Trial Outcomes & Findings for Improving the Efficacy of Anti-Nicotine Immunotherapy (NCT NCT01280968)

NCT ID: NCT01280968

Last Updated: 2014-03-05

Results Overview

There was a 2 hour washout period between the "single puff" and "multiple puffs" assessments.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

52 participants

Primary outcome timeframe

measured at week 1 and week 16

Results posted on

2014-03-05

Participant Flow

Participant milestones

Participant milestones
Measure
NIC002 Vaccine in Aluminum Hydroxide
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
Placebo Vaccine - Aluminum Hydroxide
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
Overall Study
STARTED
45
7
Overall Study
COMPLETED
27
4
Overall Study
NOT COMPLETED
18
3

Reasons for withdrawal

Reasons for withdrawal
Measure
NIC002 Vaccine in Aluminum Hydroxide
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
Placebo Vaccine - Aluminum Hydroxide
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
Overall Study
Lost to Follow-up
8
2
Overall Study
Unable to Follow Experimental Protocol
2
0
Overall Study
Commuting Problems
2
0
Overall Study
Anxiety
2
0
Overall Study
Adverse Event
1
0
Overall Study
Scheduling Conflicts
1
1
Overall Study
Pre-existing Neurological Condition
1
0
Overall Study
Unable to Smoke in Supine Position
1
0

Baseline Characteristics

Improving the Efficacy of Anti-Nicotine Immunotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NIC002 Vaccine in Aluminum Hydroxide
n=45 Participants
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
Placebo Vaccine - Aluminum Hydroxide
n=7 Participants
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
Total
n=52 Participants
Total of all reporting groups
Age, Customized
43 years
n=5 Participants
44 years
n=7 Participants
43 years
n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
4 Participants
n=7 Participants
26 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
3 Participants
n=7 Participants
26 Participants
n=5 Participants
Region of Enrollment
United States
45 participants
n=5 Participants
7 participants
n=7 Participants
52 participants
n=5 Participants
Cigarettes Per Day
19 cigarettes per day
n=5 Participants
21 cigarettes per day
n=7 Participants
19 cigarettes per day
n=5 Participants
Pack-Years
22 pack-years
n=5 Participants
25 pack-years
n=7 Participants
22 pack-years
n=5 Participants

PRIMARY outcome

Timeframe: measured at week 1 and week 16

There was a 2 hour washout period between the "single puff" and "multiple puffs" assessments.

Outcome measures

Outcome measures
Measure
NIC002 Vaccine in Aluminum Hydroxide, All Vaccinated Subjects
n=29 Participants
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
NIC002, Tertile With Highest Antibody Binding Capacity
n=10 Participants
Placebo Vaccine - Aluminum Hydroxide
n=4 Participants
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
Vaccine-Induced Percent Change in Brain Nicotine Area Under Curve (AUC) After Single or Multiple (7) Puffs
single cigarette puff
1 percentage of change
Standard Error 5
-15 percentage of change
Standard Error 7
-0.2 percentage of change
Standard Error 7.1
Vaccine-Induced Percent Change in Brain Nicotine Area Under Curve (AUC) After Single or Multiple (7) Puffs
multiple cigarette puffs
0.1 percentage of change
Standard Error 5.7
-9 percentage of change
Standard Error 8
-1.1 percentage of change
Standard Error 9.6

PRIMARY outcome

Timeframe: measured at week 1 and week 16

There was a 2 hour washout period between the "single puff" and "multiple puffs" assessments.

Outcome measures

Outcome measures
Measure
NIC002 Vaccine in Aluminum Hydroxide, All Vaccinated Subjects
n=29 Participants
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
NIC002, Tertile With Highest Antibody Binding Capacity
n=10 Participants
Placebo Vaccine - Aluminum Hydroxide
n=4 Participants
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
Vaccine-Induced Percent Change in Brain Nicotine Maximum Concentration After Single or Multiple (7) Puffs
single cigarette puff
1 percentage of change
Standard Error 4
-15 percentage of change
Standard Error 6
0 percentage of change
Standard Error 7.8
Vaccine-Induced Percent Change in Brain Nicotine Maximum Concentration After Single or Multiple (7) Puffs
multiple cigarette puffs
-0.7 percentage of change
Standard Error 5.1
-6 percentage of change
Standard Error 9
-1.3 percentage of change
Standard Error 9.8

PRIMARY outcome

Timeframe: measured at week 1 and week 16

There was a 2 hour washout period between the "single puff" and "multiple puffs" assessments.

Outcome measures

Outcome measures
Measure
NIC002 Vaccine in Aluminum Hydroxide, All Vaccinated Subjects
n=29 Participants
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
NIC002, Tertile With Highest Antibody Binding Capacity
n=10 Participants
Placebo Vaccine - Aluminum Hydroxide
n=4 Participants
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
Vaccination-Induced Percent Change in T1/2 of Brain Nicotine Accumulation After Single or Multiple (7) Puffs
multiple cigarette puffs
-2 percentage of change
Standard Error 4
0 percentage of change
Standard Error 7
3.8 percentage of change
Standard Error 11.6
Vaccination-Induced Percent Change in T1/2 of Brain Nicotine Accumulation After Single or Multiple (7) Puffs
single cigarette puff
0 percentage of change
Standard Error 11
15 percentage of change
Standard Error 30
-4.4 percentage of change
Standard Error 9.6

PRIMARY outcome

Timeframe: measured at week 1 and week 16

Outcome measures

Outcome measures
Measure
NIC002 Vaccine in Aluminum Hydroxide, All Vaccinated Subjects
n=29 Participants
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
NIC002, Tertile With Highest Antibody Binding Capacity
n=10 Participants
Placebo Vaccine - Aluminum Hydroxide
n=4 Participants
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
Vaccination-Induced Percent Change in Initial Slope of Brain Nicotine Accumulation After a Single Puff
22.5 percentage of change
Standard Error 12.7
9 percentage of change
Standard Error 30
2.4 percentage of change
Standard Error 5.9

Adverse Events

NIC002 Vaccine in Aluminum Hydroxide

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Placebo Vaccine - Aluminum Hydroxide

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
NIC002 Vaccine in Aluminum Hydroxide
n=36 participants at risk
4 subcutaneous vaccinations were performed over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 100 μg of NIC002 and 0.46 mg aluminum hydroxide.
Placebo Vaccine - Aluminum Hydroxide
n=5 participants at risk
4 placebo injections were administered subcutaneously over the course of 3 months, with 4 weeks between each vaccination. The administered volume of 0.65 mL of sterile water contained 0.46 mg aluminum hydroxide.
General disorders
Headache
8.3%
3/36 • Number of events 8
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
20.0%
1/5 • Number of events 1
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Weight Changes
2.8%
1/36 • Number of events 2
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
20.0%
1/5 • Number of events 1
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Back Pain
5.6%
2/36 • Number of events 2
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
0.00%
0/5
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Feeling Cold
8.3%
3/36 • Number of events 9
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
0.00%
0/5
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Feeling Hot
11.1%
4/36 • Number of events 5
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
0.00%
0/5
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Nasal Congestion
0.00%
0/36
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
20.0%
1/5 • Number of events 1
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Runny Nose
0.00%
0/36
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
20.0%
1/5 • Number of events 1
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Sore Throat
5.6%
2/36 • Number of events 2
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
0.00%
0/5
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Fatigue
11.1%
4/36 • Number of events 11
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
20.0%
1/5 • Number of events 1
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
General disorders
Tenderness at Injection Site
5.6%
2/36 • Number of events 2
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.
0.00%
0/5
The number of participants at risk is different from the number of enrolled participants because not all participants who were randomized to a vaccine or placebo received treatment. Of the 52 participants who were assigned to a treatment group, only 41 received at least one vaccination. Therefore, 41 participants were at risk.

Additional Information

Alexey G Mukhin, M.D., Ph.D.

Duke University Medical Center

Phone: Telephone: 919-668-5055

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place