Trial Outcomes & Findings for Efficacy and Safety Study of Nicotine Mint Lozenge (2mg and 4mg) in Smoking Cessation (NCT NCT00985985)

NCT ID: NCT00985985

Last Updated: 2014-06-27

Results Overview

Rate of Successful Smoking Cessation at Week 6 was measured by Carbon Monoxide (CO) breath levels.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

723 participants

Primary outcome timeframe

From baseline to Week 6

Results posted on

2014-06-27

Participant Flow

Participants were recruited at the clinical site.

Of 781 screened participants, only 723 were randomized and remaining 58 were considered screening failures. Participants who smoked their first cigarette within 30 minutes after waking were considered as high dependence smokers while those who smoked their first cigarette after 30 minutes of waking were considered as low dependence smokers.

Participant milestones

Participant milestones
Measure
Nicotine Lozenge 2 Milligram (mg) (Low Dependence Smokers)
Participants who smoked their first cigarette after 30 minutes of waking received 2 mg of nicotine lozenge, orally. During week 1 to week 6,participants were recommended to take at least 9 lozenges per day, but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenges per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse.
Placebo Lozenge (Low Dependence Smokers)
Participants who smoked their first cigarette after 30 minutes of waking received placebo lozenge containing 0 mg of nicotine, orally. During week 1 to week 6, participants were recommended to take atleast 9 lozenges per day but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenges per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse
Nicotine Lozenge 4 mg (High Dependence Smokers)
Participants who smoked their first cigarette within 30 minutes after waking received 4 mg nicotine lozenge, orally. During week 1 to week 6, participants were recommended to take at least 9 lozenges per day but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenge per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse.
Placebo Lozenge (High Dependence Smoke
Participants who smoked their first cigarette within 30 minutes after waking received placebo lozenge containing 0 mg of nicotine, orally. During week 1 to week 6, participants were recommended to take at least 9 lozenges per day but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenge per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse.
Overall Study
STARTED
241
242
120
120
Overall Study
Safety Population
241
242
119
118
Overall Study
Full Analysis Set (FAS) Population
241
242
120
119
Overall Study
COMPLETED
217
218
109
107
Overall Study
NOT COMPLETED
24
24
11
13

Reasons for withdrawal

Reasons for withdrawal
Measure
Nicotine Lozenge 2 Milligram (mg) (Low Dependence Smokers)
Participants who smoked their first cigarette after 30 minutes of waking received 2 mg of nicotine lozenge, orally. During week 1 to week 6,participants were recommended to take at least 9 lozenges per day, but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenges per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse.
Placebo Lozenge (Low Dependence Smokers)
Participants who smoked their first cigarette after 30 minutes of waking received placebo lozenge containing 0 mg of nicotine, orally. During week 1 to week 6, participants were recommended to take atleast 9 lozenges per day but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenges per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse
Nicotine Lozenge 4 mg (High Dependence Smokers)
Participants who smoked their first cigarette within 30 minutes after waking received 4 mg nicotine lozenge, orally. During week 1 to week 6, participants were recommended to take at least 9 lozenges per day but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenge per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse.
Placebo Lozenge (High Dependence Smoke
Participants who smoked their first cigarette within 30 minutes after waking received placebo lozenge containing 0 mg of nicotine, orally. During week 1 to week 6, participants were recommended to take at least 9 lozenges per day but not exceeding 15 lozenges. During week 7 to week 9, participants were recommended to use 12 to 6 lozenge per day, further taking 3 to 6 lozenges only by week 10 to 12. Afterwards, lozenge was taken when necessary to prevent relapse.
Overall Study
Adverse Event
4
2
2
2
Overall Study
Lost to Follow-up
4
11
2
3
Overall Study
Protocol Violation
1
2
0
1
Overall Study
Lack of Efficacy
5
6
1
3
Overall Study
Withdrawal by Subject
4
2
2
2
Overall Study
Other Reason
6
1
4
2

Baseline Characteristics

Efficacy and Safety Study of Nicotine Mint Lozenge (2mg and 4mg) in Smoking Cessation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 Participants
Participants who smoked their first cigarette after 30 minutes of waking received 2 mg of nicotine lozenge, orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 Participants
Participants who smoked their first cigarette after 30 minutes of waking received placebo lozenge containing 0 mg of nicotine, orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=120 Participants
Participants who smoked their first cigarette within 30 minutes after waking received 4 mg nicotine lozenge, orally.
Placebo Lozenge (High Dependence Smokers)
n=119 Participants
Participants who smoked their first cigarette within 30 minutes after waking received placebo lozenge containing 0 mg of nicotine, orally.
Total
n=722 Participants
Total of all reporting groups
Age, Continuous
38.4 Years
STANDARD_DEVIATION 11.78 • n=5 Participants
39.9 Years
STANDARD_DEVIATION 11.76 • n=7 Participants
42.3 Years
STANDARD_DEVIATION 10.38 • n=5 Participants
42.0 Years
STANDARD_DEVIATION 10.57 • n=4 Participants
40.1 Years
STANDARD_DEVIATION 11.44 • n=21 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
7 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
23 Participants
n=21 Participants
Sex: Female, Male
Male
230 Participants
n=5 Participants
235 Participants
n=7 Participants
118 Participants
n=5 Participants
116 Participants
n=4 Participants
699 Participants
n=21 Participants
Body Weight
71.8 Kg
STANDARD_DEVIATION 11.06 • n=5 Participants
72.3 Kg
STANDARD_DEVIATION 11.42 • n=7 Participants
75.9 Kg
STANDARD_DEVIATION 11.64 • n=5 Participants
74.3 Kg
STANDARD_DEVIATION 12.15 • n=4 Participants
73.1 Kg
STANDARD_DEVIATION 11.53 • n=21 Participants

PRIMARY outcome

Timeframe: From baseline to Week 6

Population: Analysis was considered per Full Analysis Set (FAS) population. FAS population consisted of all randomized participants who had study medication for at least once with assessment data post-dosing.

Rate of Successful Smoking Cessation at Week 6 was measured by Carbon Monoxide (CO) breath levels.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=120 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=119 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Rate of Successful Smoking Cessation at Week 6
24.48 Percentage of participants
21.49 Percentage of participants
30.83 Percentage of participants
20.17 Percentage of participants

SECONDARY outcome

Timeframe: From baseline to Week 12 and Week 24

Population: Analysis was done per FAS population. FAS population consisted of all randomized subjects who had study medication for at least once with assessment data post-dosing.

Continuous abstinence was verified by measurement of CO breath levels.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=120 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=119 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Rate of Continuous Successful Smoking Cessation at Week 12 and Week 24
Smoking Cessation Rate at 12 weeks
17.84 Percentage of participants
16.94 Percentage of participants
22.50 Percentage of participants
10.92 Percentage of participants
Rate of Continuous Successful Smoking Cessation at Week 12 and Week 24
Smoking Cessation Rate at 24 weeks
12.86 Percentage of participants
13.22 Percentage of participants
19.17 Percentage of participants
10.08 Percentage of participants

SECONDARY outcome

Timeframe: From Week 6 to Week 24

Population: Analysis was done per FAS population. FAS population consisted of all randomized subjects who had study medication for at least once with assessment data post-dosing.

Rate of long-term successful smoking cessation at Week 24 was defined as the proportion of participants who achieved the primary end-point with no more than six cumulative days of smoking from Week 6 to Week 24.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=120 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=119 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Rate of Long-term Successful Smoking Cessation at Week 24
19.09 Percentage of participants
17.77 Percentage of participants
24.17 Percentage of participants
15.97 Percentage of participants

SECONDARY outcome

Timeframe: Weekly assessment at Week 1, 2, 4, 6, 12 and Week 24

Population: Analysis was carried out per FAS population. FAS population consisted of all randomized subjects who had study medication for at least once with assessment data post-dosing.

Seven day point prevalence abstinence was defined as complete abstinence from smoking for the 7 days up to and including the evaluation day.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=120 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=119 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Proportion of Participants With Seven Day Point Prevalence Abstinence
Week 1
12.45 Percentage of participants
11.98 Percentage of participants
20.00 Percentage of participants
10.08 Percentage of participants
Proportion of Participants With Seven Day Point Prevalence Abstinence
Week 2
21.16 Percentage of participants
23.14 Percentage of participants
33.33 Percentage of participants
26.05 Percentage of participants
Proportion of Participants With Seven Day Point Prevalence Abstinence
Week 4
31.95 Percentage of participants
29.34 Percentage of participants
36.67 Percentage of participants
30.25 Percentage of participants
Proportion of Participants With Seven Day Point Prevalence Abstinence
Week 6
35.68 Percentage of participants
37.19 Percentage of participants
41.67 Percentage of participants
32.77 Percentage of participants
Proportion of Participants With Seven Day Point Prevalence Abstinence
Week 12
41.49 Percentage of participants
39.26 Percentage of participants
40.83 Percentage of participants
26.05 Percentage of participants
Proportion of Participants With Seven Day Point Prevalence Abstinence
Week 24
41.49 Percentage of participants
43.80 Percentage of participants
50.00 Percentage of participants
43.70 Percentage of participants

SECONDARY outcome

Timeframe: Weekly assessment at Week 1, 2, 3, 4, 5 and Week 6

Population: Analysis was carried out per FAS population, which consisted of all randomized subjects who have had study medication for at least once with assessment data post-dosing. Due to drop outs, there was difference in the number of participants analyzed (n) for this outcome measure. Missing values were not imputed.

The evaluation of withdrawal and craving symptoms was carried out every day with the Minnesota Nicotine Withdrawal scale (MNWS). The MNWS total score contains 9 items (urge to smoke; depressed mood; irritability, frustration, or anger; anxiety; difficulty concentrating; restlessness; increased appetite; difficulty going to sleep; difficulty staying asleep). Each item was rated on a 5 grade scale with scores ranging from 0 (best score) to 4 (worst score) i.e. none (score=0), slight (score=1), mild (score=2), moderate (score=3), and severe (score=4). For each symptom at each week, the average score was calculated as the average of the daily scores during that week. The total score was calculated as the sum of the 9 symptoms.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=236 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=238 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=119 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=118 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Mean Score of Relief of Craving/ Total Withdrawal Symptoms
Week 1 (n=236, 238, 119, 118)
8.40 Score on a scale
Standard Deviation 7.18
7.77 Score on a scale
Standard Deviation 6.55
7.66 Score on a scale
Standard Deviation 6.08
8.67 Score on a scale
Standard Deviation 7.02
Mean Score of Relief of Craving/ Total Withdrawal Symptoms
Week 2 (n=230, 233, 112, 115)
7.59 Score on a scale
Standard Deviation 7.25
6.84 Score on a scale
Standard Deviation 6.05
6.70 Score on a scale
Standard Deviation 5.96
7.39 Score on a scale
Standard Deviation 6.12
Mean Score of Relief of Craving/ Total Withdrawal Symptoms
Week 3 (n=226, 232, 115, 110)
6.80 Score on a scale
Standard Deviation 7.12
6.06 Score on a scale
Standard Deviation 5.83
6.17 Score on a scale
Standard Deviation 6.40
6.90 Score on a scale
Standard Deviation 5.97
Mean Score of Relief of Craving/ Total Withdrawal Symptoms
Week 4 (n=225, 226, 113, 108)
6.67 Score on a scale
Standard Deviation 7.36
5.45 Score on a scale
Standard Deviation 5.59
5.66 Score on a scale
Standard Deviation 6.19
6.71 Score on a scale
Standard Deviation 6.06
Mean Score of Relief of Craving/ Total Withdrawal Symptoms
Week 5 (n=221, 229, 112, 104)
6.06 Score on a scale
Standard Deviation 6.57
5.29 Score on a scale
Standard Deviation 5.72
5.60 Score on a scale
Standard Deviation 5.98
6.60 Score on a scale
Standard Deviation 5.94
Mean Score of Relief of Craving/ Total Withdrawal Symptoms
Week 6 (215, 223, 103, 102)
5.85 Score on a scale
Standard Deviation 6.53
5.45 Score on a scale
Standard Deviation 6.02
5.21 Score on a scale
Standard Deviation 5.58
6.49 Score on a scale
Standard Deviation 6.23

SECONDARY outcome

Timeframe: Weeks 1-2, 3-4, 5-6, 7-12 and 13-24

Population: Analysis was carried out per FAS population, which consisted of all randomized subjects who had study medication for at least once with assessment data post-dosing. Due to drop outs, there was difference in the population analyzed (n) for this outcome measure at each time point. Missing values were not imputed.

Mean daily dose of lozenges was calculated as number of lozenges taken at each visit divided by days since the last visit.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=232 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=237 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=117 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=111 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Mean Daily Dose at Visit 4, 5, 6, 7 and 10
Week 1-2 (n=232, 237, 117, 111)
8.96 Number of lozenges
Standard Deviation 3.32
8.59 Number of lozenges
Standard Deviation 3.23
8.81 Number of lozenges
Standard Deviation 3.57
8.52 Number of lozenges
Standard Deviation 3.16
Mean Daily Dose at Visit 4, 5, 6, 7 and 10
Week 3-4 (n=224, 231, 114, 107)
8.66 Number of lozenges
Standard Deviation 3.17
8.71 Number of lozenges
Standard Deviation 3.40
8.93 Number of lozenges
Standard Deviation 3.17
8.60 Number of lozenges
Standard Deviation 3.39
Mean Daily Dose at Visit 4, 5, 6, 7 and 10
Week 5-6 (n=223, 228, 113, 106)
8.15 Number of lozenges
Standard Deviation 3.39
8.07 Number of lozenges
Standard Deviation 3.30
8.55 Number of lozenges
Standard Deviation 3.32
8.09 Number of lozenges
Standard Deviation 3.43
Mean Daily Dose at Visit 4, 5, 6, 7 and 10
Weeks 7-12 (n=221, 224, 112, 106)
4.85 Number of lozenges
Standard Deviation 2.33
4.54 Number of lozenges
Standard Deviation 2.40
5.02 Number of lozenges
Standard Deviation 2.35
4.67 Number of lozenges
Standard Deviation 2.31
Mean Daily Dose at Visit 4, 5, 6, 7 and 10
Weeks 13-24 (n=222, 222, 105, 107)
0.89 Number of lozenges
Standard Deviation 1.05
0.78 Number of lozenges
Standard Deviation 1.04
0.95 Number of lozenges
Standard Deviation 0.90
0.84 Number of lozenges
Standard Deviation 0.92

SECONDARY outcome

Timeframe: Baseline, Week 6, 12 and Week 24

Population: Analysis was carried out per FAS population, which consisted of all randomized subjects who had study medication for at least once with assessment data post-dosing. Due to drop outs, there was difference in the population analyzed (n) for this outcome measure at each time point i.e. Week 6, Week 12 and Week 24. Missing values were not imputed.

Change in body weight was analyzed at Weeks 6, 12, and 24.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=120 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=119 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Mean Change From Baseline in Body Weight at Week 6, Week 12 and Week 24/ Premature Termination.
Week 12 (n=221, 225, 112, 107)
1.2 kilogram (kg)
Standard Deviation 2.43
1.0 kilogram (kg)
Standard Deviation 2.40
1.9 kilogram (kg)
Standard Deviation 3.58
1.5 kilogram (kg)
Standard Deviation 2.17
Mean Change From Baseline in Body Weight at Week 6, Week 12 and Week 24/ Premature Termination.
Week 6 (n=225, 230, 115, 109)
0.9 kilogram (kg)
Standard Deviation 1.94
0.7 kilogram (kg)
Standard Deviation 2.21
1.2 kilogram (kg)
Standard Deviation 2.45
1.2 kilogram (kg)
Standard Deviation 2.16
Mean Change From Baseline in Body Weight at Week 6, Week 12 and Week 24/ Premature Termination.
Week 24 (n=221, 224, 111, 112)
1.3 kilogram (kg)
Standard Deviation 2.89
1.3 kilogram (kg)
Standard Deviation 2.81
2.2 kilogram (kg)
Standard Deviation 3.14
2.1 kilogram (kg)
Standard Deviation 2.50

SECONDARY outcome

Timeframe: Weekly assessments from first treatment dose up to 15 days after last treatment dose

Population: Safety Population of this study consists of all randomized participants who have had study medication for at least once.

All AEs and SAEs were reviewed and reported by investigator. AEs were graded on a 3-point scale as Mild, Moderate and Severe.

Outcome measures

Outcome measures
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received 2 mg of nicotine lozenge orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 Participants
Participants, who smoked their first cigarette after 30 minutes of waking, received placebo lozenge containing 0 mg of nicotine orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=119 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received 4 mg nicotine lozenge orally.
Placebo Lozenge (High Dependence Smokers)
n=118 Participants
Participants, who smoked their first cigarette within 30 minutes after waking, received placebo lozenge containing 0 mg of nicotine orally.
Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Cardiovascular AEs and Who Discontinued Due to AEs
AEs
111 Participants
91 Participants
61 Participants
58 Participants
Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Cardiovascular AEs and Who Discontinued Due to AEs
SAEs
1 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Cardiovascular AEs and Who Discontinued Due to AEs
Cardiovascular AEs
24 Participants
3 Participants
11 Participants
10 Participants
Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Cardiovascular AEs and Who Discontinued Due to AEs
Discontinuation due to AEs
3 Participants
2 Participants
1 Participants
2 Participants

Adverse Events

Nicotine Lozenge 2 mg (Low Dependence Smokers)

Serious events: 1 serious events
Other events: 59 other events
Deaths: 0 deaths

Placebo Lozenge (Low Dependence Smokers)

Serious events: 0 serious events
Other events: 45 other events
Deaths: 0 deaths

Nicotine Lozenge 4 mg (High Dependence Smokers)

Serious events: 1 serious events
Other events: 43 other events
Deaths: 0 deaths

Placebo Lozenge (High Dependence Smokers)

Serious events: 1 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 participants at risk
Participants who smoked their first cigarette after 30 minutes after waking received 2 mg of nicotine lozenge, orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 participants at risk
Participants who smoked their first cigarette after 30 minutes after waking received placebo lozenge containing 0 mg of nicotine, orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=119 participants at risk
Participants who smoked their first cigarette within 30 minutes after waking received 4 mg of nicotine lozenge, orally.
Placebo Lozenge (High Dependence Smokers)
n=118 participants at risk
Participants who smoked their first cigarette within 30 minutes after waking received placebo lozenge containing 0 mg of nicotine, orally.
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
0.41%
1/241 • Number of events 1 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.00%
0/242 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.00%
0/119 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.00%
0/118 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
Skin and subcutaneous tissue disorders
Skin Laceration
0.00%
0/241 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.00%
0/242 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.84%
1/119 • Number of events 1 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.00%
0/118 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
Hepatobiliary disorders
Cholelithiasis
0.00%
0/241 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.00%
0/242 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.00%
0/119 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.85%
1/118 • Number of events 1 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.

Other adverse events

Other adverse events
Measure
Nicotine Lozenge 2 mg (Low Dependence Smokers)
n=241 participants at risk
Participants who smoked their first cigarette after 30 minutes after waking received 2 mg of nicotine lozenge, orally.
Placebo Lozenge (Low Dependence Smokers)
n=242 participants at risk
Participants who smoked their first cigarette after 30 minutes after waking received placebo lozenge containing 0 mg of nicotine, orally.
Nicotine Lozenge 4 mg (High Dependence Smokers)
n=119 participants at risk
Participants who smoked their first cigarette within 30 minutes after waking received 4 mg of nicotine lozenge, orally.
Placebo Lozenge (High Dependence Smokers)
n=118 participants at risk
Participants who smoked their first cigarette within 30 minutes after waking received placebo lozenge containing 0 mg of nicotine, orally.
Respiratory, thoracic and mediastinal disorders
Nasopharyngitis
6.6%
16/241 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
5.8%
14/242 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
10.9%
13/119 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
4.2%
5/118 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
Gastrointestinal disorders
Nausea
6.2%
15/241 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
4.1%
10/242 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
5.9%
7/119 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
6.8%
8/118 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
Cardiac disorders
Dyspnoea
0.41%
1/241 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
0.83%
2/242 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
5.0%
6/119 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
1.7%
2/118 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Tract Infection
11.2%
27/241 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
7.9%
19/242 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
14.3%
17/119 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.
9.3%
11/118 • All adverse events that occured in time-period from the first administration of product to up to 15 days after the last dosing were recorded
Safety evaluation was done for saftey set population. There was one additional subject, randomized to 4mg Placebo, who withdrew consent, but was excluded from the SS population.

Additional Information

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