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Nicotine's Potential Abuse With Menthol

Primary Purpose

Nicotine Dependence

Status
Completed
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
Nicotine
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

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

Inclusion Criteria:

  • 1) Female and male smokers, aged 21 to 35 years, who have been smoking tobacco cigarettes for at least a year;
  • 2) smoke ≥ 5 and less than 20 cigarettes per day;
  • 3) urine cotinine levels > 100 ng/mL consistent with nicotine intake of an active smoker
  • 4) not seeking treatment at the time of the study for nicotine dependence;
  • 5) in good health as verified by medical history, screening examination, and screening laboratory tests;
  • 6) for women, not pregnant as determined by pregnancy screening, nor breast feeding, and using acceptable birth control methods.

Exclusion Criteria:

  • 1) history of major medical or psychiatric disorders that the physician investigator deems as contraindicated for the subject to be in the study;
  • 2) regular use of psychotropic medication (antidepressants, antipsychotics, or anxiolytics);
  • 3) current alcohol or substance dependence for any other recreational or prescription drugs other than nicotine;
  • 4) use of e-cigarettes more than 10 days in the past 30 days;
  • 5) urine drug screening indicating recent illicit drugs use (with the exception of marijuana).

Sites / Locations

  • Department of Veterans Affairs Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

menthol cigarettes

non menthol cigarettess

Arm Description

Will smoke only menthol cigarettes for two weeks

Will only smoke non menthol cigarettes for two weeks

Outcomes

Primary Outcome Measures

money choice questionaire
To explore the dose-effect curves of nicotine delivery rate for a) reinforcement (assessed with the Multiple-Choice Questionnaire), b) heart rate and blood pressure, and c) tobacco withdrawal severity, assessed with self-report symptoms and cognitive performance.

Secondary Outcome Measures

SAFTEE
The SAFTEE is a technique for the systematic assessment of side effects in clinical trials developed by National Institute of Mental Health (Levine & Schooler, 1986). It is a questionnaire that rates the current severity of a wide range of somatic, behavioral and affective symptoms in general and specific inquiry formats. It is designed to report adverse health events, regardless of whether or not they are suspected to be drug related, in order to reduce the under-reporting of unanticipated events compared with "known or expected" events.

Full Information

First Posted
August 24, 2020
Last Updated
September 6, 2023
Sponsor
Yale University
Collaborators
National Institute on Drug Abuse (NIDA)
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1. Study Identification

Unique Protocol Identification Number
NCT04535362
Brief Title
Nicotine's Potential Abuse With Menthol
Official Title
Impact of Menthol on the Abuse Potential of Nicotine
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
June 28, 2021 (Actual)
Primary Completion Date
June 29, 2023 (Actual)
Study Completion Date
August 14, 2023 (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
No

5. Study Description

Brief Summary
To examine if switching from menthol to non-menthol cigarettes will change the dose-effect curves for positive subjective effects and alleviation of smoking urges as a function of nicotine delivery rate in smokers.
Detailed Description
A placebo-controlled study that will recruit male and female menthol nicotine dependent smokers. Following screening and evaluation as described above, eligible participants will be enrolled in the study which will last about 4 weeks. Eligible, participants will be randomized to menthol or non-menthol smoking condition for 2 weeks (Phase 1) and then will be switched to the alternative condition for another 2 weeks (Phase 2). The smoking condition will be open label. Participants will be provided with free cigarettes in Phases 1 and 2. For the menthol condition, participants will be provided their usual brand of menthol cigarettes and for the non-menthol condition, they will be provided a matched-brand non-menthol cigarette (e.g., Newport Non-Menthol Gold 100s for those who smoke Newport Menthol Gold 100s). In week 2 of each Phase, participants will have a test session. Each session will include 3 infusions in the same order: nicotine (1 mg per 70 kg body weight) delivered over 5 minutes, saline and nicotine (1 mg/ 70 kg) delivered over 2.5 minutes. Once the participants complete the test session, participants will be crossed-over to the alternative treatment. The period between the 2 Phases will not be longer than one week.

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
subjects will be unblinded to smoking menthol or non menthol for two weeks before each test session. Each session will include 3 infusions in the same order: nicotine (1 mg per 70 kg body weight) delivered over 5 minutes, saline and nicotine (1 mg/ 70 kg) delivered over 2.5 minutes. Once the participants complete the test session, participants will be crossed-over to the alternative treatment.
Masking
Participant
Masking Description
The cigarette condition is unblinded but the nicotine infusion is blinded to participant
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
menthol cigarettes
Arm Type
Active Comparator
Arm Description
Will smoke only menthol cigarettes for two weeks
Arm Title
non menthol cigarettess
Arm Type
Active Comparator
Arm Description
Will only smoke non menthol cigarettes for two weeks
Intervention Type
Drug
Intervention Name(s)
Nicotine
Other Intervention Name(s)
intravenous nicotine
Intervention Description
session will include 3 infusions in the same order: nicotine (1 mg per 70 kg body weight) delivered over 5 minutes, saline and nicotine (1 mg/ 70 kg) delivered over 2.5 minutes.
Primary Outcome Measure Information:
Title
money choice questionaire
Description
To explore the dose-effect curves of nicotine delivery rate for a) reinforcement (assessed with the Multiple-Choice Questionnaire), b) heart rate and blood pressure, and c) tobacco withdrawal severity, assessed with self-report symptoms and cognitive performance.
Time Frame
up to one year
Secondary Outcome Measure Information:
Title
SAFTEE
Description
The SAFTEE is a technique for the systematic assessment of side effects in clinical trials developed by National Institute of Mental Health (Levine & Schooler, 1986). It is a questionnaire that rates the current severity of a wide range of somatic, behavioral and affective symptoms in general and specific inquiry formats. It is designed to report adverse health events, regardless of whether or not they are suspected to be drug related, in order to reduce the under-reporting of unanticipated events compared with "known or expected" events.
Time Frame
up to one year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1) Female and male smokers, aged 21 to 35 years, who have been smoking tobacco cigarettes for at least a year; 2) smoke ≥ 5 and less than 20 cigarettes per day; 3) urine cotinine levels > 100 ng/mL consistent with nicotine intake of an active smoker 4) not seeking treatment at the time of the study for nicotine dependence; 5) in good health as verified by medical history, screening examination, and screening laboratory tests; 6) for women, not pregnant as determined by pregnancy screening, nor breast feeding, and using acceptable birth control methods. Exclusion Criteria: 1) history of major medical or psychiatric disorders that the physician investigator deems as contraindicated for the subject to be in the study; 2) regular use of psychotropic medication (antidepressants, antipsychotics, or anxiolytics); 3) current alcohol or substance dependence for any other recreational or prescription drugs other than nicotine; 4) use of e-cigarettes more than 10 days in the past 30 days; 5) 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
Yale University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Veterans Affairs Hospital
City
West Haven
State/Province
Connecticut
ZIP/Postal Code
06516
Country
United States

12. IPD Sharing Statement

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Nicotine's Potential Abuse With Menthol

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