N/A
N=142
A Study to Assess Changes in Cigarette Consumption During a Switch to Very Low Nicotine Cigarettes
Tobacco Use
Bottom Line
View on ClinicalTrials.gov: NCT03571724 ↗Enrolled (actual)
142
Serious AEs
0.7%
Results posted
Sep 2020
Primary outcome: Primary: Cigarettes Per Day — 14.75; 17.19; 15.76; 16.29 Cigarettes Per Day (CPD)
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Non-Menthol Very Low Nicotine Cigarettes (Other); Menthol Very Low Nicotine Cigarettes (Other); Subject's UB non-mentholated filtered cigarettes (Other); Subject's UB mentholated filtered cigarettes (Other)
- Age
- Adult, Older Adult · 26+ yrs
- Sex
- All
- Sponsor
- 22nd Century Group, Inc.
- Primary completion
- Jan 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Cigarettes Per Day |
14.75; 17.19; 15.76; 16.29; 16.80; 16.55 | — |
| SECONDARY Biomarkers of Exposure - Total 4-(Methylnitrosamino)-1-(3-pyridyl)-1 Butanol (NNAL) |
582.855; 423.752; 502.500; 614.06; 479.979; 548.658 | — |
| SECONDARY Biomarkers of Exposure - Total N-Nitrosonornicotine (NNN) |
20.070; 12.370; 16.181; 22.614; 13.641; 18.237 | — |
| SECONDARY Biomarkers of Exposure - S-phenylmercapturic Acid (S-PMA) |
7.144; 6.561; 6.850; 7.935; 8.239; 8.083 | — |
| SECONDARY Biomarkers of Exposure - 3-hydroxypropylmercapturic Acid (3-HPMA) |
1795.719; 1644.113; 1719.151; 1910.675; 1520.921; 1720.551 | — |
| SECONDARY Biomarkers of Exposure - 1-hydroxy Pyrene(1-OHP) |
334.920; 315.203; 324.962; 314.736; 316.566; 315.629 | — |
| SECONDARY Biomarkers of Exposure - Total Nicotine Equivalents |
17.511; 15.885; 16.690; 17.732; 15.928; 16.852 | — |
| SECONDARY Biomarkers of Exposure - Carboxyhemoglobin (COHb) |
6.20; 5.69; 5.95; 5.25; 5.41; 5.33 | — |
| SECONDARY Biomarkers of Exposure -Cotinine |
242.0; 221.4; 58.8; 58.7; 223.9; 195.8 | — |
| SECONDARY Nicotine Pharmacokinetics - Maximum Nicotine Concentration (C-Max) |
13.28; 12.98; 0.3264; 0.3561; 0.4026; 0.3259 | — |
| SECONDARY Nicotine Pharmacokinetics - Peak Nicotine Time (T-Max) |
13.60; 0.1408; 0.1154; 0.1430; 0.1446; 0.2895 | — |
| SECONDARY Nicotine Pharmacokinetics - Area Under Nicotine Concentration Curve (AUC) |
13.60; 13.18; 0.2006; 0.2264; 0.2620; 0.2348 | — |
| SECONDARY Smoking Topography - Puff Duration |
23.494; 27.783; 25.639; 23.282; 24.559; 23.940 | — |
| SECONDARY Smoking Topography - Puff Volume |
50.7496; 57.8934; 54.3215; 44.6595; 49.7368; 47.2751 | — |
| SECONDARY Smoking Topography - Peak Puff Flow Rate |
44.3213; 45.9639; 45.1426; 39.7010; 41.4412; 40.5975 | — |
| SECONDARY Smoking Topography - Average Flow Rate |
27.8305; 28.5428; 28.1866; 23.6309; 25.4534; 24.5698 | — |
| SECONDARY Smoking Topography - Inter-puff Interval |
30.269; 29.222; 29.746; 24.280; 26.624; 25.488 | — |
| SECONDARY Subjective Effects -Fagerstrom Test for Cigarette Dependance (FTCD) |
5.2; 6.0; 5.6; 5.2; 5.4; 5.3 | — |
| SECONDARY Subjective Effects -Brief Questionnaire of Smoking Urges (QSU-Brief) |
4.2; 4.3; 4.3; 4.51; 3.8; 4.1 | — |
| SECONDARY Subjective Effects - Minnesota Nicotine Withdrawal Scale - Revised (MNWS-R) |
8.1; 13.0; 10.6; 10.6; 9.2; 9.9 | — |
| SECONDARY Subjective Effects - Perceived Health Risks |
7.0; 7.6; 7.3; 6.6; 7.7; 7.1 | — |
Summary
This study evaluates the impact of switching from usual brand cigarettes to very low nicotine cigarettes on cigarette consumption, smoking behavior, and biomarkers of exposure.
Eligibility Criteria
Inclusion Criteria
Potential subjects must fulfill all of the following inclusion criteria to be eligible for participation in the study.
- Is a healthy adult male or female adult smoker, 26 to 65 years of age, inclusive, at Screening.
- Has been a smoker for at least 5 years prior to Screening. Brief periods of non smoking (e.g., up to 7 consecutive days due to illness, trying to quit, participation in a study where smoking was prohibited) during that time will be permitted at the discretion of the Investigator.
- Reports smoking an average of 10 or more manufactured combustible cigarettes per day at Screening.
- Usual brand (UB) of cigarette is a filtered king size cigarette (with an approximate length of 84 mm (± 3 mm)).
- Has a positive urine cotinine (≥ 500 ng/ml) at Screening.
- Has an exhaled Carbon Monoxide > 10 ppm at Screening.
- If female, has a negative serum pregnancy test at Screening.
- A female subject of childbearing potential must have been using one of the following forms of contraception and agree to continue using it through completion of the study:
- hormonal (e.g., oral, vaginal ring, transdermal patch, implant, or injection) consistently for at least 3 months prior to Screening;
- double barrier method (e.g., condom with spermicide, diaphragm with spermicide) consistently for at least 14 days prior to Screening;
- intrauterine device for at least 3 months prior to Screening;
- Essure® or similar nonsurgical sterilization procedure at least 6 months prior to Screening
- a partner who has been vasectomized for at least 6 months prior to Screening;
- abstinence beginning at least 14 days prior to Screening and through the End of Study.
- A female subject of non childbearing potential must have undergone one of the following sterilization procedures at least 6 months prior to Screening:
- hysteroscopic sterilization;
- bilateral tubal ligation or bilateral salpingectomy;
- hysterectomy;
- bilateral oophorectomy; Or be postmenopausal with amenorrhea for at least 1 year prior to Day 1 and follicle stimulating hormone (FSH) levels consistent with postmenopausal status.
- Willing to comply with the requirements of the study, including a willingness to use the test products.
- Voluntary consent to participate in this study documented on the signed informed consent form (ICF).
- Subject is not planning to leave the area during the course of the study.
Exclusion Criteria
Subjects may be excluded from the study if there is evidence of any of the following criteria at Screening, start of Week -1 (first clinic visit), or during the study as noted, in the opinion of the Investigator.
- History or presence of clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, urologic, pulmonary (especially bronchospastic diseases and asthma), immunologic, psychiatric, or cardiovascular disease, or any other condition that, in the opinion of the Investigator, would jeopardize the safety of the subject or impact the validity of the study results.
- Clinically significant abnormal findings on the physical examination, medical history, ECG, or clinical laboratory results, in the opinion of the Investigator.
- Positive test for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV).
- An acute illness (e.g., upper respiratory infection, viral infection) requiring treatment with prescription medication(s) within 14 days prior to Screening or first clinic visit.
- Fever (>100.5 degrees F) at Screening or first clinic visit.
- Body mass index (BMI) greater than 40.0 kg/m2 or less than 18.0 kg/m2 at Screening.
- History of drug or alcohol abuse or has used medical/recreational marijuana within 12 months of Screening.
- Diabetes mellitus that is not controlled by diet/exercise alone, in the opinion of the Investigator.
- Seated heart rate is lower than 40 bpm or higher than 99 bpm at Screening, unless deemed not cli
Data sourced from ClinicalTrials.gov (NCT03571724). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.