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Nicotine

Phase 3

Tobacco Dependence | Small molecule | Other |Johnson & Johnson|Last Updated: Jan 8, 2019

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
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials3
Total Enrollment1,284
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02355665Study to Determine the Efficacy and Safety of a Novel Nicotine Replacement TherapyPHASE3 COMPLETED 1,198Jan 31, 2015Feb 10, 2016Jan 8, 20198 United States
NCT01321931Multiple-dose Nicotine Pharmacokinetics With Three Oral Nicotine Replacement ProductsPHASE1 COMPLETED 50Feb 1, 2011Jun 1, 2011Jul 10, 20121 Sweden
NCT01478230An Exploratory Study Comparing Two Nicotine InhalersEARLY_PHASE1 COMPLETED 36Nov 1, 2011Dec 1, 2011Jul 10, 20121 Sweden
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Study Endpoints
Primary Endpoints
Percentage of Participants With Continuous Smoking Abstinence From Week 2 to Week 6
Week 2 to Week 6

Percentage of participants with carbon monoxide (CO)-verified self-report of continuous abstinence from smoking

Maximum Observed Plasma Concentration
within the last dosing interval (starting at 10.5-11 hours after first product administration)

Maximum Observed Plasma Concentration (Cmax), which is the maximum (peak) concentration (amount of drug) measurable in blood plasma within the last dosing interval, measured in nanograms/milliliter (ng/mL)

Average Concentration
within the last dosing interval (starting at 10.5-11 hours after first product administration)

Average Nicotine Plasma Concentration (Cav) within the last dosing interval

Area Under the Curve
within the last dosing interval (starting at 10.5-11 hours after first product administration)

Area under the nicotine plasma concentration-vs.-time curve during the last dosing interval (AUCt)

Maximum Observed Plasma Concentration (Cmax)
During last dosing interval 11-12 hours post-dose

Maximum Observed Plasma Concentration (Cmax), which is the maximum (peak) concentration (amount of drug) measurable in blood plasma after a dose is administered, measured in nanograms/milliliter (ng/mL)

Average Concentration (Cav)
During last dosing interval 11-12 hours post-dose

The average concentration of nicotine in the blood. \* The dosing interval (τ) in this study will be one (1) hour. Consequently, Cav will have the same value as AUCτ (but with a different unit), since Cav is calculated as AUCτ divided by τ. Therefore Cav will not be displayed in results, only AUCτ.

Bioavailability [AUCτ]
During last dosing interval 11-12 hours post-dose

AUCτ is the area under the plasma concentration-vs.-time curve during the last dosing interval and is a measure of how much of the drug reaches the person's bloodstream. The Area Under the Curve (AUC) is calculated by plotting the drug's blood levels on a graph at different times during the set period. The area under this curve is calculated as hour \* nanograms (ng) per milliliter (mL).

Secondary Endpoints
Percentage of Participants With Continuous Smoking Abstinence From Week 2 to Week 12
Week 2 to Week 12
Percentage of Participants With Continuous Smoking Abstinence From Week 2 to Week 26
Week 2 to Week 26
Percentage of Participants With Continuous Smoking Abstinence From Week 2 to Week 4
Week 2 to Week 4
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
NicotineEXPERIMENTALNicotine Spray
PlaceboPLACEBO_COMPARATORPlacebo to match Nicotine spray
NRT 60EXPERIMENTALA 6 mg dose of an experimental Nicotine Replacement Therapy (NRT) given every hour for 11 hours, with a 36-hour washout between visits
NFG 60ACTIVE_COMPARATORA 4 mg dose of a marketed Nicotine Fruit Gum (NFG) given every hour for 11 hours, with a 36-hour washout between visits
NRT 90EXPERIMENTALA 6 mg dose of NRT given every 90 minutes for 10.5 hours, with a 36-hour washout between visits
NFG 90ACTIVE_COMPARATORA 4 mg dose of NFG given every 90 minutes for 10.5 hours, with a 36-hour washout between visits
NIQ 60ACTIVE_COMPARATORA 4 mg dose of marketed nicotine mint lozenge (NIQ), given every hour for 11 hours, with a 36-hour washout between visits
N1/3-I5EXPERIMENTAL5 mg Inhalation during 10 minutes every hour for 11 hours with a puff frequency of four puffs per minute, with a 36-hour washout between visits
NX-I10ACTIVE_COMPARATOR10 mg Inhalation during 10 minutes every hour for 11 hours with a puff frequency of four puffs per minute, with a 36-hour washout between visits.
Interventions
NameTypeDescription
Nicotine SprayDRUGNicotine Spray
PlaceboDRUGPlacebo to match nicotine spray
NicotineDRUG6 mg experimental Nicotine Replacement Therapy (NRT)
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Eligibility Criteria
Age Range18 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: Subjects must be males or females 18-85 years of age who currently smoke cigarettes daily and are willing to stop smoking Exclusion Criteria: History of cardiovascular disease, stomach ulcer or diabetes unless physician's written approval is obtained. Use of other forms of to...

Countries:United StatesSweden
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