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SmokingNCT05294497

CSD201301: Study to Assess Elements of Abuse Liability for Four P13 Nicotine Pouches

A study testing Product A, Product B and Product C in people with Smoking and Tobacco Use, run by RAI Services Company at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a two-site, open-label, randomized, 6-way cross-over study designed to evaluate elements of abuse liability (AL) including subjective effects and physiological measures (pharmacodynamics [PD]) and plasma nicotine uptake (pharmacokinetics [PK]) during and following ad libitum use of the study investigational… Read more about this study

Who is it for?
Ages 21 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Smoking, Tobacco Use, Tobacco Smoking
What is being tested?
Product A, Product B and Product C
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
2 sitesUnited States
Study dates
1 May 2022to 27 May 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Able to read, understand, and willing to sign an informed consent form (ICF) and complete questionnaires written in English.
  • Generally healthy males or females, 21 to 60 years of age, inclusive, at the time of consent.
  • Smokes combustible, filtered, non-menthol or menthol cigarettes, 83 mm to 100 mm in length as primary source of tobacco.
  • Smokes an average of at least 10 cigarettes per day (CPD) and inhales the smoke, for at least 6 months prior to Screening. Brief periods of abstinence due to illness, quit attempt (prior to 30 days of Screening), or clinical study participation (prior to 30 days of Screening) will be allowed at the discretion of the PI.
  • Smokers who also use ST products (e.g., moist snuff, snus), and have used ST within 30 days prior to screening will be enrolled.
  • Agrees to smoke the same UB cigarette throughout the study period. The UB cigarette is defined as the reported cigarette brand style currently smoked most frequently by the subject.
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  • Expired breath carbon monoxide (ECO) level is ≥ 10 ppm and ≤ 100 ppm at Screening and at check-in Day 1.
  • Positive urine cotinine test at Screening.
  • Response at Screening to the Fagerström Test for Nicotine Dependence (FTND) Question 1 ("How soon after you wake up do you smoke your first cigarette?") is either "Within 5 minutes" or "6-30 minutes" (Heatherton et al., 1991).
  • Willing to use UB cigarette, nicotine pouch IPs, and Nicorette® gum during the study period.
  • Willing to abstain from tobacco and nicotine use for at least 12 hours prior to the start of each of six Test Sessions.
  • Females must be willing to use a form of contraception acceptable to the PI from the time of signing the informed consent until End-of-Study.
  • Examples of acceptable means of birth control are, but not limited to:
  • Surgical sterilization (hysterectomy, bilateral tubal ligation/occlusion, bilateral oophorectomy, bilateral salpingectomy);
  • physical barrier method (e.g., condom, diaphragm/sponge/cervical cap) with spermicide;
  • non-hormone releasing intrauterine devices (IUD) or hormone-releasing IUDs (e.g., Mirena or Kyleena);
  • vasectomized partner; and
  • post-menopausal and not on hormone replacement therapy.
  • Agrees to an in-clinic confinement of 7 days (6 nights).

Who cannot join

  • Presence of clinically significant uncontrolled cardiovascular, pulmonary, renal, hepatic, endocrine, gastrointestinal, psychiatric, hematological, neurological disease, or any other concurrent disease or medical condition that, in the opinion of the PI, makes the study subject unsuitable to participate in this clinical study.
  • History, presence of, or clinical laboratory test results indicating diabetes.
  • Scheduled treatment for asthma currently or within the past consecutive 12 months prior to the Screening Visit. As-needed treatment, such as inhalers, may be included at the PI's discretion pending approval from the Medical Monitor.
  • History or presence of bleeding or clotting disorders.
  • Any history of cancer, except for primary cancers of skin such as localized basal cell/squamous cell carcinoma that has been surgically and/or cryogenically removed.
  • Systolic blood pressure of > 160 mmHg or a diastolic blood pressure of > 95 mmHg, measured after being seated for five minutes at Screening and at check-in Day 1.
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  • Weight of ≤ 110 pounds.
  • Hemoglobin level is < 12.5 g/dL for females or < 13.0 for males g/dL at Screening.
  • Females who have a positive pregnancy test, are pregnant, breastfeeding, or intend to become pregnant during the course of the study.
  • A positive urine drug screen without evidence of prescribed corresponding concomitant medication(s) at Screening or check-in Day 1.
  • Positive test for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV).
  • Use of any medication or substance that aids in smoking cessation, including but not limited to any nicotine replacement therapy (e.g., nicotine gum, lozenge, patch), varenicline (Chantix®), bupropion (Wellbutrin®, Zyban®), or lobelia extract within (≤) 30 days prior to signing the informed consent.
  • Postpones a decision to quit using tobacco- or nicotine-containing products in order to participate in this study or self-reports a previous quit attempt within (≤) 30 days prior to signing the informed consent.
  • Any use of daily aspirin (≥ 325 mg) or any use of other anticoagulants.
  • Individuals ≥ 35 years of age currently using systemic, estrogen-containing contraception or hormone replacement therapy.
  • Whole blood donation within 8 weeks (≤ 56 days) prior to signing the informed consent and between Screening and check-in Day 1.
  • Plasma donation within (≤) 7 days prior to signing the informed consent and between Screening and check-in Day 1.
  • Employed by a tobacco or nicotine company, the study site, or handles tobacco- or nicotine-containing products as part of their job.
  • Participation in another clinical trial within (≤) 30 days prior to signing the informed consent. The 30-day window for each subject will be derived from the date of the last study event in the previous study to the time of signing the informed consent in the current study.
  • Drinks more than 21 servings of alcoholic beverages per week.
  • Has a positive alcohol result at Screening or check-in Day 1.
  • Determined by the PI to be inappropriate for this study.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • AMR Knoxville

    Knoxville, Tennessee, 37920

  • AMR Lexington

    Lexington, Kentucky, 40509

Other trials in United States

About this study

Official title: CSD201301: An In-Clinic Confinement Study to Assess Elements of Abuse Liability for Four P13 Nicotine Pouches

This is a two-site, open-label, randomized, 6-way cross-over study designed to evaluate elements of abuse liability (AL) including subjective effects and physiological measures (pharmacodynamics [PD]) and plasma nicotine uptake (pharmacokinetics [PK]) during and following ad libitum use of the study investigational products (IPs) by generally healthy smokers.

Read the detailed description

Cigarette smokers and smokers also using smokeless tobacco products (ST) will be recruited into this AL study to evaluate elements of AL of four nicotine pouches compared to combustible cigarettes (CC) and nicotine polacrilex gum. At least one-third of the study population will include smokers using ST.

Potential subjects may complete a pre-screening telephone interview. They will complete a Screening Visit to assess their eligibility within 45 days prior to check-in and enrollment.

Starting on Day 1, subjects will check-in at the clinical site to complete procedures to confirm eligibility. Eligible subjects will be enrolled and confined for 7 days. Subjects will be randomized to one of 6 product sequences (using a Williams Design) in which they will evaluate one IP in each of six separate Test Sessions, such that each subject will evaluate six IPs, including four nicotine pouch IPs, and both a high-AL comparator (subject's usual brand [UB] cigarette) and a low-AL comparator (a commercially available nicotine replacement therapy [NRT] nicotine gum).

On Day 2 and continuing through Day 7, subjects will participate in Test Sessions that will last for approximately 4 hours. Each Test Session will include collection of both PD measures (subjective and physiological) and PK measures prior to, during and following IP use.

On the half day prior to each respective Test Session, a Product Acclimation Period will allow subjects ad libitum use of the randomized IP (at least two trial uses) for product familiarization prior to use in the next day's Test Session. Subjects can also use their UB cigarettes ad libitum, until the 12-hour tobacco abstinence begins prior to each Test Session, as long as the minimum use requirement for randomized IP is met.

Being tested
Product A, Product B, Product C, Product D, Product N
Medical subject headings
Smoking, Tobacco Use, Tobacco Smoking

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Product AOther

    Usual Brand (UB) filtered, non-menthol or menthol cigarette

  • Product BOther

    Flavor variant P1312914 of a nicotine pouch product with 4 mg of nicotine

  • Product COther

    Flavor variant P1312915 of a nicotine pouch product with 8 mg of nicotine

  • Product DOther

    Flavor variant P1313014 of a nicotine pouch product with 4 mg of nicotine

  • Product NOther

    Nicorette® White Ice Mint 4 mg nicotine gum

  • Product EOther

    Flavor variant P1313015 of a nicotine pouch product with 8 mg of nicotine

Study groups in NCT05294497
Study groupRoleWhat they receive
Product usage order A B N C E DExperimentalSubjects will use each of the 6 products sequentially (A B N C E D) during an evaluation period, followed by a 4 hour Test Session.
Receives: Other: Product A; Other: Product B; Other: Product C; Other: Product D; Other: Product N; Other: Product E
Product usage order B C A D N EExperimentalSubjects will use each of the 6 products sequentially (B C A D N E) during an evaluation period, followed by a 4 hour Test Session.
Receives: Other: Product A; Other: Product B; Other: Product C; Other: Product D; Other: Product N; Other: Product E
Product usage order C D B E A NExperimentalSubjects will use each of the 6 products sequentially (C D B E A N) during an evaluation period, followed by a 4 hour Test Session.
Receives: Other: Product A; Other: Product B; Other: Product C; Other: Product D; Other: Product N; Other: Product E
Product usage order D E C N B AExperimentalSubjects will use each of the 6 products sequentially (D E C N B A) during an evaluation period, followed by a 4 hour Test Session.
Receives: Other: Product A; Other: Product B; Other: Product C; Other: Product D; Other: Product N; Other: Product E
Product usage order E N D A C BExperimentalSubjects will use each of the 6 products sequentially (E N D A C B) during an evaluation period, followed by a 4 hour Test Session.
Receives: Other: Product A; Other: Product B; Other: Product C; Other: Product D; Other: Product N; Other: Product E
Product usage order N A E B D CExperimentalSubjects will use each of the 6 products sequentially (N A E B D C) during an evaluation period, followed by a 4 hour Test Session.
Receives: Other: Product A; Other: Product B; Other: Product C; Other: Product D; Other: Product N; Other: Product E

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. (AUECPL) 5-240: area-under-the-effects curve (AUEC) for Product Liking (PL)

    area-under-the-effects curve (AUEC) for PL numeric rating scale (NRS) score-versus-time curve from 5 minutes to 240 minutes after the start of IP use. Product Liking is a numeric rating scale ranging from 0 to 10. A higher score indicates a higher liking of the product.

    Measured: 5 minutes to 240 minutes

  2. Emax PL: Maximum product liking (PL)

    Maximum product liking (PL) numeric rating scale (NRS) score after the start of IP use. Product Liking is a numeric rating scale ranging from 0 to 10. A higher score indicates a higher liking of the product.

    Measured: 240 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Mar 2022
  2. Study start1 May 2022
  3. Primary completion27 May 2022
  4. Study completion27 May 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05294497
Sponsor's protocol ID
CSD201301
Status last verified
Jun 2022
First submitted
15 Mar 2022
Last updated
29 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kanobe MN, Powell CY, Patrudu M, Baxter SA, Tapia MA, Darnell J, Prevette K, Gibson AG, Ayoku SA, Campbell L, Coffield JW, Keyser BM, Ganesh BS, Gale N, Jordan KG. Randomized crossover clinical studies to assess abuse liability and nicotine pharmacokinetics of Velo Oral Nicotine pouches. Front Pharmacol. 2025 Mar 13;16:1547073. doi: 10.3389/fphar.2025.1547073. eCollection 2025.

    PubMed 40183092

Questions about this trial

What is this clinical trial studying?

A study testing Product A, Product B and Product C in people with Smoking and Tobacco Use, run by RAI Services Company at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

(AUECPL) 5-240: area-under-the-effects curve (AUEC) for Product Liking (PL) (time frame: 5 minutes to 240 minutes). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05294497, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jun 2022.

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