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Cardiovascular DiseasesNCT01785537

The Efficacy and Safety of Electronic Cigarettes: a 5-year Follow-up Study

An observational study of Cardiovascular Diseases and Chronic Obstructive Pulmonary Diseases, run by Università degli Studi 'G. d'Annunzio' Chieti e Pescara at 1 site in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The main aim of this multicentric 5-year follow-up study is to evaluate for the first time the long-term efficacy and safety (in terms of smoking-related serious diseases requiring hospitalization) of e-cigarette smoking, comparing its health effects with those of traditional cigarette smoking and mixed electronic and… Read more about this study

Who is it for?
Ages 30 to 80 yearsHealthy volunteers can take part
How many people
1,050 participants
Where
1 siteItaly
Study dates
Oct 2013to Dec 2019
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Adult residents in the Abruzzo and Lazio Region of Italy that are smokers of traditional or electronic cigarettes

Who may be able to join

  • resident into the Abruzzo and Lazio Region
  • aged between 30 and 75 years;
  • smoker of e-cigarettes (inhaling at least 50 puffs per week) containing nicotine since six or more months (E-cigarettes only Group);
  • smoker of at least one traditional cigarette per day since six or more months (Traditional cigarettes only Group);
  • smoker of both electronic and traditional cigarettes (at least one per day) since six or more months (Mixed Group).

Who cannot join

  • illicit drug use,
  • breastfeeding or pregnancy,
  • major depression or other psychiatric conditions,
  • severe allergies,
  • active antihypertensive medication,
  • angina pectoris,
  • past episodes of major cardiovascular diseases (myocardial infarction, stroke/TIA, congestive heart failure, COPD, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Department of Medicine and Aging Sciences, University of Chieti

    Chieti, CH, 66100

Other trials in Italy

About this study

Official title: Multicentric 5-year Follow-up Study to Assess the Efficacy of E-cigarettes as a Tool for Smoking Cessation and to Compare the Risk of Smoking-related Diseases Among Electronic and Traditional Cigarette Smokers, and Smokers of Both.

The main aim of this multicentric 5-year follow-up study is to evaluate for the first time the long-term efficacy and safety (in terms of smoking-related serious diseases requiring hospitalization) of e-cigarette smoking, comparing its health effects with those of traditional cigarette smoking and mixed electronic and traditional cigarette smoking.

The study will also permit to evaluate, over a 5-year follow-up, the self-reported quality of life, and the reported adverse events according to current and past smoking habit.

Finally, the study will also explore the long-term adherence to e-cigarette smoking and its efficacy of e-cigarettes in reducing and/or quitting traditional cigarette smoking.

Keywords
e-cigarette smoking, cigarette smoking, cardiovascular disease, hospitalization, chronic obstructive pulmonary diseases, observational study, efficacy, safety
Medical subject headings
Cardiovascular Diseases, Pulmonary Disease, Chronic Obstructive, Lung Neoplasms, Urinary Bladder Neoplasms, Stomach Neoplasms, Cigarette Smoking

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01785537
Study groupRoleWhat they receive
E-cigarettes onlySmokers of e-cigarettes containing nicotine only (non smoking traditional cigarettes and inhaling at least 50 puffs per week since six or more months). This group will be further split in the secondary analyses: never or former smokers of traditional cigarettes
Traditional cigarettes onlySmokers of traditional cigarettes only (smokers of at least one traditional cigarette per day since six or more months). This group will be further split in the secondary analyses: recent and older smokers.
Mixed groupSmokers of both electronic and traditional cigarettes (at least one per day since six or more months). This group will be further split in the secondary analyses: mixed smokers who quit and who did not quit traditional cigarette smoking during follow-up

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Traditional smoking cessation rate

    Percentage of subjects that were current (in TC and Mixed groups) or former (in EC group) smokers reporting sustained smoking abstinence from traditional cigarette smoking at 60 months. Smoking abstinence is defined as complete abstinence from tobacco smoking (not even a puff) for the 30 days period prior to the visit. This outcome will be self-reported and checked using CO analyzer after breath.

    Measured: 5 years

  2. Change from baseline in the number of traditional cigarette smoked

    Change in the average self-reported number of traditional cigarette smoked per day.

    Measured: 6, 12, 24, 36 and 60 months.

Secondary outcomes (27)
  1. Rate of subjects with smoking-related hospitalizations

    Percentage of subjects who had a hospital admission for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Repeated admissions of the same subject will be counted once.

    Measured: 5 years

  2. Number of smoking-related hospitalizations

    Mean number of hospital admissions for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Each admissions of the same subject will be counted.

    Measured: 5 years

  3. Number of hospitalizations for cardiovascular diseases

    Mean number of hospital admissions for cardiovascular diseases. Each admissions of the same subject will be counted.

    Measured: 5 years

  4. Number of hospitalizations for smoking-related cancers

    Mean number of hospital admissions for cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Each admissions of the same subject will be counted.

    Measured: 5 years

  5. Change from baseline in self-reported quality of life

    Change in the average quality of life according to EuroQol EQ-D3.

    Measured: 6, 12, 24 and 36 months

  6. Time to hospitalization for cardiovascular diseases, COPD and smoking-related cancer.

    Time to hospital admission for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Repeated admissions of the same subject will be counted once and the subject will be censored at the date of the first admission.

    Measured: 5 year

  7. Number of Participants with Adverse Events as a Measure of Safety and tolerability

    Self-reported side effects as measured by VAS and a structured report form.

    Measured: 5 years

  8. Adherence to e-cigarette smoking

    Number of months of continued e-cigarette smoking in groups EC and Mixed.

    Measured: 5 years

  9. Time to hospitalization for cardiovascular diseases, COPD and smoking-related cancer.

    The primary outcome measure is time to hospital admission for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Repeated admissions of the same subject will be counted once and the subject will be censored at the date of the first admission.

    Measured: 3 years

  10. Time to hospitalization for cardiovascular diseases, COPD and smoking-related cancer.

    The primary outcome measure is time to hospital admission for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Repeated admissions of the same subject will be counted once and the subject will be censored at the date of the first admission.

    Measured: 2 years

  11. Rate of subjects with smoking-related hospitalizations

    Percentage of subjects who had a hospital admission for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Repeated admissions of the same subject will be counted once.

    Measured: 3 years

  12. Rate of subjects with smoking-related hospitalizations

    Percentage of subjects who had a hospital admission for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Repeated admissions of the same subject will be counted once.

    Measured: 2 years

  13. Number of smoking-related hospitalizations

    Mean number of hospital admissions for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Each admissions of the same subject will be counted.

    Measured: 2 years

  14. Number of smoking-related hospitalizations

    Mean number of hospital admissions for one of the followings: cardiovascular diseases, chronic obstructive pulmonary diseases, cancer of the lung, esophagus, larynx, oral cavity, bladder, pancreas, kidney, stomach, cervix, and myeloid leukemia. Each admissions of the same subject will be counted.

    Measured: 1 year

  15. Smoking abstinence

    Percentage of subjects reporting sustained smoking abstinence from traditional cigarette smoking. Smoking abstinence is defined as complete abstinence from tobacco smoking (not even a puff) for the 30 days period prior to the visit.

    Measured: 3 years

  16. Smoking abstinence

    Percentage of subjects reporting sustained smoking abstinence from traditional cigarette smoking. Smoking abstinence is defined as complete abstinence from tobacco smoking (not even a puff) for the 30 days period prior to the visit.

    Measured: 2 years

  17. Smoking abstinence

    Percentage of subjects reporting sustained smoking abstinence from traditional cigarette smoking. Smoking abstinence is defined as complete abstinence from tobacco smoking (not even a puff) for the 30 days period prior to the visit.

    Measured: 1 year

  18. Smoking abstinence

    Percentage of subjects reporting sustained smoking abstinence from traditional cigarette smoking. Smoking abstinence is defined as complete abstinence from tobacco smoking (not even a puff) for the 30 days period prior to the visit.

    Measured: 6 months

  19. Number of Participants with Adverse Events as a Measure of Safety and tolerability

    Self-reported side effects as measured by VAS and a structured report form.

    Measured: 3 years

  20. Number of Participants with Adverse Events as a Measure of Safety and tolerability

    Self-reported side effects as measured by VAS and a structured report form.

    Measured: 2 years

  21. Number of Participants with Adverse Events as a Measure of Safety and tolerability

    Self-reported side effects as measured by VAS and a structured report form.

    Measured: 1 year

  22. Number of Participants with Adverse Events as a Measure of Safety and tolerability

    Self-reported side effects as measured by VAS and a structured report form.

    Measured: 6 months

  23. Adherence to e-cigarette smoking

    Number of months of continued e-cigarette smoking in groups EC and Mixed.

    Measured: 3 years

  24. Adherence to e-cigarette smoking

    Number of months of continued e-cigarette smoking in groups EC and Mixed.

    Measured: 2 years

  25. Adherence to e-cigarette smoking

    Number of months of continued e-cigarette smoking in groups EC and Mixed.

    Measured: 1 year

  26. Adherence to e-cigarette smoking

    Number of months of continued e-cigarette smoking in groups EC and Mixed.

    Measured: 6 months

  27. Traditional and electronic smoking (overall smoking) cessation

    Percentage of subjects in all groups reporting sustained smoking abstinence from both traditional and electronic cigarette smoking at 12 months. Smoking abstinence is defined as complete abstinence from tobacco or electronic smoking (not even a puff) for the 30 days period prior to the visit.

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Feb 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionDec 2019 (estimated)
  4. Study completionDec 2019 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,050 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01785537
Sponsor's protocol ID
CHLM001
Status last verified
May 2017
First submitted
1 Feb 2013
Last updated
5 May 2017
Results posted
No
Data monitoring committee
Yes

Publications

  • Manzoli L, La Vecchia C, Flacco ME, Capasso L, Simonetti V, Boccia S, Di Baldassarre A, Villari P, Mezzetti A, Cicolini G. Multicentric cohort study on the long-term efficacy and safety of electronic cigarettes: study design and methodology. BMC Public Health. 2013 Sep 24;13:883. doi: 10.1186/1471-2458-13-883.

    PubMed 24063569
  • Manzoli L, Flacco ME, Fiore M, La Vecchia C, Marzuillo C, Gualano MR, Liguori G, Cicolini G, Capasso L, D'Amario C, Boccia S, Siliquini R, Ricciardi W, Villari P. Electronic Cigarettes Efficacy and Safety at 12 Months: Cohort Study. PLoS One. 2015 Jun 10;10(6):e0129443. doi: 10.1371/journal.pone.0129443. eCollection 2015.

    PubMed 26061661
  • Manzoli L, Flacco ME, Ferrante M, La Vecchia C, Siliquini R, Ricciardi W, Marzuillo C, Villari P, Fiore M. A cohort study of electronic cigarette use: Effectiveness and safety at 24 months. Tobacco Control 2016 Jun 7 (epub ahead of print). (doi: 10.1136/tobaccocontrol-2015-052822) Direct link: http://tobaccocontrol.bmj.com/content/early/2016/06/06/tobaccocontrol-2015-052822.full

  • Manzoli L, Flacco ME, Ferrante M, La Vecchia C, Siliquini R, Ricciardi W, Marzuillo C, Villari P, Fiore M; ISLESE Working Group. Cohort study of electronic cigarette use: effectiveness and safety at 24 months. Tob Control. 2017 May;26(3):284-292. doi: 10.1136/tobaccocontrol-2015-052822. Epub 2016 Jun 6.

    PubMed 27272748

Questions about this trial

What is this clinical trial studying?

An observational study of Cardiovascular Diseases and Chronic Obstructive Pulmonary Diseases, run by Università degli Studi 'G. d'Annunzio' Chieti e Pescara at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 5 May 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Traditional smoking cessation rate (time frame: 5 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01785537, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 May 2017.

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