Effect of nicotine 6 mg gum on urges to smoke, a randomized clinical trial

Springer Science and Business Media LLC - Tập 20 - Trang 1-7 - 2019
Anna Hansson1, Thomas Rasmussen2, Roland Perfekt2, Elin Hall1, Holger Kraiczi3
1Global Clinical Pharmacology, McNeil AB, Helsingborg, Sweden
2Quantitative Sciences, McNeil AB, Helsingborg, Sweden
3Department of Statistics, Lund University School of Economics and Management, Lund, Sweden

Tóm tắt

Ability to manage urges to smoke is fundamental to maximizing the chances of success in smoking cessation. Previous studies have linked a higher dose of nicotine in nicotine replacement therapy to a higher success rate for smoking cessation. Thus, this study was performed to compare relief of urges to smoke, up until 5 h following treatment with a new 6 mg nicotine gum versus currently marketed 4 mg nicotine gum. This was a randomized crossover clinical study. Following 12 h of abstinence from smoking, either one 6 mg or one 4 mg nicotine gum was given to 240 healthy adult smokers. Thereafter, urges to smoke were scored on a 100 mm Visual Analogue Scale repeatedly over 5 h. The reductions in urges to smoke over the first 1 and 3 h after administration were statistically significantly greater with 6 mg than 4 mg gum, (p < 0.005). A 50% reduction in perceived urges to smoke was reached in 9.4 min with 6 mg gum compared to 16.2 min with 4 mg gum (median values). The median duration of a 50% or more reduction in VAS urges to smoke score was 111 min with the 6 mg gum, versus 74 min for the 4 mg gum. This study provides evidence that the 6 mg nicotine gum provided a greater reduction, faster and longer relief of urges to smoke than the 4 mg nicotine gum. EudraCT Number: 2010–023268-42. Study was first entered in EudraCT 2011-02-23.

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