Addictive Threshold of Nicotine

Last updated: April 8, 2025
Sponsor: Yale University
Overall Status: Active - Recruiting

Phase

1

Condition

Tobacco Use Disorder

Treatment

Nicotine

Saline

Clinical Study ID

NCT06096714
2000036324
2U54DA036151-11
  • Ages 21-59
  • All Genders

Study Summary

To determine the nicotine threshold dose(s) for discrimination, subjective-rewarding effects, -and reinforcement in smokers with different levels of dependence.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • to contact their primary care provider when necessary.

  • Adults, aged 21 to 59 years. Individuals less than 21 will be excluded because theminimum age for purchasing tobacco products is 21 in our state. The upper age is setat 59 because there are no previous IV nicotine studies that enrolled smokers overthe age of 59.

  • Smoking at least for one year and more frequently than once a week, smoking statusconfirmed with a semi-quantitative urine nicotine test. Smokers will be stratifiedbased on the level of dependence, assessed with the FTND scores (Heatherton et al.

  1. (low or no dependence 4 and moderate or high level of dependence 5.
  • In good health as verified by medical history, screening examination, and screeninglaboratory tests.

  • For women, report using acceptable birth control methods.

Exclusion

Exclusion Criteria:

  • History of major medical or psychiatric disorders that the physician investigatordeems as contraindicated for the participant to be in the study

  • regular current use of certain psychotropic medications (such as mood stabilizers,antipsychotics, or anxiolytics being prescribed to treat bipolar disorder, psychosisor anxiety spectrum disorders, respectively)

  • current untreated alcohol or substance use disorder for any other recreational orprescription drugs other than nicotine

  • for women, pregnant as determined by pregnancy screening, or breastfeeding

  • seeking (or undergoing) treatment for tobacco dependence or smoking.

Study Design

Total Participants: 36
Treatment Group(s): 2
Primary Treatment: Nicotine
Phase: 1
Study Start date:
February 27, 2024
Estimated Completion Date:
January 30, 2027

Study Description

The purpose of this project is to determine the nicotine threshold dose(s) for discrimination, subjective-rewarding effects, and reinforcement in smokers with different levels of dependence. Participants will have an Adaptation Session followed by 4 Test Days. The Adaptation Session will familiarize the participants with study procedures. In each Test Day, a different nicotine dose (0.1, 0.05, 0.025, and 0.0125 mg nicotine/pulse) will be compared to saline for nicotine discrimination, subjective effects, and reinforcement. Participants will first sample the assigned nicotine dose and saline, followed by 4 trials to test their ability to discriminate it from saline. This will be followed by 4 Choice trials where participants will be able to choose between nicotine (at the session-assigned dose) or saline to be administered by the research staff.

Reinforcement will be assessed with the percentage of nicotine choices during the Choice trials. The discrimination is the percentage of correctly identified nicotine and saline infusions. Rewarding effects will be assessed with the "Pleasurable Effects" composite score of the Drug Effects Questionnaire (DEQ).

Connect with a study center

  • VA Healthcare System

    West Haven, Connecticut 06516
    United States

    Active - Recruiting

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.