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Nicotine gum

Phase 4

Tobacco Use | Small molecule | Other |22nd Century Group, Inc|Trials Updated: Mar 26, 2020

Nicotine gum development status

Highest phase Phase 4 run by McNeil AB (NCT00749463)
Phase scored for XXIIPhase 1
Registered trials 6 across 3 sponsors since Sep 2008

Nicotine gum target and mechanism

Molecular targetCHRNB2, CHRNA4
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL3

Also known as Nicotine gum (C)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment121

FDA Designations

No designations recorded

Nicotine gum clinical trials

Nicotine gum · 2 trials · 1 indication

Phase 1 2
NCT03559725Evaluation of Abuse Liability of Very Low Nicotine (VLN) Mentholated CigarettesTobacco Use
COMPLETED55 Analytics
NCT03559751Evaluation of the Abuse Liability of Very Low Nicotine (VLN) CigarettesTobacco Use
COMPLETED66 Analytics
PHASE1COMPLETED
Evaluation of Abuse Liability of Very Low Nicotine (VLN) Mentholated Cigarettes
Tobacco UseUnlock trial analytics
PHASE1COMPLETED
Evaluation of the Abuse Liability of Very Low Nicotine (VLN) Cigarettes
Tobacco UseUnlock trial analytics

Study Endpoints

Primary Endpoints

Emax_urge(controlled)
3 days - administered at the end of each product use session (Use of each product on a different day)

The maximum reduction in Visual Analog Scale (VAS) score for the question "Urges to smoke" (Tobacco/Nicotine Withdrawal Questionnaire) between pre-use and post-use (i.e., VASpre-use1 - VASpost-use1) during the first product use in Part B.

Emax_plst(controlled)
3 days - administered at the end of each product use session (Use of each product on a different day)

The largest VAS score recorded for the response to the question "Is the product "Pleasant" right now?" (Direct Effects of Product Questionnaire) during the first product use in Part B.

Secondary Endpoints

Cmax(controlled); Maximum Nicotine Concentration
Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes
T1/2(controlled); Terminal Half Life
Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes
Kel(controlled); Elimination Rate Constant
Pre, 2,5,7,10,12,15,20,30,45,60,90,120,150, and 180 minutes
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeOTHER

Treatment Arms

ArmTypeDescription
VLN Menthol Cigarettes (A)EXPERIMENTALSubjects will smoke VLN menthol cigarettes
Usual Brand Menthol Cigarettes (B)EXPERIMENTALSubjects will smoke their usual brand menthol cigarettes
Nicotine Gum (C)EXPERIMENTALSubjects will chew nicotine gum
VLN Cigarettes (A)EXPERIMENTALSubjects will smoke VLN cigarettes
Usual Brand Cigarettes (B)EXPERIMENTALSubjects will smoke their usual brand cigarettes

Interventions

NameTypeDescription
VLN menthol cigarettes (A)OTHER0.4mg nicotine / g tobacco king size filter menthol cigarette
Usual Brand Menthol Cigarettes (B)OTHERUsual brand king size menthol cigarettes
Nicotine gum (C)DRUG4 mg nicotine gum
VLN cigarettes (A)OTHER0.4mg nicotine / g tobacco king size filter cigarette
Usual Brand Cigarettes (B)OTHERUsual brand king size non-menthol cigarettes
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Eligibility Criteria

Age Range22 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: Subjects will be required to meet each one of the following inclusion criteria in order to be eligible for participation in the study: 1. Must provide written informed consent prior to the initiation of any protocol-specific procedures. 2. Male and female adults, between 22 to ...

Countries:United States
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Frequently asked questions about Nicotine gum

What is nicotine gum used for?

Nicotine gum is being studied for tobacco use, the dependence on nicotine that drives smoking. It delivers nicotine as a small molecule and is being developed by 22nd Century Group, Inc. under the ticker XXII. The program is in Phase 1 clinical development, so it is investigational and not an approved product.

What does nicotine gum target?

Nicotine gum targets the nicotinic acetylcholine receptors CHRNB2 and CHRNA4, acting as an agonist at those receptors. By binding and activating these receptor subtypes, it mimics the effect of nicotine delivered through tobacco. This receptor activity is the basis for its investigation in tobacco use.

Who makes nicotine gum?

Nicotine gum is being developed by 22nd Century Group, Inc., which trades under the ticker XXII. The company is the sponsor behind the clinical program evaluating the product in tobacco use. Development remains at the Phase 1 stage.

What phase is nicotine gum in?

Nicotine gum is in Phase 1 clinical development. It is investigational and has not been approved for marketing. Two Phase 1 trials have been completed, and no trials are currently active. The program is sponsored by 22nd Century Group, Inc. under the ticker XXII.

What clinical trials is nicotine gum in?

Two completed Phase 1 trials have evaluated nicotine gum. NCT03559751 studied abuse liability of very low nicotine cigarettes in 66 participants, and NCT03559725 studied abuse liability of very low nicotine mentholated cigarettes in 55 participants. Both were conducted in the United States in adults aged 22 years and older, including healthy volunteers.

Is nicotine gum the same as nicotine gum (C)?

Yes, nicotine gum (C) is another name for nicotine gum. Both refer to the same investigational product being developed by 22nd Century Group, Inc. under the ticker XXII for tobacco use. Searches using either name point to the same Phase 1 program.