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SmokingNCT02664012

Comparison of Nicotine Plasma Concentrations and Subjective Effects for Three Menthol Electronic Cigarettes vs Combustible Menthol Cigarettes and Nicotine Gum

A study testing Own Brand Menthol Cigarette, Electronic Menthol Cigarette #1 and Electronic Menthol Cigarette #2 in people with Smoking, run by R.J. Reynolds Vapor 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

The purpose of this study is to measure plasma nicotine uptake parameters, physiological measures, and subjective effect measures in smokers during and following a single ad libitum use of three menthol electronic cigarettes versus combustible menthol cigarettes and nicotine gum. Read more about this study

Who is it for?
Ages 21 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Smoking
What is being tested?
Own Brand Menthol Cigarette, Electronic Menthol Cigarette #1 and Electronic Menthol Cigarette #2
Could I receive a placebo?
No, everyone receives an active treatment
How many people
71 participants
Where
1 siteUnited States
Study dates
Jan 2016to May 2016
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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Able to read, understand, and willing to sign an informed consent form and complete questionnaires written in English.
  • Generally healthy male or female, 21 to 60 years of age, inclusive, at Screening.
  • Expired breath carbon monoxide (ECO) level is ≥ 15 ppm and ≤ 100 ppm at the Screening and Randomization Visits, measured between 12 p.m. and 6 p.m.
  • Combustible menthol cigarettes are the only tobacco product used within (≤) 30 days of Screening.
  • Smokes combustible, filtered, menthol cigarettes, 83 mm to 100 mm in length.
  • Agrees to smoke usual brand (UB) menthol cigarette throughout the study period. Usual brand cigarette is defined as the menthol cigarette brand style currently smoked most frequently by the subject.
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  • Smokes at least 10 menthol cigarettes per day (on average) and inhales the smoke, for at least 6 months prior to Screening. Brief periods of abstinence due to illness, quit attempt (prior to 30 days of Screening), or clinical study participation (prior to 30 days of Screening) will be allowed at the discretion of the Investigator.
  • Response at Screening to Fagerstrom Test for Nicotine Dependence, Question 1 ("How soon after you wake up do you smoke your first cigarette?") is either "Within 5 minutes" or "6 - 30 minutes."
  • Willing to use UB menthol cigarette, the study electronic cigarette menthol brand styles and nicotine gum during the study period.
  • Willing to abstain from tobacco and nicotine use for at least 12 hours prior to check-in at each Test Visit.
  • Females of childbearing potential must be willing to use a form of contraception acceptable to the Investigator from the time of signing informed consent until study discharge.

Who cannot join

  • Clinically significant or unstable/uncontrolled acute or chronic medical conditions at Screening, as determined by the Investigator, that would preclude a subject from participating safely in the study (e.g., uncontrolled hypertension, asthma or other lung disease, cardiac disease, neurological disease or psychiatric disorders) based on safety assessments such as clinical laboratory tests, medical history, and physical/oral examinations.
  • Systolic blood pressure of > 150 mmHg or a diastolic blood pressure of > 95 mmHg at Screening, measured after being seated for at least 5 minutes.
  • Hemoglobin level is < 12 g/dL at Screening.
  • Positive test for Human Immunodeficiency Virus (HIV), Hepatitis B surface antigen, or Hepatitis C virus.
  • Postponing a decision to quit smoking (defined as planning a quit attempt within [≤] 30 days of Screening) to participate in this study or previous attempt within (≤) 30 days prior to Screening.
  • Employed by a tobacco company, the study site, or handles unprocessed tobacco as part of their job.
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  • Use of any medication or supplement that aids smoking cessation, including but not limited to any nicotine replacement therapy (e.g., nicotine gum, lozenge, patch), varenicline (Chantix), bupropion (Wellbutrin, Zyban), or lobelia extract within (≤) 30 days of Screening.
  • Females ≥ 35 years of age currently using systemic, estrogen containing contraception or hormone replacement therapy.
  • A positive urine drug screen without disclosure of corresponding prescribed concomitant medication(s), at Screening or Randomization Visit. A positive alcohol result at Screening, Randomization Visit, or at any Test Visit.
  • A female who is pregnant, lactating, or intends to become pregnant during the course of the 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: A Single-Center, Randomized, Open-Label, Crossover Study to Assess Elements of Abuse Liability for Three Menthol Electronic Cigarettes

The purpose of this study is to measure plasma nicotine uptake parameters, physiological measures, and subjective effect measures in smokers during and following a single ad libitum use of three menthol electronic cigarettes versus combustible menthol cigarettes and nicotine gum.

Read the detailed description

This study will assess various elements that may provide information regarding the potential for menthol electronic cigarettes (e-cigarettes) to be adopted by current smokers. These various elements include: a) nicotine pharmacokinetics (PK), b) physiological measures of pulse rate and blood pressure, and c) subjective effects measured by Urge to Smoke, Urge for Product, Product Rating, Intent to Use Product Again, and Product Effects.

Conditions
Smoking
Being tested
Own Brand Menthol Cigarette, Electronic Menthol Cigarette #1, Electronic Menthol Cigarette #2, Electronic Menthol Cigarette #3, Leading U.S. Nicotine Gum
Keywords
adoption, electronic cigarettes, e-cigarettes, menthol, combustible cigarettes, nicotine polacrilex, own brand cigarette, subjective measures, pharmacokinetics, pharmacodynamics, cigarette
Medical subject headings
Smoking, Vaping

What participants receive

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

  • Own Brand Menthol CigaretteOther

    combustible menthol cigarette brand style smoked most frequently by subject

  • Electronic Menthol Cigarette #1Other

    VUSE® Digital Vapor Cigarette (menthol flavor, 14 mg nicotine)

  • Electronic Menthol Cigarette #2Other

    VUSE® Digital Vapor Cigarette (menthol flavor, 29 mg nicotine)

  • Electronic Menthol Cigarette #3Other

    VUSE® Digital Vapor Cigarette (menthol flavor, 36 mg nicotine)

  • Leading U.S. Nicotine GumOther

    4 mg nicotine polacrilex gum

Study groups in NCT02664012
Study groupRoleWhat they receive
Own Brand Menthol CigaretteActive comparatorOwn Brand Menthol Cigarette
Receives: Other: Own Brand Menthol Cigarette
Electronic Menthol Cigarette #1ExperimentalVUSE® (menthol flavor, 14 mg nicotine)
Receives: Other: Electronic Menthol Cigarette #1
Electronic Menthol Cigarette #2ExperimentalVUSE® (menthol flavor, 29 mg nicotine)
Receives: Other: Electronic Menthol Cigarette #2
Electronic Menthol Cigarette #3ExperimentalVUSE® (menthol flavor, 36 mg nicotine)
Receives: Other: Electronic Menthol Cigarette #3
Leading U.S. Nicotine GumActive comparator4 mg nicotine polacrilex gum
Receives: Other: Leading U.S. Nicotine Gum

What is being measured

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

  1. Nicotine pharmacokinetics with respect to initiation of in-clinic investigational product (IP) use following a 12-hour tobacco and nicotine abstinence

    Determine area under the plasma nicotine concentration versus time curve (AUC)

    Measured: -5, -0.5, 5, 7.5, 10, 15, 20, 30, 45, 60, 75, 90, 120, 150, 180, 240, 300, 360 minutes

  2. Nicotine pharmacokinetics with respect to initiation of in-clinic investigational product (IP) use following a 12-hour tobacco and nicotine abstinence

    Determine maximum plasma nicotine concentration (Cmax), baseline adjusted

    Measured: -5, -0.5, 5, 7.5, 10, 15, 20, 30, 45, 60, 75, 90, 120, 150, 180, 240, 300, 360 minutes

  3. Nicotine pharmacokinetics with respect to initiation of in-clinic investigational product (IP) use following a 12-hour tobacco and nicotine abstinence

    Determine time to maximum plasma nicotine concentration (Tmax), baseline-adjusted

    Measured: -5, -0.5, 5, 7.5, 10, 15, 20, 30, 45, 60, 75, 90, 120, 150, 180, 240, 300, 360 minutes

  4. Subjective effects scores for Urge to Smoke (UTS) with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a numeric rating scale (NRS) to determine area under the UTS score-versus-time curve [area under the effect curve (AUEC)]

    Measured: -10, 5, 15, 30, 45, 60, 90, 120, 150, 180, 240, 300, 360 minutes

  5. Subjective effects scores for Intent to Use Again (IUA) with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine area under the IUA score-versus-time curve (AUEC)

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

  6. Subjective effects scores for Product Ratings (PR) with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine area under the PR score-versus-time curve (AUEC)

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

  7. Subjective effects scores for Positive Product Effects (PE) with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine area under the Positive PE score-versus-time curve (AUEC)

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

  8. Subjective effects scores for Negative Product Effects (PE) with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine area under the Negative PE score-versus-time curve (AUEC)

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

  9. Maximum change in pulse rate relative to baseline

    Determine the maximum change in pulse rate

    Measured: Baseline and at timed intervals over 360 minutes following initiation of IP use

  10. Baseline cotinine measured pre-IP use

    Evaluate changes in baseline cotinine to assess whether subjects substantially changed their nicotine uptake during the study

    Measured: -0.5 minute (baseline) and -5 min (back-up baseline) for each IP

  11. Change in expired carbon monoxide (ECO) relative to baseline

    Assess change in ECO from baseline following IP use

    Measured: Baseline and 35 minutes post-IP use

  12. Subjective effects scores for UTS with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine minimum UTS score

    Measured: -10, 5, 15, 30, 45, 60, 90, 120, 150, 180, 240, 300, 360 minutes

  13. Subjective effects scores for UTS with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine time to minimum UTS score

    Measured: -10, 5, 15, 30, 45, 60, 90, 120, 150, 180, 240, 300, 360 minutes

  14. Subjective effects scores for IUA with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine maximum IUA score

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

  15. Subjective effects scores for PR with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine maximum PR score

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

  16. Subjective effects scores for Positive PE with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine maximum Positive PE score

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

  17. Subjective effects scores for Negative PE with respect to initiation of in-clinic IP use following a 12-hour tobacco and nicotine abstinence

    Score subjective effects using a NRS to determine maximum Negative PE score

    Measured: 15, 30, 45, 60, 120, 180, 240, 300, 360 minutes

Timeline

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

  1. First posted26 Jan 2016 (estimated)
  2. Study startJan 2016
  3. Primary completionMay 2016
  4. Study completionMay 2016

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
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
71 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02664012
Sponsor's protocol ID
CSD1501
Status last verified
May 2018
First submitted
13 Jan 2016
Last updated
4 Jun 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Stiles MF, Campbell LR, Jin T, Graff DW, Fant RV, Henningfield JE. Assessment of the abuse liability of three menthol Vuse Solo electronic cigarettes relative to combustible cigarettes and nicotine gum. Psychopharmacology (Berl). 2018 Jul;235(7):2077-2086. doi: 10.1007/s00213-018-4904-x. Epub 2018 May 3.

    PubMed 29725702

Questions about this trial

What is this clinical trial studying?

A study testing Own Brand Menthol Cigarette, Electronic Menthol Cigarette #1 and Electronic Menthol Cigarette #2 in people with Smoking, run by R.J. Reynolds Vapor 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 11 inclusion and 10 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 4 Jun 2018. 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?

Nicotine pharmacokinetics with respect to initiation of in-clinic investigational product (IP) use following a 12-hour tobacco and nicotine abstinence (time frame: -5, -0.5, 5, 7.5, 10, 15, 20, 30, 45, 60, 75, 90, 120, 150, 180, 240, 300, 360 minutes). The study lists 17 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 NCT02664012, 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 4 Jun 2018.

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