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Nicotine Prototype Mini lozenge

Phase 1

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

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

Clinical trial landscape

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 an investigational small molecule being developed for Tobacco Use Disorder. It is a nicotine replacement therapy designed to help smokers manage nicotine withdrawal and cravings. The drug is currently in Phase 1 clinical development and is not yet approved by regulatory authorities.

Who is developing Nicotine Prototype Mini lozenge?

Nicotine Prototype Mini lozenge is being developed by GSK plc, a global pharmaceutical company traded on the London Stock Exchange under the ticker GSK. The company is conducting clinical trials to evaluate the drug's bioequivalence to existing nicotine lozenge products in healthy smokers.

What phase is Nicotine Prototype Mini lozenge in?

Nicotine Prototype Mini lozenge is in Phase 1 clinical development. Two Phase 1 bioequivalence studies have been completed, with a total of 83 participants enrolled. The drug remains investigational and has not received FDA approval for any indication.

What clinical trials is Nicotine Prototype Mini lozenge in?

Nicotine Prototype Mini lozenge has completed two Phase 1 trials. NCT03541044 enrolled 46 healthy smokers in the United States to assess bioequivalence of two nicotine lozenges under fasting conditions. NCT03543137 enrolled 37 healthy smokers to compare the 4mg prototype mini lozenge to the reference Nicorette product.

How does Nicotine Prototype Mini lozenge work?

Nicotine Prototype Mini lozenge delivers nicotine to the body as a replacement therapy for Tobacco Use Disorder. By providing a controlled dose of nicotine, it helps reduce withdrawal symptoms and cravings associated with smoking cessation. The lozenge is designed to be bioequivalent to existing nicotine replacement products.

Is Nicotine Prototype Mini lozenge the same as Nicorette?

Nicotine Prototype Mini lozenge is not the same as Nicorette, but it is being studied as a potential generic or alternative version. Clinical trials compare the prototype lozenge to Nicorette as a reference product to assess bioequivalence. The prototype is an investigational formulation developed by GSK.