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NCT04079933

A Study to Evaluate Changes in Smokers Using An Oral Tobacco-Derived Nicotine Product

Completed NA Results posted Last updated 27 September 2024
What this trial tests

NA trial testing Oral tobacco-derived nicotine product (OTDN) in Tobacco Use in 154 participants. Completed in 26 November 2013.

Timeline
27 August 2013
Primary endpoint
26 November 2013
26 November 2013

Quick facts

Lead sponsorAltria Client Services LLC
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeother
Enrollment154
Start date27 August 2013
Primary completion26 November 2013
Estimated completion26 November 2013
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Altria Client Services LLC — full company profile →

Who can join

Adults 21 to 65, any sex, with Tobacco Use. 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.

Summary Statistics of Percent Change From Baseline for Urinary Total 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) (%) (Per-Protocol Population) Primary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of percent change from baseline for urinary total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol \[NNAL\] (%) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1 Mean percent change from baseline is the mean of all individual subjects' percent change from baseline values. Each percent change from baseline was calculated by subtracting the individual subject's baseline value from the value at the desired timepoint and then dividing this calculated value by the

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)3.8± 34.11
Control (no VBM-FG2)13.8± 45.56
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)12.5± 60.16
Control (no VBM-FG2)30.4± 63.66
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)16.0± 50.87
Control (no VBM-FG2)29.2± 46.70
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)15.4± 62.42
Control (no VBM-FG2)28.4± 57.66
Summary Statistics of Change From Baseline for Urinary Total NNAL (ng/g Creatinine) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of change from baseline for urinary total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol \[NNAL\] (ng/g creatinine) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)14.99± 212.505
Control (no VBM-FG2)9.47± 207.308
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)70.90± 436.326
Control (no VBM-FG2)76.50± 310.423
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)66.23± 303.806
Control (no VBM-FG2)117.69± 289.763
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)81.33± 345.110
Control (no VBM-FG2)86.53± 209.749
Summary Statistics of Change From Baseline for Nicotine Equivalents (mg / g Creatinine) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of change from Baseline for urinary nicotine equivalents including nicotine and its 5 metabolites (cotinine, trans-3'-hydroxycotinine, trans-3'-hydroxycotinine-0-glucuronide, nicotine-N-glucuronide, and cotinine-N-glucuronide) (mg/g creatinine) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)-0.6± 5.28
Control (no VBM-FG2)0.6± 6.45
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)1.9± 8.46
Control (no VBM-FG2)2.5± 6.48
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)1.1± 8.03
Control (no VBM-FG2)4.3± 9.47
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)2.6± 9.75
Control (no VBM-FG2)3.6± 6.89
Summary Statistics of Percent Change From Baseline for Nicotine Equivalents (%) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of percent change from Baseline for urinary nicotine equivalents including nicotine and its 5 metabolites (cotinine, trans-3'-hydroxycotinine, trans-3'-hydroxycotinine-0-glucuronide, nicotine-N-glucuronide, and cotinine-N-glucuronide) (%) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1 Mean percent change from baseline is the mean of all individual subjects' percent change from baseline values. Each percent change from baseline was calculated by subtract

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)3.2± 37.85
Control (no VBM-FG2)14.8± 51.81
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)18.7± 57.95
Control (no VBM-FG2)26.3± 50.78
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)15.7± 54.02
Control (no VBM-FG2)30.8± 53.08
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)25.2± 65.08
Control (no VBM-FG2)35.5± 60.54
Summary Statistics of Change From Baseline for S-phenyl Mercapturic Acid (S-PMA) (ng/g Creatinine) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of change from Baseline for urinary S-phenyl mercapturic acid \[S-PMA\] (ng/g creatinine) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)506.33± 3150.049
Control (no VBM-FG2)242.66± 2846.817
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)1129.88± 4867.996
Control (no VBM-FG2)809.04± 3649.614
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)1102.42± 4045.946
Control (no VBM-FG2)1637.29± 4348.050
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)903.49± 4985.072
Control (no VBM-FG2)1160.48± 2798.644
Summary Statistics of Percent Change From Baseline for S-PMA (%) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of percent change from Baseline for urinary S-phenyl mercapturic acid \[S-PMA\] (%) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1 Mean percent change from baseline is the mean of all individual subjects' percent change from baseline values. Each percent change from baseline was calculated by subtracting the individual subject's baseline value from the value at the desired timepoint and then dividing this calculated value by the individual subject's bas

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)17.5± 67.39
Control (no VBM-FG2)21.1± 77.37
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)13.4± 67.41
Control (no VBM-FG2)38.2± 69.68
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)19.7± 60.60
Control (no VBM-FG2)44.4± 87.87
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)20.9± 76.27
Control (no VBM-FG2)39.1± 70.93
Summary Statistics of Change From Baseline for Carboxyhemoglobin (%) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of change from Baseline for blood carboxyhemoglobin (%) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)-0.42± 1.449
Control (no VBM-FG2)0.03± 1.460
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)-0.24± 1.418
Control (no VBM-FG2)0.39± 1.374
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)-0.02± 1.547
Control (no VBM-FG2)0.39± 1.299
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)-0.61± 1.387
Control (no VBM-FG2)-0.10± 1.118
Summary Statistics of Percent Change From Baseline for Carboxyhemoglobin (%) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of percent change from Baseline for blood carboxyhemoglobin (%) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1 Mean percent change from baseline is the mean of all individual subjects' percent change from baseline values. Each percent change from baseline was calculated by subtracting the individual subject's baseline value from the value at the desired timepoint and then dividing this calculated value by the individual subject's baseline value and mult

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)-6.3± 27.48
Control (no VBM-FG2)5.3± 35.59
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)-4.0± 26.17
Control (no VBM-FG2)9.8± 27.21
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)1.4± 28.26
Control (no VBM-FG2)11.3± 29.44
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)-9.3± 27.89
Control (no VBM-FG2)0.7± 25.53
Summary Statistics of Change From Baseline for Exhaled Carbon Monoxide (Ppm) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of change from Baseline for exhaled carbon monoxide (ppm) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)-1.4± 9.41
Control (no VBM-FG2)-0.2± 7.84
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)-1.9± 7.48
Control (no VBM-FG2)0.7± 8.37
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)-0.8± 9.30
Control (no VBM-FG2)0.6± 7.89
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)-2.3± 9.17
Control (no VBM-FG2)-0.8± 6.90
Summary Statistics of Percent Change From Baseline for Exhaled Carbon Monoxide (%) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of percent change from Baseline for exhaled carbon monoxide (%) in each study visit are presented. Baseline taken from Visit 3 (Day 8±1) value. Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1 Mean percent change from baseline is the mean of all individual subjects' percent change from baseline values. Each percent change from baseline was calculated by subtracting the individual subject's baseline value from the value at the desired timepoint and then dividing this calculated value by the individual subject's baseline value and mult

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)-0.8± 44.65
Control (no VBM-FG2)12.0± 65.86
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)-5.8± 37.05
Control (no VBM-FG2)11.4± 54.87
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)3.5± 49.07
Control (no VBM-FG2)13.9± 57.42
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)-3.1± 47.00
Control (no VBM-FG2)9.0± 66.04
Summary Statistics of Change From Baseline in Cigarettes Smoked Per Day (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of change from Baseline in number or products used day in each study visit are presented. Values for visit are the average of daily values for the previous week Visit 4 = Day 15±1 Visit 5 = Day 22±1 Visit 6 = Day 29±1 Visit 7/End of Study = Day 36±1

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)-2.7± 3.28
Control (no VBM-FG2)0.5± 1.96
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)-3.1± 4.34
Control (no VBM-FG2)0.3± 2.37
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)-2.9± 4.41
Control (no VBM-FG2)0.3± 2.78
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)-3.5± 4.78
Control (no VBM-FG2)0.4± 2.76
Summary Statistics of Percent Change From Baseline for Cigarettes Smoked Per Day (CPD) (Per-Protocol Population) Secondary · Day 15 (Visit 4), Day 22 (Visit 5), Day 29 (Visit 6) and Day 36 (Visit 7/End of Study) relative to the start of the baseline period (Visit 2/Day 1)

Summary statistics of percent change from Baseline of number of products used per day in each study visit are presented. CPD was tracked using an interactive voice response system (IVRS). During the Baseline Period (Days 1 to 8), subjects reported CPD daily through an IVRS each day between 16:00 and 19:00. Test and Control subjects continued daily tobacco use tracking via an IVRS and return to the study site once a week during the 4 week Product Use Period on Days 15, 22, 29, and 36. Mean percent change from baseline is the mean of all individual subjects' percent change from baseline values

Visit 4
GroupValue95% CI
Test (ad Libitum VBM-FG2)-15.0± 19.30
Control (no VBM-FG2)3.1± 10.85
Visit 5
GroupValue95% CI
Test (ad Libitum VBM-FG2)-16.5± 26.21
Control (no VBM-FG2)2.9± 15.18
Visit 6
GroupValue95% CI
Test (ad Libitum VBM-FG2)-16.3± 24.78
Control (no VBM-FG2)2.9± 18.01
End of Study/Early Termination
GroupValue95% CI
Test (ad Libitum VBM-FG2)-19.2± 27.03
Control (no VBM-FG2)3.2± 17.28

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from the signature of the Informed Consent Form (ICF) by each subject until the end of the safety follow-up period, for a total of up to 9 weeks from Screening to End of Study per subject.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Test (ad Libitum VBM-FG2)
Serious: 0/92 (0%)
Deaths: 0/92
Control (no VBM-FG2)
Serious: 0/62 (0%)
Deaths: 0/62
Other adverse events (30 terms — click to expand)

ReactionSystemTest (ad Libitum VBM-FG2)Control (no VBM-FG2)
CoughRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
Pulmonary congestionRespiratory, thoracic and mediastinal disorders
Throat irritationRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Oral herpesInfections and infestations
Upper respiratory tract infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
Dry throatRespiratory, thoracic and mediastinal disorders
AstheniaGeneral disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
Fungal infectionInfections and infestations
Urogenital trichomoniasisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Flank painMusculoskeletal and connective tissue disorders
Joint swellingMusculoskeletal and connective tissue disorders
Pain in jawMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Cutaneous lupus erythematosusSkin and subcutaneous tissue disorders
DermatitisSkin and subcutaneous tissue disorders
ErythemaSkin and subcutaneous tissue disorders
Bladder discomfortRenal and urinary disorders
DysuriaRenal and urinary disorders
Decreased appetiteMetabolism and nutrition disorders

Data from ClinicalTrials.gov NCT04079933 adverse events section.

Sponsor's own description

The purpose of this study was to estimate changes in biomarkers of exposure (BOE) in adult cigarette smokers using an oral tobacco-derived nicotine (OTDN) product relative to adult smokers who continue smoking exclusively.

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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Currently open trials in the same condition.

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Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04079933.

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