NCT04709471

Brief Summary

This is a pilot randomized controlled trial (RCT) with the overarching aim of testing the influence of reducing electronic nicotine delivery system (ENDS) use or nicotine on addiction and combustible cigarette (CC) smoking among dual users. Specifically, the investigators will conduct a 4-week pilot RCT in which dual users who are not motivated to quit either product in the near future are randomized to A) abruptly switch to low nicotine ENDS pods, B) abruptly reduce number of usual nicotine ENDS pods, or C) use ENDS as usual (control). The investigators adapted a protocol used in a prior study to assign participants to switch to ENDS pods with less nicotine or reduce number of ENDS pods in this trial. Specifically, the investigators will provide all participants with ENDS pods during the study period and instruct them to only use ENDS provided by the study. Participants in reduced nicotine condition will switch from usual nicotine (5% JUUL) to low nicotine ENDS (3% nicotine JUUL) pods. Participants in the reduced use condition will continue to use usual nicotine ENDS (5% nicotine JUUL) pods but reduce use to 60% of their baseline number of pods per week. Participants in the control condition will use usual nicotine ENDS (5% nicotine JUUL) pods as usual.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
77

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Jan 2021

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

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

January 11, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 14, 2021

Completed
6 days until next milestone

Study Start

First participant enrolled

January 20, 2021

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 26, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2022

Completed
Last Updated

August 26, 2022

Status Verified

May 1, 2022

Enrollment Period

1.3 years

First QC Date

January 11, 2021

Last Update Submit

August 22, 2022

Conditions

Keywords

CigarettesElectronic nicotine delivery systemsElectronic cigarettes

Outcome Measures

Primary Outcomes (4)

  • Feasibility

    The investigators will assess compliance with study e-cigarettes and compare the percent non-study e-cigarette use between conditions to determine which behavior-changing strategy is more feasible.

    Baseline and the four week reduction period

  • Combustible cigarette smoking

    The investigators will compare change in number of cigarettes per day between conditions.

    Baseline and the four week reduction period

  • Cigarette dependence

    The investigators will compare change in cigarette dependence between conditions using the PATH dependence measure.

    Baseline and the four week reduction period

  • E-cigarette dependence

    The investigators will compare change in e-cigarette dependence between conditions using the PATH dependence measure.

    Baseline and the four week reduction period

Secondary Outcomes (2)

  • Cigarette demand

    Baseline and the four week reduction period

  • E-cigarette demand

    Baseline and the four week reduction period

Study Arms (3)

Switch to low nicotine e-cigarettes

EXPERIMENTAL

Switch to e-cigarettes containing 60% of baseline e-cigarette nicotine content.

Drug: NicotineDevice: Juul e-cigarette

Reduce number of e-cigarette pods

EXPERIMENTAL

Reduce e-cigarette use to 60% of baseline number of pods per week.

Drug: NicotineBehavioral: Reduction

Use e-cigarettes as usual

NO INTERVENTION

Continue using usual nicotine e-cigarettes as usual.

Interventions

Participants will reduce their nicotine intake

Reduce number of e-cigarette podsSwitch to low nicotine e-cigarettes

Participants will switch to Juul pods containing less nicotine

Switch to low nicotine e-cigarettes
ReductionBEHAVIORAL

Participants will reduce the number of Juul pods that they use

Reduce number of e-cigarette pods

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Eligibility criteria include at least 21 years old, use e-cigarettes and tobacco cigarettes regularly, not planning to quit in the near future, and not pregnant, breastfeeding or planning to become pregnant or breastfeed in the next 2 months. Additional criteria will be evaluated to assess for eligibility.

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (1)

University of Vermont

Burlington, Vermont, 05405, United States

Location

MeSH Terms

Conditions

Tobacco Use DisorderVapingCigarette Smoking

Interventions

Nicotine

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental DisordersSmokingBehaviorTobacco SmokingTobacco Use

Intervention Hierarchy (Ancestors)

Solanaceous AlkaloidsAlkaloidsHeterocyclic CompoundsPyridinesHeterocyclic Compounds, 1-Ring

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

January 11, 2021

First Posted

January 14, 2021

Study Start

January 20, 2021

Primary Completion

April 26, 2022

Study Completion

June 1, 2022

Last Updated

August 26, 2022

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share

Locations