N/A
N=154
A Study to Evaluate Changes in Smokers Using An Oral Tobacco-Derived Nicotine Product
Tobacco Use
Bottom Line
View on ClinicalTrials.gov: NCT04079933 ↗Enrolled (actual)
154
Serious AEs
0.0%
Results posted
Sep 2024
Primary outcome: Primary: Summary Statistics of Percent Change From Baseline for Urinary Total 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) (%) (Per-Protocol Population) — 3.8; 13.8; 12.5; 30.4 percent change from baseline — p=0.2347
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Oral tobacco-derived nicotine product (OTDN) (Other)
- Age
- Adult, Older Adult · 21+ yrs
- Sex
- All
- Sponsor
- Altria Client Services LLC
- Primary completion
- Nov 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Summary Statistics of Percent Change From Baseline for Urinary Total 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) (%) (Per-Protocol Population) |
3.8; 13.8; 12.5; 30.4; 16.0; 29.2 | 0.2347 |
| SECONDARY Summary Statistics of Change From Baseline for Urinary Total NNAL (ng/g Creatinine) (Per-Protocol Population) |
14.99; 9.47; 70.90; 76.50; 66.23; 117.69 | 0.9433 |
| SECONDARY Summary Statistics of Change From Baseline for Nicotine Equivalents (mg / g Creatinine) (Per-Protocol Population) |
-0.6; 0.6; 1.9; 2.5; 1.1; 4.3 | 0.4903 |
| SECONDARY Summary Statistics of Percent Change From Baseline for Nicotine Equivalents (%) (Per-Protocol Population) |
3.2; 14.8; 18.7; 26.3; 15.7; 30.8 | 0.4060 |
| SECONDARY Summary Statistics of Change From Baseline for S-phenyl Mercapturic Acid (S-PMA) (ng/g Creatinine) (Per-Protocol Population) |
506.33; 242.66; 1129.88; 809.04; 1102.42; 1637.29 | 0.7240 |
| SECONDARY Summary Statistics of Percent Change From Baseline for S-PMA (%) (Per-Protocol Population) |
17.5; 21.1; 13.4; 38.2; 19.7; 44.4 | 0.1524 |
| SECONDARY Summary Statistics of Change From Baseline for Carboxyhemoglobin (%) (Per-Protocol Population) |
-0.42; 0.03; -0.24; 0.39; -0.02; 0.39 | 0.0241 sig |
| SECONDARY Summary Statistics of Percent Change From Baseline for Carboxyhemoglobin (%) (Per-Protocol Population) |
-6.3; 5.3; -4.0; 9.8; 1.4; 11.3 | 0.0333 sig |
| SECONDARY Summary Statistics of Change From Baseline for Exhaled Carbon Monoxide (Ppm) (Per-Protocol Population) |
-1.4; -0.2; -1.9; 0.7; -0.8; 0.6 | 0.2961 |
| SECONDARY Summary Statistics of Percent Change From Baseline for Exhaled Carbon Monoxide (%) (Per-Protocol Population) |
-0.8; 12.0; -5.8; 11.4; 3.5; 13.9 | 0.2048 |
| SECONDARY Summary Statistics of Change From Baseline in Cigarettes Smoked Per Day (Per-Protocol Population) |
-2.7; 0.5; -3.1; 0.3; -2.9; 0.3 | <0.0001 sig |
| SECONDARY Summary Statistics of Percent Change From Baseline for Cigarettes Smoked Per Day (CPD) (Per-Protocol Population) |
-15.0; 3.1; -16.5; 2.9; -16.3; 2.9 | <0.0001 sig |
| SECONDARY Summary Statistics of Change From Baseline for Total Score of Fagerstrom Test for Cigarette Dependence (Per-Protocol Population) |
-0.4; 0.0 | 0.0919 |
| SECONDARY Count of Subjects in Subgroups Based on Change From Baseline to End of Study on Change in Quit Attempts (Per-Protocol) |
4; 0; 82; 53; 1; 2 | 0.2160 |
| SECONDARY Count of Subjects in Subgroups Based on Change From Baseline to End of Study on Change in Quitting Intentions (Per-Protocol) |
12; 5; 74; 45 | 0.5977 |
| SECONDARY Difference in Means of Urinary Total NNAL Exposure Between Day 1 and Day 8 (Per-Protocol) |
485.0; 495.0 | 0.4388 |
| SECONDARY Difference in Means of Nicotine Equivalents Exposure Between Day 1 and Day 8 (Per-Protocol) |
13.29; 13.74 | 0.3390 |
| SECONDARY Difference in Means of S-PMA Exposure Between Day 1 and Day 8 (Per-Protocol) |
5773; 5567 | 0.4526 |
| SECONDARY Difference in Means of Carboxyhemoglobin (COHb) Exposure Between Day 1 and Day 8 (Per-Protocol) |
5.4; 5.4 | 0.9440 |
| SECONDARY Difference in Means of Carbon Monoxide (CO) Exposure Between Day 1 and Day 8 (Per-Protocol) |
22; 22 | 0.7484 |
| SECONDARY Difference in Cigarettes Per Day Between the Once Weekly Recall at Day 8 (From Questionnaire) and the Average Daily Tracking Days 2 Through 8 (From IVRS) (Per-Protocol) |
19; 19 | 0.9992 |
| SECONDARY Frequency and Percentage of Subjects With Change From Baseline in Cigarette Consumption |
5; 3; 6; 4; 6; 4 | — |
| SECONDARY Frequency and Percentage of Subjects With Change From Baseline in Urinary Total NNAL (ng / g Creatinine) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Frequency and Percentage of Subjects With Change From Baseline in Quitting Intentions |
12; 5; 0; 0; 74; 45 | — |
| SECONDARY Summary Statistics of Cigarettes Smoked Per Day on Visits 2 (Day 1) and 3 (Day 8) |
17.7; 19.8; 17.6; 20.0 | — |
| SECONDARY Summary Statistics of Carboxyhemoglobin by Study Group and Cigarette Consumption Categories Over Visits |
6.5; 5.5; 6.6; 5.3; 6.2; 5.5 | — |
| SECONDARY Summary Statistics of Exhaled Carbon Monoxide by Study Group and Cigarette Consumption Categories Over Visits |
28.3; 21.0; 29.6; 20.6; 28.5; 21.4 | — |
| SECONDARY Summary Statistics of S-PMA by Study Group and Cigarette Consumption Categories Over Visits |
7331.62; 5283.78; 5731.61; 4934.00; 6793.00; 5961.02 | — |
| SECONDARY Descriptive Statistics for Cigarettes Smoked Per Day (CPD) (Recall Data) in Day 1 and 8 (Respectively) by Study Group and Cigarette Consumption Categories |
15.6; 19.7; 16.1; 19.9; 19.5; 20.0 | — |
| SECONDARY Summary Statistics of Cigarettes Smoked Per Day (IVRS Data) by Study Group and Cigarette Consumption Categories on Days 1 Through 8 |
16.5; 19.1; 15.4; 17.4; 17.0; 20.00 | — |
| SECONDARY Median Change From Baseline to End of Study for Urinary Total NNAL by Study Group |
472.893; 395.108; 444.709; 476.795; 5.448; 70.129 | — |
| SECONDARY Median Change From Baseline to End of Study for Urinary Total NNAL by Study Group and Cigarette Consumption Categories |
548.817; 415.790; 719.799; 489.729; 168.889; 67.998 | — |
| SECONDARY Change From Baseline to End of Study Summary Statistics of Urinary Total NNAL (ng/g Creatinine) by Study Group and Cigarette Consumption Categories Over Visits |
551.02; 440.36; 721.93; 538.09; 158.11; 92.60 | — |
| SECONDARY Percent Change From Baseline to End of Study Summary Statistics of Urinary Total NNAL (%) by Study Group and Cigarette Consumption Categories Over Visits |
551.02; 440.36; 721.93; 538.09; 43.2; 31.7 | — |
| SECONDARY Change From Baseline to End of Study Summary Statistics of Nicotine Equivalents (mg/g Creatinine) by Study Group and Cigarette Consumption Categories Over Visits |
18.24; 13.70; 24.84; 16.55; 6.77; 3.73 | — |
| SECONDARY Percent Change From Baseline to End of Study Summary Statistics of Nicotine Equivalents (%) by Study Group and Cigarette Consumption Categories Over Visits |
18.24; 13.70; 24.84; 16.55; 62.5; 41.1 | — |
| SECONDARY Change From Baseline to End of Study Summary Statistics of S-PMA (ng/g Creatinine) by Study Group and Cigarette Consumption Categories Over Visits |
5731.61; 4934.00; 8389.80; 6358.61; 2410.02; 1341.70 | — |
| SECONDARY Percent Change From Baseline to End of Study Summary Statistics of S-PMA (%) by Study Group and Cigarette Consumption Categories Over Visits |
5731.61; 4934.00; 8389.80; 6358.61; 50.0; 46.5 | — |
| SECONDARY Change From Baseline to End of Study Summary Statistics of Carboxyhemoglobin (%) by Study Group and Cigarette Consumption Categories Over Visits |
6.62; 5.31; 5.97; 5.39; -0.65; 0.09 | — |
| SECONDARY Percent Change From Baseline to End of Study Summary Statistics of Carboxyhemoglobin (%) by Study Group and Cigarette Consumption Categories Over Visits |
6.62; 5.31; 5.97; 5.39; -7.6; 3.6 | — |
| SECONDARY Change From Baseline to End of Study Summary Statistics of Exhaled Carbon Monoxide (Ppm) by Study Group and Cigarette Consumption Categories Over Visits |
29.64; 20.59; 25.91; 20.21; -3.73; -0.38 | — |
| SECONDARY Percent Change From Baseline to End of Study Summary Statistics of Exhaled Carbon Monoxide (%) by Study Group and Cigarette Consumption Categories Over Visits |
29.64; 20.59; 25.91; 20.21; -7.0; 6.8 | — |
| SECONDARY Characterization of Subgroups Based on Change From Baseline in Total NNAL |
46; 36; 38; 18 | 0.1661 |
Summary
The purpose of this study was to estimate changes in biomarkers of exposure (BOE) in adult cigarette smokers using an oral tobacco-derived nicotine (OTDN) product relative to adult smokers who continue smoking exclusively.
Eligibility Criteria
Inclusion Criteria
Subject must:
- sign an Institutional Review Board (IRB)-approved Informed Consent Form (ICF) for the study.
- be between the ages of 21 and 65 years, inclusive, at the time of Screening.
- have consumed a minimum of 10 manufactured cigarettes per day (CPD) daily during the last 6 months (entire 6 month period must have occurred after subject turned 21 years of age).
- indicate that he/she smokes cigarettes "every day" at Screening and on Day 1
- be able to fully comprehend the English language.
- have an active phone number and must have daily access to a touchtone phone between 1600 and 1900 hours.
- be interested in alternative tobacco products to cigarettes at Screening.
- indicate that they "definitely would buy" or "probably would buy" on the VBM-FG2 Potential Purchase Interest Questionnaire.
- be in generally good health.
- if female, have a negative urine dipstick pregnancy test.
- if female heterosexually active and of childbearing potential (i.e., not surgically sterile or two years naturally postmenopausal), agree to use a medically accepted method of contraception from Screening through the End of Study.
- have clinical laboratory tests within the appropriate reference range or which are clinically acceptable to the Investigator.
- have a negative ethanol, amphetamines, opiates, cannabinoids, and cocaine urine drug screen.
- test negative for human immunodeficiency (HIV), hepatitis B (hepatitis B surface antigen [HBsAg]), and Hepatitis C (anti-hepatitis C virus antibody [anti-HCV]).
- be willing and able to comply with the requirements of the study.
Exclusion Criteria
Subject must not:
- be pregnant, nursing, or planning to become pregnant during the study period.
- indicate that he/she intends to quit smoking within the next 30 days (at Screening or on Day 1).
- have uncontrolled hypertension, history of coronary heart disease or other significant heart conditions, and/or other significant medical conditions that might interfere with study procedures.
- have used prescription anti-diabetic medication and/or insulin therapy within 12 months of Day 1.
- have a history of drug or alcohol abuse within the 24 months prior to Screening.
- have participated in a clinical study for an investigational drug, device, or biologic within 30 days prior to enrollment (Day 1).
- be a current user of nicotine replacement therapy (indicate every day or some days on Subject Screener/Tobacco History Questionnaire).
- be a current or former employee of the tobacco industry or a first-degree relative (e.g., parent, sibling, child) of a current or former employee of the tobacco industry.
- have been involved in the development of the study design/conduct or be a first-degree relative (e.g., parent, sibling, child) of someone involved in the development of the study design/conduct.
- be a current employee or personnel involved with the study at the study site.
- be currently participating in the study at a different study site (i.e., each subject can only be in the study population once).
Data sourced from ClinicalTrials.gov (NCT04079933). 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.