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Nicotine

Phase 3

Smoking Cessation | Small molecule | Psychiatry |GSK plc|Last Updated: Aug 28, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials5
Total Enrollment614

FDA Designations

No designations recorded

Clinical trial landscape

Nicotine · 10 trials · 4 indications

Phase 3 2Phase 2 4Phase 1 4
NCT01702532Nicotine Mouth Film for Craving Relief.Smoking Cessation
COMPLETED320 Analytics
NCT00985985Efficacy and Safety Study of Nicotine Mint Lozenge (2mg and 4mg) in Smoking CessationSmoking
COMPLETED723 Analytics
PHASE3COMPLETED
Nicotine Mouth Film for Craving Relief.
Smoking CessationUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Nicotine Mint Lozenge (2mg and 4mg) in Smoking Cessation
SmokingUnlock trial analytics

Study Endpoints

Primary Endpoints

The Change From Pre-dose Post-provocation in Craving Score at 50 Seconds
Pre-dosing post-provocation to 50 seconds

Participants completed a cigarette craving assessment consisting of the following five items: "I have a desire for a cigarette right now; If it were possible I would smoke right now; All I want right now is a cigarette; I have an urge for a cigarette; I crave a cigarette right now. All participants indicated craving intensity on a pre-drawn 100 millimeter (mm) Visual Analog Scale (VAS) ranging from 0 (disagree) to 100 (agree). The average of the scores over the five items was defined as craving score for each time point.

Rate of Successful Smoking Cessation at Week 6
From baseline to Week 6

Rate of Successful Smoking Cessation at Week 6 was measured by Carbon Monoxide (CO) breath levels.

Area Under the Curve From Time 0 to t, AUC (0-t)
Blood samples were collected pre-dose and at 5, 10, 15, 30 and 45 minutes and 1, 1.5, 2, 3, 4, 6, 8, 10 and 12 hours post dosing

Area under the plasma concentration time curve from zero and extrapolated to the time of last quantifiable sample was determined from plasma concentration time profile of nicotine. AUC(0 -t) was based on the baseline adjusted nicotine plasma concentration data.

Maximum Plasma Concentration (Cmax)
Blood samples were collected pre-dose and at 5, 10, 15, 30 and 45 minutes and 1, 1.5, 2, 3, 4, 6, 8, 10 and 12 hours post dosing

Maximum plasma nicotine concentration was determined from plasma-concentration time profiles. Cmax was based on the baseline adjusted nicotine plasma concentration data.

Mean Change From Baseline in Nicotine Craving Score on a VAS
Baseline, 50 seconds, 3, 5, 7, 10, 15, 20, 25 and 30 minutes post treatment administration

Participants completed a nicotine craving assessment consisting of following five items: I have a desire for a cigarette right now, if it were possible I would smoke right now, All I want right now is a cigarette, I have an urge for a cigarette, I crave a cigarette right now. All participants indicated their craving intensity on a pre-drawn 100 mm scale ranging from 0 (disagree) to 100 (agree). At the end of the craving assessment period, mean VAS score was measured.

Change From Post-cue Baseline in Nicotine Craving Score at 5 Minutes
Post-cue baseline,5 minutes

Participants completed a nicotine craving assessment consisting of following five items: I have a desire for a cigarette right now, if it were possible I would smoke right now, All I want right now is a cigarette, I have an urge for a cigarette, I crave a cigarette right now. All participants indicated their craving intensity on a pre-drawn 100 mm scale ranging from 0 (disagree) to 100 (agree). At the end of the craving assessment period, mean VAS score was measured.

Mean Change From Baseline in Nicotine Cravings VAS Scores in Light Smokers
Baseline, 1, 3, 5, 10 and 15 minutes post-treatment

Participants completed a nicotine craving assessment consisting of following five items: I have a desire for a cigarette right now, if it were possible I would smoke right now, All I want right now is a cigarette, I have an urge for a cigarette, I crave a cigarette right now. All participants indicated their craving intensity on a pre-drawn 100 mm scale ranging from 0 (disagree) to 100 (agree). At the end of the craving assessment period, mean VAS score (in mm) was measured.

Mean Change From Baseline in Nicotine Cravings VAS Scores in Heavy Smokers
Baseline, 3 minutes and 15 minutes post-treatment

Participants completed a nicotine craving assessment consisting of following five items: I have a desire for a cigarette right now, if it were possible I would smoke right now, All I want right now is a cigarette, I have an urge for a cigarette, I crave a cigarette right now. All participants indicated their craving intensity on a pre-drawn 100 mm scale ranging from 0 (disagree) to 100 (agree). At the end of the craving assessment period, mean VAS score (in mm) was measured.

Area Under the Curve From Time 0 to Time 't' [AUC(0-t)] of Nicotine 2 mg Test and Reference Product
Blood samples to be collected from baseline to 12 hours post dose

AUC(0-t) for 2 mg test was compared with 2 mg reference gum

AUC(0-t) of Nicotine 4 mg Test and Reference Product
Blood samples to be collected from baseline to 12 hours post dose

AUC(0-t) of Nicotine 4 mg test was compared with 4 mg reference gum

Maximum Observed Concentration (Cmax) of Nicotine 2 mg Test and Reference Product
Blood samples to be collected from baseline to 12 hours post dose

Cmax for 2 mg test was compared with 2 mg reference gum

Cmax of Nicotine 4 mg Test and Reference Product
Blood samples to be collected from baseline to 12 hours post-dose

Cmax for 4 mg test was compared with 4 mg reference gum

Area Under the Curve From Time 0 to the Last Quantifiable Sample, AUC(0-t)
Baseline to 32 hours

Following randomization, the nicotine patches; reference nicotine patch or test nicotine patch (as per the assigned sequence), were applied on participant's upper back or arm. Area under the plasma concentration time curve from zero and extrapolated to the time of last quantifiable sample was determined by plasma concentration time profile of nicotine. Blood samples were drawn at the following time intervals: immediately pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 20, 24, 25, 26, 28, and 32 hours after the application of the patch. Patch was then removed after the collection of 24 hour blood sample. AUC(0 -t) was based on the baseline adjusted nicotine plasma concentration data.

Maximum Measured Plasma Concentration (Cmax)
Baseline to 32 hours

Following randomization, the nicotine patches; reference nicotine patch or test nicotine patch (as per the assigned sequence), were applied on participant's upper back or arm. Maximum plasma nicotine concentration was determined from plasma concentration time profiles. Blood samples were drawn at various time points: immediately pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 20, 24, 25, 26, 28, and 32 hours after application the patch. Patch was then removed after the collection of 24 hour blood sample. Cmax was based on the baseline adjusted nicotine plasma concentration data.

Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time t [AUC(0-t)]
Blood samples taken pre-dose and post-dose at 3, 5, 10, 15, 20, 30, 40, and 50 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10 and 12 hours

AUC(0-t) was evaluated using the trapezoid rule.

Maximum Observed Plasma Concentration [Cmaximum (Max)]
Blood samples taken pre-dose and post-dose at 3, 5, 10, 15, 20, 30, 40, and 50 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10 and 12 hours

Cmax was depicted from plasma concentration of nicotine.

Percentage of Participants With Oral Soft Tissue Related Adverse Events at Week 1
From baseline to Week 1

Oral Soft Tissue related adverse events= Any abnormality occuring in any of these: labial mucosa (including lips), gingival mucosa, buccal mucosa, mucogingival folds, hard and soft palates, tonsilar and pharyngeal areas, tongue, sublingual and submandibular areas, and salivary glands

Percentage of Participants With Oral Soft Tissue Related Adverse Events at Week 6
From baseline to Week 6

Oral Soft Tissue related adverse events= Any abnormality occuring in any of these: labial mucosa (including lips), gingival mucosa, buccal mucosa, mucogingival folds, hard and soft palates, tonsilar and pharyngeal areas, tongue, sublingual and submandibular areas, and salivary glands

Percentage of Participants With Oral Soft Tissue Related Adverse Events at Week 12
From baseline to Week 12

Oral Soft Tissue related adverse events= Any abnormality occuring in any of these: labial mucosa (including lips), gingival mucosa, buccal mucosa, mucogingival folds, hard and soft palates, tonsilar and pharyngeal areas, tongue, sublingual and submandibular areas, and salivary glands

Percentage of Participants With Oral Soft Tissue Related Adverse Events at Week 14
From baseline to Week 14

Oral Soft Tissue related adverse events= Any abnormality occuring in any of these: labial mucosa (including lips), gingival mucosa, buccal mucosa, mucogingival folds, hard and soft palates, tonsilar and pharyngeal areas, tongue, sublingual and submandibular areas, and salivary glands

Secondary Endpoints

The Change From Pre-dose Post-provocation in Craving Score at 3, 5, 7, 10, 15, 20, 25, and 30 Minutes
Pre-dosing post-provocation to 3, 5, 7, 10, 15, 20, 25, and 30 minutes
Rate of Continuous Successful Smoking Cessation at Week 12 and Week 24
From baseline to Week 12 and Week 24
Rate of Long-term Successful Smoking Cessation at Week 24
From Week 6 to Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Nicotine Mouth FilmEXPERIMENTALmint nicotine mouth film, buccal administration
Nicotine LozengeACTIVE_COMPARATORnicotine lozenge, buccal administration
2mg nicotine lozengeEXPERIMENTAL2 mg nicotine lozenge
2 mg placeboPLACEBO_COMPARATOR2 mg placebo
4 mg nicotine lozengeEXPERIMENTAL4 mg nicotine lozenge
4 mg placeboPLACEBO_COMPARATOR4 mg placebo
Prototype 1EXPERIMENTAL4mg nicotine lozenge administered orally as a single dose treatment per subject
Prototype 2EXPERIMENTAL4mg nicotine lozenge administered orally as a single dose treatment per subject
Prototype 3EXPERIMENTAL4mg nicotine lozenge administered orally as a single dose treatment per subject
Reference TherapyACTIVE_COMPARATOR4mg nicotine lozenge (internationally marketed) to be administered orally as a single dose treatment per subject.
Nicotine mouth stripEXPERIMENTALsingle dose
nicotine gumACTIVE_COMPARATORsingle dose
Nicotine Polacrilex mint mini lozengeACTIVE_COMPARATOR -
placeboPLACEBO_COMPARATORmint mini lozenge with no active
Lower dose NicotineACTIVE_COMPARATORlower dose nicotine lozenge
Higher dose NicotineACTIVE_COMPARATORhigher dose Nicotine lozenge
Test nicotine gum (2 mg)EXPERIMENTALA single dose of Nicotine Mint Gum (2 mg) to be chewed.
Test nicotine gum (4 mg)EXPERIMENTALA single dose of Nicotine Mint Gum (4 mg) to be chewed.
Reference nicotine gum (2 mg)ACTIVE_COMPARATORA single dose of reference nicotine gum (2 mg) to be chewed.
Reference nicotine gum (4 mg)ACTIVE_COMPARATORA single dose of reference nicotine gum (4 mg) to be chewed.
ReferenceACTIVE_COMPARATORnicotine transdermal patch with the existing polyisobutylene adhesive
TreatementACTIVE_COMPARATORnicotine transdermal patch with the alternate polyisobutylene adhesive
Test nicotine lozenge (2 mg)EXPERIMENTAL2 mg test nicotine lozenge to be chewed.
Test nicotine lozenge (4 mg)EXPERIMENTAL4 mg test nicotine lozenge to be chewed.
Reference nicotine lozenge (2 mg)ACTIVE_COMPARATOR2 mg reference nicotine lozenge to be chewed.
Reference nicotine lozenge (4 mg)ACTIVE_COMPARATOR4 mg reference nicotine lozenge to be chewed.
Marketed formulationACTIVE_COMPARATORMarketed nicotine replacement therapy product
prototypeEXPERIMENTALNicotine prototype

Interventions

NameTypeDescription
NicotineDRUGComparison of different dosage forms of nicotine
PlaceboDRUGplacebo lozenge
oral nicotineDRUGoral nicotine replacement product
Nicotine lower doseDRUGlower dose nicotine lozenge
Nicotine higher doseDRUGhigher dose nicotine lozenge
Nicotine (2 mg)DRUG2 mg nicotine gum in two formulations
Nicotine (4 mg)DRUG4 mg nicotine gum in two formulations
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: * BMI within the range of 19-35 kg/m2; * Current cigarette smokers who have smoked regularly daily for at least a year, * Participants who smoke their first cigarette more than 30 minutes after waking up Exclusion Criteria: * Known or suspected intolerance or hypersensitivity ...

Countries:United StatesIndiaUnited Kingdom
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Frequently asked questions about Nicotine

What is Nicotine used for?

Nicotine is an investigational small molecule being developed by GSK plc for smoking cessation. It is being studied in healthy volunteer smokers and individuals with smoking dependence. The drug is intended to help people stop smoking, and it is currently in clinical development.

Who makes Nicotine?

Nicotine is being developed by GSK plc, a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol GSK. GSK is conducting clinical trials to evaluate nicotine as a smoking cessation aid.

What phase is Nicotine in?

Nicotine is in Phase 1 clinical development. While some completed trials were Phase 2, the overall development program is currently in Phase 1. Nicotine is investigational and has not been approved by regulatory authorities for smoking cessation.

What clinical trials is Nicotine in?

Nicotine has been studied in five completed clinical trials, including NCT01476202, NCT01536704, NCT01669122, and NCT01847443. These trials evaluated nicotine lozenges and gum formulations for smoking cessation in healthy volunteers across the United States, India, and the United Kingdom.

Is Nicotine the same as nicotine replacement therapy?

Nicotine is the active ingredient in nicotine replacement therapy (NRT) products. The clinical trials listed for this drug, such as NCT01476202, evaluate nicotine as a form of NRT for smoking cessation, comparing different formulations like lozenges and gum.