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Cigarette SmokerEarly Phase 1NCT03691350

Bronchoscopy in Determining the Effect of E-Cigarette Smoking on Biomarkers in the Lungs

A Early Phase 1 study testing Bronchoscopy with Bronchoalveolar Lavage, Cigarette and Electronic Cigarette in people with Cigarette Smoker and Current Every Day Smoker, run by Ohio State University Comprehensive Cancer Center 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 studies biomarkers obtained by bronchoscopy (bronchoalveolar lavage and lung brushings) to determine the effect of smoking e-cigarettes on the lungs. Studying samples of lung cells from participants who smoke e-cigarettes may help doctors learn more about changes that occur in deoxyribonucleic acid and… Read more about this study

Who is it for?
Ages 21 to 52 yearsHealthy volunteers can take part
Conditions the study is for
Cigarette Smoker, Current Every Day Smoker
What is being tested?
Bronchoscopy with Bronchoalveolar Lavage, Cigarette and Electronic Cigarette
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
66 participants
Where
1 siteUnited States
Study dates
17 Sep 2018to 10 Mar 2024
Phase
Early Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 52 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Smokers who smoke >= 5 filtered cigarettes/day for >= 1 year
  • No unstable or significant medical conditions as determined by medical history to ensure safety of the subject, to minimize the effects of poor health on biomarker measures and to maximize compliance to study procedures
  • Able to read adequately to complete the survey and related study documents or give consent
  • Subject has provided written informed consent to participate in the study

Who cannot join

  • Regular consumption of roll your own cigarettes
  • Immune system disorders requiring medication
  • Prior diagnosis of chronic pulmonary disease (e.g., asthma with regular use of medications, chronic obstructive pulmonary disease [COPD], chronic bronchitis, and restrictive lung disease)
  • Acute bronchitis or pneumonia within 1 year
  • Reported history of diagnosed kidney or liver disease
  • Any medical disorder that will increase the risk from bronchoscopy, affect biomarker data, or increase risk of an adverse effect from e-cig use
Show all 22Show fewer
  • General anesthesia within 1 year
  • Regular use of inhalant medications in the last 2 months
  • Use of antibiotics in prior 30 days
  • Use of steroids, including corticosteroids, in prior 30 days
  • Allergies to study medications, such as, lidocaine, Versed, fentanyl or Cetacaine
  • Allergies to propylene glycol/glycerin or flavors
  • History of hypersensitivity to varenicline
  • Bronchoscopy or any other lung procedure for any reason within the previous 6 months
  • Current or recent (within three months) alcohol or drug abuse problems
  • Regularly smoked marijuana within the prior 3 months
  • Use of an e-cigarette or other combustible tobacco products in the prior 3 months
  • Currently using nicotine replacement or other tobacco cessation products (to minimize confounding effects of another product) or intention to quit in next three months
  • Adverse reaction to previous e-cig use
  • Body mass index (BMI) > 40 (risk of unstable airway)
  • Pregnant or breastfeeding - if the subject is female, a urine pregnancy test at no cost to the subject will be done on the day of bronchoscopy
  • Unable to read for comprehension or completion of study documents

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Ohio State University Comprehensive Cancer Center

    Columbus, Ohio, 43210

Other trials in United States

About this study

Official title: The Effects of a Standardized Research E-Cigarette on the Human Lung: A Clinical Trial With Bronchoscopic Biomarkers

This trial studies biomarkers obtained by bronchoscopy (bronchoalveolar lavage and lung brushings) to determine the effect of smoking e-cigarettes on the lungs. Studying samples of lung cells from participants who smoke e-cigarettes may help doctors learn more about changes that occur in deoxyribonucleic acid and identify biomarkers related to cancer.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To assess inflammatory changes over 10 weeks for lung and urine biomarkers in smokers who undergo serial bronchoscopy. The randomized trial includes four conditions: continued use (n=32), complete switching to the nicotine standardized research electronic cigarettes (e-cig) (SREC) (n=32), complete switching to the placebo (nicotine free) SREC (n=32), and complete switching to nicotine replacement therapy (NRT)(n=32).

OUTLINE: Participants are randomized to 1 of 4 groups.

GROUP I: Participants undergo bronchoscopy over 30-60 minutes at baseline. Participants continue to smoke their usual brand of cigarettes. Participants undergo a second bronchoscopy on day 71.

GROUP II: Participants undergo bronchoscopy over 30-60 minutes at baseline. After the baseline bronchoscopy, participants learn to use the SREC with nicotine for 2 weeks and switch completely to the SREC with nicotine for 2 weeks and switch completely to the SREC with nicotine starting day 15 for 8 weeks. Participants undergo a second bronchoscopy on day 71.

GROUP III: Participants undergo bronchoscopy over 30-60 minutes at baseline. After the baseline bronchoscopy, participants learn to use the SREC without nicotine for 2 weeks and switch completely to the SREC without nicotine starting day 15 for 8 weeks. Participants will be offered varenicline to aid cessation. Participants undergo a second bronchoscopy on day 71.

GROUP IV: Participants undergo bronchoscopy over 30-60 minutes at baseline. Beginning 1 week before the day 15 quit date, participants stop smoking using NRT comprising either patch, gum, or lozenge for 8 weeks. Participants undergo a second bronchoscopy on day 71.

After completion of study, participants are followed up at 3 months.

Being tested
Bronchoscopy with Bronchoalveolar Lavage, Cigarette, Electronic Cigarette, Laboratory Biomarker Analysis, Nicotine Replacement

What participants receive

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

  • Bronchoscopy with Bronchoalveolar LavageProcedure or surgery

    Also called bronchial washing, Bronchoscopy/Lavage

    Undergo bronchoscopy with bronchoalveolar lavage

  • CigaretteDrug

    Smoke usual brand

  • Electronic CigaretteOther

    Also called e-Cigarette, Electronic Nicotine Delivery System

    Smoke SREC with nicotine

  • Electronic CigaretteOther

    Also called e-Cigarette, Electronic Nicotine Delivery System

    Smoke SREC without nictoine

  • Laboratory Biomarker AnalysisOther

    Correlative studies

  • Nicotine ReplacementDrug

    Also called Nicotine Replacement Therapy, NRT

    Receive NRT comprising patch, gum, or lozenge

  • Questionnaire AdministrationOther

    Ancillary studies

Study groups in NCT03691350
Study groupRoleWhat they receive
Group I (usual cigarette brand)Active comparatorParticipants undergo bronchoscopy over 30-60 minutes at baseline. Participants continue to smoke their usual brand of cigarettes. Participants undergo a second bronchoscopy on day 71.
Receives: Procedure: Bronchoscopy with Bronchoalveolar Lavage; Drug: Cigarette; Other: Laboratory Biomarker Analysis; Other: Questionnaire Administration
Group II (SREC with nicotine)ExperimentalParticipants undergo bronchoscopy over 30-60 minutes at baseline. After the baseline bronchoscopy, participants learn to use the SREC with nicotine for 2 weeks and switch completely to the SREC with nicotine starting day 15 for 8 weeks. Participants undergo a second bronchoscopy on day 71.
Receives: Procedure: Bronchoscopy with Bronchoalveolar Lavage; Other: Electronic Cigarette; Other: Laboratory Biomarker Analysis; Other: Questionnaire Administration
Group III (SREC without nicotine)ExperimentalParticipants undergo bronchoscopy over 30-60 minutes at baseline. Beginning 1 week after bronchoscopy, participants learn to use the SREC without nicotine for 2 weeks and switch completely to the SREC without nicotine starting day 15 for 8 weeks. Participants will be offered varenicline to aid cessation. Participants undergo a second bronchoscopy on day 71.
Receives: Procedure: Bronchoscopy with Bronchoalveolar Lavage; Other: Electronic Cigarette; Other: Laboratory Biomarker Analysis; Other: Questionnaire Administration
Group IV (Nicotine Replacement Therapy [NRT])ExperimentalParticipants undergo bronchoscopy over 30-60 minutes at baseline. One week before the day 15 quit date, participants stop smoking using NRT comprising either patch, gum, or lozenge for 8 weeks. Participants undergo a second bronchoscopy on day 71.
Receives: Procedure: Bronchoscopy with Bronchoalveolar Lavage; Other: Laboratory Biomarker Analysis; Drug: Nicotine Replacement; Other: Questionnaire Administration

What is being measured

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

  1. Changes in Cytokines

    Obtained via bronchoscopy with saline bronchoalveolar lavage (BAL) and bronchial brushings. Descriptive statistics and clustering (e.g., principal components analysis [PCA]), will be performed for all biomarker data measured at the different visits. Baseline data (1st bronchoscopy) will then be compared between the four groups (3 conditions and control) using a one-way analysis of variance (ANOVA). The non-parametric Kruskal-Wallis test (continuous or ordinal variables) or the chi-square test (categorical variables) will be applied when the normality assumption of the data is not met. Controls will be compared to complete substitution with the standardized research electronic cigarettes (SREC) (with and without nicotine) or nicotine replacement therapy (NRT. Generalized linear models (GLM) will be employed with measurement (cell count, gene expression, etc.) as the dependent variable, a covariable for baseline measure, and a main effect of arm.

    Measured: Baseline to day 71

  2. Changes in Cell Counts

    Obtained via bronchoscopy with saline bronchoalveolar lavage (BAL) and bronchial brushings. Descriptive statistics and clustering (e.g., principal components analysis [PCA]), will be performed for all biomarker data measured at the different visits. Baseline data (1st bronchoscopy) will then be compared between the four groups (3 conditions and control) using a one-way analysis of variance (ANOVA). The non-parametric Kruskal-Wallis test (continuous or ordinal variables) or the chi-square test (categorical variables) will be applied when the normality assumption of the data is not met. Controls will be compared to complete substitution with the standardized research electronic cigarettes (SREC) (with and without nicotine) or nicotine replacement therapy (NRT. Generalized linear models (GLM) will be employed with measurement (cell count, gene expression, etc.) as the dependent variable, a covariable for baseline measure, and a main effect of arm.

    Measured: Baseline to day 71

Secondary outcomes (5)
  1. Changes in Fractional Exhaled Nitric Oxide (FeNO) Levels

    FeNO will be measured with the NIOX VERO. Descriptive statistics and clustering (e.g. PCA), will be performed for all biomarker data measured at the different visits. Baseline data (1st bronchoscopy) will then be compared between the four groups (3 conditions and control) using a one-way ANOVA. The non-parametric Kruskal-Wallis test (continuous or ordinal variables) or the chi-square test (categorical variables) will be applied when the normality assumption of the data is not met. Controls will be compared to complete substitution with the SREC (with and without nicotine) or NRT. GLM will be employed with measurement (cell count, gene expression, etc.) as the dependent variable, a covariable for baseline measure, and a main effect of arm.

    Measured: Baseline up to day 71

  2. Changes in Messenger (m) Ribonucleic Acid (RNA) and microRNA (miRNA) Gene Expression Analyzed Using Sequencing

    Total RNA containing small RNAs will be extracted from bronchial brushing specimens using commercially available kits and used for both gene expression using the Affymetrix GeneChip Human Transcriptome Array and for miRNA expression using the Affymetrix GeneChip miRNA Array. Expression will separately be assessed through RNA sequencing. Total RNA will be extracted from lavage cells and saliva for comprehensive profiling of microbiome using commercially available kits. The ?omics? (miRNA, mRNA, and metabolomics) analysis and visualization of the data will be performed in the R statistical language. Data will be log2-transformed and normalized using either quantile normalization for gene expression (miRNA and mRNA) or normalization for metabolomics. Unsupervised clustering analysis, including PCA and hierarchical clustering will be performed to visualize natural clusters in the dataset and evaluate data quality.

    Measured: Baseline up to day 71

  3. Changes in Deoxyribonucleic Acid (DNA) Gene Methylation

    Total DNA will be extracted using commercially available kits and used for genome-wide DNA methylation profiling. Total DNA including mitochondrial DNA (mtDNA) will be extracted using commercially available kits and used for mtDNA mutation using Hiseq Next Generation Sequencing (NGS) and for mtDNA contents using quantitative polymerase chain reaction (qPCR). For preliminary identification of patterns in DNA methylation, unsupervised hierarchical clustering among the groups of samples will be performed. The Euclidian distance among the groups of samples will be calculated by the average linkage. In order to assess variance among samples, PCA will be done.

    Measured: Baseline up to day 71

  4. Changes in the Microbiome in BAL Cells and Saliva

    Obtained via bronchoscopy with saline BAL and bronchial brushings. Samples will be analyzed to determine their bacterial composition.

    Measured: Baseline up to day 71

  5. Changes in Untargeted Metabolomics Using Mass Spectrometry

    Obtained via bronchoscopy with saline BAL and bronchial brushings. The omics (miRNA, mRNA, and metabolomics) analysis and visualization of the data will be performed in the R statistical language. Data will be log2-transformed and normalized using either quantile normalization for gene expression (miRNA and mRNA) or normalization for metabolomics. Unsupervised clustering analysis, including PCA and hierarchical clustering will be performed to visualize natural clusters in the dataset and evaluate data quality.

    Measured: Baseline up to day 71

Timeline

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

  1. First posted1 Oct 2018
  2. Study start17 Sep 2018
  3. Primary completion23 Oct 2023
  4. Study completion10 Mar 2024

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
Early Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
66 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03691350
Sponsor's protocol ID
OSU-18044
Other IDs
NCI-2018-00283, U01DA045530
Status last verified
Mar 2026
First submitted
25 Sep 2018
Last updated
23 Apr 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Bronchoscopy with Bronchoalveolar Lavage, Cigarette and Electronic Cigarette in people with Cigarette Smoker and Current Every Day Smoker, run by Ohio State University Comprehensive Cancer Center 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 4 inclusion and 22 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 23 Apr 2026. 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.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Apr 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Changes in Cytokines (time frame: Baseline to day 71). 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?
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 23 Apr 2026.

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