Phase 1 Study on Food Impact on Cytisinicline Bioavailability and Pharmacokinetics in Healthy Adult Smokers
- Trial ID
- 2023-504260-42-00
- Protocol
- ACH-CYT-11
- Sponsor
- Achieve Life Sciences Inc.
Trial statistics
Objectives
The primary objective of this study is to evaluate the effect of food on the **bioavailability** of a single 3 mg tablet of **Cytisinicline** in healthy adult smokers. This is clinically relevant as understanding the impact of food on drug absorption can inform dosing recommendations and optimize therapeutic efficacy. Additionally, the study aims to assess the **pharmacokinetics** of multiple 3 mg doses administered three times daily. This information is crucial for determining the appropriate dosing regimen and ensuring consistent drug exposure in patients. The study does not focus on any specific medical condition, as it involves healthy adult smokers.
Participants
The clinical trial involves a **study population** comprising both male and female participants, with an age range that includes adolescents and adults. The trial does not focus on individuals with any specific **medical condition**, as indicated by the absence of a targeted condition. The sponsor has not provided information regarding the total number of participants involved in the study. The trial population selection includes a vulnerable population, although specific details about lifestyle considerations such as diet, physical activity, or habits have not been disclosed. The sponsor has not provided key inclusion or exclusion criteria for this trial.
Plans and Procedures
The clinical trial is designed as a **Phase 1** study to evaluate the effect of food on the bioavailability of a single 3 mg cytisinicline tablet and to assess the pharmacokinetics of multiple 3 mg doses administered three times daily in healthy adult smokers. The trial follows a randomized, double-blind, controlled design to ensure the reliability and validity of the results. The estimated duration of the trial spans from August 2, 2023, to September 8, 2023, encompassing both the recruitment and study phases.
Participants will undergo a sequence of study visits, beginning with an inclusion (screening) visit to determine eligibility based on predefined criteria. This initial visit will involve assessments to confirm the absence of any medical conditions that could interfere with the study outcomes. Following successful screening, participants will be enrolled in the trial and will attend multiple follow-up visits. These visits are structured to monitor the pharmacokinetic parameters and to ensure participant safety throughout the study duration. The end-of-study visit will conclude the trial, during which final assessments will be conducted to gather comprehensive data on the study endpoints.
The expected length of participant involvement is approximately five weeks, covering the entire trial period from screening to the end-of-study visit. Conditions that may lead to early termination from the study include non-compliance with study protocols, adverse events that compromise participant safety, or withdrawal of consent by the participant. The trial is conducted under strict adherence to ethical guidelines and regulatory requirements to ensure the integrity of the data and the safety of the participants.
Treatment
In this clinical trial, the experimental medication and non-experimental treatments have not been specified in the provided data. Therefore, a detailed description of the experimental medication, including its name, pharmaceutical form, dosage, route, and frequency of administration, cannot be provided. Similarly, information regarding any non-experimental treatments, such as standard-of-care therapy, placebo, or comparator treatment, is not available.
Due to the lack of specific data, additional relevant information about drug administration, dosing schedules, and participant compliance monitoring cannot be detailed. The absence of this information precludes the provision of a comprehensive description of the treatments used in this clinical trial.
Efficacy
The clinical trial is in Phase 3, with an estimated recruitment start date of August 2, 2023, and an estimated end date of September 8, 2023. Efficacy will be assessed through a structured evaluation process, although specific parameters or endpoints for efficacy assessment are not provided. The trial will follow a systematic approach to measure, collect, and analyze data, adhering to the standards expected in Phase 3 trials. The trial's design will ensure that efficacy assessments are conducted at predetermined intervals, utilizing appropriate tools and instruments to ensure the reliability and validity of the data collected. The analysis will be performed in accordance with the trial's protocol, ensuring that the results are scientifically robust and clinically meaningful.
Inclusion and Exclusion Criteria
Inclusion Criteria
- Free written informed consent prior to any procedure required by the study.
- Willingness to accept and comply with all study procedures and restrictions.
- Male or female subject ≥18 years, at the date of signing the informed consent.
- Regular moderate combustible cigarette smokers (self-reported average of at least 10 cigarettes per day).
- Body mass index (BMI) of 18.0 to 30.0 kg/m2, inclusive.
- Healthy subject, based on medical history, physical examination, vital signs, ECG and clinical laboratory tests.
- Negative test results for anti-Human Immunodeficiency virus 1 and 2 antibodies (anti-HIV-1Ab and anti-HIV-2Ab), Hepatitis B surface antigen (HBsAg) and anti-Hepatitis C virus antibodies (anti-HCVAb).
- A female subject is eligible if she also meets one of the following criteria: a. is of non-childbearing potential (underwent a permanent sterilization method [eg, hysterectomy, bilateral salpingectomy or bilateral oophorectomy], is clinically diagnosed infertile, or is in a post-menopausal state); or b. is of childbearing potential and agrees to use an accepted contraceptive method from at least 4 weeks prior to admission and until at least 4 weeks after the last dose administration (Day 8).
Exclusion Criteria
- Known hypersensitivity/allergic reaction to cytisinicline or any of the excipients.
- Known severe hypersensitivity reaction to any other drug.
- Any medical condition (eg, gastrointestinal, renal or hepatic, including peptic ulcer, inflammatory bowel disease or pancreatitis) or surgical condition (eg, cholecystectomy, gastrectomy) that may affect drug pharmacokinetics (absorption, distribution, metabolism or excretion) or subject safety.
- Stroke or acute myocardial infarction within the previous 3 months.
- History of hyperthyroidism.
- History of psychosis or of a psychotic event.
- Estimated renal creatinine clearance (CLCr) below the lower limit of the normal range (ie, 90-120 mL/min/1.73 m2 for males and 80-110 mL/min/1.73 m2 for females), based on creatinine clearance calculation by the Cockcroft-Gault formula and normalized to an average body surface area of 1.73 m2.
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) above the upper limit of the normal (ULN) range.
- Positive result in urine drugs-of-abuse or ethanol tests at Screening.
- Excessive caffeine consumption, defined as ≥800 mg per day.
- Veins unsuitable for intravenous puncture on either arm (eg, veins that are difficult to locate, access or puncture; veins with a tendency to rupture during or after puncture).
- Participation in any clinical trial within the previous 2 months.
- Use of any smoking cessation medications such as cytisinicline, bupropion, varenicline, nortriptyline, or any NRT (eg, nicotine patch, nicotine chewing gum, or electronic cigarettes) in the previous 8 weeks.
- Participation in more than 2 clinical trials within the previous 12 months.
- Blood donation or significant blood loss (≥ 450 mL) due to any reason or had plasmapheresis within the previous 2 months.
- Female subjects who are lactating or pregnant by serum pregnancy test.
- Any other condition that the investigator considers the subject to be unsuitable for the study.
- Any recent disease or condition or treatment that, according to the investigator, would put the subject at undue risk due to study participation or occurred at a timeframe in which may interfere with the pharmacokinetics of study drug.
- Use of any medicinal products, prescription and non-prescription (including vitamins, food supplements, herbal supplements [including St John’s Wort]), in the previous 2 weeks, unless in the investigator’s opinion the medication does not interfere with the pharmacokinetics of study drug or compromise subject safety.
- Use of any smoking cessation medications (eg, cytisinicline, bupropion, varenicline, nortriptyline, or any NRT eg, nicotine patch, nicotine chewing gum, or electronic cigarettes) since Screening.
- Positive result in drugs-of-abuse or ethanol tests.
- If female, positive pregnancy test in urine.
- Any other condition that the investigator considers to render the subject unsuitable for the study.
Trial Status by Country
| Country | Status | Start of Recruitment | Planned Patients |
|---|---|---|---|
Portugal | Not Recruiting | 02 Aug 2023 | 30 |
Sites & Investigators
Investigators
Investigational Products
Details about the medicinal products being studied in this clinical trial.
| Product Name | Role in Trial | Formulation | Administration | Max Daily Dose | Treatment Duration | EU MP Number |
|---|---|---|---|---|---|---|
Cytisinicline | Test | FILM COATED TABLETS | ORAL USE | 9 | 6 | PRD9785973 |

