Trial Outcomes & Findings for Does Switching to Nicotine Containing Electronic Cigarettes Reduce Health Risk Markers (NCT NCT03625986)

NCT ID: NCT03625986

Last Updated: 2025-03-27

Results Overview

Concentration of urinary carcinogen biomarker of exposure, NNAL, corrected for creatinine

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

105 participants

Primary outcome timeframe

6-week visit (post-treatment)

Results posted on

2025-03-27

Participant Flow

One participant was excluded from the study before their assignment to a group because she did not meet the eligibility criteria for blood pressure.

Participant milestones

Participant milestones
Measure
Nicotine-Containing Electronic Cigarette
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Randomization Period
STARTED
52
52
Randomization Period
COMPLETED
35
34
Randomization Period
NOT COMPLETED
17
18
10 Week Post-treatment
STARTED
35
34
10 Week Post-treatment
COMPLETED
34
34
10 Week Post-treatment
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Nicotine-Containing Electronic Cigarette
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Randomization Period
Lost to Follow-up
7
12
Randomization Period
Withdrawal by Subject
10
6

Baseline Characteristics

Does Switching to Nicotine Containing Electronic Cigarettes Reduce Health Risk Markers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nicotine-Containing Electronic Cigarette
n=52 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=52 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Total
n=104 Participants
Total of all reporting groups
Age, Continuous
52.4 years
STANDARD_DEVIATION 9.9 • n=5 Participants
49.4 years
STANDARD_DEVIATION 9.9 • n=7 Participants
50.9 years
STANDARD_DEVIATION 10 • n=5 Participants
Sex: Female, Male
Female
35 Participants
n=5 Participants
33 Participants
n=7 Participants
68 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
19 Participants
n=7 Participants
36 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
51 Participants
n=5 Participants
52 Participants
n=7 Participants
103 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
6 Participants
n=5 Participants
1 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
44 Participants
n=5 Participants
50 Participants
n=7 Participants
94 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
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
United States
52 participants
n=5 Participants
52 participants
n=7 Participants
104 participants
n=5 Participants
Education
High school or less
11 Participants
n=5 Participants
9 Participants
n=7 Participants
20 Participants
n=5 Participants
Education
Greater than high school
41 Participants
n=5 Participants
43 Participants
n=7 Participants
84 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Four missing values because sample could not be analyzed

Concentration of urinary carcinogen biomarker of exposure, NNAL, corrected for creatinine

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=33 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=32 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Urinary NNAL Concentration
151.6 ng/ml
Standard Deviation 235.1
338.2 ng/ml
Standard Deviation 270.1

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Forced expiratory volume in one second (FEV1).

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=35 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=34 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Pulmonary Function
2.7 liters
Standard Deviation 0.8
2.7 liters
Standard Deviation 0.8

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Exhaled CO (parts per million \[ppm\])

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=35 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=34 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Exhaled Carbon Monoxide (CO)
10.7 ppm
Standard Deviation 18.8
13.8 ppm
Standard Deviation 11.5

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Three missing values because sample could not be analyzed

Cotinine (ng/ml) will serve as a measure of exposure to nicotine.

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=33 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=33 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Urine Cotinine Concentration
5295.7 ng/ml
Standard Deviation 5123.3
2879.7 ng/ml
Standard Deviation 2481.5

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

systolic blood pressure in mm Hg

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=35 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=34 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Blood Pressure
125.91 mmHg
Standard Deviation 15.74
124.74 mmHg
Standard Deviation 12.13

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Questionnaire was only given to participants who used cigarettes in the past 7 days

Nicotine dependence for cigarettes will be assessed via the Fagerstrom Test for Nicotine Dependence (FTND), a measure with total scores ranging from 0 (very low dependence) to 10 (very high dependence).

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=16 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=25 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Fagerstrom Test for Nicotine Dependence Mean Total Score
3.69 score on a scale
Standard Deviation 2.68
3.2 score on a scale
Standard Deviation 2.24

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Questionnaire was only given to participants who used the e-cigarette in the past 7 days

Nicotine dependence for e-cigarettes will be assessed via the Penn State Electronic Nicotine Dependence Index, a measure with total scores ranging from 0 (very low dependence) to 20 (very high dependence).

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=33 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=29 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Penn State Electronic Cigarette Dependence Index
7.21 score on a scale
Standard Deviation 3.68
5.45 score on a scale
Standard Deviation 3.47

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Missing data for cigarettes per day for two participants

Mean number of cigarettes smoked per day based on the past 7 days

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=33 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=34 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Cigarettes Per Day
3.78 cigarettes per day
Standard Deviation 6.75
4.74 cigarettes per day
Standard Deviation 5.21

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: This is an intent-to-treat analysis so everyone who was randomized was included in the sample analyzed

Zero cigarettes or other tobacco products (not including e-cigs) used in the past 7 days and a CO \<6ppm

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=52 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=52 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Number of Participants With Abstinence From Cigarettes and Other Tobacco (Not Including E-cigs)
19 Participants
6 Participants

SECONDARY outcome

Timeframe: 1-week visit (post-treatment)

Withdrawal and craving will be assessed via the Minnesota Nicotine Withdrawal Scale. Total scores range from 0-28. Higher scores indicate worse withdrawal symptoms.

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=44 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=45 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Total Score on Minnesota Nicotine Withdrawal Scale
4.2 score on a scale
Standard Deviation 4.89
6.16 score on a scale
Standard Deviation 5.89

SECONDARY outcome

Timeframe: 10-week visit (post-treatment)

Mean number of cigarettes smoked per day based on the past 7 days

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=34 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=34 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Cigarettes Per Day
5.03 cigarettes per day
Standard Deviation 8.04
6.47 cigarettes per day
Standard Deviation 6.15

SECONDARY outcome

Timeframe: 10-week visit (post-treatment)

Population: Data missing from participant six participants

The number of days the e-cig was used since 6-week visit (post-treatment)

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=29 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=34 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
E-cig Use Days
6.69 days
Standard Deviation 10.57
2.88 days
Standard Deviation 6.84

SECONDARY outcome

Timeframe: 10-week visit (post-treatment)

Abstinence will be considered zero cigarettes and other tobacco products (not including e-cigs) in the past 7 days

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=34 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=34 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Number of Participants With Self-reported Abstinence
20 Participants
10 Participants

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Five participants had missing data due to EKG not functioning and/or low quality data

Heart Rate Variability (HRV) will be assessed from resting Holter EKG output.

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=32 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=32 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Heart Rate Variability (HRV)
35.2 msec
Standard Deviation 17.8
34.6 msec
Standard Deviation 18

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Five participants had missing data due to EKG not functioning and/or low quality data

Presence of PVCs will be assessed from resting Holter EKG output.

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=32 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=32 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Presence of Premature Ventricular Contractions (PVCs)
2 count of PVCs
Standard Deviation 6.8
2.3 count of PVCs
Standard Deviation 8.4

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Six participants had missing data due to EKG not functioning and/or low quality data

ST-Elevation will be assessed from resting Holter EKG output

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=31 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=32 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
ST-Elevation
103.1 µV
Standard Deviation 97.2
87.8 µV
Standard Deviation 50.5

SECONDARY outcome

Timeframe: 6-week visit (post-treatment)

Population: Six participants had missing data due to EKG not functioning and/or low quality data

QRS duration will be assessed from resting Holter EKG output.

Outcome measures

Outcome measures
Measure
Nicotine-Containing Electronic Cigarette
n=31 Participants
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=32 Participants
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
QRS Duration
94.3 msec
Standard Deviation 9.2
98.3 msec
Standard Deviation 10.4

Adverse Events

Nicotine-Containing Electronic Cigarette

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Non-Nicotine Electronic Cigarette

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nicotine-Containing Electronic Cigarette
n=52 participants at risk
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=52 participants at risk
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Cardiac disorders
Stroke
1.9%
1/52 • Number of events 1 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
0.00%
0/52 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.

Other adverse events

Other adverse events
Measure
Nicotine-Containing Electronic Cigarette
n=52 participants at risk
The experimental group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 58 mg/ml nicotine for the duration of 6 weeks. Nicotine-Containing Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The experimental group in this project will receive a SREC device with liquid containing 58 mg/mL of nicotine.
Non-Nicotine Electronic Cigarette
n=52 participants at risk
The placebo group will be provided with and encouraged to use a Standardized Research Electronic Cigarette (SREC) with liquid containing 0 mg/ml nicotine for the duration of 6 weeks. Non-Nicotine Electronic Cigarette: The electronic cigarette (e-cig) used in this study will be the Standardized Research Electronic Cigarette (SREC). The SREC product is a pod-based device and comprises a replaceable pre-filled liquid reservoir ("pod") and a rechargeable power supply unit. The placebo group in this project will receive a SREC device with liquid containing 0 mg/mL of nicotine.
Psychiatric disorders
Anxiety
0.00%
0/52 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
3.8%
2/52 • Number of events 2 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
Infections and infestations
COVID-19
5.8%
3/52 • Number of events 3 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
1.9%
1/52 • Number of events 1 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
Nervous system disorders
Dizziness
3.8%
2/52 • Number of events 2 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
0.00%
0/52 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
Respiratory, thoracic and mediastinal disorders
Cough
7.7%
4/52 • Number of events 4 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
1.9%
1/52 • Number of events 1 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
Nervous system disorders
Headache
3.8%
2/52 • Number of events 2 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.
7.7%
4/52 • Number of events 5 • 10 weeks
Adverse events (AEs) were systematically collected at each study visit by asking participants about any changes in their medication, their physical or mental health, or if they needed to seek immediate medical care at an emergency room or hospital.

Additional Information

Dr. Jonathan Foulds

Penn State College of Medicine

Phone: (717) 531-3504

Results disclosure agreements

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