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Oromucosal Nicotine

Phase 1

Undisclosed | Small molecule | Other |Johnson & Johnson|Trials Updated: Feb 3, 2025

Oromucosal Nicotine target and mechanism

ModalitySmall molecule

Also known as Oromucosal Nicotine Spray (ONS)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment24

FDA Designations

No designations recorded

Oromucosal Nicotine clinical trials

Oromucosal Nicotine · 1 trial · 1 indication

Phase 1 1
NCT03398876A Study to Assess the Nicotine Pharmacokinetics, Tolerability and Safety With a New Oral Nicotine Replacement Product in Healthy Japanese SmokersHealthy
COMPLETED24 Analytics
PHASE1COMPLETED
A Study to Assess the Nicotine Pharmacokinetics, Tolerability and Safety With a New Oral Nicotine Replacement Product in Healthy Japanese Smokers
HealthyUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1: Maximum Baseline Corrected Plasma Nicotine Concentration (cCmax)
Predose; 2, 4, 6, 8, 10, 15, 20, 30, 45 and 60 minute (min) and 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose

cCmax is defined as the maximum baseline corrected plasma nicotine concentration (cCmax).

Part 1: Baseline Corrected Area Under the Plasma Nicotine Concentration versus (vs) Time Curve Until the Last Measurable Time Point (cAUCt)
Predose; 2, 4, 6, 8, 10, 15, 20, 30, 45 and 60 min and 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose

cAUCt is defined as the baseline corrected area under the plasma nicotine concentration-vs time curve until the last measurable time point.

Part 1: Baseline Corrected Area Under the Plasma Nicotine Concentration-vs Time Curve Extrapolated to Infinite (cAUC[infinity])
Predose; 2, 4, 6, 8, 10, 15, 20, 30, 45 and 60 min and 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose

cAUC(infinity) is defined as the baseline corrected area under the plasma nicotine concentration-vs time curve extrapolated to infinite.

Part 1: Baseline Corrected Area Under the Plasma Nicotine Concentration-vs Time Curve until the Last Measurable Time Point (cAUCt)
Predose; 2, 4, 6, 8, 10, 15, 20, 30, 45 and 60 min and 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose

cAUCt is defined as baseline corrected area under the plasma nicotine concentration-vs time curve until the last measurable time point.

Part 2: Average Plasma Nicotine Concentration During the Last Dosing Interval/Intervals (Cav)
Predose, 2, 4, 6, 8, 10, 15, 20, 30 post last dose (last dose: Hour 11.5 for Treatment E and Hour 11 for Treatment F); 45 and 60 min post last dose for Treatment F

Cav is defined as the average plasma nicotine concentration during the last dosing interval/intervals.

Part 2: Area Under the Plasma Nicotine Concentration-vs Time Curve During the Last Dosing Interval/Intervals (AUCtau)
Predose, 2, 4, 6, 8, 10, 15, 20, 30 post last dose (last dose: Hour 11.5 for Treatment E and Hour 11 for Treatment F); 45 and 60 min post last dose for Treatment F

AUCtau is defined as the area under the plasma nicotine concentration-vs time curve during the last dosing interval/intervals.

Part 2: Maximum Plasma Nicotine Concentration During the Last Dosing Interval/Intervals (Cmax)
Predose, 2, 4, 6, 8, 10, 15, 20, 30 post last dose (last dose: Hour 11.5 for Treatment E and Hour 11 for Treatment F); 45 and 60 min post last dose for Treatment F

Cmax is defined as maximum observed plasma nicotine concentration.

Secondary Endpoints

Part 1: Area Under the Plasma Nicotine Concentration-vs Time Curve until 10 Minutes after Start of Administration [AUC10min],
Predose; 2, 4, 6, 8, 10 min postdose
Part 1: Time to Reach Maximum Observed Plasma Concentration (Tmax)
Predose; 2, 4, 6, 8, 10, 15, 20, 30, 45 and 60 min and 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose
Part 1: Terminal Half-Life [t1/2]
Predose; 2, 4, 6, 8, 10, 15, 20, 30, 45 and 60 min and 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeOTHER

Treatment Arms

ArmTypeDescription
Part 1; Treatment Sequence ABDCEXPERIMENTALParticipants will receive Treatment A (one spray of oromucosal nicotine spray \[ONS\]) at Visit 1, then Treatment B (2 consecutive sprays of ONS at Visit 2, then Treatment D (1 cigarette \[10 puffs\]) at Visit 3, followed by Treatment C (nicotine gum) at Visit 4. The visits will be separated by a period of at least 7 calendar days.
Part 1; Treatment Sequence BCADEXPERIMENTALParticipants will receive Treatment B at Visit 1, then Treatment C at Visit 2, then Treatment A at Visit 3 followed by Treatment D at Visit 4. The visits will be separated by a period of at least 7 calendar days.
Part 1; Treatment Sequence CDBAEXPERIMENTALParticipants will receive Treatment C at Visit 1, then Treatment D at Visit 2, then Treatment B at Visit 3 followed by Treatment A at Visit 4. The visits will be separated by a period of at least 7 calendar days. The visits will be separated by a period of at least 7 calendar days.
Part 1; Treatment Sequence DACBEXPERIMENTALParticipants will receive Treatment D at Visit 1, then Treatment A at Visit 2, then Treatment C at Visit 3 followed by Treatment B at Visit 4. The visits will be separated by a period of at least 7 calendar days.
Part 2; Treatment Sequence EFEXPERIMENTALParticipants who complete Part 1 will be selected for Part 2 based on the results of genetic polymorphism test and other examinations. Selected participants will receive Treatment E (two consecutive sprays of ONS once every 30 minutes until 11.5 hours) at Visit 5, followed by Treatment F (two consecutive sprays of ONS once every 1 hour until 11 hours) at Visit 6. The visits will be separated by a period of at least 7 calendar days.
Part 2; Treatment Sequence FEEXPERIMENTALParticipants who complete Part 1 will be selected for Part 2 based on the results of genetic polymorphism test and other examinations. Selected participants will receive Treatment F at Visit 5 followed by Treatment E at Visit 6. The visits will be separated by a period of at least 7 calendar days.

Interventions

NameTypeDescription
Oromucosal Nicotine Spray (ONS)DRUGParticipants will receive oral dose of oromucosal nicotine spray (ONS).
Nicotine GumDRUGParticipants will chew nicotine gum for 30 minutes.
CigaretteOTHERParticipants will smoke one cigarette as 10 puffs for 3 minutes.
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Eligibility Criteria

Age Range20 Years to 50 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Healthy male or female Japanese participants between the ages of 20 and 50 years, inclusive. Health is defined as the absence of clinically relevant abnormalities identified by a detailed medical history, blood pressure, pulse rate measurements, 12-lead electrocardiogram (ECG)...

Countries:Japan
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Frequently asked questions about Oromucosal Nicotine

What is Oromucosal Nicotine?

Oromucosal Nicotine is an investigational small molecule nicotine replacement product delivered through the lining of the mouth. It is being developed by Johnson & Johnson (ticker JNJ) as a new oral nicotine replacement option. The specific medical indication has not been disclosed, and the program remains in Phase 1 clinical development.

Who makes Oromucosal Nicotine?

Oromucosal Nicotine is being developed by Johnson & Johnson, which trades under the ticker JNJ. The company sponsored the Phase 1 study of the product conducted in Japan. No partnership or licensing arrangement for the asset has been disclosed.

What phase is Oromucosal Nicotine in?

Oromucosal Nicotine is in Phase 1 clinical development. One Phase 1 trial has been completed, and no trials are currently active. The program has not been approved by the FDA or any other regulator, and it remains investigational.

What clinical trials is Oromucosal Nicotine in?

Oromucosal Nicotine has been studied in one completed Phase 1 trial, NCT03398876, titled a study to assess nicotine pharmacokinetics, tolerability and safety with a new oral nicotine replacement product in healthy Japanese smokers. The trial enrolled 24 participants in Japan, was randomized and controlled, and included healthy volunteers aged 20 years and older.

Is Oromucosal Nicotine the same as Oromucosal Nicotine Spray (ONS)?

Yes. Oromucosal Nicotine Spray, often shortened to ONS, is another name for Oromucosal Nicotine. Both names refer to the same Johnson & Johnson investigational nicotine replacement product delivered through the oral mucosa, so searches for either term point to the same asset.

What is Oromucosal Nicotine used for?

Oromucosal Nicotine is being developed as a nicotine replacement product, studied in healthy Japanese smokers in its completed Phase 1 trial. The broader therapeutic indication for the asset has not been disclosed. It is an investigational small molecule and is not approved for any use.