Several clinical trials evaluate the metabolic fate and clinical implications of the tobacco-specific carcinogen NNK in relation to tobacco smoking, tobacco use disorder, and lung cancer susceptibility. Spanning Phase 1, Phase 2, and unspecified phases, these studies are sponsored by academic institutions, including the Masonic Cancer Center at the University of Minnesota and the University of Florida, to assess dietary modifiers such as PEITC and kava alongside ethnic metabolic variations. Although most of these trials have reached completed status, an early-phase trial was withdrawn.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03606655 | WITHDRAWN | Kava on the Metabolism of Nicotine and NNK |
University of Florida |
2020-01 | PHASE1 |
| NCT02500472 | COMPLETED | Tobacco Smoking |
Masonic Cancer Center, University of Minnesota |
2015-12-03 | |
| NCT00691132 | COMPLETED | Lung Cancer; Tobacco Use Disorder |
University of Minnesota |
2009-02 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2020-01-13)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).