An interventional study of Nicorette® inhalator and P3L in Smoking, sponsored by Philip Morris Products S.A.. Completed at 1 site in New Zealand. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-24.
Sponsored by Philip Morris Products S.A. · Not applicable, Interventional, and Other
The purpose of this study is to evaluate the pharmacokinetics (PK) and pharmacodynamics (PD, i.e., subjective effects) profiles, and the safety and tolerability of the nicotine-containing aerosol delivered by Platform 3 Liquid (P3L) system at three different nicotine levels in smoking healthy subjects in relation to Nicorette® inhalator.
The entire study will last between 16 to 49 days per subject. This includes :
Subjects will come to the investigational site the night before each assessment day, at least 12 hours prior to the product use, on Visit 4, Visit 5, and Visit 6. Subjects will stay overnight at the investigational site between the admission visit (Visit 2) and Visit 3. Smoking or use of any tobacco/nicotine-containing products or electronic cigarettes, apart from product use assigned on the assessment days, will not be allowed during their stay at the investigational site. Smoking will be allowed once the subjects have left the investigational site.
The maximum concentration of nicotine (Cmax) and the area under the concentration-time curve from start of product use to the last quantifiable time point (AUC0-last) will be derived from multiple blood sampling pre- and post-product use, and corrected for baseline nicotine concentration.
Philip Morris Products S.A. is the lead sponsor of 46 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Each subject will use the Nicorette® inhalator (15 mg) on Visit 3, and then use the P3L aerosol at nicotine dose levels of approximately 50 µg/puff, 80 µg/puff and 150 µg/puff on Visits 4, 5 and 6, respectively.
Other: Nicorette® inhalator · Other: P3L
Subjects will inhale the Nicorette® inhalator (15 mg) at the rate of one deep inhalation every 15 seconds on average, over approximately 20 minutes (80 inhalations in total).
Subjects will inhale P3L (50 µg/puff, 80 µg/puff and 150 µg/puff) at the rate of one inhalation every 30 seconds on average, over approximately 6 minutes (i.e., 12 inhalations in total).
Maximum Concentration (Cmax) of Nicotine Following Single Use of Nicorette® Inhalator
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 3: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Maximum Concentration (Cmax) of Nicotine Following Single Use of P3L 50 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 4: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Maximum Concentration (Cmax) of Nicotine Following Single Use of P3L 80 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 5: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Maximum Concentration (Cmax) of Nicotine Following Single Use of P3L 150 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 6: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of Nicorette® Inhalator
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use).
Time frame: Visit 3: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of P3L 50 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use).
Time frame: Visit 4: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of P3L 80 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use).
Time frame: Visit 5: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of P3L 150 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use).
Time frame: Visit 6: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of Nicorette® Inhalator
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 3: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of P3L 50 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 4: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of P3L 80 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 5: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of P3L 150 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 6: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, 10, 15, 20, 30, 40, 50, 60, 120, and 240 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of Nicorette® Inhalator
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 3: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, and 10 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of P3L 50 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 4: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, and 10 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of P3L 80 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 5: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, and 10 minutes after T0.
Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of P3L 150 µg/Puff
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
Time frame: Visit 6: blood taken at 45, 30 and 15 minutes prior to T0 and 2, 4, 7, and 10 minutes after T0.
Study initiated (1st subject screened): 07 October 2015 At admission, all the subjects were to try the P3L (50 μg/puff) and Nicorette® inhalator. Smoking or use of any tobacco/nicotine-containing products or electronic cigarettes, apart from product use assigned on the assessment days, was not allowed during the visits on site.
| Milestone | Nicorette® Inhalator Then P3L |
|---|---|
| Started | 16 |
| Nicorette inhalator (visit 3) | 15 |
| P3l 50 μg/puff (visit 4) | 15 |
| P3l 80 μg/puff (visit 5) | 14 |
| P3l150 μg/puff (visit 6) | 14 |
| Completed | 14 |
| Not completed | 2 |
| Withdrew: Withdrawal by subject | 1 |
| Withdrew: Physician decision | 1 |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| ng/mL | Nicorette® Inhalator |
|---|---|
| Maximum Concentration (Cmax) of Nicotine Following Single Use of Nicorette® Inhalator | 6.095 (4.243 to 8.755) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| ng/mL | P3L 50 µg/Puff |
|---|---|
| Maximum Concentration (Cmax) of Nicotine Following Single Use of P3L 50 µg/Puff | 9.659 (6.724 to 13.874) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| ng/mL | P3L 80 µg/Puff |
|---|---|
| Maximum Concentration (Cmax) of Nicotine Following Single Use of P3L 80 µg/Puff | 11.145 (7.701 to 16.128) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| ng/mL | P3L 150 µg/Puff |
|---|---|
| Maximum Concentration (Cmax) of Nicotine Following Single Use of P3L 150 µg/Puff | 9.805 (6.775 to 14.189) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use).
| minutes | Nicorette® Inhalator |
|---|---|
| Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of Nicorette® Inhalator | 30.0 (20.0 to 40.0) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use).
| minutes | P3L 50 µg/Puff |
|---|---|
| Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of P3L 50 µg/Puff | 7.0 (4.0 to 7.0) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use).
| minutes | P3L 80 µg/Puff |
|---|---|
| Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of P3L 80 µg/Puff | 7.0 (7.0 to 7.0) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use).
| minutes | P3L 150 µg/Puff |
|---|---|
| Time to the Maximum Concentration (Tmax) of Nicotine Following Single Use of P3L 150 µg/Puff | 7.0 (4.0 to 7.0) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | Nicorette® Inhalator |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of Nicorette® Inhalator | 12.323 (9.251 to 16.415) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | P3L 50 µg/Puff |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of P3L 50 µg/Puff | 9.943 (7.465 to 13.245) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | P3L 80 µg/Puff |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of P3L 80 µg/Puff | 10.259 (7.644 to 13.770) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | P3L 150 µg/Puff |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to the Last Quantifiable Time Point (AUC0-last) of Nicotine Following Single Use of P3L 150 µg/Puff | 9.983 (7.438 to 13.399) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 3 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | Nicorette® Inhalator |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of Nicorette® Inhalator | 0.124 (0.077 to 0.200) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 4 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | P3L 50 µg/Puff |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of P3L 50 µg/Puff | 1.028 (0.640 to 1.650) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 5 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | P3L 80 µg/Puff |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of P3L 80 µg/Puff | 1.157 (0.714 to 1.874) |
T0 = start of product use. Derived from multiple blood sampling pre- and post-product use on Visit 6 (over 240 minutes post-product use). Geometric Least Squares (geometric LS) means are provided.
| h*ng/mL | P3L 150 µg/Puff |
|---|---|
| Area Under the Concentration-time Curve From Start of Product Use to 10 Minutes After Start of Product Use (AUC0-10) of Nicotine Following Single Use of P3L 150 µg/Puff | 1.040 (0.642 to 1.684) |
Collected over From the informed consent form (ICF) signature until the end of the safety follow-up period, up to 49 days (see the section "Detailed Description" for information on the study duration). The adverse events were tabulated for the safety population for: * Enrolment period (product test period, from enrolment to admission) * Nicorette® inhalator period * P3L 50 μg/puff period * P3L 80 μg/puff period * P3L 150 μg/puff period * Safety follow-up period. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Enrolment Period | — | 0/16 (0%) | 7/16 (43.8%) |
| Nicorette® Inhalator Period | — | 0/15 (0%) | 3/15 (20%) |
| P3L 50 µg/Puff Period | — | 0/15 (0%) | 4/15 (26.7%) |
| P3L 80 µg/Puff Period | — | 0/14 (0%) | 4/14 (28.6%) |
| P3L 150 µg/Puff Period | — | 0/14 (0%) | 8/14 (57.1%) |
| Safety Follow-up Period | — | 0/16 (0%) | 2/16 (12.5%) |
| Event | Enrolment Period | Nicorette® Inhalator Period | P3L 50 µg/Puff Period | P3L 80 µg/Puff Period | P3L 150 µg/Puff Period | Safety Follow-up Period |
|---|---|---|---|---|---|---|
| Blood Albumin DecreasedInvestigations | 0/16 | 0/15 | 0/15 | 0/14 | 4/14 | 0/16 |
| DizzinessNervous system disorders | 0/16 | 1/15 | 3/15 | 3/14 | 4/14 | 0/16 |
| Blood Glucose DecreasedInvestigations | 0/16 | 0/15 | 0/15 | 0/14 | 2/14 | 0/16 |
| HeadacheNervous system disorders | 0/16 | 2/15 | 0/15 | 0/14 | 0/14 | 0/16 |
| Blood Triglycerides IncreasedInvestigations | 2/16 | 0/15 | 0/15 | 0/14 | 1/14 | 1/16 |
| Blood Glucose IncreasedInvestigations | 2/16 | 0/15 | 0/15 | 0/14 | 0/14 | 0/16 |
| Blood Bilirubin IncreasedInvestigations | 0/16 | 0/15 | 0/15 | 0/14 | 1/14 | 0/16 |
| Blood Creatinine IncreasedInvestigations | 0/16 | 0/15 | 0/15 | 0/14 | 1/14 | 0/16 |
| SyncopeNervous system disorders | 0/16 | 0/15 | 0/15 | 1/14 | 0/14 | 0/16 |
| NauseaGastrointestinal disorders | 0/16 | 0/15 | 0/15 | 0/14 | 1/14 | 1/16 |
PK population: all the subjects who have signed the informed consent, completed at least one P3L product use period and for whom at least one PK parameter can been derived. No subjects were excluded due to major protocol deviations impacting the evaluation of the results. 1 subject withdrew after the product test at the admission visit.
| Age, Continuous(years) | Nicorette® Inhalator Then P3L |
|---|---|
| Mean | 39.8 ± 13.83 |
| Sex: Female, Male(Participants) | Nicorette® Inhalator Then P3L |
|---|---|
| Female | 7 |
| Male | 8 |
| Daily CC consumption at Screening(Participants) | Nicorette® Inhalator Then P3L |
|---|---|
| 10 to 19 cig/day | 9 |
| > 19 cig/day | 6 |
Plan to share: No
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Philip Morris Products S.A.