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Electronic Cigarette UseNCT04640285

Nicotine Uptake, Measures of Abuse Liability, and Puffing Topography With Use of RELX ENDS Products by Smokers

A study testing RELX ENDS Tobacco Flavor, RELX ENDS Menthol Flavor and Usual Brand Cigarette in people with Electronic Cigarette Use, run by Cheerain HK Limited 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 study is being conducted to evaluate nicotine uptake and exposure, the abuse liability, and puffing topography associated with the use of an electronic nicotine delivery system ENDS with tobacco- and menthol-flavored e-liquids in current smokers. Read more about this study

Who is it for?
Ages 22 to 59 yearsHealthy volunteers can take part
Conditions the study is for
Electronic Cigarette Use
What is being tested?
RELX ENDS Tobacco Flavor, RELX ENDS Menthol Flavor and Usual Brand Cigarette
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
1 siteUnited States
Study dates
3 Nov 2020to 19 Mar 2021
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 22 to 59 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provides voluntary consent to participate in the study as documented on the signed informed consent form (ICF).
  • Is 22 to 59 years of age, inclusive, at the time of consent.
  • Has been a smoker for at least 12 months prior to Screening and through check-in. Brief periods of non-smoking (e.g., up to ~7 consecutive days due to illness, trying to quit, participation in a study where smoking was prohibited) ≥ 30 days prior to Screening will be permitted at the discretion of the Investigator.
  • Reports typically smoking 10 combustible cigarettes (king size or 100s) per day at Screening.
  • Has a urine cotinine concentration ≥ 200 ng/mL at Screening and Check-in.
  • Has an exhaled carbon monoxide (ECO) concentration > 10 ppm at Screening and Check-in.
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  • If female, must meet one of the following criteria:
  • If of childbearing potential - agrees to use one of the accepted contraceptive regimens from at least 30 days prior to the first product use, during the study, and for at least 30 days after the last product use. An acceptable method of contraception includes one of the following:
  • Abstinence from heterosexual intercourse
  • Hormonal contraceptives (birth control pills, injectable/implant/insertable hormonal birth control products, transdermal patch)
  • Intrauterine device (with or without hormones) OR agrees to use a double barrier method (e.g. condom and spermicide) during the study and for at least 30 days after the last product use.
  • If a female of non-childbearing potential - should be surgically sterile (i.e. has undergone complete hysterectomy, bilateral oophorectomy, or tubal ligation/occlusion) or in a menopausal state (at least 1 year without menses), as confirmed by FSH levels (≥ 40 mIU/mL).
  • Is willing to comply with the requirements of the study.

Who cannot join

  • Has a history or presence of clinically significant uncontrolled gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, urologic, pulmonary, immunologic, psychiatric, or cardiovascular disease, or any other condition that would jeopardize the safety of the subject or impact the validity of the study results.
  • Has a clinically significant abnormal finding on the physical examination, medical history, vital signs, ECG, or clinical laboratory results.
  • Has a positive test for HIV-1/HIV-2 Antibodies, Hepatitis B surface Antigen (HBsAg) or Hepatitis C Antibody (HCVAb).
  • Has had an acute illness (e.g., upper respiratory infection, viral infection) within 14 days prior to Check-in.
  • Has a fever (> 100.5°F) at Screening or Check-in.
  • Has a positive COVID-19 test during the screening period, prior to Check-in.
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  • Has a body mass index (BMI) greater than 40.0 kg/m2 or less than 18.0 kg/m2 at Screening.
  • Has a history of drug or alcohol abuse within 12 months of Screening.
  • Has a systolic BP < 90 mmHg or > 150 mmHg, diastolic BP < 40 mmHg or > 95 mmHg, or HR < 40 bpm or > 99 bpm at Screening.
  • Is allergic to or intolerant of components of the product e-liquid, including but not limited to, menthol, propylene glycol or glycerin.
  • Is unable to use the CReSS topography device with the vaping device during the training session on Day -1.
  • Has an estimated creatinine clearance < 70 mL/minute (using the Cockcroft Gault equation) at Screening.
  • Has a positive urine drug or alcohol test at Screening or Check-in. A positive test result for cannabinoids may be permitted if the result to the cannabis intoxication evaluation is negative at Check-in.
  • If female, has a positive pregnancy test, is breastfeeding or lactating, or intends to become pregnant from Screening through Day 5.
  • Has been treated for depression, diabetes, asthma, emphysema, or chronic obstructive pulmonary disease within 12 months of Check-in.
  • Has previously been diagnosed with any form of cancer, except for basal cell or squamous epithelial carcinomas of the skin that have been resected.
  • Has used medications known to interact with cytochrome P450 (CYP) 2A6 (including, but not limited to, amiodarone, desipramine, isoniazid, ketoconazole, miconazole, phenobarbital, rifampin, tranylcypromine, methoxsalen) within 6 weeks prior to Check-in.
  • Has used a product containing pseudoephedrine within 48 hours prior to Check-in.
  • Has used an ENDS product on more than 5 days within 3 months prior to Screening and through Check-in.
  • Reports use of a very-low nicotine content cigarette (e.g., Moonlight, Spectrum, VLN) as usual brand.
  • Has used any tobacco- or nicotine-containing products other than manufactured cigarettes (e.g., ENDS, roll-your-own cigarettes, bidis, snuff, pouches, pipes, cigars, chewing tobacco, nicotine inhalers, nicotine patches, nicotine sprays, nicotine lozenges, or nicotine gum) within 7 days of Check-in.
  • Has used any products for the purpose of smoking cessation, including, but not limited to, nicotine replacement therapies, varenicline (Chantix), or buproprion (Zyban) from 30 days prior to Screening through Check-in.
  • Is a self-reported puffer (i.e., draws smoke from the cigarette into the mouth and throat but does not inhale).
  • Is postponing a planned smoking quit attempt in order to participate in the study.
  • Has donated plasma within 7 days prior to Check-in.
  • Has provided a whole blood donation, had significant blood loss, or received whole blood or a blood product transfusion within 56 days prior to Check-in.
  • Has participated in a previous clinical study for a tobacco product or an investigational drug, device, or biologic, within 30 days or 5 times the half-life of the drug (whichever is longer) prior to Check-in.
  • Is or has a first-degree relative (e.g., spouse, parent, sibling, child) who is a current or former employee of a tobacco or ENDS manufacturer or is a named party or class representative in litigation with the tobacco or ENDS industry.
  • Is or has a first-degree relative (e.g., spouse, parent, sibling, child) who is a current employee of the clinic site.
  • Is or has a first-degree relative (e.g., spouse, parent, sibling, child) who is a current employee of the Sponsor.
  • Has previously been withdrawn from or has completed this study.
  • In the opinion of the Investigator, the subject should not participate in this study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Altasciences Clinical Kansas, Inc

    Overland Park, Kansas, 66212

Other trials in United States

About this study

Official title: A Randomized, Open-Label, Single-Center, Cross-Over Study of Adult Smokers to Assess Nicotine Uptake, Measures of Abuse Liability, and Puffing Topography With RELX Infinity Electronic Nicotine Delivery Systems (ENDS)

This study is being conducted to evaluate nicotine uptake and exposure, the abuse liability, and puffing topography associated with the use of an electronic nicotine delivery system ENDS with tobacco- and menthol-flavored e-liquids in current smokers.

Being tested
RELX ENDS Tobacco Flavor, RELX ENDS Menthol Flavor, Usual Brand Cigarette, Nicorette White Ice Mint nicotine polacrilex gum
Keywords
Electronic Nicotine Delivery System, Nicotine, Pharmacokinetics, Abuse Liability, Topography, E-cigarette
Medical subject headings
Vaping

What participants receive

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

  • RELX ENDS Tobacco FlavorOther

    Ad libitum use of RELX ENDS tobacco flavor product during 8-hour and 5-minute use sessions

  • RELX ENDS Menthol FlavorOther

    Ad libitum use of RELX ENDS Menthol flavor product during 8-hour and 5-minute use sessions

  • Usual Brand CigaretteOther

    Ad libitum use of subjects usual brand product during 8-hour and single cigarette use sessions

  • Nicorette White Ice Mint nicotine polacrilex gumOther

    Ad libitum use of Nicorette White Ice Mint nicotine polacrilex gum product during 8-hour and 30-minute use sessions

Study groups in NCT04640285
Study groupRoleWhat they receive
Product Use Sequence 1ExperimentalPeriod 1 - RELX ENDS Tobacco Flavor Period 2 - RELX ENDS Menthol Flavor Period 3 - Nicorette White Ice Mint Nicotine Polacrilex Gum Period 4 - Usual Brand Cigarette
Receives: Other: RELX ENDS Tobacco Flavor; Other: RELX ENDS Menthol Flavor; Other: Usual Brand Cigarette; Other: Nicorette White Ice Mint nicotine polacrilex gum
Product Use Sequence 2ExperimentalPeriod 1 - RELX ENDS Menthol Flavor Period 2 - Usual Brand Cigarette Period 3 - RELX ENDS Tobacco Flavor Period 4 - Nicorette White Ice Mint Nicotine Polacrilex Gum
Receives: Other: RELX ENDS Tobacco Flavor; Other: RELX ENDS Menthol Flavor; Other: Usual Brand Cigarette; Other: Nicorette White Ice Mint nicotine polacrilex gum
Product Use Sequence 3ExperimentalPeriod 1 - Usual Brand Cigarette Period 2 - Nicorette White Ice Mint Nicotine Polacrilex Gum Period 3 - RELX ENDS Menthol Flavor Period 4 - RELX ENDS Tobacco Flavor
Receives: Other: RELX ENDS Tobacco Flavor; Other: RELX ENDS Menthol Flavor; Other: Usual Brand Cigarette; Other: Nicorette White Ice Mint nicotine polacrilex gum
Product Use Sequence 4ExperimentalPeriod 1 - Nicorette White Ice Mint Nicotine Polacrilex Gum Period 2 - RELX ENDS Tobacco Flavor Period 3 - Usual Brand Cigarette Period 4 - RELX ENDS Menthol Flavor
Receives: Other: RELX ENDS Tobacco Flavor; Other: RELX ENDS Menthol Flavor; Other: Usual Brand Cigarette; Other: Nicorette White Ice Mint nicotine polacrilex gum

What is being measured

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

  1. Nicotine Uptake

    PK Session baseline-adjusted maximum plasma nicotine concentration [Cmax]

    Measured: 120 minutes

  2. Nicotine Uptake

    PK Session baseline-adjusted area under the nicotine concentration-time curve [AUC(0-120)]

    Measured: 120 minutes

Secondary outcomes (23)
  1. Nicotine Uptake - PK Session

    PK Session baseline-adjusted area under the nicotine concentration-time curve [AUC(0-15)]

    Measured: 15 minutes

  2. Nicotine Uptake - PK Session

    PK Session time of the maximum post-baseline nicotine concentration [Tmax]

    Measured: 120 minutes

  3. Nicotine Uptake - Ad Libitum Session

    Ad Libitum Session baseline-adjusted area under the nicotine concentration-time curve [AUC(0-480)]

    Measured: 480 minutes

  4. Subjective Effects as measured by the Modified Product Evaluation Scale

    Subjective product assessments during the Ad Libitum Session as measured by responses to the Modified Product Evaluation Scale (scale range of 1 [not at all] to 7 [extremely]

    Measured: 480 minutes

  5. Subjective effects as measured by the Future Intent to Use questionnaire

    Subjective product assessments during the Ad Libitum Session as measured by responses to the Future Intent to Use questionnaire (visual annalog scale range of "Definitely Would Not" to " Definitely Would")

    Measured: 480 minutes

  6. Subjective Effects as measured by the Urge to Smoke questionnaire

    Subjective product assessments during the PK Session as measured by responses to the Urge to Smoke questionnaire (visual analog scale range of "Not at All" to "Extreme")

    Measured: 120 minutes

  7. Subjective Effects as measured by the Product Liking questionnaire

    Subjective product assessments during the PK Session as measured by responses to the Product Liking questionnaire (visual analog scale range of "Not at All" to "Extremely")

    Measured: 120 minutes

  8. Physiologic effects as measured by heart rate

    Heart rate measurements during the Ad Libitum Session

    Measured: 480 minutes

  9. Physiologic effects as measured by heart rate

    Heart rate measurements during the PK Session

    Measured: 120 minutes

  10. Physiologic effects as measured by blood pressure

    Blood pressure measurements during the Ad Libitum Session

    Measured: 480 minutes

  11. Physiologic effects as measured by blood pressure

    Blood pressure measurements during the PK Session

    Measured: 120 minutes

  12. Carbon Monoxide Exposure

    Change in exhaled carbon monoxide during the PK Session

    Measured: 25 minutes (50 minutes for the nicotine gum period)

  13. Study Product Use

    Change in weight of the RELX study products during the Ad Libitum Session

    Measured: 480 minutes

  14. Study Product Use

    Number of requests to use the study products during the Ad Libitum Session (requests to use the RELX ENDS product, number of cigarettes smoked, number of pieces of gum used)

    Measured: 480 minutes

  15. Study Product Use

    Number of puffs taken from the RELX ENDS and cigarette during the Ad Libitum Session topography assessment

    Measured: 60 minutes

  16. Study Product Use

    Duration of puffs taken from the RELX ENDS and cigarette during the Ad Libitum Session topography assessment

    Measured: 60 minutes

  17. Study Product Use

    Volume of puffs taken from the RELX ENDS and cigarette during the Ad Libitum Session topography assessment

    Measured: 60 minutes

  18. Study Product Use

    Flow rate of puffs taken from the RELX ENDS and cigarette during the Ad Libitum Session topography assessment

    Measured: 60 minutes

  19. Study Product Use

    Inter-puff interval of puffs taken from the RELX ENDS and cigarette during the Ad Libitum Session topography assessment

    Measured: 60 minutes

  20. Study Product Use

    Pre- to post-use RELX pod weight difference during the PK Session

    Measured: 5 minutes

  21. Study Product Use

    Number of puffs from the RELX ENDS and cigarettes during the PK Session

    Measured: 5 minutes

  22. Incidence of product-use emergent adverse events [Safety and Tolerability]

    Incidence of product-use emergent adverse events

    Measured: 24 hours

  23. Incidence of product malfunction or misuse of the RELX ENDS [Safety and Tolerability]

    Incidence of product malfunction or misuse of the RELX ENDS

    Measured: 24 hours

Timeline

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

  1. First posted23 Nov 2020
  2. Study start3 Nov 2020
  3. Primary completion12 Mar 2021
  4. Study completion19 Mar 2021

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
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04640285
Sponsor's protocol ID
RELX-001
Status last verified
Mar 2021
First submitted
17 Nov 2020
Last updated
24 Mar 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing RELX ENDS Tobacco Flavor, RELX ENDS Menthol Flavor and Usual Brand Cigarette in people with Electronic Cigarette Use, run by Cheerain HK Limited 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 13 inclusion and 32 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 24 Mar 2021. 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 Uptake (time frame: 120 minutes). 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 24 Mar 2021.

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