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Nicotine Prototype Mini lozenge

Phase 1

Tobacco Use Disorder | Small molecule | Psychiatry |GSK plc|Trials Updated: Mar 12, 2020

Nicotine Prototype Mini lozenge development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since May 2018

Nicotine Prototype Mini lozenge target and mechanism

Molecular targetCHRNB2, CHRNA4
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL3

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials2
Total Enrollment83

FDA Designations

No designations recorded

Nicotine Prototype Mini lozenge clinical trials

Nicotine Prototype Mini lozenge · 2 trials · 1 indication

Phase 1 2
NCT03541044A Bioequivalence Study of Two Nicotine Lozenges in Fasting Conditions in Healthy SmokersTobacco Use Disorder
COMPLETED46 Analytics
NCT03543137To Assess the Bioequivalence of the 4mg Prototype Mini Nicotine Lozenge to the Reference Product (Nicorette) in Healthy SmokersTobacco Use Disorder
COMPLETED37 Analytics
PHASE1COMPLETED
A Bioequivalence Study of Two Nicotine Lozenges in Fasting Conditions in Healthy Smokers
Tobacco Use DisorderUnlock trial analytics
PHASE1COMPLETED
To Assess the Bioequivalence of the 4mg Prototype Mini Nicotine Lozenge to the Reference Product (Nicorette) in Healthy Smokers
Tobacco Use DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Assessment of Bioequivalence of Prototype Mini Lozenges With Nicorette Mini Lozenge by Measuring Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time t (AUC [0-t])
0.75, 0.5, 0.25 hours predose and 0.08, 0.17, 0.33, 0.5, 0.67, 0.83, 1, 1.25, 1.5, 2, 3, 4, 6, 8 10, 14, 16, 20 and 24 hours postdose in each treatment period

Bioequivalence of prototype mini lozenges with nicorette mini lozenge was assessed by measuring AUC(0-t), where t= time of the last measurable plasma concentration. AUC(0-t) was calculated using the linear trapezoidal with linear interpolation method. A linear mixed-effects model was fit to the natural log (ln)-transformed PK variable (AUC0-t), as the dependent variable, and treatment, period, and sequence as fixed effects. Participant nested within sequence was a random effect. The treatment difference and its 90% CI were exponentiated to obtain the geometric mean ratios (GMR) between the test and reference products and its 90% CI. Geometric Coefficient of variation was provided as percentage.

Assessment of Bioequivalence of Prototype Mini Lozenges With Nicorette Mini Lozenge by Measuring Area Under the Plasma Concentration Versus Time Curve Calculated From Time Zero to Infinity (AUC [(0-inf])
0.75, 0.5, 0.25 hours predose and 0.08, 0.17, 0.33, 0.5, 0.67, 0.83, 1, 1.25, 1.5, 2, 3, 4, 6, 8 10, 14, 16, 20 and 24 hours postdose in each treatment period

Bioequivalence of prototype mini lozenges with nicorette mini lozenge was assessed by measuring AUC(0-inf). AUC(0-inf) = AUC0-t + (Clast/kel), where, AUC0-t= area under the plasma concentration versus time curve from time zero to time t; Clast= last observed/measured plasma concentration and kel= elimination rate constant. A linear mixed-effects model was fit to the natural log (ln)-transformed PK variable (AUC\[0-inf\]), as the dependent variable, and treatment, period, and sequence as fixed effects. Participant nested within sequence was a random effect. The treatment difference and its 90% CI were exponentiated to obtain the GMR between the test and reference products and its 90% CI. Geometric Coefficient of variation was provided as percentage.

Assessment of Bioequivalence of Prototype Mini Lozenges With Nicorette Mini Lozenge by Measuring Maximum Observed Plasma Nicotine Concentration (Cmax)
0.75, 0.5, 0.25 hours predose and 0.08, 0.17, 0.33, 0.5, 0.67, 0.83, 1, 1.25, 1.5, 2, 3, 4, 6, 8 10, 14, 16, 20 and 24 hours postdose in each treatment period

Blood samples were collected at designated timepoints. Bioequivalence of prototype mini lozenges with nicorette mini lozenge was assessed by measuring Cmax that was taken directly from bioanalytical data. Geometric Coefficient of variation was provided as percentage. A linear mixed-effects model was fit to the natural log (ln)-transformed PK variable (Cmax) as the dependent variable, and treatment, period, and sequence as fixed effects. Participant nested within sequence was a random effect. The treatment difference and its 90% CI were exponentiated to obtain the GMR between the test and reference products and its 90% CI. Geometric Coefficient of variation was provided as percentage.

Secondary Endpoints

Comparison of Prototype Mini Lozenges With Nicorette Mini Lozenge by Measuring Time of Maximum Plasma Nicotine Concentration (Tmax)
0.75, 0.5, 0.25 hours predose and 0.08, 0.17, 0.33, 0.5, 0.67, 0.83, 1, 1.25, 1.5, 2, 3, 4, 6, 8 10, 14, 16, 20 and 24 hours postdose in each treatment period
Comparison of Prototype Mini Lozenges With Nicorette Mini Lozenge by Measuring Apparent Elimination Half-Life (t1/2)
0.75, 0.5, 0.25 hours predose and 0.08, 0.17, 0.33, 0.5, 0.67, 0.83, 1, 1.25, 1.5, 2, 3, 4, 6, 8 10, 14, 16, 20 and 24 hours postdose in each treatment period
Comparison of Prototype Mini Lozenges With Nicorette Mini Lozenge by Measuring Apparent Elimination Rate Constant for Plasma Nicotine (Kel)
0.75, 0.5, 0.25 hours predose and 0.08, 0.17, 0.33, 0.5, 0.67, 0.83, 1, 1.25, 1.5, 2, 3, 4, 6, 8 10, 14, 16, 20 and 24 hours postdose in each treatment period
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Test ProductEXPERIMENTALParticipants will receive a single Nicotine Prototype Mini lozenge (2mg) by oral/buccal route of administration.
Reference ProductACTIVE_COMPARATORParticipants will receive a single Nicorette Mini lozenge (2 mg) by oral/buccal route of administration.

Interventions

NameTypeDescription
Nicotine Prototype Mini lozengeDRUGA single dose of a prototype nicotine 2mg lozenge will be placed in participants mouth, occasionally moving it side to side. Allowing it to slowly dissolve and try to minimize swallowing. Participants will be instructed not to chew lozenge. The lozenge should be completely dissolved.
Nicorette Mini LozengeDRUGA single dose of a 2 mg nicotine polacrilex mini lozenge (Nicorette Minis) will be placed in participants mouth, occasionally moving it side to side. Allowing it to slowly dissolve and try to minimize swallowing. Participants will be instructed not to chew lozenge. The lozenge should be completely dissolved.
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Eligibility Criteria

Age Range19 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Evidence of a personally signed and dated informed consent document indicating that the participant has been informed of all pertinent aspects of the study before any assessment is performed. * Participants who are willing and able to comply with scheduled visits, treatment pl...

Countries:United States
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Frequently asked questions about Nicotine Prototype Mini lozenge

What is Nicotine Prototype Mini lozenge used for?

Nicotine Prototype Mini lozenge is being developed for tobacco use disorder. It is a small molecule nicotine lozenge intended as a smoking cessation aid, studied in healthy adult smokers. GSK plc is developing the product, and the clinical work completed so far has focused on comparing it with an existing nicotine lozenge reference product.

What does Nicotine Prototype Mini lozenge target?

Nicotine Prototype Mini lozenge targets CHRNB2 and CHRNA4, which are nicotinic acetylcholine receptor subunits. The drug acts as an agonist at these receptors, mimicking the effect of nicotine. This receptor activity underlies its intended use in tobacco use disorder, where nicotine replacement helps reduce craving and withdrawal during quit attempts.

Who makes Nicotine Prototype Mini lozenge?

GSK plc, which trades under the ticker GSK, is the developer of Nicotine Prototype Mini lozenge. The company has run the clinical studies of the product to date, including two completed Phase 1 bioequivalence trials in healthy smokers in the United States.

What phase is Nicotine Prototype Mini lozenge in?

Nicotine Prototype Mini lozenge is in Phase 1 development. Two Phase 1 trials have been completed, and no trials are currently active. The studies were randomized and actively controlled, with a total enrollment of 83 participants across the two completed trials.

What clinical trials is Nicotine Prototype Mini lozenge in?

Two completed Phase 1 trials have studied Nicotine Prototype Mini lozenge: NCT03543137, which assessed bioequivalence of the 4 mg prototype mini nicotine lozenge against the reference product Nicorette in healthy smokers, and NCT03541044, a bioequivalence study of two nicotine lozenges under fasting conditions. Both enrolled healthy adult smokers in the United States.