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Clinical Study to Assess Bioequivalence Between Nicorette Extra Mint Gum and Nicorette® Mint Gum in Healthy Smokers

Primary Purpose

Tobacco Dependence

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Nicorette Extra Mint 2 mg Gum
Nicorette Mint 2 mg Gum
Nicorette Extra Mint 4mg Gum
Nicorette Mint 4 mg Gum
Sponsored by
McNeil AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Tobacco Dependence focused on measuring Bioequivalence

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male subjects between the ages of 18 and 55 years, inclusive, and healthy female subjects between the ages of 18 and 45 years, inclusive. Health is defined as the absence of clinically relevant abnormalities identified by a detailed medical history, physical examination, blood pressure and pulse rate measurements, 12-lead electrocardiogram (ECG) as well as clinical laboratory tests, as judged by the Investigator or an authorized physician.
  2. Smoking of at least 10 cigarettes daily for at least one year preceding inclusion.
  3. Subjects will have a body mass index (BMI) between 19 and 25 (inclusive) kg/m2 and a body weight >50 kg.
  4. Females of childbearing potential must have a negative pregnancy test at the screening visit.
  5. Male or non-pregnant, non-lactating female agree to the contraceptive requirements including male's and female partner's use of a highly effective methods of birth control for at least 3 months before the study, during the study and for 30 days after the last dose of the study drug).
  6. A personally signed and dated informed consent document, indicating that the subject has been informed of all pertinent aspects of the study before participating in any study-specific procedures.
  7. Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures specified in the protocol.

Exclusion Criteria:

  1. Use of medications other than contraceptives specified in Inclusion Criterion 4. Vitamins, dietary, and herbal supplements must be discontinued at least two days before the first dose of study medication.
  2. Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody, Human Immunodeficiency Virus (HIV) or syphilis.
  3. Hypersensitivity to the ingredients/components of any of the IPs.
  4. History of alcoholism, as judged by the Investigator, within the past 6 months preceding this study and/or presenting a positive respiratory alcohol test (breathalyzer) at the screening visit.
  5. History of drug abuse or presenting a positive drug screening test for psychoactive drugs and narcotic substances at screening visit.
  6. Treatment with an IP within 3 months preceding this study.
  7. Donation or loss of blood within 3 months preceding this study if the estimated lost blood volume equaled or exceeded 200 mL.
  8. Impaired chewing capability as assessed by oral examination (e.g. dentures, significant oral ulceration) or impaired salivary secretion (e.g. Sicca syndrome). Piercing of tongue and lips is considered to impair oral function.
  9. Preplanned surgery or procedures during the study period, if this may interfere with the conduct of the study.
  10. Relationship to persons involved directly with the conduct of the study (i.e. PI; Sub investigators; study coordinators; other study personnel; employees or contractors of the sponsor or Johnson & Johnson (J&J) subsidiaries; and the families of each).

Sites / Locations

  • Beijing Hospital, No.1

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Treatment A

Treatment B

Treatment C

Treatment D

Arm Description

Nicorette Extra Mint 2 mg Gum

Nicorette Mint 2 mg Gum

Nicorette Extra Mint 4 mg Gum

Nicorette Mint 4 mg Gum

Outcomes

Primary Outcome Measures

Peak Plasma Concentration (Cmax) of nicotine.
The maximum observed plasma concentration (Cmax).
Area under the plasma concentration versus time curve (AUCt) from start of nicotine administration until the last measurable concentration.
AUCt is defined as area under the plasma concentration versus time curves from start of drug administration until the last measureable concentration.
Area under the plasma concentration versus time curve (AUC∞) of nicotine.
AUC∞ is defined as area under the plasma concentration versus time curves from start of drug administration until the nicotine plasma concentration is negligible (infinity).

Secondary Outcome Measures

The extrapolated part of area under the plasma concentration versus time curve (AUC∞) of nicotine.
The area under the plasma concentration versus time curves from start of drug administration until 48 hours (infinity).
The time at which the maximum nicotine concentration (Cmax) occurs (Tmax).
Tmax is defined as the time point at which the maximum nicotine concentration (Cmax) occurs.
Determination of the terminal elimination rate constant (lambda_z) for nicotine.
The rate at which the drug is removed from the body system.
The plasma half-life (t1/2) of nicotine.
The time taken for the nicotine plasma concentration to fall to half its original value.
Amount of nicotine extracted from Nicorette Mint 2 mg gums.
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Amount of nicotine extracted from Nicorette Mint 4 mg gums.
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Amount of nicotine extracted from Nicorette Extra Mint 2 mg gums.
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Amount of nicotine extracted from Nicorette Extra Mint 4 mg gums.
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Percentage of Subjects with Treatment-Emergent Adverse Events after single-dose administration of investigational product.
Percentage of subjects experiencing treatment-emergent adverse events by treatment, system organ class and preferred term.
Percentage of Subjects with Treatment-Emergent Adverse Events after single-dose administration of investigational product - by worst-case severity.
Percentage (%) of subjects experiencing treatment-emergent adverse events by treatment, system organ class, preferred term and severity.
Percentage of Subjects with common treatment-emergent adverse events (AEs) after single-dose administration of Investigational product.
Percentage (%) of subjects with commonly reported treatment-emergent adverse events by system organ class and preferred term.
Percentage of Subjects with treatment-related adverse events (AEs) after single-dose administration of investigational product.
Percentage (%) of subjects experiencing treatment-related adverse events by treatment, system organ class and preferred term.
Percentage of Subjects with treatment-related adverse events (AEs) after single-dose administration of investigational product - by worst-case severity.
Percentage (%) of subjects experiencing treatment-related adverse events by treatment, system organ class, preferred term and severity.
Percentage of Subjects with treatment-emergent serious adverse events (SAEs).
Percentage (%) of subjects experiencing treatment-emergent serious adverse events.

Full Information

First Posted
August 2, 2017
Last Updated
January 2, 2019
Sponsor
McNeil AB
Collaborators
Janssen (China) Research & Development Center
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1. Study Identification

Unique Protocol Identification Number
NCT03259607
Brief Title
Clinical Study to Assess Bioequivalence Between Nicorette Extra Mint Gum and Nicorette® Mint Gum in Healthy Smokers
Official Title
A Single Dose, Randomized, Four Period, Fasting, Crossover Study to Assess Bioequivalence Between an Oral Nicotine Replacement Product and Nicorette® Mint Gum 2 and 4 mg - in Adult Healthy Male and Female Smokers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
August 14, 2017 (Actual)
Primary Completion Date
December 25, 2017 (Actual)
Study Completion Date
January 9, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
McNeil AB
Collaborators
Janssen (China) Research & Development Center

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a research study to verify the same effectiveness and safety profile for the test products, nicotine 2 mg gum and nicotine 4 mg gum, as for the already approved products, Nicorette Mint 2 mg gum and Nicorette Mint 4 mg gum (reference products), in a standardized mode. This verification is done in a so-called bioequivalence study, which means that the same amount of the same active substance (nicotine), in the same dosage form, for the same route of administration, and meeting the same or comparable standards is performed. During the study visits, blood samples will be drawn to measure the level of the substance in the blood to verify that the two test products are comparable to the reference products. Tolerability of the treatments will be evaluated based on reported and observed adverse events.
Detailed Description
This is a single-center, randomized, single-dose open-label, cross-over study in 76 healthy males and females in total. The investigational products (IPs), i.e., Nicorette Extra Mint Gum 2 and 4 mg, and Nicorette Mint Gum 2 and 4 mg, will be given as single doses at separate treatment visits. Investigational treatments will be separated by at least 36 hours. Blood samples for determination of nicotine will be drawn pre-dose (within 5 minutes of administering, i.e., start of chewing) and at 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration. Used gums will be collected and analyzed to determine the amount of remaining nicotine. Any Adverse Events (AEs) that may occur will be registered.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tobacco Dependence
Keywords
Bioequivalence

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
single-center, randomized, single-dose, open-label, cross-over study
Masking
None (Open Label)
Allocation
Randomized
Enrollment
76 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment A
Arm Type
Experimental
Arm Description
Nicorette Extra Mint 2 mg Gum
Arm Title
Treatment B
Arm Type
Active Comparator
Arm Description
Nicorette Mint 2 mg Gum
Arm Title
Treatment C
Arm Type
Experimental
Arm Description
Nicorette Extra Mint 4 mg Gum
Arm Title
Treatment D
Arm Type
Active Comparator
Arm Description
Nicorette Mint 4 mg Gum
Intervention Type
Drug
Intervention Name(s)
Nicorette Extra Mint 2 mg Gum
Intervention Description
A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.
Intervention Type
Drug
Intervention Name(s)
Nicorette Mint 2 mg Gum
Intervention Description
A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.
Intervention Type
Drug
Intervention Name(s)
Nicorette Extra Mint 4mg Gum
Intervention Description
A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.
Intervention Type
Drug
Intervention Name(s)
Nicorette Mint 4 mg Gum
Intervention Description
A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.
Primary Outcome Measure Information:
Title
Peak Plasma Concentration (Cmax) of nicotine.
Description
The maximum observed plasma concentration (Cmax).
Time Frame
At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.
Title
Area under the plasma concentration versus time curve (AUCt) from start of nicotine administration until the last measurable concentration.
Description
AUCt is defined as area under the plasma concentration versus time curves from start of drug administration until the last measureable concentration.
Time Frame
At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.
Title
Area under the plasma concentration versus time curve (AUC∞) of nicotine.
Description
AUC∞ is defined as area under the plasma concentration versus time curves from start of drug administration until the nicotine plasma concentration is negligible (infinity).
Time Frame
At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.
Secondary Outcome Measure Information:
Title
The extrapolated part of area under the plasma concentration versus time curve (AUC∞) of nicotine.
Description
The area under the plasma concentration versus time curves from start of drug administration until 48 hours (infinity).
Time Frame
Extrapolation from 12 hours after start of drug administration until 48 hours.
Title
The time at which the maximum nicotine concentration (Cmax) occurs (Tmax).
Description
Tmax is defined as the time point at which the maximum nicotine concentration (Cmax) occurs.
Time Frame
At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.
Title
Determination of the terminal elimination rate constant (lambda_z) for nicotine.
Description
The rate at which the drug is removed from the body system.
Time Frame
At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.
Title
The plasma half-life (t1/2) of nicotine.
Description
The time taken for the nicotine plasma concentration to fall to half its original value.
Time Frame
At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.
Title
Amount of nicotine extracted from Nicorette Mint 2 mg gums.
Description
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Time Frame
After 30 minutes of chewing.
Title
Amount of nicotine extracted from Nicorette Mint 4 mg gums.
Description
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Time Frame
After 30 minutes of chewing.
Title
Amount of nicotine extracted from Nicorette Extra Mint 2 mg gums.
Description
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Time Frame
After 30 minutes of chewing.
Title
Amount of nicotine extracted from Nicorette Extra Mint 4 mg gums.
Description
The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.
Time Frame
After 30 minutes of chewing.
Title
Percentage of Subjects with Treatment-Emergent Adverse Events after single-dose administration of investigational product.
Description
Percentage of subjects experiencing treatment-emergent adverse events by treatment, system organ class and preferred term.
Time Frame
From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.
Title
Percentage of Subjects with Treatment-Emergent Adverse Events after single-dose administration of investigational product - by worst-case severity.
Description
Percentage (%) of subjects experiencing treatment-emergent adverse events by treatment, system organ class, preferred term and severity.
Time Frame
From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.
Title
Percentage of Subjects with common treatment-emergent adverse events (AEs) after single-dose administration of Investigational product.
Description
Percentage (%) of subjects with commonly reported treatment-emergent adverse events by system organ class and preferred term.
Time Frame
From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.
Title
Percentage of Subjects with treatment-related adverse events (AEs) after single-dose administration of investigational product.
Description
Percentage (%) of subjects experiencing treatment-related adverse events by treatment, system organ class and preferred term.
Time Frame
From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse event.
Title
Percentage of Subjects with treatment-related adverse events (AEs) after single-dose administration of investigational product - by worst-case severity.
Description
Percentage (%) of subjects experiencing treatment-related adverse events by treatment, system organ class, preferred term and severity.
Time Frame
From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.
Title
Percentage of Subjects with treatment-emergent serious adverse events (SAEs).
Description
Percentage (%) of subjects experiencing treatment-emergent serious adverse events.
Time Frame
From first dose received up to 2.5 weeks + 30 days follow up after study completion.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male subjects between the ages of 18 and 55 years, inclusive, and healthy female subjects between the ages of 18 and 45 years, inclusive. Health is defined as the absence of clinically relevant abnormalities identified by a detailed medical history, physical examination, blood pressure and pulse rate measurements, 12-lead electrocardiogram (ECG) as well as clinical laboratory tests, as judged by the Investigator or an authorized physician. Smoking of at least 10 cigarettes daily for at least one year preceding inclusion. Subjects will have a body mass index (BMI) between 19 and 25 (inclusive) kg/m2 and a body weight >50 kg. Females of childbearing potential must have a negative pregnancy test at the screening visit. Male or non-pregnant, non-lactating female agree to the contraceptive requirements including male's and female partner's use of a highly effective methods of birth control for at least 3 months before the study, during the study and for 30 days after the last dose of the study drug). A personally signed and dated informed consent document, indicating that the subject has been informed of all pertinent aspects of the study before participating in any study-specific procedures. Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures specified in the protocol. Exclusion Criteria: Use of medications other than contraceptives specified in Inclusion Criterion 4. Vitamins, dietary, and herbal supplements must be discontinued at least two days before the first dose of study medication. Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody, Human Immunodeficiency Virus (HIV) or syphilis. Hypersensitivity to the ingredients/components of any of the IPs. History of alcoholism, as judged by the Investigator, within the past 6 months preceding this study and/or presenting a positive respiratory alcohol test (breathalyzer) at the screening visit. History of drug abuse or presenting a positive drug screening test for psychoactive drugs and narcotic substances at screening visit. Treatment with an IP within 3 months preceding this study. Donation or loss of blood within 3 months preceding this study if the estimated lost blood volume equaled or exceeded 200 mL. Impaired chewing capability as assessed by oral examination (e.g. dentures, significant oral ulceration) or impaired salivary secretion (e.g. Sicca syndrome). Piercing of tongue and lips is considered to impair oral function. Preplanned surgery or procedures during the study period, if this may interfere with the conduct of the study. Relationship to persons involved directly with the conduct of the study (i.e. PI; Sub investigators; study coordinators; other study personnel; employees or contractors of the sponsor or Johnson & Johnson (J&J) subsidiaries; and the families of each).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shi Aixin, M. Pharm
Organizational Affiliation
BeiJing Hospital, No.1, Beijing, China.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Hospital, No.1
City
Beijing
ZIP/Postal Code
100730
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://filehosting-v2.pharmacm.com/api/Attachment/Download?tenantId=80217051&parentIdentifier=CO-160307090208-SCCT&attachmentIdentifier=c6a9db7d-71aa-4100-9101-9dce03e91cd3&fileName=Polar_Bear_CSR_Synopsis_redacted_CT.GOV_registration_of_Results_Redacted_PDFA.pdf&versionIdentifier=
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Clinical Study to Assess Bioequivalence Between Nicorette Extra Mint Gum and Nicorette® Mint Gum in Healthy Smokers

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