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This is a multi-center, randomized, controlled, partially blinded study to assess the pharmacokinetics and comparative bioavailability of nicotine from two variants of NP2 (4 and 6 mg) in comparison with Loz-4mg and Gum-4mg in adult cigarette smokers. The subjects will be blinded to the randomized sequence and will be blinded to the variants of NP2 they will receive. The study will be conducted with 4 periods and 4 sequences in a Williams design (crossover).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Product Sequence 1 | Active Comparator | From Day 1 to Day 4, after at least 23 hours of abstinence from any nicotine/tobacco containing products, subjects will use one of the four investigational products according to randomized product use sequence and as instructed by the investigational site personnel. The list of possible sequences are: NP2-4mg; NP2-6mg; Loz-4mg; Gum-4mg / NP2-6mg; Gum-4mg; NP2-4mg; Loz-4mg / Gum-4mg; Loz-4mg; NP2-6mg; NP2-4mg / Loz-4mg; NP2-4mg; Gum-4mg; NP2-6mg |
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| Product Sequence 2 | Active Comparator | From Day 1 to Day 4, after at least 23 hours of abstinence from any nicotine/tobacco containing products, subjects will use one of the four investigational products according to randomized product use sequence and as instructed by the investigational site personnel. The list of possible sequences are: NP2-4mg; NP2-6mg; Loz-4mg; Gum-4mg / NP2-6mg; Gum-4mg; NP2-4mg; Loz-4mg / Gum-4mg; Loz-4mg; NP2-6mg; NP2-4mg / Loz-4mg; NP2-4mg; Gum-4mg; NP2-6mg |
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| Product Sequence 3 | Active Comparator | From Day 1 to Day 4, after at least 23 hours of abstinence from any nicotine/tobacco containing products, subjects will use one of the four investigational products according to randomized product use sequence and as instructed by the investigational site personnel. The list of possible sequences are: NP2-4mg; NP2-6mg; Loz-4mg; Gum-4mg / NP2-6mg; Gum-4mg; NP2-4mg; Loz-4mg / Gum-4mg; Loz-4mg; NP2-6mg; NP2-4mg / Loz-4mg; NP2-4mg; Gum-4mg; NP2-6mg |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NP2-4mg | Other | NP2-4 mg is a new product containing tobacco-derived nicotine. |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum Plasma Concentration [Cmax] | To measure Cmax following use of the investigational products and reference products | Measured from start of product use to 24 hours |
| Area under the observed concentration-time curve (AUC) from start of product use (T0) to timepoint of last quantifiable concentration [AUC0-last] and extrapolated to infinity [AUC0-infinity] | To measure the area under the background-corrected concentration-time curve (AUC) from start of product use | Measured from start of product use (T0) to 2 minutes, to 4 minutes, to 10 hours, to time of last quantifiable concentration. |
| Ratio of [AUC0-last] and [AUC0-infinity] | To measure the ratio of [AUC0-last] and [AUC0-infinity] | Measured from start of product use to 24 hours |
| Time to the observed maximum concentration [Tmax] | To measure the maximum ratio of background-corrected concentration over time, from T0 (excluded) to Tmax (included) | Measured from start of product use to 24 hours |
| Elimination rate constant [kel] | To measure the fraction of nicotine eliminated per unit of time, following use of the investigational products and reference products | Measured from start of product use to 24 hours |
| Half-life of nicotine [t1/2] | To measure the half-life of nicotine, following use of the investigational products and reference products | Measured from start of product use to 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christelle Haziza, PhD | Philip Morris Products S.A. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pharma Medica Research Inc. | Toronto | Ontario | M1S 3V6 | Canada | ||
| Syneos Health Clinique Inc. |
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The study will be conducted with 4 periods and 4 sequences in a Williams design (crossover).
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This is a partially blinded study. The Investigator and subjects will be blinded to the randomized sequence and to the variants of the investigational product (IP). In contrast, the pharmacy staff will not be blinded to the randomized sequence and to the variants of the IP.
| Product Sequence 4 | Active Comparator | From Day 1 to Day 4, after at least 23 hours of abstinence from any nicotine/tobacco containing products, subjects will use one of the four investigational products according to randomized product use sequence and as instructed by the investigational site personnel. The list of possible sequences are: NP2-4mg; NP2-6mg; Loz-4mg; Gum-4mg / NP2-6mg; Gum-4mg; NP2-4mg; Loz-4mg / Gum-4mg; Loz-4mg; NP2-6mg; NP2-4mg / Loz-4mg; NP2-4mg; Gum-4mg; NP2-6mg |
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| NP2-6 mg | Other | NP2-6 mg is a new product containing tobacco-derived nicotine. |
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| Loz-4mg | Other | The Loz-4mg reference product is a commercially available 4mg nicotine lozenge. |
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| Gum-4mg | Other | The Gum-4mg reference product is a commercially available 4mg nicotine gum. |
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| Québec |
| G1P 0A2 |
| Canada |
| ID | Term |
|---|---|
| D064424 | Tobacco Use |
| ID | Term |
|---|---|
| D001519 | Behavior |
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