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Acute Abstinence From Cigarettes vs E-cigarettes (ENDS)VASP-SNCT06944847

Vaping and Smoking Project in People With Schizophrenia

A study testing Acute (24-hour) abstinence and Ad libitum smoking/vaping in people with Acute Abstinence From Cigarettes vs E-cigarettes (ENDS), run by State University of New York at Buffalo at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The proposed research will characterize withdrawal among people with schizophrenia who vape daily compared to people with schizophrenia who smoke combustible cigarettes daily, filling critical gaps in the understanding of electronic nicotine delivery systems (ENDS) dependence and contributing to the development of… Read more about this study

Who is it for?
Ages 21 to 50 years
What is being tested?
Acute (24-hour) abstinence and Ad libitum smoking/vaping
Could I receive a placebo?
No, everyone receives an active treatment
How many people
64 participants
Where
1 siteUnited States
Study dates
15 Feb 2025to 1 Apr 2027
Phase
Interventional
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 21 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • 6+ months of daily/near-daily nicotine vaping or cigarette smoking
  • 200+ ng/mL cotinine on a commercially-available quick screen
  • stable antipsychotic medication dose (no changes in past 6 months).
  • Current Exclusion Criteria:
  • intention to quit daily/near-daily vaping/smoking in the next month
  • current (2+ days out of the past 7) use of pipe tobacco, hookah/shisha, smokeless tobacco, dissolvable tobacco, nicotine pouches. For vaping group only, current (2+ days out of past 7) use of cigars, cigarillos, or filtered cigars that are filled with tobacco or a mix of tobacco and marijuana
Show all 11Show fewer
  • current use of any smoking cessation medication
  • current severe substance dependence other than tobacco/nicotine (including cannabis; NIDA Modified ASSIST of 27+)
  • current (past 2 weeks) suicidal ideation with intent and/or plan
  • pregnancy (intake urine screen)
  • florid psychosis or severe cognitive symptoms (score of ≥5 on PANSS items delusions (P1), hallucinatory behavior (P3), or unusual thought content (G9), conceptual disorganization (P2), abstract thinking (N5), or poor attention (G11) or a score ≥6 on grandiosity (P5) or suspiciousness (P6)

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Larry Hawk, PhD contact

716-645-0192

lhawk@buffalo.edu

United States1 site, 1 recruiting
  • University at Buffalo

    Buffalo, New York, 14260

    Larry Hawk, PhD, 716-645-0192, lhawk@buffalo.edu

    Recruiting

Other trials in United States

About this study

Official title: A Laboratory Study of Behavior and Performance Among People Who Vape Nicotine and/or Smoke Cigarettes - Schizophrenia Supplement

The proposed research will characterize withdrawal among people with schizophrenia who vape daily compared to people with schizophrenia who smoke combustible cigarettes daily, filling critical gaps in the understanding of electronic nicotine delivery systems (ENDS) dependence and contributing to the development of vaping cessation interventions amongst people with schizophrenia, the leading preventable cause of death in the US.

Read the detailed description

Although withdrawal is considered a key feature of nicotine/tobacco addiction that contributes to difficulty quitting smoking and likely electronic nicotine delivery systems (ENDS; e.g., electronic cigarettes), there is currently no research on ENDS withdrawal in people with schizophrenia. The proposed supplement will conduct a systematic and comprehensive characterization of withdrawal in a sample of people with SCZ who vape daily compared to those who smoke daily, filling gaps in our understanding of ENDS dependence/withdrawal for people with SCZ and contributing to the identification of intervention targets for ENDS use.

Being tested
Acute (24-hour) abstinence, Ad libitum smoking/vaping

What participants receive

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

  • Acute (24-hour) abstinenceBehavioural

    Participants will be asked to abstain from all tobacco/nicotine for 24 hours prior to the visit

  • Ad libitum smoking/vapingBehavioural

    Participants will be asked to smoke/vape as usual during the 24 hours prior to the visit

Study groups in NCT06944847
Study groupRoleWhat they receive
Daily use of ENDSOtherParticipants who use nicotine-containing ENDS daily or near-daily but who do NOT smoke combustible cigarettes daily or near-daily.
Receives: Behavioral: Acute (24-hour) abstinence; Behavioral: Ad libitum smoking/vaping
Daily use of combustible cigarettesOtherParticipants who smoke combustible cigarettes daily or near-daily but do NOT use nicotine-containing ENDS daily or near-daily.
Receives: Behavioral: Acute (24-hour) abstinence; Behavioral: Ad libitum smoking/vaping

What is being measured

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

  1. Wisconsin Smoking Withdrawal Scale - anger 0.5

    anger subscale score

    Measured: 0.5 hours

  2. Wisconsin Smoking Withdrawal Scale - anger 2.5

    anger subscale scores

    Measured: 2.5 hours

  3. Wisconsin Smoking Withdrawal Scale - anxiety 0.5

    anxiety subscale scores

    Measured: 0.5 hours

  4. Wisconsin Smoking Withdrawal Scale - anxiety 2.5

    anxiety subscale scores

    Measured: 2.5 hours

  5. Wisconsin Smoking Withdrawal Scale - sad 0.5

    sadness subscale scores

    Measured: 0.5 hours

  6. Wisconsin Smoking Withdrawal Scale - sad 2.5

    sadness subscale scores

    Measured: 2.5 hours

  7. Wisconsin Smoking Withdrawal Scale - conc 0.5

    difficulty concentrating subscale scores

    Measured: 0.5 hours

  8. Wisconsin Smoking Withdrawal Scale - conc 2.5

    difficulty concentrating subscale scores

    Measured: 2.5 hours

  9. Wisconsin Smoking Withdrawal Scale - sleep 0.5

    sleep subscale scores

    Measured: 0.5 hours

  10. Wisconsin Smoking Withdrawal Scale - sleep 2.5

    sleep subscale scores

    Measured: 2.5 hours

  11. Wisconsin Smoking Withdrawal Scale - appetite 0.5

    appetite subscale scores

    Measured: 0.5 hours

  12. Wisconsin Smoking Withdrawal Scale - appetite 2.5

    appetite subscale scores

    Measured: 2.5 hours

  13. Mood and Physical Symptoms Scale 0.5

    single-item indicators of withdrawal facets

    Measured: 0.5 hours

  14. Mood and Physical Symptoms Scale 2.5

    single-item indicators of withdrawal facets

    Measured: 2.5 hours

  15. Minnesota Nicotine Withdrawal Scale 0.5

    single-item indicators of withdrawal facets

    Measured: 0.5 hours

  16. Minnesota Nicotine Withdrawal Scale 2.5

    single-item indicators of withdrawal facets

    Measured: 2.5 hours

  17. Positive and Negative Affect Scale NA 0.5

    negative affect subscale score

    Measured: 0.5 hours

  18. Positive and Negative Affect Scale PA 2.5

    positive affect subscale score

    Measured: 2.5 hours

  19. Positive and Negative Affect Scale PA 0.5

    positive affect subscale score

    Measured: 0.5 hours

  20. Positive and Negative Affect Scale NA 2.5

    negative affect subscale score

    Measured: 2.5 hours

  21. Snaith-Hamilton Pleasure Scale 0.5

    Total score

    Measured: 0.5

  22. Snaith-Hamilton Pleasure Scale 2.5

    Total score

    Measured: 2.5 hours

  23. Questionnaire on Vaping Craving 0.5

    total craving score

    Measured: 0.5 hours

  24. Questionnaire on Vaping Craving 2.5

    total craving score

    Measured: 2.5 hours

  25. Questionnaire on Smoking Urges - Brief 0.5

    total craving score

    Measured: 0.5

  26. Questionnaire on Smoking Urges - Brief 2.5

    total craving score

    Measured: 2.5

  27. PhenX Toolkit Insomnia Severity Index 0.5

    7-item scale, with coverage of perceived impairment and interference with daily functioning

    Measured: 0.5

  28. PhenX Toolkit Insomnia Severity Index 2.5

    7-item scale, with coverage of perceived impairment and interference with daily functioning

    Measured: 2.5 hours

  29. Restlessness ratings 0.5

    3-item scale

    Measured: 0.5

  30. Restlessness ratings 2.5

    3-item scale

    Measured: 2.5 hours

  31. Restlessness and Agitation Questionnaire 2.5

    11-item self-report scale total of behavioral indicators (supplemental evaluation of observer ratings)

    Measured: 2.5 hours

  32. Restlessness and Agitation Questionnaire 0.5

    11-item self-report scale total of behavioral indicators (supplemental evaluation of observer ratings)

    Measured: 0.5 hours

  33. Identical Pairs Continuous Performance Task

    Sustained attention, or vigilance, is the ability to maintain alertness to detect infrequent target stimuli during a long, monotonous task (e.g., Mackworth, 1948). We will use a version of the identical-pairs continuous performance task (Cornblatt et al., 1988) in which participants attend to a series of 800 4-digit numbers on a computer monitor (100-ms stimulus duration; 1500-ms ISI). Participants are asked to press the keyboard space bar only when the stimulus is identical to the immediately preceding stimulus (10% targets; Cooper et al., 2020; Rhodes \& Hawk, 2016). Percent correct hits (target detections) is the primary outcome.

    Measured: Lab visits: ~2 hours

  34. n-back working memory task

    The n-back task (Strand et al., 2012; Rhodes \& Hawk, 2016) requires indicating whether each stimulus in a rapidly presented series matches the location of the stimulus presented n stimuli before (n=0,1,2). Stimuli are small grey circles (100 ms; 30% targets). The focus here is on conditions that place marked demands on the "central executive" by requiring ongoing mental manipulation (i.e., n=2; see Baddeley, 2003). Brief practice with a 1- back will be followed by 2 100-trial blocks of the 2- back. Accuracy is the primary outcome.

    Measured: Lab visit ~ 2hours

  35. Stop signal reaction time task

    We will employ the stop-signal paradigm (Logan et al., 1984), which provides a relatively pure index response inhibition (e.g., Nigg, 2001). In our typical task (e.g., Hawk et al., 2018; Rhodes \& Hawk, 2016), participants button press to indicate whether the "go" signal (<-- or -->) is pointing left or right. After a brief "go" practice, the stop signal (100-ms tone) is introduced, and participants complete 3 64-trail bocks during with they are asked to respond as quickly as possible but to not respond on stop signal trials (25% of trials). The stop signal occurs after go signal onset and adjusts dynamically across trials to yield

    ~50% inhibition (Logan et al., 1997). The primary outcome is stop signal reaction time (SSRT), an estimate of the speed of inhibition.

    Measured: Lab visits: ~2 hours

  36. Spatial Delayed Response Task

    The SDR is a brief delayed-response spatial working memory task in which the participant is presented with a series of 3 screens on each trial. Screen 1 presents a dot (target stimulus) presented for at 1 of 16 locations on the computer screen. Screen 2 presents a "distractor task" that entails a sham attention task, appearing for variable 5 or 30 second delay. The distractor task involves a series of shapes presented on the screen and participants are asked to click the spacebar on the keyboard when they see a diamond, until the delay is finished. Screen 3 prompts the subject to identify the location of the target stimulus presented on Screen 1 using the mouse. Participants are prompted to respond as fast as possible, the task does not progress until the location response is recorded. Note that because the SDR was previously not sensitive to nicotine abstinence in non-psychiatric controls (Sacco, et al., 2005), we will only assess SDR changes

    Measured: 2 hours

  37. kcal consumed

    Fat, protein, and carbohydrate calories consumed

    Measured: 3 hours

  38. Hypothetical Commodity Purchase Tasks vaping intensity 0.5

    intensity of demand

    Measured: 0.5 hours

  39. Hypothetical Commodity Purchase Tasks vaping intensity 2.5

    intensity of demand

    Measured: 2.5 hours

  40. Hypothetical Commodity Purchase Tasks vaping persistence 0.5

    persistence of demand

    Measured: 0.5 hours

  41. Hypothetical Commodity Purchase Tasks vaping persistence 2.5

    persistence of demand

    Measured: 2.5 hours

  42. Hypothetical Commodity Purchase Tasks smoking intensity 0.5

    intensity of demand

    Measured: 0.5 hours

  43. Hypothetical Commodity Purchase Tasks smoking intensity 2.5

    intensity of demand

    Measured: 2.5 hours

  44. Hypothetical Commodity Purchase Tasks smoking persistence 0.5

    persistence of demand

    Measured: 0.5 hours

  45. Hypothetical Commodity Purchase Tasks smoking persistence 2.5

    persistence of demand

    Measured: 2.5 hours

  46. Positive and Negative Syndrome Scale positive 3

    positive syndrome subscale

    Measured: 3 hours

  47. Positive and Negative Syndrome Scale negative 3

    negative syndrome subscale

    Measured: 3 hours

  48. Positive and Negative Syndrome Scale general 3

    general syndrome subscale

    Measured: 3 hours

Secondary outcomes (10)
  1. modified Cigarette evaluation questionnaire

    Subjective/sensory effects of smoking expectancies will be assessed with widely used smoking measures (the modified Cigarette Evaluation Questionnaire, the short form of the Smoking Consequences Questionnaire, and the Smoking Abstinence Questionnaire) and adaptations and extensions of these measures for vaping.

    Measured: 3.5 hours

  2. modified e-Cigarette evaluation questionnaire

    Subjective/sensory effects of vaping expectancies will be assessed with widely used smoking measures (the modified Cigarette Evaluation Questionnaire, the short form of the Smoking Consequences Questionnaire, and the Smoking Abstinence Questionnaire) and adaptations and extensions of these measures for vaping.

    Measured: 3.5 hours

  3. Somatic / side effect checklist 0.5

    Assesses a range of somatic symptoms (e.g., headaches, fatigue)

    Measured: 0.5 hours

  4. Somatic / side effect checklist 2.5

    Assesses a range of somatic symptoms (e.g., headaches, fatigue)

    Measured: 2.5 hours

  5. Heart rate 30

    Heart rate, in beats per minute

    Measured: 30 minutes

  6. Heart rate 60

    Heart rate, in beats per minute

    Measured: 60 minutes

  7. Heart rate 90

    Heart rate, in beats per minute

    Measured: 90 minutes

  8. Heart rate 120

    Heart rate, in beats per minute

    Measured: 120 minutes

  9. Heart rate 150

    Heart rate, in beats per minute

    Measured: 150 minutes

  10. Heart rate 180

    Heart rate, in beats per minute

    Measured: 180 minutes

Timeline

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

  1. First posted25 Apr 2025
  2. Study start15 Feb 2025
  3. Primary completion1 Apr 2027 (estimated)
  4. Study completion1 Apr 2027 (estimated)

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
All participants will complete two visits, one following 24-hour abstinence, the other while smoking/vaping as usual.
Masking
None (open label)
Enrolment
64 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06944847
Sponsor's protocol ID
STUDY00006122-Supplement
Other IDs
3R01DA054276-03S1
Acronym
VASP-S
Status last verified
Mar 2026
First submitted
6 Apr 2025
Last updated
9 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: We plan to make the full de-identified data set with metadata available through the National Addiction and HIV Data Archive Program (NAHDAP).

Questions about this trial

What is this clinical trial studying?

A study testing Acute (24-hour) abstinence and Ad libitum smoking/vaping in people with Acute Abstinence From Cigarettes vs E-cigarettes (ENDS), run by State University of New York at Buffalo 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 0 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: looking for participants now, as of the sponsor's last update on 9 Mar 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.

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?

Contact Larry Hawk, PhD (716-645-0192, lhawk@buffalo.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Wisconsin Smoking Withdrawal Scale - anger 0.5 (time frame: 0.5 hours). The study lists 48 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 9 Mar 2026.

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