A single-center, randomized, controlled, open-label, crossover study in currently smoking adult participants to investigate the nicotine pharmacokinetics and pharmacodynamics of Tobacco Heating System (THS) with LEVIA, a tobacco-free nicotine-containing consumable, compared to THS with TEREA, a tobacco-containing consumable, and cigarettes. The study will use a 2-period, 2-sequence design for the ad libitum use days, and a 3-period, 6-sequence Williams design for the single-use days. Across the ad libitum use and single-use period, this is a design with 5 periods and 12 sequences.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
24
On Day 1 through Day 2, after at least 10 hours of abstinence from any tobacco and nicotine-containing products, participants will use THS with LEVIA ad libitum in the randomized product-use sequence. The ad libitum use period will last approximately 12 hours.
On Day 1 through Day 2, after at least 10 hours of abstinence from any tobacco and nicotine-containing products, participants will use THS with TEREA ad libitum in the randomized product-use sequence. The ad libitum use period will last approximately 12 hours.
On Day 3 through Day 5, after at least 10 hours of abstinence from any tobacco and nicotine-containing products, participants will use a single THS with LEVIA in the randomized product-use sequence, as instructed by the investigational site staff.
On Day 3 through Day 5, after at least 10 hours of abstinence from any tobacco and nicotine-containing products, participants will use a single THS with TEREA in the randomized product-use sequence, as instructed by the investigational site staff.
On Day 3 through Day 5, after at least 10 hours of abstinence from any tobacco and nicotine-containing products, participants will use their usual brand of cigarettes according to the randomized product-use sequence and as instructed by the investigational site staff.
BioResearch Group Sp. z o.o.
Nadarzyn, Poland
Background-corrected plasma nicotine concentrations (cC0h) to (cC12h)
To measure the background-corrected plasma nicotine concentrations (cC0h) to (cC12h)
Time frame: Measured from Day 3 to Day 5
Background-corrected maximum plasma nicotine concentration (Cmax)
To measure the background-corrected maximum plasma nicotine concentration \[Cmax\]
Time frame: Measured from Day 3 to Day 5
Area under the background-corrected plasma nicotine concentration-time curve (AUC) (AUC) from the start of product use (T0) to the timepoint of last quantifiable concentration (AUC0-last) and extrapolated to infinity (AUC0-infinity)
To measure the area under the background-corrected plasma nicotine concentration-time curve (AUC)
Time frame: Measured from Day 3 to Day 5
Time to the background-corrected maximum concentration (Tmax)
To measure the time to the background-corrected maximum concentration \[Tmax\]
Time frame: Measured from Day 3 to Day 5
Terminal elimination rate constant (λz)
To measure the terminal elimination rate constant (λz)
Time frame: Measured from Day 3 to Day 5
Half-life of nicotine (t1/2)
To measure the half-life of nicotine (t1/2)
Time frame: Measured from Day 3 to Day 5
Product consumption
Product consumption expressed as number of LEVIA or TEREA sticks (N sticks)
Time frame: Measured from Day 1 to Day 2
NEQ in Plasma
Nicotine, cotinine and trans-3'-hydroxycotinine concentrations expressed as nicotine equivalents in plasma (NEQplasma)
Time frame: Measured from Day 1 to Day 2
NEQ in Urine
Nicotine and metabolites concentrations expressed as nicotine equivalents adjusted to creatinine (NEQcreate) in first void urine
Time frame: Measured from Day 1 to Day 3
Craving for using a tobacco or nicotine product
Craving will be self-reported on a Visual Analogue Scale, asking participants to rate their craving for using a tobacco or nicotine product on a 100 mm unipolar scale, ranging from 0 (no craving) to 100 (strong craving).
Time frame: Measured from Day 3 to Day 5
Product Liking
Product liking will be self-reported on a Visual Analogue Scale, stating "Overall, my liking for this product is:" which participants will complete on a 100 mm bipolar scale, ranging from 0 (strong disliking) to 100 (strong liking) with a neutral middle point.
Time frame: Measured from Day 3 to Day 5
Nicotine Satisfaction
Satisfaction with the perceived nicotine content will be self-reported on a Visual Analogue Scale, stating "Overall, the nicotine level in this product is:" which participants will complete on a 100 mm bipolar scale, ranging from 0 (not enough) to 100 (too much) with a middle point (just right).
Time frame: Measured from Day 3 to Day 5
Product Experience
The 12-item self-report measure consists of three multi-item scales and two single-item scales: * Aversion (e.g., dizziness, nausea), * Craving reduction, Enjoyment of sensation in the mouth (single-item assessment), * Product satisfaction (e.g., satisfying, tastes good), and * Psychological rewards (e.g., helps concentrate, reduces hunger). Participants rate each item on a 7-point scale, ranging from 1 (not at all) to 7 (extremely). A score is computed for each of the five scales. For each scale, the mean of the individual item responses is calculated. Higher scores indicate higher perceived intensity of the effect.
Time frame: Measured from Day 3 to Day 5
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