NCT04053868

Brief Summary

This is an observational, crossover design that will examine the pharmacokinetics and pharmacodynamics of impact of smoking tobacco cigarettes or vaping the JUUL electronic cigarette.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
17

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2019

Typical duration for not_applicable

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

August 9, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 13, 2019

Completed
4 months until next milestone

Study Start

First participant enrolled

December 9, 2019

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2022

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

August 15, 2023

Completed
Last Updated

October 16, 2025

Status Verified

October 1, 2025

Enrollment Period

2.3 years

First QC Date

August 9, 2019

Results QC Date

May 22, 2023

Last Update Submit

October 8, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean Nicotine Exposure

    Plasma nicotine area under the concentrated time curve (AUC) (ng/ml\*h)

    Plasma collected at baseline (prior to any product use) and at 2, 5, 7, 10, 15, 30, 60, 90, and 118 minutes after end of standardized session.

Secondary Outcomes (6)

  • Overall Mean Heart Rate Over Time

    Up to 118 minutes after end of standardized session.

  • Mean Systolic Blood Pressure Over Time

    Up to 118 minutes after end of standardized session.

  • Mean Diastolic Blood Pressure Over Time

    Up to 118 minutes after end of standardized session.

  • Mean Questionnaire of Smoking Urges (QSU) and Modified for E-cigarettes (mQSU) Score Over Time

    Up to 118 minutes after end of standardized session

  • Mean Minnesota Nicotine Withdrawal Scale (MNWS) Score Over Time

    Up to 118 minutes after end of standardized session.

  • +1 more secondary outcomes

Study Arms (2)

Electronic Cigarette

EXPERIMENTAL

The participants will participate in a standardized vaping session using a JUUL E-cigarette device with a JUUL e-liquid pod.

Other: JUUL

Tobacco Cigarette

EXPERIMENTAL

The participants will participate in a standardized smoking session using commercial tobacco cigarettes.

Other: Tobacco

Interventions

JUULOTHER

Electronic Cigarette

Electronic Cigarette
TobaccoOTHER

Tobacco Cigarette

Tobacco Cigarette

Eligibility Criteria

Age21 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Healthy on the basis of medical history and limited physical examination, as described below:
  • \- Heart rate \< 105 beats per minute (bpm)
  • \- - Considered out of range if both machine and manual readings are above/below these thresholds.
  • \- Systolic Blood Pressure \< 160 and \> 90\*
  • \- Diastolic Blood Pressure \< 100 and \> 50\*
  • Age: \>= 21 \& \<=70 years old
  • Body Mass Index (BMI) \<= 38.0 (at PI's discretion for higher BMI if no other concurrent health issues)
  • Willingness to avoid combusted marijuana up to 48 hours before each study visit
  • Nicotine strength of e-liquid of usual e-cigarette \> 0 mg/ml
  • Group 1 Experienced E-cigarette users
  • \- Current use of tobacco cigarettes (\<5 cigarettes per day)
  • \- Current e-cigarette use at least 15 days out of the past 30 days of a non-mod e-cigarette
  • Group 2 Primary Tobacco cigarette users:
  • \- Currently smoking \>= 5 cigarettes per day
  • \- Current e-cigarette use must be \< 5 times per month
  • +2 more criteria

You may not qualify if:

  • Medical
  • \- Heart disease
  • \- Seizures
  • \- Cancer
  • \- Thyroid disease (okay if controlled with medication)
  • \- Diabetes
  • \- Hepatitis B or C or Liver disease
  • \- Glaucoma
  • \- Kidney disease or urinary retention
  • \- History of stroke
  • \- An ulcer in the past year
  • \- Active use of an inhaler for Asthma or Chronic Obstructive Pulmonary Disease (COPD)
  • Psychiatric conditions
  • \- Current or past schizophrenia, and/or current or past bipolar disorder
  • \- Major depression, current or within the past year
  • +31 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Zuckerberg San Francisco General Hospital

San Francisco, California, 94110, United States

Location

University of California, San Francisco

San Francisco, California, 94143, United States

Location

MeSH Terms

Conditions

VapingTobacco Smoking

Interventions

Tobacco Products

Condition Hierarchy (Ancestors)

SmokingBehaviorTobacco Use

Intervention Hierarchy (Ancestors)

Smoking DevicesManufactured MaterialsTechnology, Industry, and Agriculture

Results Point of Contact

Title
Dr. Neal Benowitz
Organization
University of California San Francisco

Study Officials

  • Neal L Benowitz, MD

    University of California, San Francisco

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 9, 2019

First Posted

August 13, 2019

Study Start

December 9, 2019

Primary Completion

March 31, 2022

Study Completion

March 31, 2022

Last Updated

October 16, 2025

Results First Posted

August 15, 2023

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations