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Evaluation of the Safety Profile, Quit and Reduction Rate After Nicorette® Gum and Patch Treatment

Primary Purpose

Tobacco Dependence

Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Nicotine Gum
Nicotine Patch
Sponsored by
McNeil AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tobacco Dependence focused on measuring nicotine dependence, smoking cessation, NRT

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Healthy males and females, aged 18 years or older
  • Normal dental status and chewing ability for nicotine gum users; normal skin without excessive hair growth on tested areas for nicotine patch users
  • Current daily smoker for at least two years
  • Have a carbon monoxide (CO) level of at least 10 parts per million (ppm) after at least 15 smoke-free minutes
  • Be motivated to stop smoking with the help of nicotine gum or patch treatment.
  • Evidence of a personally signed and dated informed consent form indicating that the subject has been informed of all pertinent aspects of the trial
  • Be willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other trial procedures.

Exclusion Criteria:

  • Current use of other tobacco-containing products e.g. snuff, chewing tobacco, cigars, or pipes.
  • Use of any other stop-smoking products (nicotine or non-nicotine) or treatment (hypnosis, acupuncture, etc) during the study i.e. during the last 6-month period.
  • Unstable angina pectoris or myocardial infarction during the previous 3 months.
  • Pregnancy, lactation or intended pregnancy.
  • Any major metabolic disease, clinically important renal, hepatic disease.
  • Suspected alcohol or drug abuse.
  • Participation in other clinical trials in the previous three months, or during study participation.
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial.

Sites / Locations

  • Beijing ChaoYang Hospital
  • People's Hospital affiliated to Beijing University
  • No. 1 Hospital affiliated to Zhongshan University
  • No. 1 Hospital affiliated to Guangzhou Medical University
  • Chang Zheng Hospital
  • Zhong Shan Hospital affiliated to Fudan University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Gum 2

Gum 4

Patch

Arm Description

Nicotine Gum 2 mg for subjects smoking less than 20 cigarettes per day; 2 mg for 12 week treatments and followed by 12 week off-treatment follow-up. Recommend subject to use 8-12 pieces daily for first 8 weeks and 4-6 pieces daily the next 2 weeks, then reduce to 1-3 pieces each day in last 2 weeks

Nicotine Gum 4 mg for subjects smoking 20 or more cigarettes per day; 4 mg for 12 week treatments and followed by 12 week off-treatment follow-up. Recommend subject to use 8-12 pieces daily for first 8 weeks and 4-6 pieces daily the next 2 weeks, then reduce to 1-3 pieces each day in last 2 weeks

Nicotine Patch; Each will use 15 mg/16 h patch for the first 8 weeks, 10 mg/16 h for the following 2 weeks and 5 mg/16 h for the last 2 weeks. Then followed by 12 week off-treatment follow-up.

Outcomes

Primary Outcome Measures

Treatment-Related Adverse Events
Percentage of subjects with treatment-related adverse events by preferred term, included if the percentage in any single arm was 1% or higher
Self-Reported Smoking Reduction
Percentage of subjects self-reporting reduction from baseline in number of cigarettes smoked per day
Smoking Abstinence
Continuous carbon monoxide (CO)-verified Smoking Abstinence from Quit day

Secondary Outcome Measures

Carbon Monoxide (CO)-Verified Smoking Reduction
Percentage of participants with carbon monoxide (CO)-verified reduction from baseline in number of cigarettes smoked per day (%)
Smoking Consumption Per Day
Number of cigarettes smoked by subjects reporting smoking since last visit - total during the day (for daily smokers)
Smoking Consumption Per Week
Number of cigarettes smoked by subjects reporting smoking since last visit - total during the the week (for non-daily smokers)
Point Prevalence Smoking Abstinence (PPSA)
Point Prevalence Smoking Abstinence since last visit. Point prevalence abstinence is defined as the percentage of former smokers who are not smoking at a particular point in time, typically at the time of assessment.

Full Information

First Posted
September 8, 2008
Last Updated
July 6, 2012
Sponsor
McNeil AB
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1. Study Identification

Unique Protocol Identification Number
NCT00749463
Brief Title
Evaluation of the Safety Profile, Quit and Reduction Rate After Nicorette® Gum and Patch Treatment
Official Title
Evaluation of the Safety Profile, Quit and Reduction Rate After Nicorette® Gum and Patch Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Completed
Study Start Date
February 2009 (undefined)
Primary Completion Date
November 2009 (Actual)
Study Completion Date
November 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
McNeil AB

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the safety, smoking cessation and reduction rate during 3 months of active nicotine replacement therapy (NRT) and a follow-up period of 3 months in smoking hospital physicians and staff who are motivated to quit
Detailed Description
Using Nicorette® gum 2 mg, 4 mg and Nicorette® patch 5 mg/16 h, 10 mg/16 h, 15 mg/16 h to alleviate nicotine cravings and withdrawal symptoms and assist smoking cessation in smoking hospital physicians and staff who are motivated to quit. During the study, brief telephone consultation and SMS are provided as behavioral supports.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tobacco Dependence
Keywords
nicotine dependence, smoking cessation, NRT

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
300 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Gum 2
Arm Type
Experimental
Arm Description
Nicotine Gum 2 mg for subjects smoking less than 20 cigarettes per day; 2 mg for 12 week treatments and followed by 12 week off-treatment follow-up. Recommend subject to use 8-12 pieces daily for first 8 weeks and 4-6 pieces daily the next 2 weeks, then reduce to 1-3 pieces each day in last 2 weeks
Arm Title
Gum 4
Arm Type
Experimental
Arm Description
Nicotine Gum 4 mg for subjects smoking 20 or more cigarettes per day; 4 mg for 12 week treatments and followed by 12 week off-treatment follow-up. Recommend subject to use 8-12 pieces daily for first 8 weeks and 4-6 pieces daily the next 2 weeks, then reduce to 1-3 pieces each day in last 2 weeks
Arm Title
Patch
Arm Type
Experimental
Arm Description
Nicotine Patch; Each will use 15 mg/16 h patch for the first 8 weeks, 10 mg/16 h for the following 2 weeks and 5 mg/16 h for the last 2 weeks. Then followed by 12 week off-treatment follow-up.
Intervention Type
Drug
Intervention Name(s)
Nicotine Gum
Other Intervention Name(s)
Nicorette® Gum
Intervention Description
2 mg or 4 mg for 12 week treatments and followed by 12 week off-treatment follow-up. Recommend subject to use 8-12 pieces daily for first 8 weeks and 4-6 pieces daily the next 2 weeks, then reduce to 1-3 pieces each day in last 2 weeks
Intervention Type
Drug
Intervention Name(s)
Nicotine Patch
Other Intervention Name(s)
Nicorette® Patch
Intervention Description
Each will use 15 mg/16 h patch for the first 8 weeks, 10 mg/16 h for the following 2 weeks and 5 mg/16 h for the last 2 weeks. Then followed by 12 week off-treatment follow-up.
Primary Outcome Measure Information:
Title
Treatment-Related Adverse Events
Description
Percentage of subjects with treatment-related adverse events by preferred term, included if the percentage in any single arm was 1% or higher
Time Frame
24 Weeks
Title
Self-Reported Smoking Reduction
Description
Percentage of subjects self-reporting reduction from baseline in number of cigarettes smoked per day
Time Frame
24 Weeks
Title
Smoking Abstinence
Description
Continuous carbon monoxide (CO)-verified Smoking Abstinence from Quit day
Time Frame
24 Weeks
Secondary Outcome Measure Information:
Title
Carbon Monoxide (CO)-Verified Smoking Reduction
Description
Percentage of participants with carbon monoxide (CO)-verified reduction from baseline in number of cigarettes smoked per day (%)
Time Frame
Baseline to Week 24
Title
Smoking Consumption Per Day
Description
Number of cigarettes smoked by subjects reporting smoking since last visit - total during the day (for daily smokers)
Time Frame
24 Weeks from last visit:
Title
Smoking Consumption Per Week
Description
Number of cigarettes smoked by subjects reporting smoking since last visit - total during the the week (for non-daily smokers)
Time Frame
24 Weeks from last visit:
Title
Point Prevalence Smoking Abstinence (PPSA)
Description
Point Prevalence Smoking Abstinence since last visit. Point prevalence abstinence is defined as the percentage of former smokers who are not smoking at a particular point in time, typically at the time of assessment.
Time Frame
24 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy males and females, aged 18 years or older Normal dental status and chewing ability for nicotine gum users; normal skin without excessive hair growth on tested areas for nicotine patch users Current daily smoker for at least two years Have a carbon monoxide (CO) level of at least 10 parts per million (ppm) after at least 15 smoke-free minutes Be motivated to stop smoking with the help of nicotine gum or patch treatment. Evidence of a personally signed and dated informed consent form indicating that the subject has been informed of all pertinent aspects of the trial Be willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other trial procedures. Exclusion Criteria: Current use of other tobacco-containing products e.g. snuff, chewing tobacco, cigars, or pipes. Use of any other stop-smoking products (nicotine or non-nicotine) or treatment (hypnosis, acupuncture, etc) during the study i.e. during the last 6-month period. Unstable angina pectoris or myocardial infarction during the previous 3 months. Pregnancy, lactation or intended pregnancy. Any major metabolic disease, clinically important renal, hepatic disease. Suspected alcohol or drug abuse. Participation in other clinical trials in the previous three months, or during study participation. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jackie Mao
Organizational Affiliation
Shanghai Johnson & Johnson Pharmaceuticals
Official's Role
Study Chair
Facility Information:
Facility Name
Beijing ChaoYang Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100043
Country
China
Facility Name
People's Hospital affiliated to Beijing University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100044
Country
China
Facility Name
No. 1 Hospital affiliated to Zhongshan University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510080
Country
China
Facility Name
No. 1 Hospital affiliated to Guangzhou Medical University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510120
Country
China
Facility Name
Chang Zheng Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200003
Country
China
Facility Name
Zhong Shan Hospital affiliated to Fudan University
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China

12. IPD Sharing Statement

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Evaluation of the Safety Profile, Quit and Reduction Rate After Nicorette® Gum and Patch Treatment

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