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CompletedNCT06091826PRECESTOUpdated Oct 19, 2023

Study Assessing Efficacy and Safety of NFL-101 on Reduction of Reinforcing Properties of Cigarettes (PRECESTO)

A Phase 2 interventional study of NFL-101 and Placebo in Smoking Cessation and Nicotine Dependence, sponsored by NFL Biosciences SAS. Completed at 1 site in France. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-19.

Sponsored by NFL Biosciences SAS · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

PRECESTO is a randomized, double-blind, cross-over trial on 34 smokers who do not want to stop smoking and get high satisfaction from smoking.

The primary objective is to assess efficacy of NFL-101 in reducing the positive reinforcing properties of cigarettes compared to placebo measured by the modified Cigarette Evaluation Questionnaire (mCEQ) "Smoking Satisfaction" (items 1, 2, and 12) subscale.

Read the detailed description

PRECESTO is a monocentric, placebo-controlled, randomized and double-blind Phase 2a exploratory study, with a crossover covering two periods of 28 days each, including 34 smokers who do not want to quit and have high smoking satisfaction. Each participant is his or her own control and receives, on a random and alternating basis, either NFL-101 or the placebo at the start of each of the two periods. At the end of the study, all the participants received one dose of NFL-101 and one dose of the placebo. For each participant, the order in which NFL-101 and the placebo are administered is kept secret. For each period, the participants receive the treatments on day 1 (D1) then answer, with complete independence, the modified Cigarette Evaluation Questionnaire (mCEQ) on days 4 (D4), 7 (D7), 14 (D14), 21 (D21) and 28 (D28).

The objective is to assess the safety and efficacy of NFL-101 as a pretreatment for smoking cessation, NFL-101 beeing administered a few days or weeks before a quit attempt while smokers are asked to smoke ad libitum (meaning to continue either to try to smoke the same amount or to smoke freely). It is indeed recognized that reducing satisfaction from smoking before a quit attempt begins to undermine the learned association between smoking and reward and thus promotes the success of these attempts.

02

Conditions studied

  • Smoking Cessation
  • Nicotine Dependence

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03

In context

Tobacco Use Disorder

968 studies on the registry are indexed under Tobacco Use Disorder; 126 are open to participants now.

This study's enrollment of 34 is below the median of 89 across 851 interventional studies indexed under Tobacco Use Disorder.

Browse Tobacco Use Disorder studies →

Lead sponsor

NFL Biosciences SAS is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Equipped with a web connection via a computer or tablet;
  • Subject currently smoking at least 10 cigarettes per day;
  • Exhaled CO ≥ 9 ppm;
  • Subject with a mCEQ Satisfaction subscale score ≥ 4
  • Subject not wanting to stop smoking (MTSS score ≤ 2)
  • Subject not under tobacco cessation therapy since at least 30 days;
  • Considered as healthy for the study after a comprehensive clinical assessment (detailed medical history and complete physical examination);
  • For women of childbearing potential: commitment to consistently and correctly use of a highly effective contraceptive measure: combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable), intrauterine device (IUD), intrauterine hormone-releasing system (IUS), bilateral tubal occlusion, vasectomized partner or sexual abstinence for the duration of the trial;
  • Females of non-childbearing potential: either surgically sterilized or at least 1 year postmenopausal (amenorrhea duration at least 12 months);
  • Negative pregnancy test at screening visit;
  • Laboratory parameters within the normal range of the laboratory (hematological, blood chemistry tests). Individual values out of the normal range can be accepted if judged clinically non relevant by the investigator;
  • Negative prick test at screening visit for the whole study product (extract of Tobacco leaf and NaCL), and positive for histamine;
  • Covered by Health Insurance System and / or in compliance with the recommendations of National Law in force relating to biomedical research;
  • Subject having signed the informed consent agreement.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy and breastfeeding;
  • Concomitant participation to another clinical trial;
  • Concomitant active infectious diseases;
  • Suicidal or depressive state
  • Positive results of screening for drugs of abuse
  • History or presence of drug or alcohol abuse (alcohol consumption > 40 grams / day);
  • Subject who would receive more than 4500 euros as indemnities for his participation in biomedical research within the 12 last months, including the indemnities for the present study (for subjects in France only);
  • Subject who, in the judgment of the investigator, is likely to be non-compliant or uncooperative during the study, or unable to cooperate because of a language problem, poor mental development.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    NFL-101

    100 μg per subcutaneous injection (in each arm), two injections at day 1

    Drug: NFL-101

  • Placebo comparator
    Placebo

    Water for Injection (WFI), two injections at day 1

    Drug: Placebo

Interventions

  • DrugNFL-101

    Subcutaneous injections

    Also known as: Tobacco leaf extract

  • DrugPlacebo

    Subcutaneous injections

    Also known as: Water for injection

06

What researchers measure

Primary outcomes

  1. Change of smoking satisfaction

    Success in achieving a 1 point reduction in the mCEQ "Smoking Satisfaction" subscale

    Time frame: at Day 4

Secondary outcomes

  1. Change of smoking satisfaction

    Success in achieving a 1 point reduction in mCEQ "Smoking Satisfaction" subscale

    Time frame: at Day 7, at Day 14, at Day 21 and at Day 28

  2. Change in psychological reward, aversion, enjoyment of respiratory tract sensation and craving

    Success in achieving a 1 point reduction in mCEQ "Psychological Reward"; "Aversion"; "Enjoyment of Respiratory Tract Sensations"; and "Craving Reduction" subcales

    Time frame: at Day 4, at Day 7, at Day 14, at Day 21 and at Day 28

  3. "Have you found your urges to smoke stronger or weaker than usual in the last 24 hours?"

    With response options of "much stronger," "slightly stronger," "same as before," "slightly weaker," and "much weaker"

    Time frame: at Day 4, at Day 7, at Day 14, at Day 21 and at Day 28

  4. "Have you found cigarettes more or less enjoyable than usual in the last 24 hours?"

    With response options of "much more enjoyable," "slightly more enjoyable," "same as before," "slightly less enjoyable," and "much less enjoyable"

    Time frame: at Day 4, at Day 7, at Day 14, at Day 21 and at Day 28

  5. Preference question : "Is there one of the two administrations that made you want to quit smoking or reduce your cigarette consumption more than the other?"

    With response options of administration 1, administration 2, I dont know, imponderable factors (for example covid, death of a relative, job loss, etc.) do not allow me to answer

    Time frame: at EOS visit

07

Study locations

1 site
  • Eurofins Optimed
    Gières, Isère 38610, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 19, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06091826
Lead sponsor
NFL Biosciences SAS
Responsible party
Yves Donazzolo (MD Eurofins Optimed, NFL Biosciences SAS) — Principal investigator
First posted
Oct 19, 2023
Start date
Feb 21, 2023
Primary completion
Sep 15, 2023
Completion
Sep 30, 2023
Last update
Oct 19, 2023

Study contacts

Yves Donazzolo, MD
principal investigator · Eurofins Optimed

Oversight

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

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This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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