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SmokingNCT02210754

Characterization of Nicotine Exposure and Urge-to-Smoke Following Use of Electronic and Conventional Cigarettes

A study of Smoking, run by Lorillard Tobacco Company at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This trial was the initial characterization of the blu™ products being studied, with the purpose of gaining an understanding of the exposure to nicotine and craving reduction attained following use of blu™ e-cigarettes by adult smokers. Read more about this study

Who is it for?
Ages 21 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Smoking
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteUnited States
Study dates
Mar 2014to Jul 2014
Phase
Interventional
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 21 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy adult male and female smokers
  • 21 to 65 years of age, inclusive, at Screening.
  • Smoker for at least 12 months prior to Check-in
  • Currently smoked an average of 10 or more manufactured cigarettes per day (no restriction on brand-style, king size [ approx. 83 - 85 mm] and 100s [approximately 98 - 100 mm] only)
  • A history of e-cigarette use was allowed.
  • Females of childbearing potential agreed to use a PI-approved method of contraception

Who cannot join

  • Use of tobacco- or nicotine-containing products other than manufactured cigarettes and e-cigarettes (e.g., roll-your-own cigarettes, bidis, snuff, snus, tablets, inhalers, pipes, cigars, chewing tobacco, nicotine replacement therapies [e.g., gum, patches, lozenges, nasal spray, or inhalers]) within 28 days prior to Day 1 product administration or during the study.
  • Use of any prescription smoking cessation treatments, including, but not limited to, varenicline (Chantix®) or buproprion (Zyban®) within 3 months prior to Day 1 product administration and throughout the study.
  • Known hypersensitivity to menthol, glycerol, or propylene glycol (PG).
  • Exhaled CO ≤ 10 ppm at Screening.
  • Self-reported puffers (i.e., smokers who draw smoke from the cigarette into the mouth and throat but do not inhale).
  • Use of medications known to interact with cytochrome P450 2A6 (including, but not limited to, amiodarone, desipramine, isoniazid, ketoconazole, miconazole, phenobarbital, rifampin, tranylcypromine, and methoxsalen) within 3 months prior to Day 1 product administration.
  • History of drug or alcohol abuse within 24 months of Day 1 product administration
  • Female subjects who were pregnant, lactating, or intended to become pregnant from Screening through completion of study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Celerion

    Lincoln, Nebraska, 68502

Other trials in United States

About this study

Official title: Characterization of Nicotine Exposure and Urge-to-Smoke Following a Single Controlled Administration and Short-Term Ad Lib Use of Electronic Cigarettes and Conventional Cigarettes in Adult Smokers

This trial was the initial characterization of the blu™ products being studied, with the purpose of gaining an understanding of the exposure to nicotine and craving reduction attained following use of blu™ e-cigarettes by adult smokers. Two types of exposures were utilized: a single controlled administration and a short-term ad lib use. As smoking behaviors vary from smoker to smoker, a controlled administration allows for some standardization of nicotine "dose" for each of the study products to better understand their uptake characteristics as well as urge reduction achieved under controlled conditions. Further evaluation under ad lib product use conditions provides insight into product self-administration behaviors that will allow subjects to achieve acceptable levels of urge reduction. Comparisons were made to evaluate differences between blu™ formulations as well as to the market-leading conventional cigarette, Marlboro Gold King Size ("Marlboro cigarette').

Read the detailed description

This was a randomized, partially single-blinded, 6-period crossover study of 24 subjects.

The primary objectives of this study were to:

  1. characterize the rate and extent of nicotine exposure following a single controlled administration and ad lib use of blu™ e-cigarettes,
  2. characterize smoking urge following a single controlled administration and ad lib use of blu™ e cigarettes.

The secondary objectives of this study were to:

  1. Compare the pharmacokinetic (PK) profile of nicotine between selected blu™ formulations and between the blu™ products and Marlboro cigarettes following a single controlled administration and ad lib use of each study product.
  2. Compare changes in smoking urge within and between selected blu™ formulations and between the blu™ products and Marlboro cigarettes following a single controlled administration and ad lib use of each study product.
  3. Compare the changes in exhaled carbon monoxide (CO) within and between selected blu™ formulations and between the blu™ products and Marlboro cigarettes following use of each study product.
  4. Assess the tolerability of each study product following short-term use.

Subjects were provided blu™ Classic Tobacco and Magnificent Menthol products containing 2.4% nicotine, glycerin vehicle for 1 week prior to participation in the study to familiarize themselves with the use of the products. Subjects were confined to the clinic for the entire study duration and abstained from use of nicotine containing products for a period of at least 36 hours prior to each product administration. Each product administration included a controlled product administration and a 1 hour ad lib use of the study products. The controlled product administration consisted of 50 inhalations of the assigned e-cigarette product (5-second inhalations at 30-second intervals) or smoking one Marlboro cigarette (30-second intervals with the subjects' normal inhalation duration) with inhalations monitored by the clinical staff. The start of the ad lib product use was 30 minutes following the start of the controlled product use. During ad lib use, subjects were allowed to self-administer the e-cigarette product as desired for the entire hour and were responsible for maintaining their own inhalation counts. During the ad lib cigarette product use, subjects requested the product from the staff as desired and maintained their own inhalation counts.

Pharmacokinetics: Blood samples for the measurement of plasma nicotine concentrations were taken by direct venipuncture at 10 minutes prior to, and 5, 10, 15, 20, 25, 30, 45, 60, 75, and 90 minutes following the start of the controlled product administration. Non-compartmental PK parameters such as Peak Plasma Concentration and Area under the Plasma Concentration versus time curve were calculated from the plasma nicotine concentration-time data.

Pharmacodynamics: Smoking urge was assessed using a 100 mm visual analog scale (VAS). Assessments occurred within 1 minute prior to the -10 (pre-product administration), 5, 15, 25, 30, 60, and 90-minute PK blood draws. The following non-compartmental Pharmacodynamic parameters were calculated from the smoking urge change-from-baseline data: Emax0-30, Emaxreduction0-30, AUEC0-30, tEmax0-30, AUEC30-90, and E90.

Other Measurements: Exhaled CO measurements occurred at approximately 20 minutes prior to the start of the controlled product use and at approximately 15 minutes following the end of the ad lib product use.

Tolerability: Adverse events, physical examinations, vital signs, ECGs, and laboratory safety tests were assessed to evaluate enrolment criteria and subject safety during the study.

Conditions
Smoking
Being tested
blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin vehicle), blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin/PG vehicle), blu™ Magnificent Menthol rechargeable (2.4% nicotine, glycerin vehicle), blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin vehicle), blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin/PG vehicle)
Keywords
Nicotine, Pharmacokinetics, Pharmacodynamics, blu e-cigs, Tolerability, Safety, Smoke urge
Medical subject headings
Smoking

What participants receive

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

  • blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin vehicle)Other

    electronic cigarettes

  • blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin/PG vehicle)Other

    electronic cigarettes

  • blu™ Magnificent Menthol rechargeable (2.4% nicotine, glycerin vehicle)Other

    electronic cigarettes

  • blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin vehicle)Other

    electronic cigarettes

  • blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin/PG vehicle)Other

    electronic cigarettes

  • Marlboro CigaretteOther

    cigarettes

Study groups in NCT02210754
Study groupRoleWhat they receive
E-cigarette 1Experimentalblu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin vehicle)
Receives: Other: blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin/PG vehicle); Other: Marlboro Cigarette
E-cigarette 2Experimentalblu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin/propylene glycol (PG) vehicle)
Receives: Other: blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin vehicle); Other: blu™ Magnificent Menthol rechargeable (2.4% nicotine, glycerin vehicle); Other: blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin/PG vehicle); Other: Marlboro Cigarette
E-cigarette 3Experimentalblu™ Magnificent Menthol rechargeable (2.4% nicotine, glycerin vehicle)
Receives: Other: blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin/PG vehicle); Other: Marlboro Cigarette
E-cigarette 4Experimentalblu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin vehicle)
Receives: Other: blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin/PG vehicle); Other: Marlboro Cigarette
E-cigarette 5Experimentalblu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin/PG vehicle)
Receives: Other: blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin/PG vehicle); Other: blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin vehicle); Other: Marlboro Cigarette
Combustible CigaretteActive comparatorMarlboro Cigarette
Receives: Other: blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin vehicle); Other: blu™ Classic Tobacco rechargeable (2.4% nicotine, glycerin/PG vehicle); Other: blu™ Magnificent Menthol rechargeable (2.4% nicotine, glycerin vehicle); Other: blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin vehicle); Other: blu™ Classic Tobacco rechargeable (1.6% nicotine, glycerin/PG vehicle)

What is being measured

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

  1. Profile nicotine pharmacokinetics following use of e-cigs and regular cigarettes

    Measure plasma nicotine PK outcome measures such as Peak Plasma Concentration and Area under the Plasma Concentration versus time curve.

    Measured: 6 months

Secondary outcomes (1)
  1. Assess smoking urge scores on the Visual Analog Scale following use of electronic and regular cigarettes

    Smoking urge was assessed using a 100 mm visual analog scale (VAS). Assessments occurred within 1 minute prior to the -10 (pre-product administration), 5, 15, 25, 30, 60, and 90-minute PK blood draws on Days 1, 3, 5, 7, 9, and 11. The 30-minute assessment was intended to coincide with the start of the ad lib product use. The following non-compartmental pharmacodynamic parameters were calculated from the smoking urge change-from-baseline data: Maximum smoking urge reduction and change-from-baseline from time zero to 30 minutes, area under the effect curve (smoking urge change-from-baseline) from time 0 to 30 minutes and 30 to 90 minutes,time of the maximum (positive or negative) smoking urge change-from-baseline from time 0 to 30 minutes and Observed smoking urge change-from-baseline at 90 minutes.

    Measured: 6 months

Timeline

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

  1. First posted7 Aug 2014 (estimated)
  2. Study startMar 2014
  3. Primary completionMay 2014
  4. Study completionJul 2014

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Allocation
Randomised
Intervention model
Crossover
Masking
Single blind
Who is masked
Participant
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02210754
Sponsor's protocol ID
Galileo
Status last verified
Aug 2014
First submitted
30 Jul 2014
Last updated
7 Aug 2014
Results posted
No
Data monitoring committee
No

Publications

  • D'Ruiz CD, Graff DW, Yan XS. Nicotine delivery, tolerability and reduction of smoking urge in smokers following short-term use of one brand of electronic cigarettes. BMC Public Health. 2015 Sep 30;15:991. doi: 10.1186/s12889-015-2349-2.

    PubMed 26424091

Questions about this trial

What is this clinical trial studying?

A study of Smoking, run by Lorillard Tobacco Company at 1 site in United States.

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 6 inclusion and 8 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: finished, as of the sponsor's last update on 7 Aug 2014. 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 United States. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Profile nicotine pharmacokinetics following use of e-cigs and regular cigarettes (time frame: 6 months). 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 NCT02210754, which also lists 1 linked publication.

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 7 Aug 2014.

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