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Nicotine

Phase 3

Smoking Cessation | Small molecule | Other |GSK plc|Last Updated: Jan 22, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials5
Total Enrollment614
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01702532Nicotine Mouth Film for Craving Relief.PHASE3 COMPLETED 320Sep 1, 2012Dec 1, 2012Jan 30, 20142 United States
NCT01669122Pharmacokinetic Study of 4 mg Nicotine Lozenge.PHASE2 COMPLETED 40Jun 1, 2012Aug 1, 2012Jan 22, 20151 India
NCT01476202Provoked Craving Relief Study by NRTPHASE2 COMPLETED 120Nov 1, 2011Jan 1, 2012Sep 30, 20131 United States
NCT01847443Comparison of Pharmacokinetic Profiles of Two Nicotine Gum FormulationsPHASE1 COMPLETED 84May 1, 2013Jun 1, 2013Apr 11, 20141 United Kingdom
NCT01536704Nicotine Lozenge Bioequivalence StudyPHASE1 COMPLETED 50Jul 1, 2011Aug 1, 2011Apr 26, 20131 United States
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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.

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.

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 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.

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
AUC(0-inf)
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
Time to Maximum Plasma Concentration (Tmax)
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
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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
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
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.
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.
Interventions
NameTypeDescription
NicotineDRUGComparison of different dosage forms of nicotine
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 — 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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