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Updated May 2026 · ClinicalTrials.gov

RECRUITINGPhase 1INTERVENTIONAL

A First in Human Single Ascending Dose (SAD) Study of ATI-1013 in Healthy Smokers

A First in Human, Double-Blind, Placebo-Controlled, Randomized Evaluation of Single Ascending Doses of ATI-1013, a Human Monoclonal Antibody to Nicotine in Healthy Smokers

A First in Human Single Ascending Dose (SAD) Study of ATI-1013 in Healthy Smokers (NCT07215923) is a Phase 1 interventional studying Thromboangiitis Obliterans (Buerger's Disease), sponsored by Antidote Therapeutics, Inc. RECRUITING as of the most recent ClinicalTrials.gov update. Talk to your doctor before contacting the trial site.

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This study is a first-in-human clinical trial of drug ATI-1013, in healthy adult cigarette smokers. The main questions it aims to answer are to learn about the safety of drug ATI-1013, how long drug ATI-1013 remains within the body, does drug ATI-1013 trigger an immune response, and the effects of drug ATI-1013 on nicotine levels within the body. The clinical trial will compare drug ATI-1013 to a placebo (a look-alike substance that contains no drug) to see if drug ATI-1013 has comparable safety. Participants will have a Screening visit (Day -28 to -3) and will be admitted on Day -2. Each participant will receive one intravenous (IV) infusion of ATI-1013 or placebo (Day 1). Participants will remain in-clinic for at least 48 hours post-dose and return for follow-up visits on Days 7, 21, 42, 56, and 84, with telephone check-ins on Days 5, 14, 28, and 70. Participants will keep a diary of their cigarette use and smoking behaviors.

What Stage of Research Is This?

Phase 1 trials test a new treatment for the first time in humans, focusing on safety, dosing, and how the body processes the drug. For Thromboangiitis Obliterans (Buerger's Disease), a Phase 1 study typically enrolls a small number of participants — often healthy volunteers or patients who have exhausted standard treatment options. Phase 1 results determine whether a treatment moves into larger Phase 2 efficacy studies.

This trial is currently recruiting participants. The sponsor has registered the study with ClinicalTrials.gov as actively enrolling, which means new applicants who meet the eligibility criteria can be considered for screening. Trial status can change between updates — confirm current recruiting status with the study contact before traveling for a screening visit.

With a target enrollment of 15 participants, this is a small study — typical of early-phase research, rare-disease trials, or pilot studies designed to generate preliminary signal before a larger study is launched.

Who May Be Eligible (Plain English)

Inclusion Criteria 1. Provides written willing to sign a consent form before any study procedures 2. Age 23 to 59 years, inclusive 3. Body weight ≥50 kg at Screening 4. Body mass index (BMI) 18.5-29.9 kg/m² at Screening 5. In good health with no medically significant conditions, in the opinion of the Investigator 6. Current smoker, ≥10 cigarettes per day for ≥2 years, with no abstinence \>6 months 7. Female participants must agree not to donate ova during the study and for 90 days after dosing 8. Female participants of childbearing potential must use an acceptable, effective method of birth control from 30 days prior to Screening through 90 days after dosing 9. Female participants of non-childbearing potential must be surgically sterile (hysterectomy, bilateral salpingectomy, bilateral oophorectomy, or tubal ligation) or postmenopausal (≥1 year without menses) 10. Male participants must agree to use contraception and not donate sperm for 90 days after dosing 11. Willing to abstain from all other tobacco products from Day -2 through Day 84 12. Willing to abstain from all other nicotine products from Day -2 through Day 84 13. Willing to abstain from smoking regular cigarettes: 1. Approximately 18 hours from evening of Day -2 2. Approximately 42 hours from evening of Day -1 Exclusion Criteria 1. Pregnant, breastfeeding, or planning pregnancy 2. Positive serum pregnancy test at Screening or urine pregnancy test on Day -2 (women only) 3. Prior exposure to any anti-nicotine vaccine or antibody 4. Use of mentholated tobacco products within 30 days before Screening, unwilling to refrain during the study 5. History of severe allergic reaction to antibodies or vaccines (including Guillain-Barré syndrome) 6. Received any vaccination within 90 days prior to Screening 7. Clinically significant allergic adverse reaction (seasonal allergies allowed) 8. Use of systemic steroids or immunomodulating drugs within 90 days (inhaled steroids allowed) ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

These are translations of the protocol\'s inclusion and exclusion criteria, simplified for patients and caregivers. The original clinical text appears below. Eligibility is ultimately confirmed by the trial site\'s screening process — this summary is a starting point for a conversation with your doctor, not a final determination.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria 1. Provides written informed consent before any study procedures 2. Age 23 to 59 years, inclusive 3. Body weight ≥50 kg at Screening 4. Body mass index (BMI) 18.5-29.9 kg/m² at Screening 5. In good health with no medically significant conditions, in the opinion of the Investigator 6. Current smoker, ≥10 cigarettes per day for ≥2 years, with no abstinence \>6 months 7. Female participants must agree not to donate ova during the study and for 90 days after dosing 8. Female participants of childbearing potential must use an acceptable, effective method of birth control from 30 days prior to Screening through 90 days after dosing 9. Female participants of non-childbearing potential must be surgically sterile (hysterectomy, bilateral salpingectomy, bilateral oophorectomy, or tubal ligation) or postmenopausal (≥1 year without menses) 10. Male participants must agree to use contraception and not donate sperm for 90 days after dosing 11. Willing to abstain from all other tobacco products from Day -2 through Day 84 12. Willing to abstain from all other nicotine products from Day -2 through Day 84 13. Willing to abstain from smoking regular cigarettes: 1. Approximately 18 hours from evening of Day -2 2. Approximately 42 hours from evening of Day -1 Exclusion Criteria 1. Pregnant, breastfeeding, or planning pregnancy 2. Positive serum pregnancy test at Screening or urine pregnancy test on Day -2 (women only) 3. Prior exposure to any anti-nicotine vaccine or antibody 4. Use of mentholated tobacco products within 30 days before Screening, unwilling to refrain during the study 5. History of severe allergic reaction to antibodies or vaccines (including Guillain-Barré syndrome) 6. Received any vaccination within 90 days prior to Screening 7. Clinically significant allergic adverse reaction (seasonal allergies allowed) 8. Use of systemic steroids or immunomodulating drugs within 90 days (inhaled steroids allowed) 9. History of cancer (except treated basal/squamous cell skin cancer), HIV, other immunodeficiency, or autoimmune disease 10. History of drug (excluding nicotine) or alcohol use disorder (DSM-5 criteria) 11. Clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, neurological, or psychiatric disorder, as determined by the Investigator 12. Clinically significant abnormal clinical chemistry, hematology, or urinalysis at Screening or Day -2, in the opinion of the Investigator 13. COVID-19 within the past 6 months or ongoing symptoms likely attributable to COVID-19 14. Use of varenicline, bupropion, nicotine replacement therapy (NRT), or other anti-smoking pharmacologic treatments (including off-label nortriptyline, clonidine, or cytisinicline) within 90 days prior to Screening 15. Received an investigational product within 30 days (90 days for biologics) or 5 half-lives (whichever is longer) prior to Screening 16. Exhaled carbon monoxide (CO) \<8 ppm at Screening 17. Positive test for hepatitis B surface antigen, hepatitis C antibody, or HIV antibody at Screening 18. Positive urine alcohol test at Screening and/or Day -2 19. Positive urine drug test (e.g., cocaine, amphetamines, barbiturates, opiates, benzodiazepines, cannabinoids) at Screening and/or Day -2 20. Unwilling to abstain from xanthine-containing products (coffee, tea, cola, chocolate, energy drinks) within 24 hours prior to admission until discharge 21. Unwilling to abstain from alcohol or alcohol-containing products within 24 hours prior to admission until discharge 22. Significant blood donation or blood loss \>500 mL within 56 days before Screening 23. Plasma donation or loss within 30 days prior to Screening through Day 84 24. Hypersensitivity to the study drug, its excipients, or similar products 25. Unable or unwilling to comply with protocol requirements, restrictions, or instructions 26. Currently enrolled in another clinical study

Treatments Being Tested

BIOLOGICAL

ATI-1013 (0.2 g)

Single intravenous (IV) infusion of ATI-1013, 0.2 g total dose.

BIOLOGICAL

ATI-1013 (0.8 g)

Single IV infusion of ATI-1013, 0.8 g total dose.

BIOLOGICAL

ATI-1013 (3.2 g)

Single IV infusion of ATI-1013, 3.2 g total dose.

OTHER

Placebo

Matching placebo (vehicle) IV infusion.

Locations (1)

Trial sites listed on ClinicalTrials.gov for this study. Site activation status can vary — confirm with the specific site before traveling for a screening visit.

Dr. Vince Clinical Research
Overland Park, Kansas, United States

How to Talk to Your Doctor About This Trial

Bring the printable summary of this trial — including the NCT ID (NCT07215923), the sponsor (Antidote Therapeutics, Inc), and the key eligibility criteria — to your next appointment. Your doctor can review the inclusion and exclusion criteria against your medical history, lab values, and current treatments to assess whether you are likely to qualify. They can also help you weigh whether trial participation makes sense alongside your existing care plan.

Useful questions to walk through together: What does the trial protocol require beyond standard care? How long is the active treatment phase, and how long is follow-up? Are there study visits at sites I can reach? Who pays for the trial-specific procedures, and who pays for standard-of-care portions? See our 25 questions to ask about clinical trials guide for a more complete checklist.

Authoritative Sources

The official record for this trial lives on ClinicalTrials.gov — the federal registry maintained by the National Library of Medicine at NIH. For background on how this trial fits into the FDA approval pathway, see the FDA drug approval process. For oncology-specific guidance for patients considering trials, the National Cancer Institute publishes patient-oriented overviews. International trial registries are aggregated by the WHO ICTRP.

Frequently Asked Questions

What is the NCT07215923 clinical trial studying?

This study is a first-in-human clinical trial of drug ATI-1013, in healthy adult cigarette smokers. The main questions it aims to answer are to learn about the safety of drug ATI-1013, how long drug ATI-1013 remains within the body, does drug ATI-1013 trigger an immune response, and the effects of drug ATI-1013 on nicotine levels within the body. The clinical trial will compare drug ATI-1013 to a placebo (a look-alike substance that contains no drug) to see if drug ATI-1013 has comparable safety. Participants will have a Screening visit (Day -28 to -3) and will be admitted on Day -2. Each pa… The full protocol is registered on ClinicalTrials.gov and includes the primary outcome measures, eligibility criteria, and study endpoints.

Who can participate in NCT07215923?

Eligibility for this trial depends on the specific inclusion and exclusion criteria set by the sponsor. The plain-English summary above translates the most important criteria into accessible language; the official clinical text is preserved in the collapsible section underneath. Whether you fit any specific trial is a medical decision your doctor needs to confirm — bring the trial information to your treating physician for a full review against your medical history.

How do I contact the trial site for NCT07215923?

Contact information registered with ClinicalTrials.gov is shown in the sidebar of this page. Before reaching out, confirm with your treating physician that this trial is appropriate for your situation. The trial site will then walk you through the screening process to determine final eligibility.

Is participating in a clinical trial safe?

Clinical trials in the United States are regulated by the FDA and overseen by Institutional Review Boards (IRBs) that review the protocol for safety. Risk varies by trial — Phase 1 studies test new treatments in humans for the first time, while Phase 3 trials use treatments that have already passed earlier safety screening. The informed consent document for any specific trial details the known risks and what to expect. Discuss those risks with your physician before deciding whether to participate.

Where can I verify the data on this page?

Every detail on this page comes directly from the ClinicalTrials.gov API. Click "View on ClinicalTrials.gov" in the sidebar to see the official, unmodified record. The federal record is always authoritative; this page is a structured presentation with a plain-English eligibility translation. For background on how clinical trials are regulated, see the FDA drug approval process documentation.

How This Page Is Built

Every field on this page is pulled directly from the ClinicalTrials.gov API v2 — no estimates, no proxies. The plain-English eligibility translation is generated from the original protocol text and reviewed for fidelity to the underlying clinical criteria. The original clinical text remains visible in the collapsible section above so users and clinicians can verify the translation. Read the full methodology for the data pipeline and known limitations.

Source: ClinicalTrials.gov API v2 record for NCT07215923. Maintained by the National Library of Medicine at NIH. Public domain. Cite as: "TrialFinderData. NCT07215923. Data: ClinicalTrials.gov."

Medical disclaimer: This page is informational, not medical advice. Talk to your doctor about whether a clinical trial is right for you.

Last updated 2026-05-08 · Data from ClinicalTrials.gov.