Trial Outcomes & Findings for Abuse Liability of Reduced Nicotine Content Cigarettes Within a Complex Tobacco Marketplace (NCT NCT02951143)

NCT ID: NCT02951143

Last Updated: 2021-09-22

Results Overview

The Cigarette Purchase Task is a behavioral economic measure of abuse liability that consists of a series of hypothetical questions asking participants to indicate how many cigarettes they would purchase for their own consumption across a range of cigarette prices. Participants smoked one cigarette and then were asked to report how many cigarettes they would smoke within a 24 hour period at the following prices: $0.00 (free), $0.01, $0.05, $0.10, $0.25, $0.50, $1, $2, $5, $10, $25, $50, $100, $200. Nonlinear regression was then used to estimate the number of cigarettes participants would take when they were free using the equation by Koffarnus et al. (2015; doi:10.1037/pha0000045). The outcome is the logarithmically transformed number of cigarettes.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

305 participants

Primary outcome timeframe

10 minutes after cigarette administration

Results posted on

2021-09-22

Participant Flow

Participant milestones

Participant milestones
Measure
Single Arm
All participants will complete the same experimental events across 6 laboratory sessions. SPECTRUM cigarettes: Across six laboratory sessions, participants will consume 10 puffs of either their usual brand of cigarette (one session) or a SPECTRUM cigarette (five sessions) with a nicotine yield varying from 0.03 to 0.70 and either menthol (TPMF codes NRC 103, NRC 201, NRC 301, NRC 401, and NRC 601) or tobacco (TPMF codes NRC 102, NRC 200, NRC 300, NRC 400, and NRC 600) flavor, depending on preference. This will be followed by the collection of blood nicotine content and a cigarette purchase task.
0.4 mg/g Concentration
Participants in this arm will experience the 0.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
1.3 mg/g Concentration
Participants in this arm will experience the 1.3 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
2.4 mg/g Concentration
Participants in this arm will experience the 2.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
5.2 mg/g Concentration
Participants in this arm will experience the 5.2 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
15.8 mg/g Concentration
Participants in this arm will experience the 15.8 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
Overall Study
STARTED
97
41
47
39
37
44
Overall Study
COMPLETED
36
32
29
30
31
29
Overall Study
NOT COMPLETED
61
9
18
9
6
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Each group (Various Concentrations and Single Arm) was analyzed separately.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm
n=36 Participants
All participants will complete the same experimental events across 6 laboratory sessions. SPECTRUM cigarettes: Across six laboratory sessions, participants will consume 10 puffs of either their usual brand of cigarette (one session) or a SPECTRUM cigarette (five sessions) with a nicotine yield varying from 0.03 to 0.70 and either menthol (TPMF codes NRC 103, NRC 201, NRC 301, NRC 401, and NRC 601) or tobacco (TPMF codes NRC 102, NRC 200, NRC 300, NRC 400, and NRC 600) flavor, depending on preference. This will be followed by the collection of blood nicotine content and a cigarette purchase task.
0.4 mg/g Concentration
n=32 Participants
Participants in this arm will experience the 0.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
1.3 mg/g Concentration
n=29 Participants
Participants in this arm will experience the 1.3 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
2.4 mg/g Concentration
n=30 Participants
Participants in this arm will experience the 2.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
5.2 mg/g Concentration
n=31 Participants
Participants in this arm will experience the 5.2 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
15.8 mg/g Concentration
n=29 Participants
Participants in this arm will experience the 15.8 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
Total
n=187 Participants
Total of all reporting groups
Age, Continuous
Various Concentrations
41 years
n=32 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
37 years
n=29 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
46 years
n=30 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
42 years
n=31 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
39 years
n=29 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
41 years
n=151 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
Age, Continuous
Single Arm
38.5 years
n=36 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
38.5 years
n=36 Participants • Each group (Various Concentrations and Single Arm) was analyzed separately.
Sex: Female, Male
Female
15 Participants
n=36 Participants
16 Participants
n=32 Participants
12 Participants
n=29 Participants
16 Participants
n=30 Participants
15 Participants
n=31 Participants
13 Participants
n=29 Participants
87 Participants
n=187 Participants
Sex: Female, Male
Male
21 Participants
n=36 Participants
16 Participants
n=32 Participants
17 Participants
n=29 Participants
14 Participants
n=30 Participants
16 Participants
n=31 Participants
16 Participants
n=29 Participants
100 Participants
n=187 Participants
Race/Ethnicity, Customized
Race · White
27 Participants
n=36 Participants
21 Participants
n=32 Participants
19 Participants
n=29 Participants
20 Participants
n=30 Participants
24 Participants
n=31 Participants
17 Participants
n=29 Participants
128 Participants
n=187 Participants
Race/Ethnicity, Customized
Race · African American
9 Participants
n=36 Participants
7 Participants
n=32 Participants
9 Participants
n=29 Participants
9 Participants
n=30 Participants
7 Participants
n=31 Participants
10 Participants
n=29 Participants
51 Participants
n=187 Participants
Race/Ethnicity, Customized
Race · American Indian
0 Participants
n=36 Participants
1 Participants
n=32 Participants
0 Participants
n=29 Participants
0 Participants
n=30 Participants
0 Participants
n=31 Participants
0 Participants
n=29 Participants
1 Participants
n=187 Participants
Race/Ethnicity, Customized
Race · More than one race
0 Participants
n=36 Participants
3 Participants
n=32 Participants
1 Participants
n=29 Participants
1 Participants
n=30 Participants
0 Participants
n=31 Participants
2 Participants
n=29 Participants
7 Participants
n=187 Participants
Region of Enrollment
United States
36 participants
n=36 Participants
32 participants
n=32 Participants
29 participants
n=29 Participants
30 participants
n=30 Participants
31 participants
n=31 Participants
29 participants
n=29 Participants
187 participants
n=187 Participants

PRIMARY outcome

Timeframe: 10 minutes after cigarette administration

Population: Only those participants in the single arm completed this task.

The Cigarette Purchase Task is a behavioral economic measure of abuse liability that consists of a series of hypothetical questions asking participants to indicate how many cigarettes they would purchase for their own consumption across a range of cigarette prices. Participants smoked one cigarette and then were asked to report how many cigarettes they would smoke within a 24 hour period at the following prices: $0.00 (free), $0.01, $0.05, $0.10, $0.25, $0.50, $1, $2, $5, $10, $25, $50, $100, $200. Nonlinear regression was then used to estimate the number of cigarettes participants would take when they were free using the equation by Koffarnus et al. (2015; doi:10.1037/pha0000045). The outcome is the logarithmically transformed number of cigarettes.

Outcome measures

Outcome measures
Measure
Single Arm
n=36 Participants
All participants will complete the same experimental events across 6 laboratory sessions. SPECTRUM cigarettes: Across six laboratory sessions, participants will consume 10 puffs of either their usual brand of cigarette (one session) or a SPECTRUM cigarette (five sessions) with a nicotine yield varying from 0.03 to 0.70 and either menthol (TPMF codes NRC 103, NRC 201, NRC 301, NRC 401, and NRC 601) or tobacco (TPMF codes NRC 102, NRC 200, NRC 300, NRC 400, and NRC 600) flavor, depending on preference. This will be followed by the collection of blood nicotine content and a cigarette purchase task.
0.4 mg/g Concentration
Participants in this arm will experience the 0.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
1.3 mg/g Concentration
Participants in this arm will experience the 1.3 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
2.4 mg/g Concentration
Participants in this arm will experience the 2.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
5.2 mg/g Concentration
Participants in this arm will experience the 5.2 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
15.8 mg/g Concentration
Participants in this arm will experience the 15.8 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
Estimated Cigarettes Taken at Free Price Derived From the Cigarette Purchase Task
0.4mg/g
1.35 Cigarettes (log transformed)
Standard Error .0727
Estimated Cigarettes Taken at Free Price Derived From the Cigarette Purchase Task
Usual Brand
1.50 Cigarettes (log transformed)
Standard Error .0583
Estimated Cigarettes Taken at Free Price Derived From the Cigarette Purchase Task
15.8mg/g
1.45 Cigarettes (log transformed)
Standard Error .0555
Estimated Cigarettes Taken at Free Price Derived From the Cigarette Purchase Task
5.2mg/g
1.47 Cigarettes (log transformed)
Standard Error .0538
Estimated Cigarettes Taken at Free Price Derived From the Cigarette Purchase Task
2.4mg/g
1.45 Cigarettes (log transformed)
Standard Error .0678
Estimated Cigarettes Taken at Free Price Derived From the Cigarette Purchase Task
1.3mg/g
1.37 Cigarettes (log transformed)
Standard Error .0975

PRIMARY outcome

Timeframe: Each session (6 sessions total) with at least 2 days between each session.

Population: Only participants in the single arm had blood collected.

For participants in the single arm only, blood will be collected throughout each session and analyzed for nicotine content. The change in blood nicotine content over the course of the session will be compared among the six sessions where different cigarettes were administered. Blood nicotine (expressed in ng/mL) at minute 0 was subtracted from blood nicotine at minutes 10, 15, 20, 30, 45, and 60 to yield a change in blood nicotine (negative values were truncated to 0) at each of the time points. Using these change in blood nicotine values, we calculated Area Under the Curve (AUC) via the trapezoidal rule, which resulted in a singular number (total change in blood nicotine over the course of each experimental session) in our primary outcome measure.

Outcome measures

Outcome measures
Measure
Single Arm
n=36 Participants
All participants will complete the same experimental events across 6 laboratory sessions. SPECTRUM cigarettes: Across six laboratory sessions, participants will consume 10 puffs of either their usual brand of cigarette (one session) or a SPECTRUM cigarette (five sessions) with a nicotine yield varying from 0.03 to 0.70 and either menthol (TPMF codes NRC 103, NRC 201, NRC 301, NRC 401, and NRC 601) or tobacco (TPMF codes NRC 102, NRC 200, NRC 300, NRC 400, and NRC 600) flavor, depending on preference. This will be followed by the collection of blood nicotine content and a cigarette purchase task.
0.4 mg/g Concentration
Participants in this arm will experience the 0.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
1.3 mg/g Concentration
Participants in this arm will experience the 1.3 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
2.4 mg/g Concentration
Participants in this arm will experience the 2.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
5.2 mg/g Concentration
Participants in this arm will experience the 5.2 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
15.8 mg/g Concentration
Participants in this arm will experience the 15.8 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
Change in Blood Nicotine Content Over the Course of the Session
Usual Brand
551.31 ng/mL/session
Standard Error 24.6
Change in Blood Nicotine Content Over the Course of the Session
15.8mg/g
350.62 ng/mL/session
Standard Error 24.6
Change in Blood Nicotine Content Over the Course of the Session
5.2mg/g
192.91 ng/mL/session
Standard Error 24.6
Change in Blood Nicotine Content Over the Course of the Session
2.4mg/g
57.11 ng/mL/session
Standard Error 24.6
Change in Blood Nicotine Content Over the Course of the Session
1.3mg/g
30.18 ng/mL/session
Standard Error 24.6
Change in Blood Nicotine Content Over the Course of the Session
0.4mg/g
6.24 ng/mL/session
Standard Error 24.6

PRIMARY outcome

Timeframe: Sessions 2-5 with each session conducted one week apart (for 4 weeks total)

Population: This single arm did not complete the Experimental Marketplace Purchases

In all arms except the single arm, measures of quantities of experimental cigarettes and other nicotine products will be obtained.

Outcome measures

Outcome measures
Measure
Single Arm
All participants will complete the same experimental events across 6 laboratory sessions. SPECTRUM cigarettes: Across six laboratory sessions, participants will consume 10 puffs of either their usual brand of cigarette (one session) or a SPECTRUM cigarette (five sessions) with a nicotine yield varying from 0.03 to 0.70 and either menthol (TPMF codes NRC 103, NRC 201, NRC 301, NRC 401, and NRC 601) or tobacco (TPMF codes NRC 102, NRC 200, NRC 300, NRC 400, and NRC 600) flavor, depending on preference. This will be followed by the collection of blood nicotine content and a cigarette purchase task.
0.4 mg/g Concentration
n=32 Participants
Participants in this arm will experience the 0.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
1.3 mg/g Concentration
n=29 Participants
Participants in this arm will experience the 1.3 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
2.4 mg/g Concentration
n=30 Participants
Participants in this arm will experience the 2.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
5.2 mg/g Concentration
n=31 Participants
Participants in this arm will experience the 5.2 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
15.8 mg/g Concentration
n=29 Participants
Participants in this arm will experience the 15.8 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
Experimental Marketplace Purchases
Current Marketplace
4.07 grams of nicotine from non-cigarettes
Standard Error 3.13
12.29 grams of nicotine from non-cigarettes
Standard Error 3.47
15.25 grams of nicotine from non-cigarettes
Standard Error 3.26
13.67 grams of nicotine from non-cigarettes
Standard Error 3.19
15.25 grams of nicotine from non-cigarettes
Standard Error 3.31
Experimental Marketplace Purchases
Proposed Marketplace
12.70 grams of nicotine from non-cigarettes
Standard Error 3.13
25.54 grams of nicotine from non-cigarettes
Standard Error 3.47
17.42 grams of nicotine from non-cigarettes
Standard Error 3.26
16.92 grams of nicotine from non-cigarettes
Standard Error 3.19
14.93 grams of nicotine from non-cigarettes
Standard Error 3.31
Experimental Marketplace Purchases
Combined Marketplace (Usual Brand Increasing)
4.58 grams of nicotine from non-cigarettes
Standard Error 3.13
11.27 grams of nicotine from non-cigarettes
Standard Error 3.47
8.34 grams of nicotine from non-cigarettes
Standard Error 3.26
13.30 grams of nicotine from non-cigarettes
Standard Error 3.19
7.17 grams of nicotine from non-cigarettes
Standard Error 3.31
Experimental Marketplace Purchases
Combined Marketplace (Experimental Cigarette Increasing)
3.50 grams of nicotine from non-cigarettes
Standard Error 3.13
9.62 grams of nicotine from non-cigarettes
Standard Error 3.47
8.81 grams of nicotine from non-cigarettes
Standard Error 3.26
11.36 grams of nicotine from non-cigarettes
Standard Error 3.19
6.67 grams of nicotine from non-cigarettes
Standard Error 3.31

Adverse Events

Single Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

0.4 mg/g Concentration

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

1.3 mg/g Concentration

Serious events: 4 serious events
Other events: 3 other events
Deaths: 0 deaths

2.4 mg/g Concentration

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

5.2 mg/g Concentration

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

15.8 mg/g Concentration

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Single Arm
n=97 participants at risk
All participants will complete the same experimental events across 6 laboratory sessions. SPECTRUM cigarettes: Across six laboratory sessions, participants will consume 10 puffs of either their usual brand of cigarette (one session) or a SPECTRUM cigarette (five sessions) with a nicotine yield varying from 0.03 to 0.70 and either menthol (TPMF codes NRC 103, NRC 201, NRC 301, NRC 401, and NRC 601) or tobacco (TPMF codes NRC 102, NRC 200, NRC 300, NRC 400, and NRC 600) flavor, depending on preference. This will be followed by the collection of blood nicotine content and a cigarette purchase task.
0.4 mg/g Concentration
n=41 participants at risk
Participants in this arm will experience the 0.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
1.3 mg/g Concentration
n=47 participants at risk
Participants in this arm will experience the 1.3 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
2.4 mg/g Concentration
n=39 participants at risk
Participants in this arm will experience the 2.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
5.2 mg/g Concentration
n=37 participants at risk
Participants in this arm will experience the 5.2 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
15.8 mg/g Concentration
n=44 participants at risk
Participants in this arm will experience the 15.8 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
Respiratory, thoracic and mediastinal disorders
Bronchitis
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.1%
1/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.1%
1/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
Social circumstances
Life Events
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.1%
1/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.7%
1/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
Gastrointestinal disorders
Food poisoning
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.1%
1/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
Surgical and medical procedures
Gall Bladder removal
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.7%
1/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.

Other adverse events

Other adverse events
Measure
Single Arm
n=97 participants at risk
All participants will complete the same experimental events across 6 laboratory sessions. SPECTRUM cigarettes: Across six laboratory sessions, participants will consume 10 puffs of either their usual brand of cigarette (one session) or a SPECTRUM cigarette (five sessions) with a nicotine yield varying from 0.03 to 0.70 and either menthol (TPMF codes NRC 103, NRC 201, NRC 301, NRC 401, and NRC 601) or tobacco (TPMF codes NRC 102, NRC 200, NRC 300, NRC 400, and NRC 600) flavor, depending on preference. This will be followed by the collection of blood nicotine content and a cigarette purchase task.
0.4 mg/g Concentration
n=41 participants at risk
Participants in this arm will experience the 0.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
1.3 mg/g Concentration
n=47 participants at risk
Participants in this arm will experience the 1.3 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
2.4 mg/g Concentration
n=39 participants at risk
Participants in this arm will experience the 2.4 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
5.2 mg/g Concentration
n=37 participants at risk
Participants in this arm will experience the 5.2 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
15.8 mg/g Concentration
n=44 participants at risk
Participants in this arm will experience the 15.8 mg/g Concentration SPECTRUM cigarettes between: Participants will be assigned one of the nicotine concentrations of a SPECTRUM cigarette. They will complete a cigarette purchase task and make real purchases for the next week. Participants will return and make purchases again, repeating 4 times.
Social circumstances
Life events
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.3%
1/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
General disorders
Nausea
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.1%
1/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
Respiratory, thoracic and mediastinal disorders
Bronchitis
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.1%
1/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
Gastrointestinal disorders
Vomit after cigarette and alcohol consumption
0.00%
0/97 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/41 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
2.1%
1/47 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/39 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/37 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.
0.00%
0/44 • Adverse event data were collected during the approximately 5 weeks of participation for participants in the various concentration groups (all arms other than the single arm). Adverse event data were collected during the approximately 2 months of participation for individuals in the single arm.

Additional Information

Mikhail Koffarnus

University of Kentucky

Phone: 8593236402

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place