Effect of E-Liquid Flavor on Respiratory Symptoms in People Using Electronic Nicotine Delivery Systems
CRoFT
A Randomized, Parallel-group Open-label Trial of ENDS Users Switching From Flavors of Potentially High-toxicity Profile to Flavors of Potentially Low-toxicity Profile (CRoFT_3.2)
2 other identifiers
interventional
163
1 country
1
Brief Summary
This is a randomized, parallel-group open-label trial to evaluate respiratory symptoms in ENDS users switching from banned flavors to a non-banned flavor (tobacco) or 'tobacco free' nicotine pouches.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2022
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 3, 2022
CompletedStudy Start
First participant enrolled
June 12, 2022
CompletedFirst Posted
Study publicly available on registry
June 21, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 3, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
October 3, 2024
CompletedJanuary 29, 2025
January 1, 2025
2.3 years
June 3, 2022
January 24, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Risk biomarkers of inflammation and oxidative stress as measured by ELISA
Oxidative stress and inflammation in plasma using ELISA . A quantitative measure of expression (units:pg/mg) will be produced.
Up to 90 days
Respiratory tract inflammation activity
Exhaled Nitric Oxide (FeNo)l be measured in participants' breath using a FDA cleared monitor NIOX VERO (Aerocrine) according to ATS guidelines. FeNO has been used to monitor airway inflammation to account for persistent and/or high allergen exposure as a factor associated with higher levels of FeNO
Up to 90 days
Secondary Outcomes (3)
Amount of recent flavored product use
UP to 90 days
Flavor Preference questionnaire
Up to 90 days
Frequency of flavored product use
Up to 90 days
Study Arms (3)
Use Own Brand of Flavored Product
EXPERIMENTALParticipants will use their current flavor of e cigarettes for 90 days
Use Provided Tobacco Flavor
EXPERIMENTALParticipants will use a new assigned flavor for 90 days
Vaping Abstinence - use "Tobacco Free" Nicotine Pouches
ACTIVE COMPARATORParticipants will be asked to stop vaping for 90 days and instead only use the provided 'tobacco free' nicotine pouches.
Interventions
Participants use an electronic nicotine delivery system with an assigned tobacco-flavored e-liquid
participants will use tobacco free oral nicotine pouches
Eligibility Criteria
You may qualify if:
- ENDS users as determined by: (a) using banned flavored ENDS with nicotine such as fruit, candy, dessert flavors, and/or any product that indicates such flavors (b) using ENDS daily, regularly for the past 6 months (self-reported).
- No smoking tobacco or using smokeless tobacco for the past 6 months.
- Subjects should be free of acute respiratory illness within the proceeding 30 days prior to recruitment (self-reported).
- Participant must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure.
- After receiving information regarding the NYS flavor ban individuals must not want to quit vaping or stop using their flavored product for the next 90 days.
You may not qualify if:
- Individuals with health conditions and therapies that may affect immune responses and levels of inflammatory markers, including allergic rhinitis, aspirin/NSAID therapy, asthma, immunodeficiency (HIV or other), Guillain-Barre Syndrome, COPD, or fever/respiratory illness within 30 days prior to entry into study (self-reported).
- Pregnant or nursing female participants (self-reported on telephone screener, pregnancy test on Visit#1)
- Unable to communicate in English.
- Unable or unwilling to follow protocol requirements.
- Self-report having active, untreated medical/psychiatric conditions.
- History of serious side effects from nicotine or from any nicotine replacement therapies.
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Vulnerable populations, such as cognitively impaired adults, individuals who are not yet adults, pregnant women, and prisoners.
- Any condition which in the Investigator's opinion deems the participant an unsuitable candidate to receive study drug.
- After receiving information about the NYS flavor ban, participants who report that they are thinking about quitting or stop using their flavor within the next 90 days.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Roswell Park Cancer Institutelead
- University of Rochestercollaborator
- National Institutes of Health (NIH)collaborator
- National Cancer Institute (NCI)collaborator
Study Sites (1)
Roswell Park Comprehensive Cancer Center
Buffalo, New York, 14206, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Maciej Goniewicz, PhD
Roswell Park
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2022
First Posted
June 21, 2022
Study Start
June 12, 2022
Primary Completion
October 3, 2024
Study Completion
October 3, 2024
Last Updated
January 29, 2025
Record last verified: 2025-01