Cardiovascular DiseasesLIGERNCT05757934
Exploring the Long-term Cardiovascular Effects of Vaping
An observational study of Cardiovascular Diseases, run by Sheffield Hallam University at 1 site in United Kingdom.
Trial summary
Smoking is the "leading, preventable death-cause worldwide", being responsible for almost 700,000 deaths in the E.U. annually. Therefore, implementing successful, long-term smoking cessation strategies is a long-term priority for the NHS. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Cardiovascular Diseases
- How many people
- 172 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 16 Apr 2023to 30 Oct 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Vapers conforming to specific group criteria in wider Sheffield and Leeds areas, in the U.K.
Who may be able to join
- Inclusion Criteria: Age ≥18 years of either gender. Specific group inclusion criteria include:
- Group A: Ex-smokers with previous smoking history of at least two years, who vape for at least one year, at least 50 puffs a day.
- Group B: Current vapers who have been vaping daily (minimum 50 puffs/day) for at least one year, with no previous smoking history, Group C: Current vapers (50 puffs/day), who smoke at least 20 cigarettes per week. Group D: Ex-smokers, who have stopped smoking for a period greater than one year and who currently do not vape.
Who cannot join
- Non-ambulant people and people with a recent (e.g., within 6 months) CVD event (e.g. stroke, myocardial infarction) or cardiac surgery,
- pregnancy,
- people who require major surgery (which will prevent them of taking part in the study),
- people who are unable or unwilling to give informed consent.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Exploring the Long-term Cardiovascular Effects of Vaping: a Longitudinal Study
Smoking is the "leading, preventable death-cause worldwide", being responsible for almost 700,000 deaths in the E.U. annually. Therefore, implementing successful, long-term smoking cessation strategies is a long-term priority for the NHS.
Recent evidence suggests that e-cigarettes (i.e., vaping) are a successful cessation tool, with around 3.6 million users in the UK. There are concerns about long-term vaping, particularly in relation to their cardiovascular effects, as there are no relevant, longitudinal studies.
Read more
Therefore, we propose a 38-month, four-group longitudinal study exploring the cardiovascular physiological effects of the use of e-cigarettes over a two-year period, informing policy makers and e-cigarette users (vapers). Our study was developed with the support of vapers.
The main research question is whether there are any differences in cardiovascular physiology between vapers, who are ex-smokers (Group A), vapers with no previous smoking experience (Group B), dual users (i.e., those who vape and smoke (Group C) and ex-smokers who don't vape (Group D).
Two-hundred participants from Sheffield and Leeds will be invited on five occasions (baseline, as well as 6-,12-,18- and 24-months post-baseline).
We will assess macrovascular and lung function, cardiovascular disease risk (through questionnaires and blood biomarkers), vaping and smoking dependence, smoking and and vaping history among others.
- Conditions
- Cardiovascular Diseases
- Keywords
- vaping, macrocirculation, smoking, blood biomarkers
- Medical subject headings
- Cardiovascular Diseases, Vaping, Smoking
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Group A | vapers, who are ex-smokers. | |
| Group B | vapers with no previous smoking experience. | |
| Group C | vapers, who are dual users (i.e., those who vape and smoke). | |
| Group D | ex-smokers who don't vape. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Brachial artery FMD using ultrasound
Baseline scanning to assess resting vessel diameter will be recorded over 3 min, following a 10-min resting period. The brachial artery will be imaged at a location 3 to 7 cm above the antecubital crease to create a flow stimulus in the brachial artery. The images will be obtained with a Viamo C100 (Canon Medical Systems Europe B.V., Zoetermeer, Netherlands) unit using a 7.5MHz PSI-30BX (Canon Medical Systems Europe B.V., Zoetermeer, Netherlands) transducer. A sphygmomanometric cuff will be placed on the forearm; the cuff will be inflated at least 50 mmHg above systolic pressure to occlude artery inflow for 5 min. Recordings will commence 30s before cuff deflation and continuing for 3 min after. FMD will be expressed as a change in post-stimulus diameter evaluated as a percentage of the baseline diameter.
Measured: 24 months
Secondary outcomes (45)
Brachial artery FMD using ultrasound
As in 24 months.
Measured: 3 months
Brachial artery FMD using ultrasound
As in 24 months.
Measured: 6 months
Brachial artery FMD using ultrasound
As in 24 months.
Measured: 12 months
Brachial artery FMD using ultrasound
As in 24 months.
Measured: 18 months
Vascular assessment of biomarkers
Venous blood samples (10 ml) will be obtained from the participants via a superficial arm vein to assess C-reactive protein, IL-12 (p70), sICAM-1, IL-8 and vWF.
Measured: 24 months
Vascular assessment of biomarkers
Venous blood samples (10 ml) will be obtained from the participants via a superficial arm vein to assess C-reactive protein, IL-12 (p70), sICAM-1, IL-8 and vWF.
Measured: 12 months
Vascular assessment of biomarkers
Venous blood samples (10 ml) will be obtained from the participants via a superficial arm vein to assess C-reactive protein, IL-12 (p70), sICAM-1, IL-8 and vWF.
Measured: 6 months.
Vascular assessment of biomarkers
Venous blood samples (10 ml) will be obtained from the participants via a superficial arm vein to assess C-reactive protein, IL-12 (p70), sICAM-1, IL-8 and vWF.
Measured: 18 months
Lung function
Lung function including FEV1, FVC and vital capacity will be measured according to international guidelines (ATS/ERS guidelines).
Measured: 24 months
Lung function
Lung function including FEV1, FVC and vital capacity will be measured according to international guidelines (ATS/ERS guidelines).
Measured: 6 months
Lung function
Lung function including FEV1, FVC and vital capacity will be measured according to international guidelines (ATS/ERS guidelines).
Measured: 12 months
Lung function
Lung function including FEV1, FVC and vital capacity will be measured according to international guidelines (ATS/ERS guidelines).
Measured: 18 months
Smoking dependence
Using Fagerström questionnaire.
Measured: baseline
Vaping dependence
Using Vaping dependence questionnaire.
Measured: baseline
Vaping dependence
Using Vaping dependence questionnaire.
Measured: 6 months
Vaping dependence
Using Vaping dependence questionnaire.
Measured: 12 months
Vaping dependence
Using Vaping dependence questionnaire.
Measured: 18 months
Vaping dependence
Using Vaping dependence questionnaire.
Measured: 24 months
Smoking dependence
Using Fagerström questionnaire.
Measured: 24 months
Smoking dependence
Using Fagerström questionnaire.
Measured: 18 months
Smoking dependence
Using Fagerström questionnaire.
Measured: 12 months
Smoking dependence
Using Fagerström questionnaire.
Measured: 6 months
Change in CV risk profile
Q-risk assessment
Measured: 24 months
Change in CV risk profile
Q-risk assessment
Measured: 18 months
Change in CV risk profile
Q-risk assessment
Measured: 12 months
Change in CV risk profile
Q-risk assessment
Measured: 6 months
Anthropometrics
height (m), weight (m) to calculate body mass index (BMI) as weight divided by height squared,
Measured: baseline
Anthropometrics
height (cm), weight (m) to calculate body mass index (BMI) as weight divided by height squared,
Measured: 24 months
Anthropometrics
height (cm), weight (m) to calculate body mass index (BMI) as weight divided by height squared,
Measured: 18 months
Anthropometrics
height (cm), weight (m) to calculate body mass index (BMI) as weight divided by height squared,
Measured: 12 months
Anthropometrics
height (cm), weight (m) to calculate body mass index (BMI) as weight divided by height squared,
Measured: 6 months
Anthropometrics
heart rate variability (assessed as normal-to-normal (NN) intervals).
Measured: baseline
Anthropometrics
blood pressure (mmHg).
Measured: baseline
Anthropometrics
blood pressure (mmHg).
Measured: 6 months
Anthropometrics
blood pressure (mmHg).
Measured: 12 months
Anthropometrics
blood pressure (mmHg).
Measured: 18 months
Anthropometrics
blood pressure (mmHg).
Measured: 24 months
Anthropometrics
heart rate variability (assessed as normal-to-normal (NN) intervals).
Measured: 24 months
Anthropometrics
heart rate variability (assessed as normal-to-normal (NN) intervals).
Measured: 18 months
Anthropometrics
heart rate variability (assessed as normal-to-normal (NN) intervals).
Measured: 12 months
Anthropometrics
heart rate variability (assessed as normal-to-normal (NN) intervals).
Measured: 6 months
Smoking abstinence
For Groups A, B and D smoking abstinence will be defined by the presence of CO < 10ppm
Measured: 24 months
Smoking abstinence
For Groups A, B and D smoking abstinence will be defined by the presence of CO < 10ppm
Measured: 18 months
Smoking abstinence
For Groups A, B and D smoking abstinence will be defined by the presence of CO < 10ppm
Measured: 12 months
Smoking abstinence
For Groups A, B and D smoking abstinence will be defined by the presence of CO < 10ppm
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2023
- Study start16 Apr 2023
- Primary completion30 Sep 2026 (estimated)
- Study completion30 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cardiovascular DiseasesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 172 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sheffield Hallam University
- Sponsor type
- University, hospital or other
- Collaborators
- Leeds Beckett University
- Responsible party
- Principal investigator, Markos Klonizakis, Sheffield Hallam University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05757934
- Sponsor's protocol ID
- ER49341917
- Acronym
- LIGER
- Status last verified
- Jul 2026
- First submitted
- 7 Feb 2023
- Last updated
- 10 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Exploring the Long-term Cardiovascular Effects of Vaping: a Longitudinal Study
- ClinicalTrials.gov ID
- NCT05757934
- Acronym / sponsor ID
- LIGER / ER49341917
- Conditions
- Cardiovascular Diseases
- Keywords
- vaping, macrocirculation, smoking, blood biomarkers
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 172 participants (estimated)
- Lead sponsor
- Sheffield Hallam UniversityUniversity, hospital or other
- Collaborators
- Leeds Beckett University
- Study start
- 16 Apr 2023 (actual)
- Primary completion
- 30 Sep 2026 (estimated)
- Study completion
- 30 Oct 2026 (estimated)
- First posted
- 7 Mar 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Smoking is the "leading, preventable death-cause worldwide", being responsible for almost 700,000 deaths in the E.U. annually. Therefore, implementing successful, long-term smoking cessation strategies is a long-term priority for the NHS.
Recent evidence suggests that e-cigarettes (i.e., vaping) are a successful cessation tool, with around 3.6 million users in the UK. There are concerns about long-term vaping, particularly in relation to their cardiovascular effects, as there are no relevant, longitudinal studies.
Therefore, we propose a 38-month, four-group longitudinal study exploring the cardiovascular physiological effects of the use of e-cigarettes over a two-year period, informing policy makers and e-cigarette users (vapers). Our study was developed with the support of vapers.
The main research question is whether there are any differences in cardiovascular physiology between vapers, who are ex-smokers (Group A), vapers with no previous smoking experience (Group B), dual users (i.e., those who vape and smoke (Group C) and ex-smokers who don't vape (Group D).
Two-hundred participants from Sheffield and Leeds will be invited on five occasions (baseline, as well as 6-,12-,18- and 24-months post-baseline).
We will assess macrovascular and lung function, cardiovascular disease risk (through questionnaires and blood biomarkers), vaping and smoking dependence, smoking and and vaping history among others.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Group A | – | –vapers, who are ex-smokers. |
| Group B | – | –vapers with no previous smoking experience. |
| Group C | – | –vapers, who are dual users (i.e., those who vape and smoke). |
| Group D | – | –ex-smokers who don't vape. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Vapers conforming to specific group criteria in wider Sheffield and Leeds areas, in the U.K.
Key inclusion criteria (3 listed)
- Inclusion Criteria: Age ≥18 years of either gender. Specific group inclusion criteria include:
- Group A: Ex-smokers with previous smoking history of at least two years, who vape for at least one year, at least 50 puffs a day.
- Group B: Current vapers who have been vaping daily (minimum 50 puffs/day) for at least one year, with no previous smoking history, Group C: Current vapers (50 puffs/day), who smoke at least 20 cigarettes per week. Group D: Ex-smokers, who have stopped smoking for a period greater than one year and who currently do not vape.
Key exclusion criteria (4 listed)
- Non-ambulant people and people with a recent (e.g., within 6 months) CVD event (e.g. stroke, myocardial infarction) or cardiac surgery,
- pregnancy,
- people who require major surgery (which will prevent them of taking part in the study),
- people who are unable or unwilling to give informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Brachial artery FMD using ultrasound
Time frame: 24 months
Baseline scanning to assess resting vessel diameter will be recorded over 3 min, following a 10-min resting period. The brachial artery will be imaged at a location 3 to 7 cm above the antecubital crease to create a flow stimulus in the brachial artery. The images will be obtained with a Viamo C100 (Canon Medical Systems Europe B.V., Zoetermeer, Netherlands) unit using a 7.5MHz PSI-30BX (Canon Medical Systems Europe B.V., Zoetermeer, Netherlands) transducer. A sphygmomanometric cuff will be placed on the forearm; the cuff will be inflated at least 50 mmHg above systolic pressure to occlude artery inflow for 5 min. Recordings will commence 30s before cuff deflation and continuing for 3 min after. FMD will be expressed as a change in post-stimulus diameter evaluated as a percentage of the baseline diameter.
45 secondary outcomes
Brachial artery FMD using ultrasound
Time frame: 3 months
Brachial artery FMD using ultrasound
Time frame: 6 months
Brachial artery FMD using ultrasound
Time frame: 12 months
Brachial artery FMD using ultrasound
Time frame: 18 months
Vascular assessment of biomarkers
Time frame: 24 months
Vascular assessment of biomarkers
Time frame: 12 months
Vascular assessment of biomarkers
Time frame: 6 months.
Vascular assessment of biomarkers
Time frame: 18 months
Lung function
Time frame: 24 months
Lung function
Time frame: 6 months
Lung function
Time frame: 12 months
Lung function
Time frame: 18 months
Smoking dependence
Time frame: baseline
Vaping dependence
Time frame: baseline
Vaping dependence
Time frame: 6 months
Vaping dependence
Time frame: 12 months
Vaping dependence
Time frame: 18 months
Vaping dependence
Time frame: 24 months
Smoking dependence
Time frame: 24 months
Smoking dependence
Time frame: 18 months
Smoking dependence
Time frame: 12 months
Smoking dependence
Time frame: 6 months
Change in CV risk profile
Time frame: 24 months
Change in CV risk profile
Time frame: 18 months
Change in CV risk profile
Time frame: 12 months
Change in CV risk profile
Time frame: 6 months
Anthropometrics
Time frame: baseline
Anthropometrics
Time frame: 24 months
Anthropometrics
Time frame: 18 months
Anthropometrics
Time frame: 12 months
Anthropometrics
Time frame: 6 months
Anthropometrics
Time frame: baseline
Anthropometrics
Time frame: baseline
Anthropometrics
Time frame: 6 months
Anthropometrics
Time frame: 12 months
Anthropometrics
Time frame: 18 months
Anthropometrics
Time frame: 24 months
Anthropometrics
Time frame: 24 months
Anthropometrics
Time frame: 18 months
Anthropometrics
Time frame: 12 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Cardiovascular Diseases, run by Sheffield Hallam University at 1 site in United Kingdom.
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 3 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 10 Jul 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 Kingdom. 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?
This study is still under way. Results are not available in the source record yet.
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?
Brachial artery FMD using ultrasound (time frame: 24 months). 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 10 Jul 2026.