NCT03185546

Brief Summary

Project 2 will evaluate the impact of very low nicotine content cigarettes, e-cigarette nicotine content, and e-cigarette flavoring on cigarettes smoked per day, nicotine exposure, puff topography, discomfort/dysfunction, other health-related behaviors, nicotine/tobacco dependence, biomarkers of tobacco exposure, intention to quit, compensatory smoking, other tobacco use, cardiovascular function, and perceived risk. Project 2 will also evaluate differences between conditions in compliance with product use and the ability to abstain from cigarette smoking when provided a financial incentive for abstinence from combusted tobacco. This is not a treatment program for smoking.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
156

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2018

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 22, 2017

Completed
23 days until next milestone

First Posted

Study publicly available on registry

June 14, 2017

Completed
1.1 years until next milestone

Study Start

First participant enrolled

August 6, 2018

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 13, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 13, 2020

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

May 14, 2021

Completed
Last Updated

May 14, 2021

Status Verified

April 1, 2021

Enrollment Period

1.6 years

First QC Date

May 22, 2017

Results QC Date

April 14, 2021

Last Update Submit

April 14, 2021

Conditions

Keywords

smokingvaping

Outcome Measures

Primary Outcomes (1)

  • Total Cigarettes Smoked Per Day

    The average number of cigarettes (study and non-study, summed) smoked per day between the Week 10 and Week 12 visits (the end of the study).

    Week 10 through Week 12

Secondary Outcomes (2)

  • Measure of Cigarette Exposure Using Expired Carbon Monoxide (CO)

    Baseline - Week 12

  • Number of Subjects With Smoke Free Days

    Baseline-Week 12

Other Outcomes (36)

  • Minnesota Nicotine Withdrawal Scale

    Baseline-Week 12

  • Number of Days Using Assigned Vaping Device

    Baseline-Week 12

  • Cigarette Evaluation Scale

    Baseline-Week 12

  • +33 more other outcomes

Study Arms (8)

Normal Nicotine Content (NNC) cigarette + moderate nicotine e-liquid + tobacco flavors

EXPERIMENTAL

Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors.

Other: NNC Spectrum CigaretteOther: Moderate nicotine level e-liquidOther: Tobacco Flavors

NNC cigarette + low nicotine e-liquid + tobacco flavors

EXPERIMENTAL

Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with very low nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors.

Other: NNC Spectrum CigaretteOther: Low nicotine level e-liquidOther: Tobacco Flavors

NNC cigarette + moderate nicotine e-liquid + variety flavors

EXPERIMENTAL

Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors.

Other: NNC Spectrum CigaretteOther: Moderate nicotine level e-liquidOther: Tobacco and non-tobacco e-liquid flavors

NNC cigarette + low nicotine e-liquid + variety flavors

EXPERIMENTAL

Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with very low or nicotine-free nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors

Other: NNC Spectrum CigaretteOther: Low nicotine level e-liquidOther: Tobacco and non-tobacco e-liquid flavors

Very Low Nicotine Content (VLNC) cigarette + moderate nicotine e-liquid + tobacco flavor

EXPERIMENTAL

Participants are provided with very low nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors.

Other: VLNC Spectrum CigaretteOther: Moderate nicotine level e-liquidOther: Tobacco Flavors

VLNC cigarette + low nicotine e-liquid +tobacco flavors

EXPERIMENTAL

Participants are provided with very low nicotine content tobacco Spectrum Cigarettes along with very low or nicotine-free nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors.

Other: VLNC Spectrum CigaretteOther: Low nicotine level e-liquidOther: Tobacco Flavors

VLNC cigarette + moderate nicotine e-liquid + variety flavors

EXPERIMENTAL

Participants are provided with very low nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors.

Other: VLNC Spectrum CigaretteOther: Moderate nicotine level e-liquidOther: Tobacco and non-tobacco e-liquid flavors

VLNC cigarette + low nicotine e-liquid + variety flavors

EXPERIMENTAL

Participants are provided with very low or nicotine-free nicotine content tobacco Spectrum Cigarettes along with very low nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors

Other: VLNC Spectrum CigaretteOther: Low nicotine level e-liquidOther: Tobacco and non-tobacco e-liquid flavors

Interventions

Participants are provided with normal nicotine content Spectrum Cigarette for 13 weeks.

NNC cigarette + low nicotine e-liquid + tobacco flavorsNNC cigarette + low nicotine e-liquid + variety flavorsNNC cigarette + moderate nicotine e-liquid + variety flavorsNormal Nicotine Content (NNC) cigarette + moderate nicotine e-liquid + tobacco flavors

Participants are provided with very low nicotine content Spectrum Cigarette for13 weeks

VLNC cigarette + low nicotine e-liquid + variety flavorsVLNC cigarette + low nicotine e-liquid +tobacco flavorsVLNC cigarette + moderate nicotine e-liquid + variety flavorsVery Low Nicotine Content (VLNC) cigarette + moderate nicotine e-liquid + tobacco flavor

Participants are provided with moderate nicotine level e-liquid for 13 weeks

NNC cigarette + moderate nicotine e-liquid + variety flavorsNormal Nicotine Content (NNC) cigarette + moderate nicotine e-liquid + tobacco flavorsVLNC cigarette + moderate nicotine e-liquid + variety flavorsVery Low Nicotine Content (VLNC) cigarette + moderate nicotine e-liquid + tobacco flavor

Participants are provided with very low or nicotine-free nicotine level e-liquid for 13 weeks

NNC cigarette + low nicotine e-liquid + tobacco flavorsNNC cigarette + low nicotine e-liquid + variety flavorsVLNC cigarette + low nicotine e-liquid + variety flavorsVLNC cigarette + low nicotine e-liquid +tobacco flavors

Participants can choose e-liquid flavors from a selection of tobacco flavors

NNC cigarette + low nicotine e-liquid + tobacco flavorsNormal Nicotine Content (NNC) cigarette + moderate nicotine e-liquid + tobacco flavorsVLNC cigarette + low nicotine e-liquid +tobacco flavorsVery Low Nicotine Content (VLNC) cigarette + moderate nicotine e-liquid + tobacco flavor

Participants can choose e-liquid flavors from a selection of flavors that includes tobacco and non-tobacco choices

NNC cigarette + low nicotine e-liquid + variety flavorsNNC cigarette + moderate nicotine e-liquid + variety flavorsVLNC cigarette + low nicotine e-liquid + variety flavorsVLNC cigarette + moderate nicotine e-liquid + variety flavors

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Smokers who have tried vaping multiple times.
  • Generally good health.

You may not qualify if:

  • If female, currently pregnant, trying to become pregnant or breastfeeding.
  • Planning to quit smoking.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Wake Forest Biotech Place

Winston-Salem, North Carolina, 27101, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (26)

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    PMID: 7818638BACKGROUND
  • Benowitz NL, Dains KM, Hall SM, Stewart S, Wilson M, Dempsey D, Jacob P 3rd. Progressive commercial cigarette yield reduction: biochemical exposure and behavioral assessment. Cancer Epidemiol Biomarkers Prev. 2009 Mar;18(3):876-83. doi: 10.1158/1055-9965.EPI-08-0731. Epub 2009 Mar 3.

    PMID: 19258480BACKGROUND
  • Benowitz NL, Dains KM, Hall SM, Stewart S, Wilson M, Dempsey D, Jacob P 3rd. Smoking behavior and exposure to tobacco toxicants during 6 months of smoking progressively reduced nicotine content cigarettes. Cancer Epidemiol Biomarkers Prev. 2012 May;21(5):761-9. doi: 10.1158/1055-9965.EPI-11-0644. Epub 2012 Feb 21.

    PMID: 22354905BACKGROUND
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    PMID: 18006940BACKGROUND
  • Benowitz NL, Nardone N, Dains KM, Hall SM, Stewart S, Dempsey D, Jacob P 3rd. Effect of reducing the nicotine content of cigarettes on cigarette smoking behavior and tobacco smoke toxicant exposure: 2-year follow up. Addiction. 2015 Oct;110(10):1667-75. doi: 10.1111/add.12978. Epub 2015 Jul 21.

    PMID: 26198394BACKGROUND
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    PMID: 19525207BACKGROUND
  • Brauer LH, Hatsukami D, Hanson K, Shiffman S. Smoking topography in tobacco chippers and dependent smokers. Addict Behav. 1996 Mar-Apr;21(2):233-8. doi: 10.1016/0306-4603(95)00054-2.

    PMID: 8730526BACKGROUND
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    PMID: 15784070BACKGROUND
  • Butschky MF, Bailey D, Henningfield JE, Pickworth WB. Smoking without nicotine delivery decreases withdrawal in 12-hour abstinent smokers. Pharmacol Biochem Behav. 1995 Jan;50(1):91-6. doi: 10.1016/0091-3057(94)00269-o.

    PMID: 7700960BACKGROUND
  • Caggiula AR, Donny EC, White AR, Chaudhri N, Booth S, Gharib MA, Hoffman A, Perkins KA, Sved AF. Cue dependency of nicotine self-administration and smoking. Pharmacol Biochem Behav. 2001 Dec;70(4):515-30. doi: 10.1016/s0091-3057(01)00676-1.

    PMID: 11796151BACKGROUND
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    BACKGROUND
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  • Dawkins L, Turner J, Crowe E. Nicotine derived from the electronic cigarette improves time-based prospective memory in abstinent smokers. Psychopharmacology (Berl). 2013 Jun;227(3):377-84. doi: 10.1007/s00213-013-2983-2. Epub 2013 Jan 24.

    PMID: 23344557BACKGROUND
  • Dawkins L, Turner J, Hasna S, Soar K. The electronic-cigarette: effects on desire to smoke, withdrawal symptoms and cognition. Addict Behav. 2012 Aug;37(8):970-3. doi: 10.1016/j.addbeh.2012.03.004. Epub 2012 Mar 10.

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  • Food and Drug Administration, HHS. Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Restrictions on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products. Final rule. Fed Regist. 2016 May 10;81(90):28973-9106.

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MeSH Terms

Conditions

SmokingVaping

Interventions

Tobacco Products

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Smoking DevicesManufactured MaterialsTechnology, Industry, and Agriculture

Results Point of Contact

Title
Eric Donny, PhD
Organization
Wake Forest School of Medicine

Study Officials

  • Eric Donny, PhD

    Wake Forest University Health Sciences

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 22, 2017

First Posted

June 14, 2017

Study Start

August 6, 2018

Primary Completion

March 13, 2020

Study Completion

March 13, 2020

Last Updated

May 14, 2021

Results First Posted

May 14, 2021

Record last verified: 2021-04

Data Sharing

IPD Sharing
Will share

Data will be available to other researchers, please contact the principal investigator for instructions.

Locations