Over 1 billion people worldwide smoke, resulting in an estimated 4 million deaths annually from smoking-related disease.1 Persistent and long-term smoking leads to an increased risk of cardiovascular damage, respiratory disease, and a higher incidence of a variety of cancers; but for smokers who can quit there is an immediate and significant beneficial impact on their health and life expectancy. Cigarette smoking remains the leading preventable cause of death in the United States (US), accounting for approximately 1 of every 5 deaths (438,000 people) each year. This Phase 2 study will investigate the efficacy and tolerability of 2 doses of TA-NIC compared to placebo as an aid to smoking cessation in smokers who are motivated to quit.
This is a multicenter, double-blind, randomized, placebocontrolled, 3-arm, Phase 2 study evaluating the efficacy and safety of TA-NIC as an aid for smoking cessation in smokers motivated to quit within 12 weeks. At the start of the study, each subject will set a Target Quit Date, which must be within 12 weeks after first injection. Each subject will receive 7 injections (vaccinations) from Weeks 0 to 16. Subjects will be encouraged to follow a phased reduction in cigarette consumption leading up to the Target Quit Date. All vaccinated subjects will be offered a counseling session at each clinic visit and will be contacted by telephone at Weeks 1, 3, 5, 7, 9, 14, 18, and 21 to provide up to 10 minutes of support and counseling for their smoking cessation. Smoking cessation will be measured during a 4-week assessment period from Week 22 to Week 26. Smoking cessation will be defined as complete abstinence during this 4-week period. Subject follow-up will continue to Week 52.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
522
Benchmark Research
Sacramento, California, United States
Benchmark Research
Metairie, Louisiana, United States
Columbia Medical Practice
Columbia, Maryland, United States
Centennial Medical Group
Elkridge, Maryland, United States
Mayo Clinic
Rochester, Minnesota, United States
CNS Research Institute, P.C.
Clementon, New Jersey, United States
CRI Worldwide, LLC Kirkbride Center
Philadelphia, Pennsylvania, United States
Benchmark Research
Austin, Texas, United States
Benchmark Research - Fort Worth
Fort Worth, Texas, United States
4-week assessment period quit rate at Week 26 measured by self-reported abstinence in the 4 weeks immediately prior to the 26 week visit and supported by CO breath test data
Time frame: Week 26
Measures of anti-nicotine antibody levels at key study visits
Time frame: Prospective
Quit status at the final follow-up visit (Week 52)
Time frame: Week 52
CO breath test measurements at key study visits
Time frame: Prospective
Serum cotinine levels at key study visits
Time frame: Prospective
Nicotine dependence as measured by Fagerström score, for those subjects who are still smokers
Time frame: Prospective
Urge to smoke (craving) and smoking satisfaction, as measured by QSU-brief and mCEQ, respectively
Time frame: Prospective
Continuous abstinence between Weeks 26 and 52
Time frame: Prospective
Safety and tolerability of TA-NIC
Time frame: Prospective
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