This study is a first-in-human clinical trial of drug ATI-1013, in healthy adult cigarette smokers. The main questions it aims to answer are to learn about the safety of drug ATI-1013, how long drug ATI-1013 remains within the body, does drug ATI-1013 trigger an immune response, and the effects of drug ATI-1013 on nicotine levels within the body. The clinical trial will compare drug ATI-1013 to a placebo (a look-alike substance that contains no drug) to see if drug ATI-1013 has comparable safety. Participants will have a Screening visit (Day -28 to -3) and will be admitted on Day -2. Each participant will receive one intravenous (IV) infusion of ATI-1013 or placebo (Day 1). Participants will remain in-clinic for at least 48 hours post-dose and return for follow-up visits on Days 7, 21, 42, 56, and 84, with telephone check-ins on Days 5, 14, 28, and 70. Participants will keep a diary of their cigarette use and smoking behaviors.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
15
Single intravenous (IV) infusion of ATI-1013, 0.2 g total dose.
Single IV infusion of ATI-1013, 0.8 g total dose.
Single IV infusion of ATI-1013, 3.2 g total dose.
Matching placebo (vehicle) IV infusion.
Dr. Vince Clinical Research
Overland Park, Kansas, United States
RECRUITINGIncidence of all adverse events (AEs)
Incidence of all adverse events (AEs), including infusion-related reactions (IRRs) and injection site reactions.
Time frame: Day 1 through Day 84
Development of Anti-Drug Antibodies
Presence of anti-ATI-1013 antibodies following a single intravenous infusion.
Time frame: Baseline (Day -1) through Day 84
Pharmacokinetics of ATI-1013 Maximum Concentration (Cmax)
Serum ATI-1013 maximum concentration.
Time frame: Day 1 through Day 84
Pharmacokinetics of ATI-1013 Time to Maximum Concentration (Tmax)
Serum ATI-1013 time to maximum concentration.
Time frame: Day 1 through Day 84
Pharmacokinetics of ATI-1013 Area Under the Curve (AUC)
Serum ATI-1013 area under the curve.
Time frame: Day 1 through Day 84
Pharmacokinetics of ATI-1013 Half-life (t1/2)
Serum ATI-1013 half-life.
Time frame: Day 1 through Day 84
Physiologic Responses to Nicotine (Skin Temperature)
Changes in physiologic responses to nicotine, including skin temperature (°F).
Time frame: Day -1 and Day 2
Physiologic Responses to Nicotine (Heart Rate)
Changes in physiologic responses to nicotine, including heart rate (beats per minute).
Time frame: Day -1 and Day 2
Physiologic Responses to Nicotine (Plasma Epinephrine)
Changes in physiologic responses to nicotine, including plasma epinephrine (picograms per milliliter (pg/mL)).
Time frame: Day -1 and Day 2
Physiologic Responses to Nicotine (Blood Pressure)
Changes in physiologic responses to nicotine, including blood pressure (mmHg).
Time frame: Day -1 and Day 2
Withdrawal Symptoms Minnesota Tobacco Withdrawal Scale (MTWS)
Self-reported withdrawal symptoms measured using the MTWS. (Minimum Value 0; Maximum Value 68; Higher score is a stronger withdrawal effect)
Time frame: Day -1 and Day 2
Subjective/Psychological Effects of Nicotine Drug Effect Questionnaire (DEQ)
Self-reported subjective/psychological effects of nicotine using the DEQ (visual analogue scale from not at all to extremely, measure in millimeters; Higher score is a stronger effect of the cigarette).
Time frame: Day -1 and Day 2
Subjective/Psychological Effects of Nicotine Modified Cigarette Evaluation Questionnaire (mCEQ)
Self-reported subjective/psychological effects of nicotine using the mCEQ (Minimum Value 12; Maximum Value 84; Higher score is a stronger addiction).
Time frame: Day -1 and Day 2
Total Nicotine Levels
Blood concentrations of total nicotine.
Time frame: Baseline through Day 84
Free Nicotine Levels
Blood concentrations of free nicotine.
Time frame: Baseline through Day 84
ATI-1013-Bound Nicotine Levels
Blood concentrations of ATI-1013-bound nicotine.
Time frame: Baseline through Day 84
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