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Smoking ( Cigarette)NCT07348679

Cigarette Filter Study

A study testing Charcoal filtered cigarettes with marketing, Charcoal filtered cigarette without marketing and Non-charcoal filtered cigarettes in people with Smoking ( Cigarette), run by Rutgers, The State University of New Jersey 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 overall purpose of this study is to determine the effects of using charcoal-filtered cigarettes on product perceptions, smoking behaviors, and biomarkers of exposure to tobacco-related toxicants. Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Smoking ( Cigarette)
What is being tested?
Charcoal filtered cigarettes with marketing, Charcoal filtered cigarette without marketing and Non-charcoal filtered cigarettes
Could I receive a placebo?
No, everyone receives an active treatment
How many people
252 participants
Where
1 siteUnited States
Study dates
27 Apr 2026to 31 Dec 2030
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Eligible subjects will be:
  • Male and female smokers who are at least 21 years of age and self-report smoking at least 5 cigarettes per day for at least the past 6 months.
  • Smokers of primarily non-menthol cigarettes of brands other than Natural American Spirit.
  • Not currently undergoing smoking cessation treatment or trying to quit.
  • Able to communicate fluently in English (speaking, writing, and reading).
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the combined consent and HIPAA form.

Who cannot join

  • Subjects who self-report and/or present with the following criteria will not be eligible to participate in the study:
  • Smoking Behavior
  • Use of menthol or Natural American Spirit cigarettes as preferred/regular brand (defined as using >20% of the time).
  • Enrollment or plans to enroll in a smoking cessation program in the next month.
  • Provide an initial Carbon Monoxide (CO) reading < 5 parts per million (ppm).
  • Alcohol/Drugs
Show all 22Show fewer
  • History of substance abuse (other than nicotine) in the past 12 months and/or currently receiving medical treatment for substance abuse.
  • Current alcohol consumption that exceeds 25 standard drinks/week.
  • Medical
  • Women who are pregnant, planning a pregnancy, and/or lactating.
  • Any impairment including, but not limited to, visual, physical, and/or neurological impairments preventing the completion of procedures included within this protocol. Notable impairments will be evaluated by the PI and eligibility will be determined on a case-by-case basis.
  • Color blindness.
  • Serious or unstable disease within the past 12 months (e.g. heart disease, cancer). Applicable conditions will be evaluated by the Principal Investigator and eligibility will be determined on a case-by-case basis.
  • Psychiatric
  • As determined by self-report:
  • Lifetime history or current diagnosis of psychosis, bipolar disorder, and/or schizophrenia.
  • Current diagnosis of major depression. Subjects with a history of major depression, in remission for 6 months or longer, are considered eligible.
  • Other
  • Additionally, participants may be deemed ineligible for any of the following general reasons at any point throughout the study, as well as during the initial telephone screen, at the discretion of the PI:
  • Significant non-compliance with protocol and/or study design.
  • Past, current, anticipated, or pending enrollment in another research program over the study period that could potentially impact study data.
  • Any medical condition, illness, disorder, adverse event (AE), or concomitant medication that could compromise participant safety or significantly impact study performance.

Trial locations and contacts

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

Matthew Joy, MPH contact

848-267-8284

maj206@ints.rutgers.edu

United States1 site, 1 recruiting
  • Institute for Nicotine and Tobacco Studies

    New Brunswick, New Jersey, 08901

    Matthew Joy, 848-267-4444, filterstudy@ints.rutgers.edu

    Recruiting

Other trials in United States

About this study

Official title: A Randomized Trial of Charcoal-filtered Cigarettes on Product Perceptions, Smoking Behaviors, and Toxicant Exposure

The overall purpose of this study is to determine the effects of using charcoal-filtered cigarettes on product perceptions, smoking behaviors, and biomarkers of exposure to tobacco-related toxicants. The main questions it aims to answer are:

Do perceptions of cigarettes differ by their filter? Do people smoke charcoal-filtered cigarettes differently than cigarettes with conventional filters, and does this change their exposure to cigarette harms?

Study participants will complete a 5-week laboratory-based, open-label, parallel-design randomized trial. After a baseline period of smoking their preferred brand, participants will smoke charcoal-filtered or non-charcoal-filtered cigarettes for 4 weeks while completing weekly sessions to assess primary outcomes. During weekly sessions, they will smoke two cigarettes in our laboratory, provide urine and carbon monoxide samples, and complete questionnaires.

Being tested
Charcoal filtered cigarettes with marketing, Charcoal filtered cigarette without marketing, Non-charcoal filtered cigarettes
Keywords
smoking behavior, charcoal, cigarette filter, perceptions, biomarkers
Medical subject headings
Cigarette Smoking, Smoking, Anthrax

What participants receive

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

  • Charcoal filtered cigarettes with marketingBehavioural

    After completing a 7-day baseline period of smoking their own preferred brand, participants randomized to the charcoal filtered cigarette with marketing condition will use Natural American Spirit Sky cigarettes for the next 28 days

  • Charcoal filtered cigarette without marketingBehavioural

    After completing a 7-day baseline period of smoking their own preferred brand, participants randomized to the charcoal filtered cigarette without marketing condition will use Tareyton cigarettes for the next 28 days

  • Non-charcoal filtered cigarettesBehavioural

    After completing a 7-day baseline period of smoking their own preferred brand, participants randomized to the non-charcoal filtered cigarette condition will use Natural American Spirit Yellow cigarettes for the next 28 days

Study groups in NCT07348679
Study groupRoleWhat they receive
NAS Sky charcoal-filtered cigarettesExperimentalCharcoal-filtered cigarettes
Receives: Behavioral: Charcoal filtered cigarettes with marketing
NAS Yellow non-charcoal-filtered cigarettesActive comparatorConventional-filtered cigarettes
Receives: Behavioral: Non-charcoal filtered cigarettes
Tareyton charcoal cigarettesExperimentalCharcoal-filtered cigarettes
Receives: Behavioral: Charcoal filtered cigarette without marketing

What is being measured

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

  1. Risk beliefs

    Risk beliefs will be captured via 8 items rated on a 5-point Likert scale (1 = "definitely untrue", 5 = "definitely true") that evaluate participants' preferred brand and the cigarettes they smoke on the following beliefs: a) "lower in nicotine", b) "lower in tar", c) "less addictive", d) "less likely to cause cancer", e) "has fewer chemicals", f) "is healthier", g) "makes smoking safer", h) "helps people quit smoking." Individual items will be scores as correct or incorrect, and incorrect responses will be summed to created an overall false beliefs score (0-8 range, with higher scores indicating greater false beliefs about reduced risk.

    Measured: Day 35

  2. Perceived health risks

    Participants will indicate on a 7-point Likert scale (1 = "very low risk", 7 = "very high risk") their risk of developing smoking-related health conditions (i.e., lung cancer, heart disease, stroke, emphysema, respiratory infections, and other cancers) from regular use of the cigarette they are smoking. Higher mean scores indicate greater perceived risk (range 1-7).

    Measured: Day 35

  3. Subjective ratings

    Participants will rate cigarettes smoked during in-person visits using 14 individual items assessing various cigarette characteristics (e.g., strength, taste, satisfaction, harshness) used by the tobacco industry and our laboratory. Items are rated on a 100 mm visual analog scale with item-specific anchors (e.g., strength: 0 = "very weak," 100 = "very strong"); lower scores indicate less favorable ratings. We will examine mean composite scales generated from these items to assess domains of product harshness, smoking satisfaction, positive sensory experience, and cleanliness.

    Measured: Day 35

  4. Daily cigarette consumption

    Daily cigarette consumption will be assessed by participant self-report and verified through collection of used filters for all cigarettes smoked during the 5-week study. The mean will be computed for daily cigarette consumption during the week preceding final study session (i.e., mean of cigarettes smoked per day between Sessions 5 and 6, or Days 28-35).

    Measured: Day 35

  5. Smoking topography (puffs taken)

    We will use a validated procedure to score video recorded smoking sessions to quantify puffing behavior to obtain estimated number of puffs taken.

    Measured: Day 35

  6. Smoking topography (total duration)

    We will use a validated procedure to score video recorded smoking sessions to quantify puffing behavior to obtain estimates of the duration of each puff, and sum these to create a summary composite measure (in sec).

    Measured: Day 35

  7. Smoking topography (total interpuff interval)

    We will use a validated procedure to score video recorded smoking sessions to quantify puffing behavior to obtain estimates of interpuff interval (i.e., time between puffs) and created a summed composite (in sec).

    Measured: Day 35

  8. Session onset carbon monoxide (CO)

    CO will be assessed in ppm using the coVita Micro+ pro Smokerlyzer breath CO monitor (Santa Barbara, CA) at session onset to estimate daily tobacco exposure.

    Measured: Day 35

  9. Carbon monoxide (CO) boost

    CO will be assessed in ppm using the coVita Micro+ pro Smokerlyzer breath CO monitor (Santa Barbara, CA) before and after each cigarette smoked. The change in CO resulting from smoking a cigarette, CO boost, estimates exposure due to smoking an individual cigarette.

    Measured: Day 35

  10. Tobacco/nicotine exposure

    Total nicotine equivalents exposure will be assessed via measuring urine concentrations of nicotine metabolites by liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) using Waters Xevo® TQ-XS Tandem Mass Spectrometer with ACQUITY UPLC I-Class Chromatography System (UPLC-MS-MS). Greater values indicate greater exposure.

    Measured: Day 35

  11. NNAL exposure

    We will assess NNAL (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol), a metabolite of NNK (4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone), a potent lung carcinogen. A highly sensitive UHPLC-MS/MS method with Waters Xevo® TQ-XS UPLC-MS-MS will determine total NNAL in urine using liquid-liquid extraction followed by conversion to the hexanoate ester derivative. Greater values indicate greater exposure.

    Measured: Day 35

  12. VOC exposure

    We will collect a urine sample to assess exposure to seven volatile organic compounds (VOCs) due to their association with adverse health effects such as cancer, birth defects, and neurological damage S-(3-hydroxypropyl)-mercapturic acid (3HPMA, a metabolite of potentially toxic acrolein; 2-Carbamoyl-2-hydroxy-ethyl mercapturic acid (2CAHEMA, a metabolite of a neurotoxicant acrylamide); 2-carbamoyl-2-hydroxy-ethyl mercapturic acid (2CYEMA, a metabolite of a potent respiratory irritant acrylonitrile); phenyl mercapturic acid (PHMA, a metabolite of IARC Group 1 carcinogen benzene); benzyl mercapturic acid (BZMA, a metabolite of IARC Group 3 carcinogen toluene); 2,4-Dimethylphenyl mercapturic acid (24MPHMA, a metabolite of IARC Group 3 carcinogen xylene); and N-Acetyl-S-(4-hydroxy-2- buten-1-yl)-L-cysteine (MHBMA3, a metabolite of 1,3-Butadiene).

    Measured: Day 35

Secondary outcomes (6)
  1. End of study interview

    We will conduct in-depth interviews with participants to qualitatively assess their reactions to the cigarettes they used during the experimental period to provide important contextual information to interpret the behavioral and survey outcome results. An interviewer will be trained with and will use an interview guide that includes open-ended questions pertaining to subjective ratings, appeal, and harm perceptions of the different types of cigarettes used in the study, with probes to inquire about associations of specific features (i.e., the charcoal filter) with reduced harm. We will also ask participants about the role of charcoal in other non-tobacco products.

    Measured: Day 35

  2. Craving

    Craving will be assessed using at session onset using the Questionnaire on Smoking Urges with a "right now" frame of reference to determine a summary score from a 32-item Likert-format self-report instrument; mean scores range from 1-7 with greater scores indicating greater craving.

    Measured: Day 35

  3. Withdrawal

    The 21-item Withdrawal Symptom Checklist (WSC) using a "right now" frame of reference, will ask participants to rate the intensity of their symptoms (e.g., cravings, irritability, difficulty concentrating) on a 4-point scale (0 = not present, 3 = severe) at session onset.

    Measured: Day 35

  4. Attitudes

    Attitudes toward study-supplied cigarettes will be assessed by the mean of an eight-item, seven-point semantic differential scale (Strasser, Cappella, et al., 2009; Yzer et al., 2003) that asks, "Which of the words below would best describe your continued use of this product?" Items were a) bad/good, b) unenjoyable/enjoyable, c) unpleasant/pleasant, d) foolish/wise, e) difficult/easy, f) more/less harmful, g) not under/under my control, and h) less/more healthy. Higher scores indicate more favorable attitudes.

    Measured: Day 35

  5. Intentions

    Two Likert-type items will assess participants' intentions to purchase and regularly use the study-supplied cigarettes, using a 5-point response scale, with greater scores indicating greater intention.

    Measured: Day 35

  6. Cigarette purchase task

    Behavioral economic indices of demand will be measured using a hypothetical purchase task that asks participants how many study cigarettes they would purchase a day at free price and across a price range guided by our previous work and a scoping review on tobacco demand.

    Measured: Day 35

Timeline

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

  1. First posted16 Jan 2026
  2. Study start27 Apr 2026
  3. Primary completion31 Dec 2030 (estimated)
  4. Study completion31 Dec 2030 (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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
252 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07348679
Sponsor's protocol ID
Pro2025000854
Other IDs
R37CA296976
Status last verified
Jun 2026
First submitted
14 Jan 2026
Last updated
5 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Deidentified raw and deidentified and recoded survey, smoking behavior, biomarker, and interview data will be preserved and shared. Respondent identifiers will not be shared. Raw audio recordings of qualitative interviews and video recordings of smoking sessions will not be shared as these cannot be fully deidentified (e.g., video recordings contain full facial images of participants); however, data derived from these recordings will be shared.

Questions about this trial

What is this clinical trial studying?

A study testing Charcoal filtered cigarettes with marketing, Charcoal filtered cigarette without marketing and Non-charcoal filtered cigarettes in people with Smoking ( Cigarette), run by Rutgers, The State University of New Jersey 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 6 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: looking for participants now, as of the sponsor's last update on 5 Jun 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 Matthew Joy, MPH (848-267-8284, maj206@ints.rutgers.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Risk beliefs (time frame: Day 35). The study lists 12 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 5 Jun 2026.

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