Trial Outcomes & Findings for Effects of Electronic Cigarette Settings and Liquid Concentrations in Cigarette Smokers and Electronic Cigarette Users (NCT NCT03710590)

NCT ID: NCT03710590

Last Updated: 2022-10-06

Results Overview

Change in plasma nicotine level.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

Baseline to 5 min after the start of a 10-puff product use

Results posted on

2022-10-06

Participant Flow

Not-completed reason was not stored by treatment arm

Each participant will participate in 6 sessions. Sessions differ by the tobacco product used (see study arms). The sessions are ordered by latin-square; however, session order was NOT expected to change any outcomes and order effects are not relevant to the study. Therefore all outcome data was merged and analyzed only by arm and session without regard to order.

Participant milestones

Participant milestones
Measure
Cigarette Smokers
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
E-cigarette Users
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
Overall Study
STARTED
22
23
Overall Study
Session 1: ECIG Lab Session 15 Watts, 10 mg Nicotine
12
15
Overall Study
Session 2: ECIG Lab Session 15 Watts, 15 mg Nicotine
12
15
Overall Study
Session 3: ECIG Lab Session 15 Watts, 30 mg Nicotine
12
15
Overall Study
Session 4: ECIG Lab Session 30 Watts, 10 mg Nicotine
12
15
Overall Study
Session 5: ECIG Lab Session 30 Watts, 15 mg Nicotine
12
15
Overall Study
Session 6: ECIG Lab Session 30 Watts, 30 mg Nicotine
12
15
Overall Study
COMPLETED
12
15
Overall Study
NOT COMPLETED
10
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Cigarette Smokers
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
E-cigarette Users
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
Overall Study
Lost to follow up, study stopped due to COVID-19, other reasons
10
8

Baseline Characteristics

Effects of Electronic Cigarette Settings and Liquid Concentrations in Cigarette Smokers and Electronic Cigarette Users

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cigarette Smokers
n=12 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
E-cigarette Users
n=15 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
Total
n=27 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
15 Participants
n=7 Participants
27 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
33.67 years
STANDARD_DEVIATION 8.74 • n=5 Participants
25.40 years
STANDARD_DEVIATION 7.94 • n=7 Participants
29.07 years
STANDARD_DEVIATION 9.15 • n=5 Participants
Sex/Gender, Customized
Female
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex/Gender, Customized
Male
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex/Gender, Customized
Other
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 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
1 Participants
n=7 Participants
1 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
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
11 Participants
n=7 Participants
18 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
15 participants
n=7 Participants
27 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 5 min after the start of a 10-puff product use

Change in plasma nicotine level.

Outcome measures

Outcome measures
Measure
Cigarette Smokers
n=12 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
E-cigarette Users
n=15 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
Change in Plasma Nicotine
10mg 15 Watts
8.68 ng/ml
Standard Deviation 7.22
8.28 ng/ml
Standard Deviation 9.65
Change in Plasma Nicotine
10mg 30 Watts
9.53 ng/ml
Standard Deviation 7.53
12.00 ng/ml
Standard Deviation 10.29
Change in Plasma Nicotine
15mg 15 Watts
7.34 ng/ml
Standard Deviation 6.19
7.17 ng/ml
Standard Deviation 6.14
Change in Plasma Nicotine
15mg 30 Watts
13.04 ng/ml
Standard Deviation 13.14
14.04 ng/ml
Standard Deviation 12.08
Change in Plasma Nicotine
30mg 15 Watts
10.18 ng/ml
Standard Deviation 9.28
20.12 ng/ml
Standard Deviation 22.40
Change in Plasma Nicotine
30mg 30 Watts
17.28 ng/ml
Standard Deviation 18.05
22.38 ng/ml
Standard Deviation 21.04

PRIMARY outcome

Timeframe: Each time the e-cigarette is used during the 10-puff use bout - 5 minutes

Population: One participant did not have data for this measure.

The average volume of each puff, in ml, during 10 puff bout.

Outcome measures

Outcome measures
Measure
Cigarette Smokers
n=11 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
E-cigarette Users
n=15 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
Puff Volume
10 mg, 15 Watts
457.27 ml
Standard Deviation 223.02
748.34 ml
Standard Deviation 412.22
Puff Volume
10 mg, 30 Watts
245.11 ml
Standard Deviation 124.09
503.43 ml
Standard Deviation 216.28
Puff Volume
15 mg, 15 Watts
350.18 ml
Standard Deviation 190.97
708.62 ml
Standard Deviation 300.45
Puff Volume
15 mg, 30 Watts
217.01 ml
Standard Deviation 94.99
409.56 ml
Standard Deviation 208.61
Puff Volume
30 mg, 15 Watts
310.95 ml
Standard Deviation 199.06
631.23 ml
Standard Deviation 225.84
Puff Volume
30 mg, 30 Watts
176.32 ml
Standard Deviation 79.76
415.85 ml
Standard Deviation 186.33

PRIMARY outcome

Timeframe: Each time the e-cigarette is used during the 10-puff use bout - 5 minutes

Population: One participant did not have data collected for this measure.

The average duration of each puff, in seconds.

Outcome measures

Outcome measures
Measure
Cigarette Smokers
n=11 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
E-cigarette Users
n=15 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
Puff Duration
30 mg, 15 W
2.44 seconds
Standard Deviation 0.83
3.41 seconds
Standard Deviation 1.01
Puff Duration
30 mg, 30 W
1.58 seconds
Standard Deviation 0.45
2.45 seconds
Standard Deviation 0.84
Puff Duration
10 mg, 15 W
3.04 seconds
Standard Deviation 1.01
4.37 seconds
Standard Deviation 1.15
Puff Duration
10 mg, 30 W
1.97 seconds
Standard Deviation 0.65
2.83 seconds
Standard Deviation 0.71
Puff Duration
15 mg, 15 W
2.59 seconds
Standard Deviation 0.53
4.02 seconds
Standard Deviation 1.27
Puff Duration
15 mg, 30 W
1.65 seconds
Standard Deviation 0.43
2.72 seconds
Standard Deviation 1.05

SECONDARY outcome

Timeframe: Heart rate will be measured from baseline continuously throughout the 10-puff bout - 5 minutes

Average heart rate, measured in beats per minute.

Outcome measures

Outcome measures
Measure
Cigarette Smokers
n=12 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
E-cigarette Users
n=15 Participants
Each participant will participate in 6 sessions. During each session, participants will first complete a 10-puff product use bout, and then a 90-minute ad lib product use bout. Session 1: ECIG Lab Session 15 watts, 10 mg nicotine Session 2: ECIG Lab Session 15 watts, 15 mg nicotine Session 3: ECIG Lab Session 15 watts, 30 mg nicotine Session 4: ECIG Lab Session 30 watts, 10 mg nicotine Session 5: ECIG Lab Session 30 watts, 15 mg nicotine Session 6: ECIG Lab Session 30 watts, 30 mg nicotine
Heart Rate
30 mg, 15 Watts
77.12 bpm
Standard Deviation 8.83
78.56 bpm
Standard Deviation 12.67
Heart Rate
30 mg, 30 Watts
80.12 bpm
Standard Deviation 8.95
84.51 bpm
Standard Deviation 14.79
Heart Rate
10 mg, 15 Watts
75.66 bpm
Standard Deviation 6.88
75.01 bpm
Standard Deviation 10.44
Heart Rate
10 mg, 30 Watts
78.19 bpm
Standard Deviation 7.25
79.92 bpm
Standard Deviation 15.30
Heart Rate
15 mg, 15 Watts
72.64 bpm
Standard Deviation 6.32
79.09 bpm
Standard Deviation 15.30
Heart Rate
15 mg, 30 Watts
76.05 bpm
Standard Deviation 6.91
80.27 bpm
Standard Deviation 12.51

OTHER_PRE_SPECIFIED outcome

Timeframe: Inter puff interval will be measured each time the e-cigarette is used during an approximately 4 hour session: during a 5-minute 10-puff use bout, and during an approximately 90 minute ad lib use period

The time between each puff, in seconds

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Flow rate will be measured each time the e-cigarette is used during an approximately 4 hour session: during a 5-minute 10-puff use bout, and during an approximately 90 minute ad lib use period

The rate of air flow during each puff, in ml/second

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Questionnaire will be administered 4 times in each each approximately 4-hr session: before any product use, 10 minutes after the start of a 10-puff use bout, and then before and after an approximately 1-hour ad lib use period.

This scale is used to assess the extent to which product use reduces tobacco abstinence symptoms, and consists of 11 items scored 0 - 100, with lower scores indicating less severe symptoms. There are no sub-scales. Items are analyzed separately.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Questionnaire will be administered 2 times in each each approximately 4-hr session: 10 minutes after the start of a 10-puff use bout, and then after an approximately 1-hour ad lib use period.

This scale is used to assess how product use makes participants feel and consists of 10 questions that are scored 0 - 100. There are no sub-scales. Items are analyzed separately.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Questionnaire will be administered 4 times in each each approximately 4-hr session: before any product use, 10 minutes after the start of a 10-puff use bout, and then before and after an approximately 1-hour ad lib use period.

This scale is used to assess how product use makes participants feel, and consists of 10 questions that are scored 0 - 100.There are no sub-scales. Items are analyzed separately.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Carbon monoxide levels will be assessed before and after product use in each approximately 4-hr session: at baseline, 5 min after the end of a 10-puff product use, and then before and after an approximately 1-hour ad lib use period.

Change in carbon monoxide levels (in parts per mission)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Blood pressure will be measured from baseline continuously throughout each approximately 4-hr session

Change in blood pressure, measured in mm/hg

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: The General Labeled Magnitude Scale will be administered twice in each approximately 4 hour session--after a 5-minute 10 puff use bout, and after the approximately 90 minute ad lib period.

This scale measures the flavor sensation, harshness, and throat hit (in three questions that correspond to those constructs) of the e-cigarette used in each session. The scale ranges from 0 - 100, with 0 being no sensation and 100 being the strongest imaginable sensation of any kind. Each item if scored nd analyzed separately (there are no sub-scales).

Outcome measures

Outcome data not reported

Adverse Events

Cigarette Smokers

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

E-cigarette Users

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Alison Breland

Virginia Commonwealth University

Phone: 804 628 2300

Results disclosure agreements

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