nicotine
Trade name: nicorette
Approved
Jan 13, 1984
Nicotine is a natural alkaloid obtained from the dried leaves and stems of the nightshade family of pants, such as Nicotiana tabacum and Nicotiana rustica, where it occurs in concentrations of 0.5-8%. Cigarette tobacco varies in its nicotine content, but common blends contain 15-25 mg per cigarette, with a current trend towards lower levels. Nicotine is highly addictive substance, it exhibits a stimulant effect when adsorbed at 2 mg. Administration of higher doses could be harmful. Action of nicotine is mediated by nicotinic cholinergic receptors. Nicotine binds to the interface between two subunits of the receptors, opens the channel and allows the entry of sodium or calcium. The principal mediator of nicotine dependence is α4β2 nicotine receptor. — NCATS
Clinical trial activity
838 trials · 362 clinical orgs · 19 marketing orgs
Earliest trial started Jun 1, 1992 (NCT00002520)
Timeline
1980s
- Jan 13, 1984
Hoechst — Earliest FDA Approval
- Jan 13, 1984
GlaxoSmithKline — NDA Secondary Org
- Jan 13, 1984
Hoechst — NDA Organization
1990s
- Nov 7, 1991
Sanofi-Aventis — NDA Secondary Org
- Nov 7, 1991
Sanofi — Marketing Organization
- Nov 7, 1991
Sanofi — NDA Secondary Org
- Nov 27, 1991
Dr. Reddy's Laboratories — NDA Secondary Org
- Jan 28, 1992
Aveva Drug Delivery Systems — NDA Secondary Org
- Jan 1, 1993
Earliest Phase 1 Sponsor(trial)
- Mar 22, 1996
Pfizer — NDA Secondary Org
- Jul 3, 1996
McNeil — NDA Secondary Org
- Jul 3, 1996
Johnson and Johnson — NDA Secondary Org
- Jan 1, 1997
Earliest Phase 2 Sponsor(trial)
- May 2, 1997
Pfizer — Marketing Organization
- May 2, 1997
Pharmacia & Upjohn — NDA Secondary Org
- Oct 20, 1997
Aveva Drug Delivery Systems — Marketing Organization
- Jan 1, 1999
- Mar 15, 1999
Actavis — Marketing Organization
- Mar 15, 1999
P&L Development — Marketing Organization
2000s
- Jan 31, 2006
Perrigo — Marketing Organization
- Jun 19, 2007
GlaxoSmithKline — Marketing Organization
2010s
- Jun 4, 2018
Watson Pharmaceuticals — Marketing Organization
- Jul 2, 2018
Teva — Marketing Organization
- Feb 7, 2019
PL Developments — Marketing Organization
2020s
- Jan 8, 2020
Dr. Reddy's Laboratories — Marketing Organization
- Aug 3, 2021
Aurobindo Pharma — Marketing Organization
- Dec 21, 2022
Fertin Pharma A/S — Marketing Organization
- Dec 21, 2022
Philip Morris — Marketing Organization
Indications
Approved for
Studied for
- Acute Coronary Syndrome · Phase 3
- Adverse Childhood Experiences · Early Phase 1
- Aggression · Phase 1
- Aging · Early Phase 1
- Alcohol Drinking · Phase 4
- Alcohol-Induced Disorders · Phase 2/Phase 3
- Alcoholism · Phase 4
- Alzheimer Disease · Phase 4
- Analgesics, Opioid · Phase 4
- Anxiety Disorders · Phase 1
- Areca · Early Phase 1
- Attention Deficit Disorder with Hyperactivity · Phase 1
- Autism Spectrum Disorder · Phase 1
- Behavior, Addictive · Phase 4
- Brain Diseases · Phase 2
- Breast Neoplasms · Phase 2
- Cannabis · Phase 2
- Carcinoma · Phase 4
- Carcinoma in Situ · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 1
- Cardiovascular Diseases · Phase 3
- Chemotherapy-Related Cognitive Impairment · Phase 2
- Cigarette Smoking · Phase 4
- Cognition Disorders · Phase 1
- Cognitive Dysfunction · Phase 2
- Comorbidity · Phase 4
- Coronary Disease · Phase 4
- Coronavirus Infections · Phase 3
- Cost of Illness · Phase 3
- COVID-19 · Phase 3
- Critical Care · Phase 4
- Delirium · Phase 4
- Dental Pellicle · Phase 4
- Dentistry · Phase 4
- Depression · Phase 4
- Depressive Disorder · Phase 2
- Diabetes Mellitus, Type 2 · Phase 3
- Diabetic Foot · Phase 1/Phase 2
- Down Syndrome · Phase 1/Phase 2
- Dronabinol · Phase 2
- Drug Interactions · Early Phase 1
- Drug Misuse · Phase 1/Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Drugs, Investigational · Phase 4
- Dyslipidemias · Phase 3
- Electronic Nicotine Delivery Systems · Phase 4
- Endothelial Cells · Phase 1
- Esophageal Neoplasms · Phase 4
- General Surgery · Phase 4
- Habits · Phase 2/Phase 3
- Harm Reduction · Phase 3
- Head and Neck Neoplasms · Phase 4
- Healthy Aging · Phase 1
- Healthy Volunteers · Phase 1/Phase 2
- HIV · Phase 4
- HIV Infections · Phase 4
- Hypotension · Phase 1
- Irritable Mood · Phase 1
- Kidney Neoplasms · Phase 4
- Leukemia · Phase 4
- Liver Neoplasms · Phase 4
- Lung Neoplasms · Phase 4
- Major Depressive Disorder · Phase 4
- Marijuana Abuse · Phase 4
- Marijuana Smoking · Phase 2
- Memory Disorders · Phase 1
- Mental Disorders · Phase 4
- Metabolic Syndrome · Phase 3
- Methadone · Phase 4
- Motivation · Phase 4
- Neoplasms · Phase 4
- Neoplasms, Second Primary · Phase 2
- Neuralgia · Phase 2
- Nicotiana · Phase 4
- Nicotine · Phase 4
- Non-Smokers · Phase 1
- Obesity · Phase 2
- Opioid-Related Disorders · Phase 4
- Overweight · Phase 2
- Pain · Phase 4
- Pancreatic Neoplasms · Phase 4
- Panic Disorder · Early Phase 1
- Parkinson Disease · Phase 4
- Pelvic Pain · Phase 4
- Peripheral Nerve Injuries · Phase 2
- Peripheral Nervous System Diseases · Phase 2
- Pharmacokinetics · Phase 1
- Postoperative Nausea and Vomiting · Phase 2
- Postoperative Pain · Phase 4
- Pregnancy · Phase 4
- Psychomotor Agitation · Phase 4
- Psychotic Disorders · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 3
- Respiration, Artificial · Phase 4
- Sarcoidosis · Phase 1/Phase 2
- Sarcoidosis, Pulmonary · Phase 4
- Sarcoma · Phase 2
- Schizophrenia · Phase 4
- Schizophrenia Spectrum and Other Psychotic Disorders · Phase 2
- Sleep Wake Disorders · Phase 4
- Small Cell Lung Carcinoma · Phase 1
- Smokers · Phase 4
- Smoking · Phase 4
- Smoking Cessation · Phase 4
- Stomach Neoplasms · Phase 4
- Stress Disorders, Post-Traumatic · Phase 2/Phase 3
- Substance Abuse, Oral · Phase 1
- Substance-Related Disorders · Phase 4
- Substance Withdrawal Syndrome · Phase 4
- Systemic Inflammatory Response Syndrome · Early Phase 1
- Tobacco Products · Early Phase 1
- Tobacco Smoking · Phase 4
- Tobacco Use · Phase 4
- Tobacco Use Cessation · Phase 4
- Tuberculosis · Phase 3
- Urinary Bladder Neoplasms · Phase 4
- Uterine Cervical Neoplasms · Phase 4
- Vaping · Phase 4
- Vascular Stiffness · Phase 1
- Veterans · Phase 4
- Weight Gain · Phase 2
- Weight Loss · Phase 1/Phase 2
Mechanism of action
Approval history
- approvedPriority reviewJan 13, 1984
Chemistry & pharmacology
SMILES
CN1CCC[C@H]1c1cccnc1.O.O.O=C(O)C(O)C(O)C(=O)O.O=C(O)C(O)C(O)C(=O)O- Mol. weight
- 498.44 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Over the Counter
Oral
No
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL3989563 ↗
- WikipediaNicotine ↗
- NCATS6M3C89ZY6R ↗
- ChEMBLCHEMBL3 ↗
- ChEMBLCHEMBL1448280 ↗
- ChEMBLCHEMBL1201536 ↗
Also known as
- 3-(2-(n-methylpyrrolidinyl))pyridine
- 3-(2-(n-methylpyrrolidinyl))pyridine
- 3-(n-methylpyrollidino)pyridine
- 3-(n-methylpyrollidino)pyridine
- commit
- commit
- habitrol
- habitrol
- l-nicotine
- l(−)-nicotine
- l(−)-nicotine
- nicabate
- nicabate
- nicoderm
- nicoderm
- nicoderm
- nicoderm cq
- nicoderm cq
- nicopass
- nicopatch
- nicorette
- nicorette
- nicorette
- nicorette
- nicorette invisi
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- nicotine
- (-)-nicotine
- (−)-nicotine
- (−)-nicotine
- nicotine betadex
- nicotine betadex
- nicotine bitartrate
- nicotine bitartrate
- nicotine bitartrate anhydrous
- (-)-nicotine hydrogen tartrate salt
- (-)-nicotine hydrogen tartrate salt
- nicotinell classic
- nicotinell support
- nicotinell tts 10
- nicotinell tts 20
- nicotinell tts 30
- nicotine polacrilex
- nicotine polacrilex
- nicotine polacrilex
- nicotine polacrilex
- nicotine polacrilex
- nicotine polacrilex
- nicotrol
- nicotrol
- nicotrol inhaler
- nicotrol inhaler
- nicotrol ns
- nicotrol ns
- niquitin
- niquitin
- niquitin clr
- niquitin minis cherry
- niquitin minis mint
- niquitin minis orange
- niquitin mint
- niquitin pre-quit
- niquitin strips mint
- prostep
- prostep
- (s)-3-(1-methylpyrrolidin-2-yl)pyridine
- (s)-3-(1-methylpyrrolidin-2-yl)pyridine
- (s)-3-(n-methylpyrrolidin-2-yl)pyridine
- (s)-3-(n-methylpyrrolidin-2-yl)pyridine
- (s)-nicotine
- (s)-nicotine
- (s)-nicotine
- (s)-(−)-nicotine
- (s)-(−)-nicotine
- stoppers
- stubit
- thrive
- v0116
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07267195 | N/A | Jan 31, 2026 | R.J. Reynolds Tobacco Company |
| NCT07165808 | N/A | Jan 31, 2026 | Emory University, National Institute on Drug Abuse (NIDA) |
| NCT07099638 | Phase 2 | Jan 5, 2026 | Brown University, National Cancer Institute (NCI), Thomas Jefferson University, University of Oklahoma |
| NCT07220356 | Phase 4 | Dec 15, 2025 | Johns Hopkins University, Maryland Cigarette Restitution Fund |
| NCT06966362 | Phase 4 | Dec 1, 2025 | Department of Veteran Affairs |
| NCT07213947 | N/A | Nov 30, 2025 | National Institute on Drug Abuse (NIDA), University of Kentucky |
| NCT07250230 | N/A | Nov 30, 2025 | Henan Provincal People's Hospital |
| NCT07128329 | Phase 1 | Nov 21, 2025 | Johns Hopkins University, National Institute on Drug Abuse (NIDA) |
| NCT07132814 | N/A | Nov 15, 2025 | R.J. Reynolds Tobacco Company |
| NCT07148232 | Phase 4 | Nov 14, 2025 | University of California, San Francisco |
| NCT07075575 | N/A | Nov 1, 2025 | University of Hawaii |
| NCT07007195 | Early Phase 1 (Phase 1) | Oct 17, 2025 | Brown University, University of Houston, University of Oklahoma, University of Pittsburgh |
| NCT07059377 | Phase 3 | Sep 30, 2025 | University of Ottawa |
| NCT07111234 | N/A | Sep 30, 2025 | Ohio State University |
| NCT07095140 | N/A | Sep 3, 2025 | Ohio State University |
| NCT07057440 | N/A | Jun 27, 2025 | University of Copenhagen |
| NCT06763536 | N/A | Jun 13, 2025 | National Cancer Institute (NCI), Ohio State University |
| NCT06811038 | Phase 3 | Jun 1, 2025 | National Cancer Institute (NCI), University of Washington |
| NCT06595459 | Phase 4 | May 31, 2025 | National Institutes of Health (NIH), University of Wisconsin |
| NCT06931054 | N/A | May 5, 2025 | The University of Hong Kong |
Organizations
Research & Development (362)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Institute on Drug Abuse (NIDA) | Government | 156 | 21 | 5 | 1993 |
| National Cancer Institute (NCI) | Government | 88 | 2 | 5 | 1992 |
| Duke University | Academic/Hospital | 47 | 44 | 5 | 2003 |
| Yale University | Academic/Hospital | 43 | 42 | 4 | 1999 |
| National Institutes of Health (NIH) | Government | 41 | 0 | 5 | 1999 |
| University of Texas at Houston | Academic/Hospital | 31 | 28 | 5 | 1998 |
| Department of Veteran Affairs | Government | 29 | 16 | 5 | 1997 |
| McNeil | For profit | 29 | 28 | 5 | 1999 |
| Brown University | Academic/Hospital | 27 | 20 | 5 | 1996 |
| R.J. Reynolds Tobacco Company | For profit | 27 | 26 | 1 | 2006 |
| University of Wisconsin | Academic/Hospital | 27 | 27 | 3 | 2001 |
| University of Minnesota | Academic/Hospital | 24 | 18 | 5 | 1993 |
| Johns Hopkins University | Academic/Hospital | 22 | 15 | 4 | 2008 |
| GlaxoSmithKline | For profit | 21 | 18 | 4 | 2007 |
| University of California, San Francisco | Academic/Hospital | 21 | 16 | 5 | 2001 |
| University of Vermont | Academic/Hospital | 19 | 16 | 5 | 2003 |
| Ohio State University | Academic/Hospital | 18 | 18 | 4 | 2008 |
| University of Pennsylvania | Academic/Hospital | 17 | 13 | 5 | 1999 |
| University of Oklahoma | Academic/Hospital | 16 | 14 | 5 | 2012 |
| University of Toronto | Academic/Hospital | 16 | 15 | 3 | 2005 |
Marketing (30)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actavis | For profit | MKTG | Mar 15, 1999 |
| Aurobindo Pharma | For profit | MKTG | Aug 3, 2021 |
| Aurobindo Pharma | For profit | SYN | Aug 3, 2021 |
| Aveva Drug Delivery Systems | For profit | NDA2 | Jan 28, 1992 |
| Aveva Drug Delivery Systems | For profit | MKTG | Oct 20, 1997 |
| Dr. Reddy's Laboratories | For profit | NDA2 | Nov 27, 1991 |
| Dr. Reddy's Laboratories | For profit | MKTG | Jan 8, 2020 |
| Fertin Pharma A/S | For profit | MKTG | Dec 21, 2022 |
| GlaxoSmithKline | For profit | NDA2 | Jan 13, 1984 |
| GlaxoSmithKline | For profit | SYN | Oct 31, 2002 |
| GlaxoSmithKline | For profit | MKTG | Jun 19, 2007 |
| Hoechst | For profit | NDA | Jan 13, 1984 |
| Johnson and Johnson | For profit | NDA2 | Jul 3, 1996 |
| McNeil | For profit | NDA2 | Jul 3, 1996 |
| P&L Development | For profit | MKTG | Mar 15, 1999 |
| PL Developments | For profit | MKTG | Feb 7, 2019 |
| Perrigo | For profit | SYN | Sep 16, 2004 |
| Perrigo | For profit | MKTG | Jan 31, 2006 |
| Pfizer | For profit | MKTG | May 2, 1997 |
| Pfizer | For profit | NDA2 | Mar 22, 1996 |
| Pharmacia & Upjohn | For profit | NDA2 | May 2, 1997 |
| Philip Morris | For profit | MKTG | Dec 21, 2022 |
| Sanofi | For profit | MKTG | Nov 7, 1991 |
| Sanofi | For profit | NDA2 | Nov 7, 1991 |
| Sanofi-Aventis | For profit | NDA2 | Nov 7, 1991 |
| Teva | For profit | SYN | Feb 18, 2009 |
| Teva | For profit | MKTG | Jul 2, 2018 |
| Teva | For profit | SYN | Jul 26, 2019 |
| Watson Pharmaceuticals | For profit | SYN | Jul 8, 2009 |
| Watson Pharmaceuticals | For profit | MKTG | Jun 4, 2018 |