
Potential subjects may complete a pre-Screening telephone interview and will complete a Screening Visit to assess their eligibility within 45 days prior to check-in and enrollment/randomization.
Starting on Day -1, eligible subjects will begin confinement at the clinical site for 6 days. Subjects will be randomized to evaluate one investigational product (IP) in each of five separate Test Sessions, such that each subject will evaluate five IPs, including three strengths of the nicotine pouches, and both a high- and a low-AL comparator.
Each Test Session will last for approximately 4 hours during and following IP use and will include collection of both PD measures (subjective and physiological) and PK measures.
On Day -1, subjects will participate in an IP acclimation period where they will be instructed on how to use the nicotine pouch IP and the nicotine gum (low-AL comparator IP). At the end of the acclimation period, subjects will have access to their usual brand (UB) cigarettes for ad libitum use until the 12-hour tobacco abstinence begins prior to the Day 1 Test Session.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Product usage order ABECD | Experimental | Subjects will use each of the 5 products sequentially (ABECD) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order BCADE | Experimental | Subjects will use each of the 5 products sequentially (BCADE) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order CDBEA | Experimental | Subjects will use each of the 5 products sequentially (CDBEA) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order DECAB | Experimental | Subjects will use each of the 5 products sequentially (DECAB) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order EADBC |
| 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 |
|---|---|---|
| AUECPL 5-240 | area-under-the-effects curve (AUEC) for PL numeric rating scale (NRS) score-versus-time curve from 5 minutes to 240 minutes after the start of IP use. | 5 minutes to 240 minutes |
| Emax PL | maximum product liking (PL) numeric rating scale (NRS) score after the start of IP use. | 240 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bobbette Jones, DrPH | RAIS | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New Orleans Center for Clinical Research (NOCCR) | Knoxville | Tennessee | 37920 | United States |
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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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| Experimental |
Subjects will use each of the 5 products sequentially (EADBC) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order DCEBA | Experimental | Subjects will use each of the 5 products sequentially (DCEBA) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order EDACB | Experimental | Subjects will use each of the 5 products sequentially (EDACB) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order AEBDC | Experimental | Subjects will use each of the 5 products sequentially (AEBDC) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order BACED | Experimental | Subjects will use each of the 5 products sequentially (BACED) during an evaluation period, followed by a 6 hour Test Session. |
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| Product usage order CBDAE | Experimental | Subjects will use each of the 5 products sequentially (CBDAE) during an evaluation period, followed by a 6 hour Test Session. |
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| Product B | Other | NicoretteĀ® White Ice Mint 2 mg nicotine gum |
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| Product C | Other | CSD1904-01, a nicotine pouch, 2 mg nicotine |
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| Product D | Other | CSD1904-02, a nicotine pouch, 4 mg nicotine |
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| Product E | Other | CSD1904-02, a nicotine pouch, 8 mg nicotine (simultaneous use of two 4 mg nicotine pouches) |
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