Trial Outcomes & Findings for Measuring Neuroadaptations in Response to Very Low Nicotine Content Cigarettes (NCT NCT03612960)

NCT ID: NCT03612960

Last Updated: 2024-08-20

Results Overview

Change from baseline to 6-weeks post-intervention in percentage of BOLD signal during hard vs. no choice conditions on a monetary delay discounting task in a left-sided cortical brain region encompassing the central opercular and dorsolateral prefrontal cortices.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

34 participants

Primary outcome timeframe

Change in BOLD signal from baseline to the 6-week visit.

Results posted on

2024-08-20

Participant Flow

Participant milestones

Participant milestones
Measure
Very Low Nicotine Content Cigarettes
Research cigarettes with very low nicotine content (0.03 mg/cigarette) compared to usual brand cigarettes.
Normal Nicotine Content Cigarettes
Research cigarettes with normal nicotine content (0.8 mg/cigarette) similar to usual brand cigarettes.
Overall Study
STARTED
21
13
Overall Study
COMPLETED
20
10
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Measuring Neuroadaptations in Response to Very Low Nicotine Content Cigarettes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Very Low Nicotine Content Cigarettes
n=21 Participants
Research cigarettes with very low nicotine content (0.03 mg/cigarette) compared to usual brand cigarettes.
Normal Nicotine Content Cigarettes
n=13 Participants
Research cigarettes with normal nicotine content (0.8 mg/cigarette) similar to usual brand cigarettes.
Total
n=34 Participants
Total of all reporting groups
Age, Continuous
42.90 years
STANDARD_DEVIATION 7.98 • n=5 Participants
44.46 years
STANDARD_DEVIATION 8.69 • n=7 Participants
43.50 years
STANDARD_DEVIATION 8.29 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
8 Participants
n=7 Participants
23 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
13 Participants
n=7 Participants
33 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
12 Participants
n=7 Participants
32 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
21 participants
n=5 Participants
13 participants
n=7 Participants
34 participants
n=5 Participants
Cigarettes per day (CPD)
18.90 cigarettes per day
STANDARD_DEVIATION 7.35 • n=5 Participants
14.46 cigarettes per day
STANDARD_DEVIATION 5.39 • n=7 Participants
17.21 cigarettes per day
STANDARD_DEVIATION 7.01 • n=5 Participants
Menthol vs Non-Menthol
Menthol
15 Participants
n=5 Participants
6 Participants
n=7 Participants
21 Participants
n=5 Participants
Menthol vs Non-Menthol
Non-Menthol
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Cigarette Dependence
4.10 units on a scale
STANDARD_DEVIATION 1.22 • n=5 Participants
3.77 units on a scale
STANDARD_DEVIATION 1.09 • n=7 Participants
3.97 units on a scale
STANDARD_DEVIATION 1.17 • n=5 Participants

PRIMARY outcome

Timeframe: Change in BOLD signal from baseline to the 6-week visit.

Population: Only participants who completed the baseline and post-randomization laboratory visits were included in the analysis.

Change from baseline to 6-weeks post-intervention in percentage of BOLD signal during hard vs. no choice conditions on a monetary delay discounting task in a left-sided cortical brain region encompassing the central opercular and dorsolateral prefrontal cortices.

Outcome measures

Outcome measures
Measure
Very Low Nicotine Content Cigarettes
n=20 Participants
Research cigarettes with very low nicotine content (0.03 mg/cigarette) compared to usual brand cigarettes. Very low nicotine content cigarettes: Very low nicotine content cigarettes
Normal Nicotine Content Cigarettes
n=10 Participants
Research cigarettes with normal nicotine content (0.8 mg/cigarette) similar to usual brand cigarettes. Normal nicotine content cigarettes: Normal nicotine content cigarettes
Change in Blood Oxygen Level Dependent (BOLD) Signal Collected by Functional Magnetic Resonance Imaging (fMRI) During Monetary Delay Discounting Task
0.13 Percent change
Standard Deviation 0.18
-0.16 Percent change
Standard Deviation 0.18

SECONDARY outcome

Timeframe: Average cigarettes per day during week 1 subtracted from average cigarettes per day during week 6.

Difference in week 6 mean minus week 1 mean of cigarettes used per day reported by participants on daily logs.

Outcome measures

Outcome measures
Measure
Very Low Nicotine Content Cigarettes
n=20 Participants
Research cigarettes with very low nicotine content (0.03 mg/cigarette) compared to usual brand cigarettes. Very low nicotine content cigarettes: Very low nicotine content cigarettes
Normal Nicotine Content Cigarettes
n=10 Participants
Research cigarettes with normal nicotine content (0.8 mg/cigarette) similar to usual brand cigarettes. Normal nicotine content cigarettes: Normal nicotine content cigarettes
Change in Self-reported Cigarettes Per Day
-5.1 Number of cigarettes per day
Standard Deviation 7.9
3.3 Number of cigarettes per day
Standard Deviation 16.0

SECONDARY outcome

Timeframe: Changes from baseline to 6-weeks post intervention.

Population: Participants who completed both trial laboratory visits were included in the analysis.

A difference score (6-weeks minus baseline) of the percentage of trials where the immediate (vs. delayed) monetary option was chosen out of all task trials during the monetary delay discounting task that was completed outside of the MRI scan.

Outcome measures

Outcome measures
Measure
Very Low Nicotine Content Cigarettes
n=20 Participants
Research cigarettes with very low nicotine content (0.03 mg/cigarette) compared to usual brand cigarettes. Very low nicotine content cigarettes: Very low nicotine content cigarettes
Normal Nicotine Content Cigarettes
n=10 Participants
Research cigarettes with normal nicotine content (0.8 mg/cigarette) similar to usual brand cigarettes. Normal nicotine content cigarettes: Normal nicotine content cigarettes
Change in Percentage of Immediate Choices on Monetary Delay Discounting Task
0.20 Change in percentage
Standard Deviation 30.26
1.57 Change in percentage
Standard Deviation 9.16

Adverse Events

Very Low Nicotine Content Cigarettes

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

Normal Nicotine Content Cigarettes

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Very Low Nicotine Content Cigarettes
n=21 participants at risk
Research cigarettes with very low nicotine content (0.03 mg/cigarette) compared to usual brand cigarettes.
Normal Nicotine Content Cigarettes
n=13 participants at risk
Research cigarettes with normal nicotine content (0.8 mg/cigarette) similar to usual brand cigarettes.
Musculoskeletal and connective tissue disorders
Fractured Finger
0.00%
0/21 • 3 years, 4 months
7.7%
1/13 • Number of events 1 • 3 years, 4 months
Gastrointestinal disorders
Nausea and Headaches
4.8%
1/21 • Number of events 1 • 3 years, 4 months
0.00%
0/13 • 3 years, 4 months

Additional Information

Dr. Andrea Hobkirk

Pennsylvania State University

Phone: 7175310003

Results disclosure agreements

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