Tobacco Use Clinical Trial
Official title:
Evaluation of the Abuse Liability of Very Low Nicotine (VLN) Mentholated Cigarettes With Characterization of Nicotine Exposure Profiles in Adult Smokers
This study is designed to evaluate the abuse liability of mentholated very low nicotine cigarettes compared to nicotine gum and usual brand cigarettes.
This study will be a randomized, two-part, 3-way crossover designed to evaluate the abuse
liability, pharmacokinetics (PK), and product use behavior associated with study products,
including menthol VLN cigarettes, subjects' own-brand cigarettes, and nicotine polacrilex gum
in healthy adult male and female exclusive smokers. Subjects will participate in a standard
Screening visit and one 7-day Confined Assessment Phase, which will include a product trial
session (Day -1), and two study parts (Part A and Part B). Following the Screening visit,
eligible subjects will check-in to the study site on Day -1. Following the polacrilex gum
training session, subjects will be required to abstain from nicotine- and tobacco-containing
products for approximately 20 hours until the first product use session on Days 1 to 3; use
of other nicotine-containing products will be prohibited throughout the study. No additional
tobacco or nicotine products will be provided after the second product use on Days 4 to 6.
On Day 1, subjects will be randomized to one of three product sequence groups in Part A,
which will consist of an ad libitum product use session for each of the following study
products for 4 hours in a randomized crossover manner (Days 1 to 3; one product per day):
Product A: VLN menthol cigarette
Product B: Own-brand filtered standard king size menthol cigarette
Product C: 4 mg Nicotine polacrilex gum
A pharmacodynamic measure ("use product again" visual analog scale (VAS)) will be
administered at the end of each ad libitum product use period. Product use behaviors (i.e.,
number of units consumed,duration of gum in mouth) will be collected throughout each ad
libitum product use period. Upon completion of Part A, subjects will be randomized to one of
three product sequence groups in Part B, which will consist of 3 study days (Days 4 to 6),
with one product per day. Each study day will consist of: 1) Controlled Product Use Session
(10 puffs from their own-brand cigarette or VLN menthol cigarette [maximum 3 ± 2 seconds per
puff] at approximately 30 ± 5-second interpuff intervals, or chew the nicotine polacrilex gum
using the "chew and park" method for 10 minutes); and 2) Uncontrolled Product Use Session (ad
libitum use for 10 minutes). The Controlled Product Use Session and Uncontrolled Product Use
Session will be separated by approximately 6 hours. During Part B, pharmacodynamic measures,
pharmacokinetics (PK) , and product use behavior (Uncontrolled only) will be collected at
various time points each day.
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