ClinicalTrials.gg
CompletedNCT03259607Updated Jan 3, 2019

Clinical Study to Assess Bioequivalence Between Nicorette Extra Mint Gum and Nicorette® Mint Gum in Healthy Smokers

A Phase 1 interventional study of Nicorette Extra Mint 2 mg Gum and Nicorette Mint 2 mg Gum in Tobacco Dependence, sponsored by McNeil AB. Completed at 1 site in China. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-03.

Sponsored by McNeil AB (formerly part of Johnson & Johnson) · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This is a research study to verify the same effectiveness and safety profile for the test products, nicotine 2 mg gum and nicotine 4 mg gum, as for the already approved products, Nicorette Mint 2 mg gum and Nicorette Mint 4 mg gum (reference products), in a standardized mode. This verification is done in a so-called bioequivalence study, which means that the same amount of the same active substance (nicotine), in the same dosage form, for the same route of administration, and meeting the same or comparable standards is performed.

During the study visits, blood samples will be drawn to measure the level of the substance in the blood to verify that the two test products are comparable to the reference products.

Tolerability of the treatments will be evaluated based on reported and observed adverse events.

Read the detailed description

This is a single-center, randomized, single-dose open-label, cross-over study in 76 healthy males and females in total. The investigational products (IPs), i.e., Nicorette Extra Mint Gum 2 and 4 mg, and Nicorette Mint Gum 2 and 4 mg, will be given as single doses at separate treatment visits. Investigational treatments will be separated by at least 36 hours.

Blood samples for determination of nicotine will be drawn pre-dose (within 5 minutes of administering, i.e., start of chewing) and at 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.

Used gums will be collected and analyzed to determine the amount of remaining nicotine.

Any Adverse Events (AEs) that may occur will be registered.

02

Conditions studied

  • Tobacco Dependence

Keywords

  • Bioequivalence
03

In context

Tobacco Use Disorder

1,027 studies on the registry are indexed under Tobacco Use Disorder; 128 are open to participants now.

This study's enrollment of 76 is below the median of 90 across 892 interventional studies indexed under Tobacco Use Disorder.

Browse Tobacco Use Disorder studies →

Lead sponsor

McNeil AB is the lead sponsor of 42 studies on the registry; 1 is open to participants now.

First submitted before McNeil AB left Johnson & Johnson.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Healthy male subjects between the ages of 18 and 55 years, inclusive, and healthy female subjects between the ages of 18 and 45 years, inclusive. Health is defined as the absence of abnormalities identified by a detailed medical history, physical examination, blood pressure and pulse rate measurements, 12-lead (ECG) as well as clinical laboratory tests, as judged by the Investigator or an authorized physician.
  2. Smoking of at least 10 cigarettes daily for at least one year preceding inclusion.
  3. Subjects will have a (BMI) between 19 and 25 (inclusive) kg/m2 and a body weight >50 kg.
  4. Females of must have a negative pregnancy test at the screening visit.
  5. Male or non-pregnant, non-lactating female agree to the requirements including male's and female partner's use of a highly effective methods of birth control for at least 3 months before the study, during the study and for 30 days after the last dose of the study drug).
  6. A personally signed and dated document, indicating that the subject has been informed of all pertinent aspects of the study before participating in any study-specific procedures.
  7. Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures specified in the protocol.

Exclusion criteria

Exclusion Criteria:

  1. Use of medications other than specified in Inclusion Criterion 4. Vitamins, dietary, and herbal supplements must be discontinued at least two days before the first dose of study medication.
  2. Any positive result on screening for serum surface antigen, antibody, (HIV) or syphilis.
  3. to the ingredients/components of any of the IPs.
  4. History of alcoholism, as judged by the Investigator, within the past 6 months preceding this study and/or presenting a positive respiratory alcohol test (breathalyzer) at the screening visit.
  5. History of drug abuse or presenting a positive drug screening test for psychoactive drugs and narcotic substances at screening visit.
  6. Treatment with an IP within 3 months preceding this study.
  7. Donation or loss of blood within 3 months preceding this study if the estimated lost blood volume equaled or exceeded 200 mL.
  8. Impaired chewing capability as assessed by oral examination (e.g. dentures, significant oral ulceration) or impaired salivary secretion (e.g. Sicca syndrome). Piercing of tongue and lips is considered to impair oral function.
  9. Preplanned surgery or procedures during the study period, if this may interfere with the conduct of the study.
  10. Relationship to persons involved directly with the conduct of the study (i.e. PI; Sub investigators; study coordinators; other study personnel; employees or contractors of the sponsor or Johnson \& Johnson (J\&J) subsidiaries; and the families of each).
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
76 participants (actual)

Study arms

  • Experimental
    Treatment A

    Nicorette Extra Mint 2 mg Gum

    Drug: Nicorette Extra Mint 2 mg Gum

  • Active comparator
    Treatment B

    Nicorette Mint 2 mg Gum

    Drug: Nicorette Mint 2 mg Gum

  • Experimental
    Treatment C

    Nicorette Extra Mint 4 mg Gum

    Drug: Nicorette Extra Mint 4mg Gum

  • Active comparator
    Treatment D

    Nicorette Mint 4 mg Gum

    Drug: Nicorette Mint 4 mg Gum

Interventions

  • DrugNicorette Extra Mint 2 mg Gum

    A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.

  • DrugNicorette Mint 2 mg Gum

    A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.

  • DrugNicorette Extra Mint 4mg Gum

    A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.

  • DrugNicorette Mint 4 mg Gum

    A single dose of one nicotine gum will be placed on the tongue to be chewed every 2 seconds for 30 minutes.

06

What researchers measure

Primary outcomes

  1. Peak Plasma Concentration (Cmax) of nicotine.

    The maximum observed plasma concentration (Cmax).

    Time frame: At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.

  2. Area under the plasma concentration versus time curve (AUCt) from start of nicotine administration until the last measurable concentration.

    AUCt is defined as area under the plasma concentration versus time curves from start of drug administration until the last measureable concentration.

    Time frame: At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.

  3. Area under the plasma concentration versus time curve (AUC∞) of nicotine.

    AUC∞ is defined as area under the plasma concentration versus time curves from start of drug administration until the nicotine plasma concentration is negligible (infinity).

    Time frame: At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.

Secondary outcomes

  1. The extrapolated part of area under the plasma concentration versus time curve (AUC∞) of nicotine.

    The area under the plasma concentration versus time curves from start of drug administration until 48 hours (infinity).

    Time frame: Extrapolation from 12 hours after start of drug administration until 48 hours.

  2. The time at which the maximum nicotine concentration (Cmax) occurs (Tmax).

    Tmax is defined as the time point at which the maximum nicotine concentration (Cmax) occurs.

    Time frame: At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.

  3. Determination of the terminal elimination rate constant (lambda_z) for nicotine.

    The rate at which the drug is removed from the body system.

    Time frame: At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.

  4. The plasma half-life (t1/2) of nicotine.

    The time taken for the nicotine plasma concentration to fall to half its original value.

    Time frame: At baseline, 5, 10, 15, 20, 30, 45, and 60 minutes, as well as 1.5, 2, 4, 6, 7, 8, 9, and 10 hours after start of administration.

  5. Amount of nicotine extracted from Nicorette Mint 2 mg gums.

    The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.

    Time frame: After 30 minutes of chewing.

  6. Amount of nicotine extracted from Nicorette Mint 4 mg gums.

    The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.

    Time frame: After 30 minutes of chewing.

  7. Amount of nicotine extracted from Nicorette Extra Mint 2 mg gums.

    The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.

    Time frame: After 30 minutes of chewing.

  8. Amount of nicotine extracted from Nicorette Extra Mint 4 mg gums.

    The residual amount of nicotine in the chewed gums will be analyzed and subtracted from the original amount of nicotine in the gums, and summarized descriptively.

    Time frame: After 30 minutes of chewing.

  9. Percentage of Subjects with Treatment-Emergent Adverse Events after single-dose administration of investigational product.

    Percentage of subjects experiencing treatment-emergent adverse events by treatment, system organ class and preferred term.

    Time frame: From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.

  10. Percentage of Subjects with Treatment-Emergent Adverse Events after single-dose administration of investigational product - by worst-case severity.

    Percentage (%) of subjects experiencing treatment-emergent adverse events by treatment, system organ class, preferred term and severity.

    Time frame: From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.

  11. Percentage of Subjects with common treatment-emergent adverse events (AEs) after single-dose administration of Investigational product.

    Percentage (%) of subjects with commonly reported treatment-emergent adverse events by system organ class and preferred term.

    Time frame: From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.

  12. Percentage of Subjects with treatment-related adverse events (AEs) after single-dose administration of investigational product.

    Percentage (%) of subjects experiencing treatment-related adverse events by treatment, system organ class and preferred term.

    Time frame: From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse event.

  13. Percentage of Subjects with treatment-related adverse events (AEs) after single-dose administration of investigational product - by worst-case severity.

    Percentage (%) of subjects experiencing treatment-related adverse events by treatment, system organ class, preferred term and severity.

    Time frame: From first dose received up to 2.5 weeks + 30 days follow up after study completion for any unresolved adverse events.

  14. Percentage of Subjects with treatment-emergent serious adverse events (SAEs).

    Percentage (%) of subjects experiencing treatment-emergent serious adverse events.

    Time frame: From first dose received up to 2.5 weeks + 30 days follow up after study completion.

07

Study locations

1 site
  • Beijing Hospital, No.1
    Beijing, 100730, China
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2017 to primary completion in Dec 2017, 4 months.

Of 46 phase 1 interventional studies under Tobacco Use Disorder, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 36. This study's 4 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 2, 2017
First posted
Aug 23, 2017
StartActual
Aug 14, 2017
Primary completionActual
Dec 25, 2017
CompletionActual
Jan 9, 2018
Last update
Jan 3, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 3, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03259607
Lead sponsor
McNeil AB
Collaborators
Janssen (China) Research & Development Center
Responsible party
Sponsor
First posted
Aug 23, 2017
Start date
Aug 14, 2017
Primary completion
Dec 25, 2017
Completion
Jan 9, 2018
Last update
Jan 3, 2019

Study contacts

Shi Aixin, M. Pharm
principal investigator · BeiJing Hospital, No.1, Beijing, China.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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