Akutte farmakokinetiske og farmakodynamiske virkninger af "tobaksfrie" orale nikotinposer hos rygere
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Mikahla McDeavitt
- Telefonnummer: 410-550-0050
- E-mail: mmcdeav1@jhmi.edu
Undersøgelse Kontakt Backup
- Navn: Tory Spindle, PhD
- Telefonnummer: 410-550-0529
- E-mail: tspindle@jhmi.edu
Studiesteder
-
-
Maryland
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Baltimore, Maryland, Forenede Stater, 21224
- Johns Hopkins Behavioral Pharmacology Research Unit
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- ≥ 21 år gammel
- et godt generelt helbred baseret på screeningsprocedurer (f.eks. fysisk undersøgelse, blodprøver)
- vitale tegn i normalområdet (hvilepuls mindre end 100 bpm, systolisk blodtryk mindre end 150 mmHg, diastolisk blodtryk mindre end 90 mmHg)
- negativ urintest for ulovligt stofbrug (undtagen THC) og negativ alkoholtest ved screening og før hver session
- selvanmeldelse, der i øjeblikket ryger dagligt
- selvrapportere mindst et års historie med regelmæssig rygning
- udåndet ånde CO større end eller lig med 10 ppm og urin cotinin større end 100 ng/ml ved screening
- opfylder kriterierne for mindst mild tobaksforstyrrelse
- ingen selvrapporteret regelmæssig brug af andre tobaksprodukter (f.eks. røgfrie produkter, e-cigaretter) inden for de seneste 30 dage
- ingen selvrapporteret tidligere brug af nye orale nikotinposer
- udåndet ånde CO mindre end 10 ppm ved ankomst for hver undersøgelsessession.
Ekskluderingskriterier:
- Psykoaktivt stofbrug (bortset fra cannabis, nikotin, alkohol eller koffein) i den seneste måned
- Nuværende brug af håndkøbsmedicin (OTC), kosttilskud/vitaminer eller receptpligtig medicin, som efter efterforskernes eller det medicinske personales mening vil påvirke sikkerheden
- Brug af cannabis >4 gange om ugen
- Anamnese med eller aktuel væsentlig medicinsk tilstand, som efter efterforskernes eller det medicinske personales mening vil påvirke sikkerheden
- Aktuel psykiatrisk tilstand eller stofbrugsforstyrrelse (bortset fra tobaksbrugsforstyrrelser), som efter efterforskerne eller lægepersonalets mening vil påvirke sikkerheden eller undersøgelsesresultaterne
- Kvinder, der er gravide, planlægger at blive gravide eller ammer
- Søger i øjeblikket behandling for at holde op med at ryge eller bruger i øjeblikket et nikotin-/tobakstopprodukt.
- Tilmelding til et andet klinisk forsøg inden for de seneste 30 dage
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Grundvidenskab
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Original/tobakssmagspose (lav nikotindosis)
deltagerne vil bruge en pose med tobakssmag (4 mg nikotin-dosis) under både kontrollerede (eksperimenter-styret) og ad libitum brugsforhold
|
Nikotinposer vil være selvadministrerende
Andre navne:
|
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Eksperimentel: Original/tobakssmagspose (høj nikotindosis)
deltagerne vil bruge en pose med tobakssmag (8 mg nikotin-dosis) under både kontrollerede (eksperimenter-styret) og ad libitum brugsforhold
|
Nikotinposer vil være selvadministrerende
Andre navne:
|
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Eksperimentel: Mynte/Menthol-smagspose (lav nikotindosis)
deltagerne vil bruge en pose med mint/mentol-smag (4 mg nikotin-dosis) under både kontrollerede (eksperimenter-styret) og ad libitum brugsbetingelser
|
Nikotinposer vil være selvadministrerende
Andre navne:
|
|
Eksperimentel: Mynte/Menthol-smagspose (høj nikotindosis)
deltagerne vil bruge en pose med mint/mentol-smag (8 mg nikotin-dosis) under både kontrollerede (eksperimenter-styret) og ad libitum brugsbetingelser
|
Nikotinposer vil være selvadministrerende
Andre navne:
|
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Eksperimentel: Pung med frugtsmag (lav nikotindosis)
deltagerne vil bruge en pose med frugtsmag (4 mg nikotin-dosis) under både kontrollerede (eksperimenter-styret) og ad libitum brugsbetingelser
|
Nikotinposer vil være selvadministrerende
Andre navne:
|
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Eksperimentel: Pung med frugtsmag (høj nikotindosis)
deltagerne vil bruge en pose med frugtsmag (8 mg nikotin-dosis) under både kontrollerede (eksperimenter-styret) og ad libitum brugsforhold
|
Nikotinposer vil være selvadministrerende
Andre navne:
|
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Aktiv komparator: Eget mærke cigaretter
deltagere vil ryge deltagernes eget mærke af cigaretter under både kontrollerede (eksperimenter-styret) og ad libitum brugsforhold
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Cigaret vil blive røget
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Pharmacokinetics of Nicotine as Assessed by the Cmax (20-min Directed Bout)
Tidsramme: 0 to 1 hour
|
Blood plasma samples will be collected and sent to a designated laboratory for quantitative analysis of nicotine.
Maximum concentration (Cmax), is the highest plasma nicotine concentration reached during a session and provides important insight into the abuse liability of a tobacco product.
Bout 1 (20min directed use) Cmax was calculated based on post-baseline blood timepoints which include 10 minutes, 20 minutes, 30 minutes, and 1 hour after bout 1 dosing.
|
0 to 1 hour
|
|
Pharmacokinetics of Nicotine as Assessed by the AUC (20 Min Directed Bout)
Tidsramme: 0 to 1 hour
|
Blood plasma samples will be collected and sent to a designated laboratory for quantitative analysis of nicotine.
Area under the curve (AUC), represents the total nicotine exposure during an entire nicotine use period and provides important insight into the abuse liability of a tobacco product.
Data is reported as the mean (SD) change from baseline.
Bout 1 (20min directed use) AUC was calculated based on post-baseline blood timepoints which include 10 minutes, 20 minutes, 30 minutes, and 1 hour after bout 1 dosing.
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0 to 1 hour
|
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Peak Change From Baseline Subjective Ratings of "Like Drug Effect" as Assessed by the Drug Effect Questionnaire
Tidsramme: Up to 6.5 hours
|
The DEQ will be used to obtain subjective ratings of "like drug effect".
Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation with higher score indicating greater liking.
Data is reported as mean (SD) change from baseline.
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
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Up to 6.5 hours
|
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Subjective Ratings of "Pleasant Drug Effect" as Assessed by the Drug Effect Questionnaire
Tidsramme: Up to 6.5 hours
|
The DEQ will be used to obtain subjective ratings of "pleasant drug effect".
Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation with higher score indicating greater "pleasant drug effect".
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
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Up to 6.5 hours
|
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Subjective Ratings of "Take Again" as Assessed by the Drug Effect Questionnaire
Tidsramme: Up to 6.5 hours
|
The DEQ will be used to obtain subjective ratings of "take again".
Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation, with higher score indicating greater "take again" rating.
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
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Up to 6.5 hours
|
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Subjective Ratings of "Urge to Smoke" as Assessed by the Hughes-Hatsukami Withdrawal Questionnaire (Change From Baseline)
Tidsramme: Up to 6.5 hours
|
The HHWS will be used to obtain subjective ratings of "urge to smoke".
Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation with higher score indicating greater "urge to smoke".
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
|
Up to 6.5 hours
|
|
Subjective Ratings of "Craving to Smoke" as Assessed by the Hughes-Hatsukami Withdrawal Questionnaire (Change From Baseline)
Tidsramme: Up to 6.5 hours
|
The HHWS will be used to obtain subjective ratings of "craving to smoke".
Score range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation, with higher score indicating greater "craving to smoke".
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
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Up to 6.5 hours
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Pharmacokinetics of Nicotine as Assessed by the Tmax
Tidsramme: Up to1 hour
|
Blood plasma samples will be collected and sent to a designated laboratory for quantitative analysis of nicotine.
Time to maximum concentration (Tmax), is the time (in minutes) to reach Cmax.
This is another measure relevant for abuse liability.
Tmax for bout 1 was calculated based on post-baseline blood timepoints which include 20 minutes, 30 minutes, and 1 hour after bout 1 dosing.
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Up to1 hour
|
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Tobacco Withdrawal Symptoms as Assessed by the Tiffany-Drobes QSU Brief-Factor 1 (Change From Baseline)
Tidsramme: Up to 6.5 hours
|
The QSU-brief factor 1 (intention to smoke) measures tobacco withdrawal symptoms using 5 items; scores are summed to produce a single score ranging from 0 to 30.
Higher scores indicates greater withdrawal symptoms.
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
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Up to 6.5 hours
|
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Tobacco Withdrawal Symptoms as Assessed by the Tiffany-Drobes QSU Brief-Factor 2 (Change From Baseline)
Tidsramme: 6.5 hours
|
The QSU-brief factor 2 (anticipation of relief) measures tobacco withdrawal symptoms using 5 items; scores are summed to produce a single score ranging from 0 to 24.
Higher scores indicates greater/worse withdrawal symptoms.
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6.5 hours
|
|
Topography as Assessed by the Total Time of Use
Tidsramme: 2 hours
|
During the 2 hour ad libitum bout, topography will be collected.
The total time of use (out of 2 hours) will be assessed.
|
2 hours
|
|
The Direct Effects of Nicotine Scale (DENS) (Change From Baseline)
Tidsramme: 6.5 hours
|
The DENS will assess nicotine-specific effects.
Scores on all items range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation.
Higher scores indicates stronger (better) nicotine related effects.
|
6.5 hours
|
|
Perceived Strength of Effects as Assessed by the Drug Effect Questionnaire
Tidsramme: Up to 6.5 hours
|
The DEQ will assess subjective ratings for "feel drug effect".
Scores range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation with higher score indicating greater "feel drug effect".
Higher scores indicates stronger (better) effects.
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
|
Up to 6.5 hours
|
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Negative and Aversive Effects as Assessed by the Drug Effect Questionnaire
Tidsramme: Up to 6.5 hours
|
The DEQ will assess subjective ratings for "dislike drug effect".
Scores range from 0 (none) to 100 (extreme) using a 100mm line anchored with none/extreme designation with higher score indicating a stronger (worse) perception of aversive or unpleasant drug effects.
A peak change from baseline score was calculated based on post-baseline timepoints which include 20 minutes, 30 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 3.5 hours, 4.5 hours, and 6.5 hours after bout 1 dosing.
|
Up to 6.5 hours
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Tory Spindle, PhD, Johns Hopkins University
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- IRB00318560
- 1R01DA055962-01 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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