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NCT03887429

Restoring Cognitive Control (ReCon) in Acute Nicotine Withdrawal

Completed Phase 2 Results posted Last updated 17 July 2020
What this trial tests

Phase 2 trial testing SXC-2023 in Impulse Control Disorders in 34 participants. Completed in 9 July 2019.

Timeline
4 March 2019
Primary endpoint
2 July 2019
9 July 2019

Quick facts

Lead sponsorPromentis Pharmaceuticals, Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingquadruple
Primary purposetreatment
Enrollment34
Start date4 March 2019
Primary completion2 July 2019
Estimated completion9 July 2019
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Promentis Pharmaceuticals, Inc. — full company profile →

Who can join

Adults 25 to 55, any sex, with Impulse Control Disorders. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Safety and Tolerability of SXC-2023. Primary · Up to 5 days

Endpoint assessed using the frequency of serious adverse events, adverse events leading to discontinuation, and adverse events judged to be related to study medication.

SAEs
GroupValue95% CI
During 200 mg SXC-2023 Treatment0
During 800 mg SXC-2023 Treatment0
During Placebo Treatment0
AEs leading to study discontinuation
GroupValue95% CI
During 200 mg SXC-2023 Treatment0
During 800 mg SXC-2023 Treatment0
During Placebo Treatment0
AEs judged to be related to study drug.
GroupValue95% CI
During 200 mg SXC-2023 Treatment3
During 800 mg SXC-2023 Treatment1
During Placebo Treatment12
Activity of SXC-2023 on Impulsivity, Measured Using Stop Signal Task. Primary · 5 days

Stop Signal Reaction Time (SSRT) assesses the length of reaction time between a 'go' stimulus and a 'stop' stimulus at which the subject is able to inhibit their motor response 50% of the time. The scale is from 0-1500 milliseconds with a lower value showing reduced motor impulsivity. Subject scores were collected pre-dose on day 1 of treatment and post-dose on day 5 of treatment, and the change in subject scores was assessed.

GroupValue95% CI
SXC-2023 200mg4.6901± 6.7368
SXC-2023 800mg-1.757± 6.8491
Placebo3.956± 3.9661
Activity of SXC-2023 on Risk Taking Behavior, as Measured Using Cambridge Gamblers Task - Delay Aversion Total. Primary · 5 days

Cambridge Gamblers Task measures risk taking behavior using a score from -1 to 1, with a higher value showing increased impulsivity. Subject scores were collected pre-dose on day 1 of treatment and post-dose on day 5 of treatment and change in score assessed.

GroupValue95% CI
SXC-2023 200mg.03236± .02652
SXC-2023 800mg.01358± .02655
Placebo.03931± .01569
Activity of SXC-2023 on Abstinence Induced Mood, Assessed by Positive and Negative Affect Schedule. Primary · Up to 5 days.

Outcome to be measured using two scores ranging from 10-50, with a higher score indicating a more positive affect, and a lower score indicating a more negative affect. Subject scores were collected pre-dose on day 1 of treatment and post-dose on day 5 of treatment.

SXC-2023 Change in Positive Aspect
GroupValue95% CI
200 mg SXC-2023 or Placebo QD3.5± 8.2
800 mg SXC-2023 or Placebo QD2.1± 7.0
Placebo Change in Positive Aspect
GroupValue95% CI
200 mg SXC-2023 or Placebo QD2.0± 7.43
800 mg SXC-2023 or Placebo QD3.3± 6.5
SXC-2023 Change in Negative Aspect
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-.9± 5.01
800 mg SXC-2023 or Placebo QD-1.2± 2.61
Placebo Change in Negative Aspect
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-.7± 3.93
800 mg SXC-2023 or Placebo QD.1± 5.02
Activity of SXC-2023 on Measures of Abstinence Induced Urge for Cigarettes, Assessed by Questionnaire on Smoking Urges. Primary · Up to 5 days.

Outcome to be measured using a score ranging from 10-70, with a higher score indicating a higher urge for a cigarette. Subject scores were collected pre-dose on day 1 of treatment and post-dose on day 5 of treatment.

SXC-2023 Change in Anticipation of Pleasure
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-.3± 1.155
800 mg SXC-2023 or Placebo QD.64± 1.332
Placebo change in Anticipation of Pleasure
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-.04± 1.1236
800 mg SXC-2023 or Placebo QD.17± .848
SXC-2023 change in Anticipation of Relief
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.14± 1.201
800 mg SXC-2023 or Placebo QD.21± 1.214
Placebo change in Anticipation of Relief
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-.06± .946
800 mg SXC-2023 or Placebo QD.46± .794
Activity of SXC-2023 on Measures of Abstinence Induced Urge for Cigarettes, Assessed by Cigarette Evaluation Questionnaire. Primary · Up to 5 days.

Outcome to be measured using five scores ranging from 1-7 and corresponding to "Smoking Satisfaction," "Psychological Reward," "Aversion," "Enjoyment of Respiratory Tract Sensations" and "Craving Reduction." A higher score indicates a greater intensity of the associated sensation. Subject scores were collected pre-dose on day 1 of treatment and post-dose on day 5 of treatment.

SXC-2023 change in Satisfaction
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.1± 1.28
800 mg SXC-2023 or Placebo QD.4± .51
Placebo change in Satisfaction
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.3± .33
800 mg SXC-2023 or Placebo QD-.2± .69
SXC-2023 change in Psychological reward
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.16± 1.315
800 mg SXC-2023 or Placebo QD.33± .808
Placebo change in Psychological reward
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.8± .693
800 mg SXC-2023 or Placebo QD-.2± 1.071
SXC-2023 change in Aversion
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.7± 1.396
800 mg SXC-2023 or Placebo QD0± 0
Placebo change in Aversion
GroupValue95% CI
200 mg SXC-2023 or Placebo QD0± 0
800 mg SXC-2023 or Placebo QD.63± .946
SXC-2023 change in Enjoyment of Sensation
GroupValue95% CI
200 mg SXC-2023 or Placebo QD0± 1.58
800 mg SXC-2023 or Placebo QD1.3± 1.53
Placebo change in Enjoyment of Sensation
GroupValue95% CI
200 mg SXC-2023 or Placebo QD0± 2
800 mg SXC-2023 or Placebo QD.8± .96
Activity of SXC-2023 on Measures of Abstinence Induced Urge for Cigarettes and Mood, Assessed by Cue Reactivity and Likert Assessment. Primary · Up to 5 days.

Outcome to be measured using two scores, the first ranging from 10-70, with a higher score indicating a stronger urge to smoke, and the second score ranging from 10-80, with a higher score indicating a more positive mood. Subject scores were collected pre-dose on day 1 of treatment and post-dose on day 5 of treatment.

SXC-2023 change in Neutral Urge
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.353± 1.7932
800 mg SXC-2023 or Placebo QD-.052± 1.8934
Placebo change in Neutral Urge
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-.142± 1.5071
800 mg SXC-2023 or Placebo QD-.173± 1.5458
SXC-2023 change in Neutral Mood
GroupValue95% CI
200 mg SXC-2023 or Placebo QD1.058± 1.3775
800 mg SXC-2023 or Placebo QD1.667± 1.6004
Placebo change in Neutral Mood
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.602± 1.7237
800 mg SXC-2023 or Placebo QD1.192± 1.476
SXC-2023 change in Positive Urge
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.5± 1.922
800 mg SXC-2023 or Placebo QD.12± 1.793
Placebo change in Positive Urge
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-.12± 1.543
800 mg SXC-2023 or Placebo QD-.04± 1.547
SXC-2023 change in Positive Mood
GroupValue95% CI
200 mg SXC-2023 or Placebo QD1.23± 1.509
800 mg SXC-2023 or Placebo QD1.35± 2.065
Placebo change in Positive Mood
GroupValue95% CI
200 mg SXC-2023 or Placebo QD.73± 1.666
800 mg SXC-2023 or Placebo QD1.38± 1.557
Levels of Glutathione (GSH) in Whole Blood Following 5 Days of Tobacco Abstinence. Secondary · Up to 5 days.

Levels total and/or reduced of GSH in whole blood will be collected at baseline (prior to dosing on Day 1) and after 5 days of tobacco abstinence (after dosing on Day 5). Subject scores were collected pre-dose on day 1 of treatment and post-dose on day 5 of treatment.

SXC-2023 change in GSH concentration
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-3.45± 23.318
800 mg SXC-2023 or Placebo QD-20.6± 73.23
Placebo change in GSH concentration
GroupValue95% CI
200 mg SXC-2023 or Placebo QD-5.13± 21.826
800 mg SXC-2023 or Placebo QD-5.12± 23.587

Adverse events — posted to ClinicalTrials.gov

Time frame: 5 day treatment period, and following 9 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

During 200 mg SXC-2023 Treatment
Serious: 0/16 (0%)
Deaths: 0/16
During 800 mg SXC-2023 Treatment
Serious: 0/16 (0%)
Deaths: 0/16
During Placebo Treatment
Serious: 0/31 (0%)
Deaths: 0/31
Other adverse events (25 terms — click to expand)

ReactionSystemDuring 200 mg SXC-2023 Tre…During 800 mg SXC-2023 Tre…During Placebo Treatment
HeadacheNervous system disorders
Dry MouthGastrointestinal disorders
NauseaGastrointestinal disorders
ToothacheGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
RashSkin and subcutaneous tissue disorders
BradycardiaCardiac disorders
ConstipationGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Defecation UrgencyGastrointestinal disorders
DyspepsiaGastrointestinal disorders
ThirstGeneral disorders
LacerationInjury, poisoning and procedural complications
Thermal burnInjury, poisoning and procedural complications
Tooth fractureInjury, poisoning and procedural complications
ArthralgiaMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
SomnolenceNervous system disorders
AngerPsychiatric disorders
Emotional disorderPsychiatric disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Rash papularSkin and subcutaneous tissue disorders
Rash pruriticSkin and subcutaneous tissue disorders
Lacrimation increaseEye disorders

Data from ClinicalTrials.gov NCT03887429 adverse events section.

Sponsor's own description

The purpose of this study is to explore the safety, tolerability and activity of SXC-2023 or placebo when dosed for 5 days in adults with tobacco use disorder who voluntarily abstain from the use of cigarettes.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other trials of SXC-2023

Trials testing the same drug.

Other recruiting trials for Impulse Control Disorders

Currently open trials in the same condition.

Other Promentis Pharmaceuticals, Inc. trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing