Trial Outcomes & Findings for Switching to a Vaping Device: Evaluating Risk Reduction Among Quitline Treatment Failures (NCT NCT03502200)

NCT ID: NCT03502200

Last Updated: 2023-07-21

Results Overview

Self-Reported 7-day Point Prevalence Abstinence from Cigarettes to assess complete product switching/substitution.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

350 participants

Primary outcome timeframe

Daily for 12 weeks

Results posted on

2023-07-21

Participant Flow

Participant milestones

Participant milestones
Measure
E-cigarette
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Overall Study
STARTED
175
175
Overall Study
COMPLETED
132
127
Overall Study
NOT COMPLETED
43
48

Reasons for withdrawal

Reasons for withdrawal
Measure
E-cigarette
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Overall Study
Adverse Event
1
0
Overall Study
Lost to Follow-up
36
38
Overall Study
Study Team Decision
1
1
Overall Study
Withdrawal by Subject
5
7
Overall Study
Death
0
2

Baseline Characteristics

Age was not collected for 4 participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
E-cigarette
n=175 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=175 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Total
n=350 Participants
Total of all reporting groups
Age, Continuous
55.26 years
STANDARD_DEVIATION 12.66 • n=173 Participants • Age was not collected for 4 participants
54.19 years
STANDARD_DEVIATION 12.47 • n=173 Participants • Age was not collected for 4 participants
54.72 years
STANDARD_DEVIATION 12.56 • n=346 Participants • Age was not collected for 4 participants
Sex: Female, Male
Female
107 Participants
n=173 Participants • Sex was not collected for 4 participants
105 Participants
n=173 Participants • Sex was not collected for 4 participants
212 Participants
n=346 Participants • Sex was not collected for 4 participants
Sex: Female, Male
Male
66 Participants
n=173 Participants • Sex was not collected for 4 participants
68 Participants
n=173 Participants • Sex was not collected for 4 participants
134 Participants
n=346 Participants • Sex was not collected for 4 participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=175 Participants
2 Participants
n=175 Participants
4 Participants
n=350 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
170 Participants
n=175 Participants
171 Participants
n=175 Participants
341 Participants
n=350 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=175 Participants
2 Participants
n=175 Participants
5 Participants
n=350 Participants
Cigarettes Smoked per Day
16.78 cigarettes per day
STANDARD_DEVIATION 8.16 • n=172 Participants • 5 Participants were missing data on cigarettes per day smoked at baseline
17.41 cigarettes per day
STANDARD_DEVIATION 8.21 • n=173 Participants • 5 Participants were missing data on cigarettes per day smoked at baseline
17.10 cigarettes per day
STANDARD_DEVIATION 8.18 • n=345 Participants • 5 Participants were missing data on cigarettes per day smoked at baseline

PRIMARY outcome

Timeframe: Daily for 12 weeks

Self-Reported 7-day Point Prevalence Abstinence from Cigarettes to assess complete product switching/substitution.

Outcome measures

Outcome measures
Measure
E-cigarette
n=175 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=175 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Proportion of Participants With Self-Reported 7-day Point Prevalence Abstinence From Cigarettes
41 Participants
33 Participants

PRIMARY outcome

Timeframe: 12 weeks

Intent to treat biochemically verified abstinence rates - participants reporting both 7-day point prevalence abstinence and an iCO reading less than or equal to 8. A portable exhaled carbon monoxide detector confirms daily smoking status. Used to evaluate changes iCO, a biomarker of tobacco constituent exposure and other health effects.

Outcome measures

Outcome measures
Measure
E-cigarette
n=175 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=175 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Proportion of Participants With iCO (Portable Carbon Monoxide Monitor) Verified Abstinence
22 Participants
17 Participants

SECONDARY outcome

Timeframe: Baseline

Population: Participants who completed the baseline survey; age was not collected for 4 participants

Assess participant age from the sociodemographic questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=173 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=173 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Sociodemographic Questionnaire - Age
55.26 years
Standard Deviation 12.66
54.19 years
Standard Deviation 12.47

SECONDARY outcome

Timeframe: Baseline

Population: Participants who completed the baseline survey; sex was not collected for 4 participants

Assess participant sex from the sociodemographic questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=173 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=173 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Sociodemographic Questionnaire - Sex
Male
66 Participants
68 Participants
Sociodemographic Questionnaire - Sex
Female
107 Participants
105 Participants

SECONDARY outcome

Timeframe: Baseline

Population: Participants who completed the baseline survey; marital status was not collected for 4 participants

Assess participant marital status from the sociodemographic questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=173 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=173 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Sociodemographic Questionnaire - Marital Status
Married
55 Participants
56 Participants
Sociodemographic Questionnaire - Marital Status
Divorced/Separated
50 Participants
46 Participants
Sociodemographic Questionnaire - Marital Status
Widowed
23 Participants
23 Participants
Sociodemographic Questionnaire - Marital Status
Not married, but living with romantic partner
16 Participants
18 Participants
Sociodemographic Questionnaire - Marital Status
Romantic partner (not living with)
5 Participants
5 Participants
Sociodemographic Questionnaire - Marital Status
Never married and not in current romantic relationship
24 Participants
25 Participants

SECONDARY outcome

Timeframe: Baseline

Assess participant ethnicity from the sociodemographic questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=175 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=175 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Sociodemographic Questionnaire - Ethnicity
Hispanic or Latino
2 Participants
2 Participants
Sociodemographic Questionnaire - Ethnicity
Not Hispanic or Latino
170 Participants
171 Participants
Sociodemographic Questionnaire - Ethnicity
Unknown or Not Reported
3 Participants
2 Participants

SECONDARY outcome

Timeframe: Baseline

Population: Participants who completed the baseline survey; employment data was not collected for 4 participants; 2 additional participants refused to answer the employment items

Assess participant employment status from the sociodemographic questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=172 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=172 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Sociodemographic Questionnaire - Employment Status
Employed by others part-time for wages
8 Participants
12 Participants
Sociodemographic Questionnaire - Employment Status
Employed by other full-time for wages
26 Participants
32 Participants
Sociodemographic Questionnaire - Employment Status
Self-employed
11 Participants
13 Participants
Sociodemographic Questionnaire - Employment Status
Out of work
17 Participants
21 Participants
Sociodemographic Questionnaire - Employment Status
Homemaker
11 Participants
3 Participants
Sociodemographic Questionnaire - Employment Status
Retired
30 Participants
31 Participants
Sociodemographic Questionnaire - Employment Status
Unable to work/Disabled
69 Participants
60 Participants

SECONDARY outcome

Timeframe: Baseline

Population: Participants who completed the baseline survey; household income was not collected for 4 participants; 7 additional participants refused to answer the income item

Assess participant socioeconomic status via yearly household income

Outcome measures

Outcome measures
Measure
E-cigarette
n=170 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=169 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Sociodemographic Questionnaire - Socioeconomic Status
<$35,000
136 Participants
136 Participants
Sociodemographic Questionnaire - Socioeconomic Status
≥$35,000
34 Participants
33 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: Participants who completed their 12 week visit and provided responses to each item on the cigarette/e-cigarette dependency scale questionnaire. Participants in the treatment as usual arm were not assessed with the e-cigarette dependence scale as it is only applicable to the e-cigarette arm.

Assess e-cigarette and cigarette dependence. Scores range from 5 to 25 with higher scores indicating a greater level of dependence.

Outcome measures

Outcome measures
Measure
E-cigarette
n=121 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=124 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Cigarette/EC Dependency Scale
e-Cigarette Dependence Scale
12.63 units on a scale
Standard Deviation 4.99
Cigarette/EC Dependency Scale
Cigarette Dependence Scale
14.42 units on a scale
Standard Deviation 4.51
14.11 units on a scale
Standard Deviation 4.60

SECONDARY outcome

Timeframe: 12 weeks

Population: Participants who responded to the drug effects liking questionnaire within 1 week of their week 12 visit. Participants in the treatment as usual arm were not assessed with the e-cigarette drug effects and liking questionnaires as they are only applicable to the e-cigarette arm.

Assess the desire and liking of products, positive and negative effects (i.e., side effects), and perceived strength and effectiveness Scores range from 1 to 5 with higher scores indicating greater strength (effect from smoking cigarettes/vaping e-cigarettes) or liking (liking of effect from smoking cigarettes/vaping e-cigarettes)

Outcome measures

Outcome measures
Measure
E-cigarette
n=74 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=66 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Drug Effects/Liking Questionnaire
Effect from smoking cigarettes
2.81 score on a scale
Standard Deviation 1.32
3.20 score on a scale
Standard Deviation 1.30
Drug Effects/Liking Questionnaire
Liking of effect after smoking cigarettes
3.16 score on a scale
Standard Deviation 1.17
2.97 score on a scale
Standard Deviation 1.23
Drug Effects/Liking Questionnaire
Effect from vaping e-cigarette
2.80 score on a scale
Standard Deviation 1.10
Drug Effects/Liking Questionnaire
Liking of effect from vaping e-cigarette
3.39 score on a scale
Standard Deviation 1.07

SECONDARY outcome

Timeframe: Week 1 (Baseline)

Population: Participants who completed the cigarette purchase task at baseline.

Asks participants how much they would be willing to pay (ranging from 0¢ to $1,120) for a puff of their own brand cigarette. Specifically they will be asked, "How much would you be willing to pay for a puff of your usual cigarette brand?".

Outcome measures

Outcome measures
Measure
E-cigarette
n=170 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=167 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Cigarette Purchase Task - Breakpoint
2.62 Dollars
Standard Deviation 11.16
5.96 Dollars
Standard Deviation 27.42

SECONDARY outcome

Timeframe: 12 Weeks

Population: Participants who completed their 12 week visit. Participants in the treatment as usual arm were not assessed with the e-cigarette QSU questionnaire as it is only applicable to the e-cigarette arm. Participants in the e-cigarette arm were not assessed with the NRT QSU questionnaire as it is only applicable to the treatment as usual arm.

Smoking and vaping urges/craving will be measured using the Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form with a modified version (replacing the word "cigarette" with "e-cigarette") for EC users. This is a 10-item measure where participants rate smoking/vaping-related items on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). Similar to previous studies, we will collapse the items into two previously identified factors (Factor 1: strong desire and intention to smoke/vape; Factor 2: anticipation of relief from withdrawal symptoms). Scores are calculated by summing the items and range from 5 to 35 for each of the factors with higher scores indicating greater craving to smoke/vape.

Outcome measures

Outcome measures
Measure
E-cigarette
n=128 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=125 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
QSU Desire (cigarette)
12.97 score on a scale
Standard Deviation 9.72
13.66 score on a scale
Standard Deviation 10.38
Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
QSU Relief (cigarette)
10.13 score on a scale
Standard Deviation 7.98
10.22 score on a scale
Standard Deviation 7.37
Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
QSU Desire (e-cigarette)
16.76 score on a scale
Standard Deviation 10.71
Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
QSU Relief (e-cigarette)
11.82 score on a scale
Standard Deviation 8.26
Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
QSU Desire (NRT)
10.56 score on a scale
Standard Deviation 8.41
Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
QSU Relief (NRT)
8.69 score on a scale
Standard Deviation 6.84

SECONDARY outcome

Timeframe: 12 Weeks

Population: Participants who completed their 12 week visit

Asses Nicotine withdrawal and smoking craving, anger/irritability, anxiety, depressed mood, restlessness/difficulty concentrating, increased appetite, sleep problems, and somatic symptoms (nausea, constipation, sore throat, dizziness, coughing). Scores range from 0 to 4 with higher scores indicating greater levels of withdrawal (MNWS) or more craving to smoke (MNWS Craving).

Outcome measures

Outcome measures
Measure
E-cigarette
n=128 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=126 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Minnesota Nicotine Withdrawal Scale
MNWS
1.24 score on a scale
Standard Deviation 1.01
1.38 score on a scale
Standard Deviation 1.07
Minnesota Nicotine Withdrawal Scale
MNWS Craving
1.98 score on a scale
Standard Deviation 1.54
2.22 score on a scale
Standard Deviation 1.47

SECONDARY outcome

Timeframe: 12 Weeks

Population: Participants who continued to smoke cigarettes at their week 12 visit and provided responses to both the baseline and 12 week motivation ruler questionnaire.

Assess for changes in motivation from baseline to week 12 among participants who continue to smoke. Rulers including importance, confidence, and readiness to quit smoking (3-items total, with a scale ranging from 0 "not at all important/confident/ready" to 10 "extremely important/confident/ready"). Medians reported are change from baseline \[week 12 score - baseline score\] where negative values indicate a decrease in motivation over time and positive values indicate an increase in motivation over time.

Outcome measures

Outcome measures
Measure
E-cigarette
n=83 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=88 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Change in Motivation Rulers (Scale) From Baseline to Week 12
Importance
0 score on a scale
Interval -1.0 to 1.0
0 score on a scale
Interval -2.0 to 0.0
Change in Motivation Rulers (Scale) From Baseline to Week 12
Readiness
-0.5 score on a scale
Interval -2.0 to 0.0
0 score on a scale
Interval -3.0 to 0.0
Change in Motivation Rulers (Scale) From Baseline to Week 12
Confidence
0 score on a scale
Interval -2.0 to 2.0
0 score on a scale
Interval -2.5 to 2.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 (baseline)

Population: Participants who completed the tobacco use history questionnaire at baseline

Assess years of smoking from the tobacco use history questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=171 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=172 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Tobacco Use History Questionnaire - Years of Smoking
34.15 years
Standard Deviation 12.99
31.59 years
Standard Deviation 14.45

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 (baseline)

Population: Participants who completed the tobacco use history questionnaire at baseline

Assess average number of cigarettes per day with the tobacco use history questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=172 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=173 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Tobacco Use History Questionnaire - Cigarettes Per Day
16.78 cigarettes per day
Standard Deviation 8.16
17.41 cigarettes per day
Standard Deviation 8.21

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 (baseline)

Population: Participants who completed the tobacco use history questionnaire at baseline

Assess number of previous 24-hour quit attempts with the tobacco use history questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=167 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=170 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Tobacco Use History Questionnaire - 24-hour Quit Attempts
0.93 quit attempts
Standard Deviation 2.39
0.82 quit attempts
Standard Deviation 1.71

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 (baseline)

Population: Participants who completed the tobacco use history questionnaire at baseline

Assess number of smokers in the household with the tobacco use history questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=173 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=173 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Tobacco Use History Questionnaire - Number of Smokers in the Household
1.59 people
Standard Deviation 0.84
1.53 people
Standard Deviation 0.83

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 (baseline)

Population: Participants who completed the baseline survey

Assess cigarette expectance effects with the tobacco use history questionnaire

Outcome measures

Outcome measures
Measure
E-cigarette
n=173 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=173 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm angry, a cigarette can help calm me down. · Disagree
12 Participants
19 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm angry, a cigarette can help calm me down. · Disagree a little
9 Participants
1 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm angry, a cigarette can help calm me down. · Agree a little
23 Participants
24 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm angry, a cigarette can help calm me down. · Agree
129 Participants
129 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm angry, a cigarette can help calm me down. · Refuse to answer / Don't know
0 Participants
0 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes are good for dealing with boredom · Disagree
26 Participants
27 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes are good for dealing with boredom · Disagree a little
23 Participants
12 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes are good for dealing with boredom · Agree a little
28 Participants
33 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes are good for dealing with boredom · Agree
95 Participants
101 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes are good for dealing with boredom · Refuse to answer / Don't know
1 Participants
0 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking keeps my weight down · Disagree
103 Participants
100 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking keeps my weight down · Disagree a little
12 Participants
10 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking keeps my weight down · Agree a little
22 Participants
23 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking keeps my weight down · Agree
33 Participants
37 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking keeps my weight down · Refuse to answer / Don't know
3 Participants
3 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm upset with someone, a cigarette helps me cope · Disagree
18 Participants
16 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm upset with someone, a cigarette helps me cope · Disagree a little
5 Participants
8 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm upset with someone, a cigarette helps me cope · Agree a little
26 Participants
17 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm upset with someone, a cigarette helps me cope · Agree
124 Participants
132 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm upset with someone, a cigarette helps me cope · Refuse to answer / Don't know
0 Participants
0 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
If I have nothing to do, a smoke can help kill time · Disagree
25 Participants
28 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
If I have nothing to do, a smoke can help kill time · Disagree a little
14 Participants
10 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
If I have nothing to do, a smoke can help kill time · Agree a little
28 Participants
28 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
If I have nothing to do, a smoke can help kill time · Agree
106 Participants
107 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
If I have nothing to do, a smoke can help kill time · Refuse to answer / Don't know
0 Participants
0 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm feeling down, a cigarette can really make me feel good · Disagree
49 Participants
48 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm feeling down, a cigarette can really make me feel good · Disagree a little
18 Participants
23 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm feeling down, a cigarette can really make me feel good · Agree a little
45 Participants
36 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm feeling down, a cigarette can really make me feel good · Agree
61 Participants
66 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm feeling down, a cigarette can really make me feel good · Refuse to answer / Don't know
0 Participants
0 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes keep me from eating more than I should · Disagree
92 Participants
85 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes keep me from eating more than I should · Disagree a little
15 Participants
15 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes keep me from eating more than I should · Agree a little
28 Participants
23 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes keep me from eating more than I should · Agree
36 Participants
47 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Cigarettes keep me from eating more than I should · Refuse to answer / Don't know
2 Participants
3 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm alone, a cigarette can help me pass the time · Disagree
31 Participants
42 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm alone, a cigarette can help me pass the time · Disagree a little
15 Participants
12 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm alone, a cigarette can help me pass the time · Agree a little
30 Participants
23 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm alone, a cigarette can help me pass the time · Agree
96 Participants
95 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
When I'm alone, a cigarette can help me pass the time · Refuse to answer / Don't know
1 Participants
1 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking cigarettes calms me down when I feel nervous · Disagree
13 Participants
15 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking cigarettes calms me down when I feel nervous · Disagree a little
3 Participants
10 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking cigarettes calms me down when I feel nervous · Agree a little
32 Participants
21 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking cigarettes calms me down when I feel nervous · Agree
125 Participants
126 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking cigarettes calms me down when I feel nervous · Refuse to answer / Don't know
0 Participants
1 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking helps me control my weight · Disagree
110 Participants
109 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking helps me control my weight · Disagree a little
17 Participants
15 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking helps me control my weight · Agree a little
16 Participants
17 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking helps me control my weight · Agree
26 Participants
29 Participants
Tobacco Use History Questionnaire - Cigarette Expectance Effects
Smoking helps me control my weight · Refuse to answer / Don't know
4 Participants
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 (Baseline)

Population: Participants who completed the baseline survey

Assess frequency of use all of nicotine/tobacco products including cigars, cigarillos, little cigars, smokeless tobacco, EC, and hookah.

Outcome measures

Outcome measures
Measure
E-cigarette
n=173 Participants
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=173 Participants
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Tobacco Use History Questionnaire
e-cigarette · Daily or almost daily
2 Participants
2 Participants
Tobacco Use History Questionnaire
e-cigarette · Less than daily, but at least once a week
6 Participants
2 Participants
Tobacco Use History Questionnaire
e-cigarette · Less than weekly, but at least once a month
13 Participants
7 Participants
Tobacco Use History Questionnaire
e-cigarette · Less than monthly
12 Participants
13 Participants
Tobacco Use History Questionnaire
e-cigarette · Not at all
139 Participants
149 Participants
Tobacco Use History Questionnaire
e-cigarette · Refuse to answer/Don't know
1 Participants
0 Participants
Tobacco Use History Questionnaire
Cigar · Daily or almost daily
1 Participants
0 Participants
Tobacco Use History Questionnaire
Cigar · Less than daily, but at least once a week
1 Participants
1 Participants
Tobacco Use History Questionnaire
Cigar · Less than weekly, but at least once a month
2 Participants
1 Participants
Tobacco Use History Questionnaire
Cigar · Less than monthly
11 Participants
5 Participants
Tobacco Use History Questionnaire
Cigar · Not at all
158 Participants
166 Participants
Tobacco Use History Questionnaire
Cigar · Refuse to answer/Don't know
0 Participants
0 Participants
Tobacco Use History Questionnaire
Cigarillo · Daily or almost daily
2 Participants
3 Participants
Tobacco Use History Questionnaire
Cigarillo · Less than daily, but at least once a week
5 Participants
5 Participants
Tobacco Use History Questionnaire
Cigarillo · Less than weekly, but at least once a month
7 Participants
2 Participants
Tobacco Use History Questionnaire
Cigarillo · Less than monthly
8 Participants
9 Participants
Tobacco Use History Questionnaire
Cigarillo · Not at all
151 Participants
153 Participants
Tobacco Use History Questionnaire
Cigarillo · Refuse to answer/Don't know
0 Participants
1 Participants
Tobacco Use History Questionnaire
Little Cigar · Daily or almost daily
2 Participants
1 Participants
Tobacco Use History Questionnaire
Little Cigar · Less than daily, but at least once a week
1 Participants
1 Participants
Tobacco Use History Questionnaire
Little Cigar · Less than weekly, but at least once a month
0 Participants
0 Participants
Tobacco Use History Questionnaire
Little Cigar · Less than monthly
5 Participants
3 Participants
Tobacco Use History Questionnaire
Little Cigar · Not at all
165 Participants
168 Participants
Tobacco Use History Questionnaire
Little Cigar · Refuse to answer/Don't know
0 Participants
0 Participants
Tobacco Use History Questionnaire
Smokeless Tobacco · Daily or almost daily
4 Participants
1 Participants
Tobacco Use History Questionnaire
Smokeless Tobacco · Less than daily, but at least once a week
1 Participants
4 Participants
Tobacco Use History Questionnaire
Smokeless Tobacco · Less than weekly, but at least once a month
0 Participants
3 Participants
Tobacco Use History Questionnaire
Smokeless Tobacco · Less than monthly
2 Participants
1 Participants
Tobacco Use History Questionnaire
Smokeless Tobacco · Not at all
166 Participants
164 Participants
Tobacco Use History Questionnaire
Smokeless Tobacco · Refuse to answer/Don't know
0 Participants
0 Participants
Tobacco Use History Questionnaire
Hookah · Daily or almost daily
0 Participants
0 Participants
Tobacco Use History Questionnaire
Hookah · Less than daily, but at least once a week
0 Participants
1 Participants
Tobacco Use History Questionnaire
Hookah · Less than weekly, but at least once a month
0 Participants
2 Participants
Tobacco Use History Questionnaire
Hookah · Less than monthly
0 Participants
2 Participants
Tobacco Use History Questionnaire
Hookah · Not at all
172 Participants
168 Participants
Tobacco Use History Questionnaire
Hookah · Refuse to answer/Don't know
1 Participants
0 Participants

Adverse Events

E-cigarette

Serious events: 18 serious events
Other events: 93 other events
Deaths: 0 deaths

Treatment As Usual

Serious events: 10 serious events
Other events: 87 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
E-cigarette
n=175 participants at risk
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=175 participants at risk
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Reproductive system and breast disorders
Breast Cancer
1.1%
2/175 • 12 weeks
0.00%
0/175 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Breathing Difficulties
2.3%
4/175 • 12 weeks
0.00%
0/175 • 12 weeks
Musculoskeletal and connective tissue disorders
Broken Back
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Surgical and medical procedures
Carotid Endarterectomy Surgery
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Chest Pain
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Cardiac disorders
Chest Pain
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
General disorders
Chest Pain
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Blood and lymphatic system disorders
Cuff Repair Surgery
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Surgical and medical procedures
Dental Problems
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Psychiatric disorders
Depression
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Gastrointestinal disorders
Diarrhea
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Nervous system disorders
Dizziness
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Nervous system disorders
Essential Tremor Worsening
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Exploratory Larynx Surgery
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Hepatobiliary disorders
Gallbladder Problems
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Gastrointestinal disorders
Gastrointestinal Problems
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Nervous system disorders
Headache
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Cardiac disorders
Heart Condition
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Cardiac disorders
Heart Palpitations
0.57%
1/175 • 12 weeks
0.57%
1/175 • 12 weeks
Surgical and medical procedures
Hernia
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Cardiac disorders
Myocardial Infarction
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Psychiatric disorders
Needed Medication Adjustment for Bipolar Schizoaffective Disorder
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Gastrointestinal disorders
Pancreatic Pain
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/175 • 12 weeks
0.57%
1/175 • 12 weeks
Nervous system disorders
Seizure
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks
Psychiatric disorders
Suicidal Thoughts
0.57%
1/175 • 12 weeks
0.57%
1/175 • 12 weeks
Gastrointestinal disorders
Ulcer
0.00%
0/175 • 12 weeks
1.1%
2/175 • 12 weeks
Infections and infestations
Wound Abscess
0.57%
1/175 • 12 weeks
0.00%
0/175 • 12 weeks

Other adverse events

Other adverse events
Measure
E-cigarette
n=175 participants at risk
5% nicotine JUUL e-cigarette (Tobacco or Menthol flavor). Will also receive counseling. JUUL: Participants randomized to the JUUL group will receive either tobacco or menthol flavored JUUL with 5% nicotine. Will also receive counseling.
Treatment As Usual
n=175 participants at risk
Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard assessments. Will also receive counseling. Treatment As Usual: Nicotine Replacement Therapy consisting of nicotine patches and lozenge along with standard quitline counseling.
Immune system disorders
Allergies
1.1%
2/175 • 12 weeks
12.0%
21/175 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Breathing Difficulties
5.1%
9/175 • 12 weeks
4.0%
7/175 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Cough
29.7%
52/175 • 12 weeks
9.7%
17/175 • 12 weeks
Nervous system disorders
Dizziness
5.7%
10/175 • 12 weeks
13.1%
23/175 • 12 weeks
Blood and lymphatic system disorders
Headache
11.4%
20/175 • 12 weeks
13.1%
23/175 • 12 weeks
Gastrointestinal disorders
Mouth or Tongue Sores or Inflammation
5.7%
10/175 • 12 weeks
8.0%
14/175 • 12 weeks
Psychiatric disorders
Sleeplessness
5.1%
9/175 • 12 weeks
12.0%
21/175 • 12 weeks
Gastrointestinal disorders
Sore or Dry Mouth and Throat
26.3%
46/175 • 12 weeks
20.6%
36/175 • 12 weeks
Nervous system disorders
Sleepiness
2.9%
5/175 • 12 weeks
6.3%
11/175 • 12 weeks
Nervous system disorders
Sleeplessness
2.9%
5/175 • 12 weeks
6.9%
12/175 • 12 weeks

Additional Information

Dr. Theodore L. Wagener

OhioSUCCC

Phone: 614-366-4265

Results disclosure agreements

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