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临床试验/NCT07443631
NCT07443631进行中(未招募)不适用

A Randomized, Controlled, Open-label, 6 Parallel Arms Study to Assess Exposure to Selected Harmful and Potentially Harmful Constituents (HPHC) of Cigarette (CIG) Smoke in Adult Smokers Switching to Tobacco Heating Systems (THS/TP18) With Different Device Variants as Compared to Continuing CIG Smoking

Philip Morris Products S.A.2 个研究点 分布在 1 个国家目标入组 108 人开始时间: 2026年2月19日最近更新:
干预措施

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
108
试验地点
2
主要终点
3-hydroxypropyl mercapturic acid (3-HPMA) in Urine (confinement period)

研究概览

简要总结

This is a randomized, controlled, open-label, 6 parallel arms study to assess reduced exposure of biomarkers of exposure (BoE) of selected HPHC in smokers switching to TP18 (a prototype heated tobacco device) or THS relative to smokers who continue smoking CIG after 5 days of confinement period, followed by 2 days of pharmacokinetic (PK) period of single use of THS/TP18 and CIG, and followed by an ambulatory period.

详细描述

This randomized, controlled, open-label study comprises six parallel arms and is designed to evaluate reductions in biomarkers of exposure (BoE) to selected HPHCs in adult smokers switching toTP18 (a prototype heated tobacco device with four variants: THS1, THS2, THS3, THS4) or THS5 relative to smokers who continue smoking CIG after 5 days of confinement period followed by 2 days of pharmacokinetic (PK) period of single use of THS/TP18 and CIG, and followed by an ambulatory period.

During the 5-day confinement period, participants will be randomized to use only their assigned product and will operate their assigned devices (THS1, THS2, THS3, THS4, or THS5) with their corresponding sticks or continue smoking CIG ad libitum (6 arms in total).

In the subsequent 2-day PK period, they will complete a four-way single-product crossover using THS/TP18 and CIG, according to randomized product sequences. Participants randomized to the CIG arm at Baseline will not participate in this period.

During the ambulatory period, participants randomized to one of the TP18 versions at Baseline will be free to choose and use any TP18 variant at any time, ad libitum. Participants randomized at Baseline to TP18 will continue using THS ad libitum. Participants randomized to the CIG arm will only be smoking cigarettes, ad libitum.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
None

入排标准

年龄范围
21 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participant has signed the ICF and understands the information provided in it.
  • Participant is male or female and between 21 and 65 years old (inclusive).
  • Participant has been a smoker for at least 2 years prior to the screening visit and is willing to switch to THS and TP
  • Participant has smoked on average ≥10 commercially available CIGs/day over the last 30 days. Smoking status will be verified based on a urinary cotinine test (cotinine ≥200 ng/mL).
  • Participant does not plan to quit smoking within the next three months.
  • Participant is available for the entire study period and willing to comply with the study procedures, including product use assignments and periods of abstinence from any nicotine/tobacco-containing products, and willing to adhere to a standardized diet (during confinement period and during overnight stays on Day 30 and Day 60).

排除标准

  • As per the Investigator's judgment, the participant cannot participate in the study for any reason other than medical (e.g., psychological, social reason).
  • Participant is legally incompetent, or physically or mentally incapable of giving consent (e.g., in emergency situations, under guardianship, prisoners).
  • Participant has a health condition which requires medication or any other clinically relevant finding based on available assessments from the Screening period (e.g., safety panel, pulmonary function test, vital signs, physical examination, ECG, and medical history), as determined by the Principal Investigator or designee.
  • Participant experienced within 30 days prior to screening/admission a body temperature >37.9°C or an acute illness (e.g., upper respiratory-tract infection, viral infection, etc.).
  • According to the Investigator's judgment, the participant has medical conditions that require or will require medical intervention (e.g., initiation of treatment, surgery, hospitalization) during the study period, which may interfere with study participation and/or study results.
  • Participant uses medication that aids in smoking cessation.
  • Participant experiences difficulty with venipuncture and/or poor venous access.
  • Participant has a hemoglobin level < 11.0 g/dL for females and < 12.0 g/dL for males at the Screening visit.
  • Participant has a positive nitrite urinary test at screening or on admission day (Day -2)
  • Participant has donated blood or received whole blood or blood products within the past 3 months.
  • BMI < 18.5 kg/m2 or ≥ 32.0 kg/m
  • Positive serology test for HIV 1/2, HBV, or HCVa.
  • Participant has a positive alcohol breath test and/or has a history of alcohol disorder that could interfere with their participation in the study.
  • The participant has a positive urine drug test.
  • Participant or one of their family members is a current or former employee of the tobacco industry, manufacturing or distributing e-cigarettes or other nicotine/tobacco-containing products.
  • A participant or a family member is an employee of the investigational site or of any other parties involved in the study.
  • Participant has participated in another clinical study within 30 days or within a period equivalent to five half-lives of the investigational product from that study, whichever is longer. .
  • Participant has been previously screened or enrolled in this study (unless they are alternate subjects).
  • Female participant is pregnant (does not have negative pregnancy tests at screening and/or at admission) or is breastfeeding.
  • For women of childbearing potential only and males: participant does not agree to use an acceptable method of effective contraception.

研究组 & 干预措施

THS5

Other

During the confinement period, participants will use only their assigned product THS 5 (with the corresponding sticks) ad libitum. During the PK period, they will complete a four-way single-product crossover using THS/TP18 and CIG, according to randomized product sequences. During the ambulatory period, they will be continue to use THS5 ad libitum.

干预措施: THS5 (THS 3.0 reference device) (Other)

THS1

Other

During the confinement period, participants will use only their assigned product THS 1 (with the corresponding sticks) ad libitum. During the PK period, they will complete a four-way single-product crossover using THS/TP18 and CIG, according to randomized product sequences. During the ambulatory period, they may choose any variant (THS1, THS2, THS3, or THS4) at any time, ad libitum.

干预措施: THS1 (TP18 variant 1) (Other)

THS2

Other

During the confinement period, participants will use only their assigned product THS 2 (with the corresponding sticks) ad libitum. During the PK period, they will complete a four-way single-product crossover using THS/TP18 and CIG, according to randomized product sequences. During the ambulatory period, they may choose any variant (THS1, THS2, THS3, or THS4) at any time, ad libitum.

干预措施: THS2 (TP18 variant 2) (Other)

THS3

Other

During the confinement period, participants will use only their assigned product THS 3 (with the corresponding sticks) ad libitum. During the PK period, they will complete a four-way single-product crossover using THS/TP18 and CIG, according to randomized product sequences. During the ambulatory period, they may choose any variant (THS1, THS2, THS3, or THS4) at any time, ad libitum.

干预措施: THS3 (TP18 variant 3) (Other)

THS4

Other

During the confinement period, participants will use only their assigned product THS 4 (with the corresponding sticks) ad libitum. During the PK period, they will complete a four-way single-product crossover using THS/TP18 and CIG, according to randomized product sequences. During the ambulatory period, they may choose any variant (THS1, THS2, THS3, or THS4) at any time, ad libitum.

干预措施: THS4 (TP18 variant 4) (Other)

CIG

Other

During the confinement period, participants will use only their usual brand of commercially available CIG ad libitum.

This arm will not participate in the PK period and will move directly to the ambulatory period. During the ambulatory period, participants will smoke only cigarettes, ad libitum.

干预措施: CIG (Cigarette) (Other)

结局指标

主要结局

3-hydroxypropyl mercapturic acid (3-HPMA) in Urine (confinement period)

时间窗: Measured from Day -1 to Day 5.

Concentrations of 3-HPMA measured in 24-hour urine and expressed as concentration adjusted for creatinine.

2-cyanoethyl mercapturic acid N-acetyl-S-(2-cyanoethyl)-L-cysteine (2-CyEMA) in Urine (confinement period)

时间窗: Measured from Day -1 to Day 5.

Concentrations of 2-CyEMA measured in 24-hour urine and expressed as concentration adjusted for creatinine.

Monohydroxybutenyl mercapturic acid (MHBMA) in Urine (confinement period)

时间窗: Measured from Day -1 to Day 5.

Concentrations of MHBMA measured in 24-hour urine and expressed as concentration adjusted for creatinine.

Total N-nitrosonornicotine (total NNN) in Urine (confinement period)

时间窗: Measured from Day -1 to Day 5.

Concentrations of total NNN measured in 24-hour urine and expressed as concentration adjusted for creatinine.

Total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (total NNAL) in Urine (confinement period)

时间窗: Measured from Day -1 to Day 5.

Concentrations of total NNAL measured in 24-hour urine and expressed as concentration adjusted for creatinine.

Carboxyhemoglobin (COHb) in Blood (confinement period)

时间窗: Measured from Day -1 to Day 5.

Carboxyhemoglobin (COHb) is assayed from whole blood and expressed as percentage of the total hemoglobin saturated with carbon monoxide.

次要结局

  • S-phenylmercapturic acid (S-PMA) in Urine (confinement period)(Measured from Day -1 to Day 5.)
  • 2-hydroxyethylmercapturic acid (2-HEMA) in Urine (confinement period)(Measured from Day -1 to Day 5.)
  • 3-hydroxy-1-methylpropylmercapturic acid (3-HMPMA) in Urine (confinement period)(Measured from Day -1 to Day 5.)
  • Total 3-hydroxybenzo(a)pyrene (3-OH-B[a]P) in Urine (confinement period)(Measured from Day -1 to Day 5.)
  • 4-aminobiphenyl (4-ABP) in Urine (confinement period)(Measured from Day -1 to Day 5.)
  • 2-aminonaphtalene (2-NA) in Urine (confinement period)(Measured from Day -1 to Day 5.)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (2)

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