A Pilot, Open Label, Randomised, Single Dose, Four-Period, Four-Treatment, Four-Sequence, Four Way Crossover Comparative Pharmacokinetic Study of Three Different 4 mg Nicotine Chewing Gum Test Formulations of Fertin Pharma A/S, Denmark With Nicorette Freshmint 4 mg Medicated Chewing Gum of McNeil Denmark ApS as Reference Formulation in Healthy, Adult, Human Smokers Under Fasting Conditions
Overview
- Phase
- Phase 1
- Intervention
- Nicotine gum
- Conditions
- Smoking Cessation
- Sponsor
- Fertin Pharma A/S
- Enrollment
- 15
- Primary Endpoint
- The area under the plasma concentration vs. time curve until the last measurable concentration (AUC0-t)
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of the study is to compare the pharmacokinetic (PK) profiles and assess bioequivalence between three new nicotine gum formulations and a reference nicotine gum in healthy smokers.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy, adult, human smoker volunteers of any race within the age between 18 to 55 years.
- •Willingness to provide informed consent to participate in the study
- •Body Mass Index (BMI)\> 18.5 kg/m2 to \< 28.0 kg/m
- •Smoke 5-10 cigarettes per day continuously for the last three (3) months
- •Exhaled carbon monoxide ≥ 10 ppm at screening visit
- •Successfully complete the training session
- •Medically healthy subjects with clinically normal laboratory profiles, vital signs and ECGs as deemed by the Clinical Investigator
- •Subject who are not in the process of quitting smoking
- •Hemoglobin: ≥12.0 gm% for male and ≥11.5 gm% for female
- •Absence of disease markers of HIV I \& II, HBsAg, HCVAb and P24 antigen test.
Exclusion Criteria
- •History or presence of; drug abuse within the past year; hypersensitivity or idiosyncratic reaction to Nicotine or the resin of the gum preparation; any form of oral and/or pharyngeal inflammation; any form of oral lesions and/or gum disease or temperomandibular joint dysfunction; dentures or any dental work that could, in the opinion of the Investigator, affect the conduct of the study (including missing molars);
- •Any major illness in the last three months or any significant ongoing chronic medical illness.
- •History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease.
- •Active deep vein thrombosis, arterial thromboembolic disorders or a history of these conditions
- •History of or current gastro-intestinal diseases influencing drug absorption.
- •Subjects who had been on a special diet (for whatever reason) during the 28 days prior to the first dose and throughout the study.
- •Those who have used tobacco or nicotine containing products within 24 hours prior to the study drug administration on each study day.
- •Subjects with carbon monoxide levels greater than or equal to 8 ppm in the morning prior to dosing.
- •Suffer from xerostomia (dry mouth).
- •Subjects using any smoking cessation aids such as nicotine replacement therapy (NRT), buproprion or varenicline during the last 3 months.
Arms & Interventions
Gum B
4 mg nicotine gum; single dose; chewed 30 minutes
Intervention: Nicotine gum
Gum A
4 mg nicotine gum; single dose; chewed 30 minutes
Intervention: Nicotine gum
Gum C
4 mg nicotine gum; single dose; chewed 30 minutes
Intervention: Nicotine gum
Nicorette Freshmint
4 mg nicotine gum; single dose; chewed 30 minutes
Intervention: Nicotine gum
Outcomes
Primary Outcomes
The area under the plasma concentration vs. time curve until the last measurable concentration (AUC0-t)
Time Frame: 12 hours
The area under the plasma concentration vs. time curve until infinity (AUC∞)
Time Frame: 12 hours
The maximum observed nicotine concentration in plasma (Cmax)
Time Frame: 12 hours
Secondary Outcomes
- Tmax(12 hours from start of product administration)
- Kel(12 hours)
- T½(12 hours)
- The amount of nicotine released from the gum during 30 minutes of chewing(30 minutes)