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A Relative Bioavailability Study of Nicotine Delivery From Selected Oral Nicotine Products

Not Applicable
Active, not recruiting
Conditions
Healthy Volunteers
Interventions
Other: Product A
Other: Product B
Other: Product C
Other: Product D
Registration Number
NCT05452278
Lead Sponsor
Imperial Brands PLC
Brief Summary

This will be a randomised, cross-over, single-blind, confinement study conducted in 27 male or female snus or nicotine pouch users. The study will investigate 4 different nicotine containing products in a cross-over design, incorporating pharmacokinetic (PK) evaluation, nicotine extraction evaluation, subjective questionnaire assessments as well as safety and tolerability evaluation.

During the study participation, subjects will come for 2 visits to the clinic, including a screening visit and a 4-day confinement period. A final follow up end-of-study telephone call will be performed within a week of last product use.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
27
Inclusion Criteria
  • BMI ≥ 18.0 and ≤ 30.0 kg/m2
  • Clinically normal medical history
  • User of snus or nicotine pouches for ≥1 year, with a minimum weekly use of 2 or more snus or nicotine pouch cans and who is willing and considered able to use brands with nicotine content in the range of 14 to 20 mg nicotine/pouch
Exclusion Criteria
  • History of any clinically significant disease or disorder
  • Any clinically significant illness, medical/surgical procedure or trauma within 4 weeks of the first use of IP.
  • Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody and HIV
  • Female subjects who are pregnant or breastfeeding
  • Presence or history of drug or alcohol abuse
  • Excessive caffeine consumption defined by a daily intake of >5 cups of caffeine containing beverages
  • Intend to change nicotine-use habit or make a quit attempt within the next 3 months from the screening visit.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Product sequence ABCDProduct BSubjects use Product A on Day 1, Product B on Day 2, Product C on Day 3 and Product D on Day 4
Product sequence BCDAProduct BSubjects use Product B on Day 1, Product C on Day 2, Product D on Day 3 and Product A on Day 4
Product sequence CDABProduct BSubjects use Product C on Day 1, Product D on Day 2, Product A on Day 3 and Product B on Day 4
Product sequence CDABProduct ASubjects use Product C on Day 1, Product D on Day 2, Product A on Day 3 and Product B on Day 4
Product sequence CDABProduct DSubjects use Product C on Day 1, Product D on Day 2, Product A on Day 3 and Product B on Day 4
Product sequence ABCDProduct ASubjects use Product A on Day 1, Product B on Day 2, Product C on Day 3 and Product D on Day 4
Product sequence BCDAProduct ASubjects use Product B on Day 1, Product C on Day 2, Product D on Day 3 and Product A on Day 4
Product sequence CDABProduct CSubjects use Product C on Day 1, Product D on Day 2, Product A on Day 3 and Product B on Day 4
Product sequence DABCProduct CSubjects use Product D on Day 1, Product A on Day 2, Product B on Day 3 and Product C on Day 4
Product sequence DABCProduct DSubjects use Product D on Day 1, Product A on Day 2, Product B on Day 3 and Product C on Day 4
Product sequence ABCDProduct DSubjects use Product A on Day 1, Product B on Day 2, Product C on Day 3 and Product D on Day 4
Product sequence BCDAProduct CSubjects use Product B on Day 1, Product C on Day 2, Product D on Day 3 and Product A on Day 4
Product sequence BCDAProduct DSubjects use Product B on Day 1, Product C on Day 2, Product D on Day 3 and Product A on Day 4
Product sequence DABCProduct BSubjects use Product D on Day 1, Product A on Day 2, Product B on Day 3 and Product C on Day 4
Product sequence ABCDProduct CSubjects use Product A on Day 1, Product B on Day 2, Product C on Day 3 and Product D on Day 4
Product sequence DABCProduct ASubjects use Product D on Day 1, Product A on Day 2, Product B on Day 3 and Product C on Day 4
Primary Outcome Measures
NameTimeMethod
Nicotine AUCt5 minutes prior to product use and at 5, 10, 15, 20, 25, 30, 45, 60, 90 minutes, 2, 4, 6 and 8 hours post start of product use

The area under the concentration-time curve for nicotine, from time 0 to the time of the last sampling timepoint

Nicotine Cmax5 minutes prior to product use and 5, 10, 15, 20, 25, 30, 45, 60, 90 minutes, 2, 4, 6 and 8 hours post start of product use

Maximum observed plasma nicotine concentration

Secondary Outcome Measures
NameTimeMethod
Extracted dose of nicotine20 minutes

Extraction fraction (%) of nicotine in the pouch after the 20-minute use period.

Urge to use Emax5 minutes prior to product use and at 5, 10, 15, 20, 25, 30, 45, 60, 90 minutes, 2, 4, 6 and 8 hours post start of product use

The subjects will self-assess their urge to use a nicotine pouch, pre-use and after use, by answering the question: "How strong is your urge to use a nicotine pouch right now?" on a 100 mm visual analogue scale (VAS), with the anchor points 0 mm (= not at all/no urge) and 100 mm (= extremely/extreme urge). Emax is the maximum change from baseline VAS score (VASpre-use - VASpost-use).

Trial Locations

Locations (1)

CTC Clinical Trial Consultants AB

🇸🇪

Uppsala, Sweden

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