| Eligibility |
Inclusion Criteria:
1. Able to read, understand, and willing to sign an informed consent form (ICF) and
complete questionnaires written in English.
2. Generally healthy male or female, 21 to 60 years of age, inclusive, at the time of
consent.
3. Expired breath carbon monoxide level is = 10 ppm and = 100 ppm at Screening.
4. Positive urine cotinine test at Screening.
5. Smokes only combustible, filtered, menthol cigarettes, 83 mm to 100 mm in length.
6. Agrees to smoke same usual brand (UB) cigarette throughout the study period. UB
cigarette is defined as the cigarette brand style currently smoked most frequently by
the subject.
7. Subjects must meet one (a or b) of the following tobacco use conditions:
1. Smokes at least 10 cigarettes per day (on average) and inhales the smoke, for at
least 6 months prior to Screening. Brief periods of abstinence due to illness,
quit attempt (prior to 30 days of Screening), or clinical study participation
(prior to 30 days of Screening) will be allowed at the discretion of the
Principal Investigator (PI).
2. Dual user of combustible cigarettes and electronic cigarettes (ECs) who
self-reports:
i. Smoking at least 10 cigarettes per day (on average) and inhales the smoke, for at
least 6 months prior to Screening Visit. Brief periods of abstinence more than 30 days
prior to screening due to illness, quit attempt or clinical study participation will
be allowed at the discretion of the Investigator and ii. Using a nicotine-containing
ENDS (cartridge or a tank system).
8. Response at Screening to the Fagerström Test for Nicotine Dependence (FTND) Question 1
("How soon after you wake up do you smoke your first cigarette?") is either "Within 5
minutes" or "6-30 minutes."
9. Willing to use UB cigarette, ENDS, and Nicorette gum during the study period.
10. Willing to abstain from tobacco and nicotine use for at least 12 hours prior to each
Test Session.
11. Females must be willing to use a form of contraception acceptable to the PI from the
time of signing informed consent until End-of-Study.
12. Agrees to in-clinic confinement of 8 days and 7 nights.
Exclusion Criteria:
1. Presence of clinically significant uncontrolled cardiovascular, pulmonary, renal,
hepatic, endocrine, gastrointestinal, psychiatric, hematological, neurological
disease, or any other concurrent disease or medical condition that, in the opinion of
the PI, makes the study subject unsuitable to participate in this clinical study.
2. History, presence of, or clinical laboratory test results indicating diabetes.
3. Systolic blood pressure of > 160 mmHg or a diastolic blood pressure of > 95 mmHg,
measured after being seated for five minutes at Screening and at check-in Day 1.
4. Weight of = 110 pounds.
5. Hemoglobin level is < 12.5 for females or <13.0 for males g/dL at Screening.
6. Scheduled treatment for asthma currently or within the past consecutive 12 months
prior to the Screening Visit. As-needed treatment, such as inhalers, may be included
at the PI's discretion pending approval from the Medical Monitor.
7. Positive test for human immunodeficiency virus (HIV), hepatitis B surface antigen
(HBsAg), or hepatitis C virus (HCV).
8. Any history of cancer, except for primary cancers of skin such as localized basal
cell/squamous cell carcinoma that has been surgically and/or cryogenically removed.
9. Must not be a current regular user (i.e., > 5 times per month) of any tobacco products
other than CCs or ENDS within the last 6 months prior to screening.
10. Use of any medication or substance that aids in smoking cessation, including but not
limited to any nicotine replacement therapy (e.g., nicotine gum, lozenge, patch),
varenicline (Chantix®), bupropion (Wellbutrin®, Zyban®), or lobelia extract within (=)
30 days prior to the signing of informed consent.
11. History or presence of bleeding or clotting disorders.
12. Any use of anticoagulants or daily use of aspirin (= 325 mg).
13. Whole blood donation within 8 weeks (= 56 days) prior to the signing of informed
consent and between Screening and check-in Day 1.
14. Plasma donation within (=) 7 days prior to the signing of informed consent and between
Screening and check-in Day 1.
15. Participation in another clinical trial within (=) 30 days prior to the signing of
informed consent. The 30-day window for each subject will be derived from the date of
the last study event in the previous study to the time of signing the ICF in the
current study.
16. Females who have a positive pregnancy test, are pregnant, breastfeeding, or intend to
become pregnant during the course of the study.
17. Individuals = 35 years of age currently using systemic, estrogen-containing
contraception or hormone replacement therapy.
18. A positive urine drug screen without evidence of prescribed corresponding concomitant
medication(s) at Screening or Day 1.
19. Postpones a decision to quit using tobacco- or nicotine-containing products in order
to participate in this study or a previous quit attempt within (=) 30 days prior to
the signing of the ICF.
20. Drinks more than 21 servings of alcoholic beverages per week or has a positive alcohol
breathalyzer result at Screening or Day 1.
21. Employed by a tobacco or nicotine company, the study site, or handles tobacco- or
nicotine-containing products as part of their job.
22. Determined by the PI to be inappropriate for this study.
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