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Nicotine Delivery Rate and Its Abuse Potential: Impact of Menthol

Primary Purpose

Nicotine Dependence

Status
Completed
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
Nicotine saline infusion 0.00mcg/kg/s
Nicotine infusion 0.24mcg/kg/s
Nicotine infusion 0.096mcg/kg/s
Nicotine infusion 0.048 mcg/kg/s
Nicotine infusion 0.024mcg/kg/s
Sponsored by
Yale University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Nicotine Dependence

Eligibility Criteria

18 Years - 35 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Female and male smokers, aged 18 to 35 years, who have been smoking tobacco cigarettes for at least a year
  • Smoke ≥ 5 and less than 20 cigarettes per day;
  • Urine cotinine levels > 100 ng/mL consistent with nicotine intake of an active smoker (23)
  • Not seeking treatment at the time of the study for nicotine dependence;
  • In good health as verified by medical history, screening examination, and screening laboratory tests
  • For women, not pregnant as determined by pregnancy screening, nor breast feeding, and using acceptable birth control methods.

Exclusion criteria:

  • History of major medical or psychiatric disorders that the physician investigator deems as contraindicated for the subject to be in the study
  • Regular use of psychotropic medication (antidepressants, antipsychotics, or anxiolytics)
  • Current alcohol or substance dependence for any other recreational or prescription drugs other than nicotine
  • Use of e-cigarettes more than 10 days in the past 30 days
  • Urine drug screening indicating recent illicit drugs use (with the exception of marijuana).

Sites / Locations

  • Veterans Affairs Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

nicotine saline infusion 0.00mcg/kg/s

nicotine infusion 0.24mcg/kg/s

nicotine infusion 0.096mcg/kg/s

nicotine infusion 0.048mcg/kg/s

nicotine infusion 0.024mcg/kg/s

Arm Description

0.00 mcg/kg/s The day order will be randomized per day

0.24mcg/kg/s The day order will be randomized per day

0.096mcg/kg/s The day order will be randomized per day

0.048mcg/kg/s The day order will be randomized per day

0.048mcg/kg/s The day order will be randomized per day

Outcomes

Primary Outcome Measures

Peak Changes on Items of the Drug Effects Questionnaire (DEQ) - Stimulatory Effects
The peak change in the intensity of subjective effects as measured by the DEQ: Drug stimulatory effects questionnaire; Eleven questions with a minimum score of 0 to a maximum score of 100. Presented is the DEQ score at which the peak change was strongest by treatment arm. Each session took approximately 60 minutes, however the measures were only collected up to 10 minutes post infusion. This correction to the outcome time frame was made when the results were entered. Data were collected at 1, 3, 5, 7 and 10 minute intervals. The outcome measure title DEQ Stimulatory Effects measure was also updated.
Peak Changes on Items of the Drug Effects Questionnaire (DEQ) - Pleasurable Effects
The peak change in the intensity of subjective effects as measured by the DEQ: Drug pleasurable effects questionnaire; Eleven questions with a minimum score of 0 to a maximum score of 100. Presented is the DEQ score at which the peak change was strongest by treatment arm. Each session took approximately 60 minutes, however the measures were only collected up to 10 minutes post infusion. This correction to the outcome time frame was made when the results were entered. Data were collected at 1, 3, 5, 7 and 10 minute intervals. The outcome measure title DEQ Stimulatory Effects measure was also updated.

Secondary Outcome Measures

Full Information

First Posted
June 26, 2018
Last Updated
September 8, 2023
Sponsor
Yale University
Collaborators
National Institute on Drug Abuse (NIDA)
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1. Study Identification

Unique Protocol Identification Number
NCT03580525
Brief Title
Nicotine Delivery Rate and Its Abuse Potential: Impact of Menthol
Official Title
Nicotine Delivery Rate and Its Abuse Potential: Impact of Menthol
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
February 14, 2019 (Actual)
Primary Completion Date
November 19, 2020 (Actual)
Study Completion Date
November 19, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Yale University
Collaborators
National Institute on Drug Abuse (NIDA)

4. Oversight

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

5. Study Description

Brief Summary
A placebo-controlled study to enroll male and female tobacco smokers who will participate in five experimental sessions. subjects will be given an IV infusion of either saline or 1 mg nicotine at rapid, moderate or slow infusion rates (nicotine at 0.24,0.096, 0.048 and 0.024, mcg per kg body weight per sec).
Detailed Description
A placebo-controlled study that will enroll male and female tobacco smokers' menthol to participate in five experimental sessions. During the experimental session, subjects will be given an IV infusion of either saline or 1 mg nicotine at rapid, moderate or slow infusion rates (nicotine at 0.24,0.096, 0.048 and 0.024, mcg per kg body weight per sec). The infusion conditions for each experimental session will be determined in random order. Aim 1 is to establish a dose-effect curve for positive subjective effects (drug liking and good drug effects) and alleviation of smoking urges, as a function of nicotine delivery rate in menthol and non-menthol cigarette preferring smokers Aim 2 is to establish a dose-effect curve positive subjective effects and alleviation of smoking urges as a function of nicotine delivery rate. Aim 3 is to establish a dose-effect curve for nicotine's effect to alleviate symptoms of nicotine withdrawal in abstinent smokers as a function of nicotine delivery rate. Aim 4 is to establish a dose-effect curve for nicotine's acute cardiovascular health effects. Data from this project will help to establish benchmark values for nicotine's threshold effects that will guide policies on the nicotine yield of tobacco products. Presented is the time frame at which the peak change was strongest by treatment arm. The possible peak numbers could be 1, 3, 5, 7 and 10 minutes."

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nicotine Dependence

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Early Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Single blind, placebo-controlled, mixed-design with nicotine delivery as a within-subjects factor.
Masking
ParticipantInvestigator
Masking Description
Participant will not know nicotine dose or rate of infusion.
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
nicotine saline infusion 0.00mcg/kg/s
Arm Type
Experimental
Arm Description
0.00 mcg/kg/s The day order will be randomized per day
Arm Title
nicotine infusion 0.24mcg/kg/s
Arm Type
Experimental
Arm Description
0.24mcg/kg/s The day order will be randomized per day
Arm Title
nicotine infusion 0.096mcg/kg/s
Arm Type
Experimental
Arm Description
0.096mcg/kg/s The day order will be randomized per day
Arm Title
nicotine infusion 0.048mcg/kg/s
Arm Type
Experimental
Arm Description
0.048mcg/kg/s The day order will be randomized per day
Arm Title
nicotine infusion 0.024mcg/kg/s
Arm Type
Experimental
Arm Description
0.048mcg/kg/s The day order will be randomized per day
Intervention Type
Drug
Intervention Name(s)
Nicotine saline infusion 0.00mcg/kg/s
Other Intervention Name(s)
nicotine infusion
Intervention Description
saline 0.00mcg/kg/s
Intervention Type
Drug
Intervention Name(s)
Nicotine infusion 0.24mcg/kg/s
Other Intervention Name(s)
nicotine infusion
Intervention Description
nicotine 0.24mcg/kg/s
Intervention Type
Drug
Intervention Name(s)
Nicotine infusion 0.096mcg/kg/s
Other Intervention Name(s)
nicotine infusion
Intervention Description
nicotine 0.096mcg/kg/s
Intervention Type
Drug
Intervention Name(s)
Nicotine infusion 0.048 mcg/kg/s
Other Intervention Name(s)
nicotine infusion
Intervention Description
nicotine 0.048mcg/kg/s
Intervention Type
Drug
Intervention Name(s)
Nicotine infusion 0.024mcg/kg/s
Other Intervention Name(s)
nicotine infusion
Intervention Description
nicotine 0.024mcg/kg/s
Primary Outcome Measure Information:
Title
Peak Changes on Items of the Drug Effects Questionnaire (DEQ) - Stimulatory Effects
Description
The peak change in the intensity of subjective effects as measured by the DEQ: Drug stimulatory effects questionnaire; Eleven questions with a minimum score of 0 to a maximum score of 100. Presented is the DEQ score at which the peak change was strongest by treatment arm. Each session took approximately 60 minutes, however the measures were only collected up to 10 minutes post infusion. This correction to the outcome time frame was made when the results were entered. Data were collected at 1, 3, 5, 7 and 10 minute intervals. The outcome measure title DEQ Stimulatory Effects measure was also updated.
Time Frame
up to 10 minutes
Title
Peak Changes on Items of the Drug Effects Questionnaire (DEQ) - Pleasurable Effects
Description
The peak change in the intensity of subjective effects as measured by the DEQ: Drug pleasurable effects questionnaire; Eleven questions with a minimum score of 0 to a maximum score of 100. Presented is the DEQ score at which the peak change was strongest by treatment arm. Each session took approximately 60 minutes, however the measures were only collected up to 10 minutes post infusion. This correction to the outcome time frame was made when the results were entered. Data were collected at 1, 3, 5, 7 and 10 minute intervals. The outcome measure title DEQ Stimulatory Effects measure was also updated.
Time Frame
up to 10 minutes post infusion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Female and male smokers, aged 18 to 35 years, who have been smoking tobacco cigarettes for at least a year Smoke ≥ 5 and less than 20 cigarettes per day; Urine cotinine levels > 100 ng/mL consistent with nicotine intake of an active smoker (23) Not seeking treatment at the time of the study for nicotine dependence; In good health as verified by medical history, screening examination, and screening laboratory tests For women, not pregnant as determined by pregnancy screening, nor breast feeding, and using acceptable birth control methods. Exclusion criteria: History of major medical or psychiatric disorders that the physician investigator deems as contraindicated for the subject to be in the study Regular use of psychotropic medication (antidepressants, antipsychotics, or anxiolytics) Current alcohol or substance dependence for any other recreational or prescription drugs other than nicotine Use of e-cigarettes more than 10 days in the past 30 days Urine drug screening indicating recent illicit drugs use (with the exception of marijuana).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mehmet Sofuoglu, M.D.,Ph.D.
Organizational Affiliation
Professor of Psychiatry
Official's Role
Principal Investigator
Facility Information:
Facility Name
Veterans Affairs Hospital
City
West Haven
State/Province
Connecticut
ZIP/Postal Code
06516
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Nicotine Delivery Rate and Its Abuse Potential: Impact of Menthol

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