Trial Outcomes & Findings for Gender Differences in Switching From Smoking Regular Cigarettes to E-Cigarettes (NCT NCT03856515)

NCT ID: NCT03856515

Last Updated: 2026-01-28

Results Overview

Mean cigarettes per day (CPD) smoked during the phase

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

169 participants

Primary outcome timeframe

2 weeks

Results posted on

2026-01-28

Participant Flow

Participants were adult individuals residing in the state of Texas who completed the study remotely.

Of the 1363 potential participants who responded to study advertising, 702 were screened for interest and eligibility. Of those screened, 130 were ineligible and 402 declined to participate. A total of 169 participants were randomized.

Participant milestones

Participant milestones
Measure
Phase 1: Usual Brand Cigarette Phase (Men)
Two weeks (Phase 1; weeks 1-2) of smoking usual brand cigarettes (men)
Phase 1: Usual Brand Cigarette Phase (Women)
Two weeks (Phase 1; weeks 1-2) of smoking usual brand cigarettes (women)
Phase 2 Placebo, Then Phase 3 Standardized Research Electronic Cigarette (SREC) (Men)
Two weeks (Phase 2; weeks 3-4) of placebo Standardized Research Electronic Cigarette use, followed by two weeks (Phase 3; weeks 5-6) of nicotine Standardized Research Electronic Cigarette use (Men)
Phase 2 Placebo, Then Phase 3 SREC (Women)
Two weeks (Phase 2; weeks 3-4) of placebo Standardized Research Electronic Cigarette use, followed by two weeks (Phase 3; weeks 5-6) of nicotine Standardized Research Electronic Cigarette use (Women)
Phase 2 SREC, Then Phase 3 Placebo (Men)
Two weeks (Phase 2; weeks 3-4) of nicotine Standardized Research Electronic Cigarette use, followed by two weeks (Phase 3; weeks 5-6) of placebo Standardized Research Electronic Cigarette use (Men)
Phase 2 SREC, Then Phase 3 Placebo (Women)
Two weeks (Phase 2; weeks 3-4) of nicotine Standardized Research Electronic Cigarette use, followed by two weeks (Phase 3; weeks 5-6) of placebo Standardized Research Electronic Cigarette use (Women)
Phase 1: Week 1-2
STARTED
87
82
0
0
0
0
Phase 1: Week 1-2
COMPLETED
87
82
0
0
0
0
Phase 1: Week 1-2
NOT COMPLETED
0
0
0
0
0
0
Phase 2: Week 3-4
STARTED
0
0
45
41
42
41
Phase 2: Week 3-4
COMPLETED
0
0
39
38
40
35
Phase 2: Week 3-4
NOT COMPLETED
0
0
6
3
2
6
Phase 3: Week 5-6
STARTED
0
0
45
41
42
41
Phase 3: Week 5-6
COMPLETED
0
0
36
37
38
32
Phase 3: Week 5-6
NOT COMPLETED
0
0
9
4
4
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gender Differences in Switching From Smoking Regular Cigarettes to E-Cigarettes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1: Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes followed by two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (SREC) and the two weeks of using the Nicotine (5% nicotine content) SREC, with SREC order counterbalanced.
Phase 1: Usual Brand Cigarette Phase (Women)
n=82 Participants
Two weeks of smoking usual brand cigarettes followed by two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (SREC) and the two weeks of using the Nicotine (5% nicotine content) SREC, with SREC order counterbalanced.
Total
n=169 Participants
Total of all reporting groups
Age, Continuous
44.51 years
STANDARD_DEVIATION 11.26 • n=158 Participants
44.57 years
STANDARD_DEVIATION 10.14 • n=157 Participants
44.54 years
STANDARD_DEVIATION 10.72 • n=315 Participants
Sex: Female, Male
Female
0 Participants
n=158 Participants
82 Participants
n=157 Participants
82 Participants
n=315 Participants
Sex: Female, Male
Male
87 Participants
n=158 Participants
0 Participants
n=157 Participants
87 Participants
n=315 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants
n=158 Participants
7 Participants
n=157 Participants
22 Participants
n=315 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
72 Participants
n=158 Participants
75 Participants
n=157 Participants
147 Participants
n=315 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=158 Participants
0 Participants
n=157 Participants
0 Participants
n=315 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=158 Participants
2 Participants
n=157 Participants
3 Participants
n=315 Participants
Race (NIH/OMB)
Asian
1 Participants
n=158 Participants
0 Participants
n=157 Participants
1 Participants
n=315 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=158 Participants
0 Participants
n=157 Participants
0 Participants
n=315 Participants
Race (NIH/OMB)
Black or African American
21 Participants
n=158 Participants
23 Participants
n=157 Participants
44 Participants
n=315 Participants
Race (NIH/OMB)
White
47 Participants
n=158 Participants
55 Participants
n=157 Participants
102 Participants
n=315 Participants
Race (NIH/OMB)
More than one race
7 Participants
n=158 Participants
2 Participants
n=157 Participants
9 Participants
n=315 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants
n=158 Participants
0 Participants
n=157 Participants
10 Participants
n=315 Participants
Region of Enrollment
United States
87 participants
n=158 Participants
82 participants
n=157 Participants
169 participants
n=315 Participants

PRIMARY outcome

Timeframe: 2 weeks

Mean cigarettes per day (CPD) smoked during the phase

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=83 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=81 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=76 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=79 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Cigarettes Per Day
14.20 Cigarettes per Day
Standard Deviation 9.01
4.08 Cigarettes per Day
Standard Deviation 6.31
4.55 Cigarettes per Day
Standard Deviation 7.25
14.09 Cigarettes per Day
Standard Deviation 7.66
3.85 Cigarettes per Day
Standard Deviation 5.30
3.63 Cigarettes per Day
Standard Deviation 4.72

SECONDARY outcome

Timeframe: 2 weeks

Population: Electronic cigarette sessions per day were not assessed during the Usual Brand Cigarette phase.

Study electronic cigarette use measured by the mean number of sessions per day during each phase for male and female participants.

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=83 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=81 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=76 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=79 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Electronic Cigarette Sessions Per Day
11.32 Sessions per day
Standard Deviation 9.49
10.33 Sessions per day
Standard Deviation 8.93
10.78 Sessions per day
Standard Deviation 9.28
10.84 Sessions per day
Standard Deviation 10.84

SECONDARY outcome

Timeframe: 2 weeks

A measure of nicotine exposure, calculated as the sum of total nicotine, cotinine, 3'-hydroxycotinine, and nicotine N-oxide excreted in urine, collected at the end of each phase for male and female participants.

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=73 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=73 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=77 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=66 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=69 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Total Nicotine Equivalents (TNE)
42.01 ng/mL
Standard Deviation 37.40
30.98 ng/mL
Standard Deviation 30.12
39.97 ng/mL
Standard Deviation 36.44
41.19 ng/mL
Standard Deviation 33.44
39.46 ng/mL
Standard Deviation 38.80
41.75 ng/mL
Standard Deviation 42.11

SECONDARY outcome

Timeframe: 2 weeks

A tobacco minor alkaloid (MA) excreted in urine collected at the end of each phase for male and female participants to evaluate nicotine product exposure.

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=73 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=73 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=77 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=66 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=69 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Anabasine
92.69 ng/mL
Standard Deviation 155.35
56.60 ng/mL
Standard Deviation 97.03
71.45 ng/mL
Standard Deviation 98.16
76.19 ng/mL
Standard Deviation 92.95
72.90 ng/mL
Standard Deviation 107.13
65.61 ng/mL
Standard Deviation 83.24

SECONDARY outcome

Timeframe: 2 weeks

A tobacco minor alkaloid (MA) excreted in urine collected at the end of each phase for male and female participants to evaluate nicotine product exposure.

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=73 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=73 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=77 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=66 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=69 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotelline
0.64 ng/mL
Standard Error 4.53
0.38 ng/mL
Standard Error 2.05
0.42 ng/mL
Standard Error 2.92
1.63 ng/mL
Standard Error 7.98
2.22 ng/mL
Standard Error 8.42
1.08 ng/mL
Standard Error 3.73

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of participants' beliefs about their risks of developing health conditions from cigarettes or electronic cigarette collected at the end of each phase for male and female participants. Range 1-10, with higher values indicating greater perceived risk of negative health outcomes.

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=82 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=75 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Perceived Health Risk Questionnaire (PHRQ)
8.15 Units on a scale
Standard Deviation 2.18
8.35 Units on a scale
Standard Deviation 2.22
8.43 Units on a scale
Standard Deviation 2.06
9.05 Units on a scale
Standard Deviation 1.99
9.21 Units on a scale
Standard Deviation 1.79
9.23 Units on a scale
Standard Deviation 2.03

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of explicit cigarette or electronic cigarette product liking collected at the end of each phase for male and female participants. Range 1-7, with higher values indicating more unpleasant ratings.

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=78 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=67 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=67 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=69 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Product Evaluation Scales (PES)
4.33 Units on a scale
Standard Deviation 0.98
3.30 Units on a scale
Standard Deviation 0.98
3.44 Units on a scale
Standard Deviation 1.04
4.51 Units on a scale
Standard Deviation 1.12
3.42 Units on a scale
Standard Deviation 1.17
3.73 Units on a scale
Standard Deviation 1.35

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of implicit cigarette or electronic cigarette liking collected at the end of each phase for male and female participants. Range: -1 to 1, with more negative values indicating a more negative attitude toward the cigarette product

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=86 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=79 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=69 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=76 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=65 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Implicit Association Test (IAT)
-0.29 Units on a scale
Standard Deviation 0.53
-0.17 Units on a scale
Standard Deviation 0.48
-0.08 Units on a scale
Standard Deviation 0.50
-0.32 Units on a scale
Standard Deviation 0.62
-0.15 Units on a scale
Standard Deviation 0.40
-0.25 Units on a scale
Standard Deviation 0.49

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of the perceived outcomes of cigarette or electronic cigarette use collected at the end of each phase for male and female participants. Range 0 to 9, with larger values indicating greater perceived negative consequences of cigarette use

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=82 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=75 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Brief Smoking Consequences Questionnaire-Adult (BSCQ-A)
4.56 Units on a scale
Standard Deviation 1.22
3.68 Units on a scale
Standard Deviation 1.25
3.54 Units on a scale
Standard Deviation 1.34
4.61 Units on a scale
Standard Deviation 1.25
3.70 Units on a scale
Standard Deviation 1.70
3.72 Units on a scale
Standard Deviation 1.84

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of the Purchase Task Breakpoint measure (first price at which consumption goes to zero, i.e., unwilling to pay) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.05 - 251, dollars per cigarette or per electronic cigarette puff with higher values indicating the willingness to smoke/vape at a higher price.

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=64 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=61 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=76 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=53 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=59 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Purchase Task Breakpoint Measure
13.67 $/cigarette or $/e-cigarette puff
Standard Deviation 22.12
7.06 $/cigarette or $/e-cigarette puff
Standard Deviation 16.97
4.65 $/cigarette or $/e-cigarette puff
Standard Deviation 9.69
14.25 $/cigarette or $/e-cigarette puff
Standard Deviation 33.22
5.73 $/cigarette or $/e-cigarette puff
Standard Deviation 10.64
7.44 $/cigarette or $/e-cigarette puff
Standard Deviation 16.92

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of the Purchase Task Demand Intensity measure (consumption at the lowest price) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 1 - 351, the number of cigarettes or electronic cigarette puffs with higher values indicating an intension to smoke/vape more when the price is set as 0

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=64 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=61 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=77 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=53 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=59 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Purchase Task Demand Intensity Measure
20.52 # of cigarettes or e-cigarette puffs
Standard Deviation 14.37
70.05 # of cigarettes or e-cigarette puffs
Standard Deviation 69.59
59.08 # of cigarettes or e-cigarette puffs
Standard Deviation 51.94
19.05 # of cigarettes or e-cigarette puffs
Standard Deviation 13.14
48.06 # of cigarettes or e-cigarette puffs
Standard Deviation 43.06
60.39 # of cigarettes or e-cigarette puffs
Standard Deviation 56.06

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of the Purchase Task Omax measure (maximum financial expenditure on the product) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.03 - 1001, the maximum expenditure in dollars on cigarettes or electronic cigarette puffs with higher values indicating greater expenditure

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=64 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=61 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=77 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=53 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=59 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Purchase Task Omax Measure
17.96 max spent $ on cigarettes or e-cig puffs
Standard Deviation 22.51
24.74 max spent $ on cigarettes or e-cig puffs
Standard Deviation 72.92
11.73 max spent $ on cigarettes or e-cig puffs
Standard Deviation 13.09
35.40 max spent $ on cigarettes or e-cig puffs
Standard Deviation 127.18
13.51 max spent $ on cigarettes or e-cig puffs
Standard Deviation 23.20
19.94 max spent $ on cigarettes or e-cig puffs
Standard Deviation 65.14

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of the Purchase Task Pmax measure (price at which expenditure is maximized) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.01 - 1001, the price of the cigarette or electronic cigarette puffs when the Omax is reached

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=64 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=61 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=77 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=53 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=59 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Purchase Task Pmax Measure
4.64 US Dollars per cigarette or per electron
Standard Deviation 7.82
2.86 US Dollars per cigarette or per electron
Standard Deviation 7.97
1.65 US Dollars per cigarette or per electron
Standard Deviation 3.53
17.93 US Dollars per cigarette or per electron
Standard Deviation 114.14
2.36 US Dollars per cigarette or per electron
Standard Deviation 5.01
3.39 US Dollars per cigarette or per electron
Standard Deviation 8.39

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of the Purchase Task Elasticity of Demand measure (sensitivity of product consumption to increases in cost) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.0001 - 2.69, the elasticity of the demand for cigarettes or electronic cigarette puffs, with higher values indicating a greater sensitivity in reducing the consumption in response to the price increases

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=82 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=64 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=61 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=77 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=53 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=59 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Purchase Task Elasticity of Demand Measure
0.0070 % change quantity/% change price
Standard Deviation 0.0040
0.0130 % change quantity/% change price
Standard Deviation 0.0057
0.0177 % change quantity/% change price
Standard Deviation 0.0068
0.008 % change quantity/% change price
Standard Deviation 0.0040
0.026 % change quantity/% change price
Standard Deviation 0.009
0.0298 % change quantity/% change price
Standard Deviation 0.009

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of cigarette dependence collected at the end of each phase for male and female participants. Range 0 to 10, with higher values indicating greater cigarette dependence

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=82 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=74 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Fagerström Test for Cigarette Dependence (FTCD)
4.54 Units on a scale
Standard Deviation 2.09
3.71 Units on a scale
Standard Deviation 2.05
3.67 Units on a scale
Standard Deviation 2.07
4.7 Units on a scale
Standard Deviation 2.02
3.97 Units on a scale
Standard Deviation 2.28
3.88 Units on a scale
Standard Deviation 1.85

SECONDARY outcome

Timeframe: 2 weeks

Population: The PSECDI questionnaire was not administered during the Usual Brand Cigarette phase.

Evaluation of electronic cigarette dependence collected at the end of each phase for male and female participants. Range 0 to 20, with higher scores indicating greater electronic cigarette dependence

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=78 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=67 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=67 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=69 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Penn State Electronic Cigarette Dependence Index (PSECDI)
7.78 Units on a scale
Standard Deviation 4.08
7.75 Units on a scale
Standard Deviation 3.97
8.87 Units on a scale
Standard Deviation 4.32
8.99 Units on a scale
Standard Deviation 4.36

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of nicotine withdrawal symptoms collected at the end of each phase for male and female participants. Range 0 to 60, with higher scores indicating greater nicotine withdrawal

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=82 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=75 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Minnesota Nicotine Withdrawal Scale-Revised (MNWS)
27.01 Units on a scale
Standard Deviation 7.98
27.02 Units on a scale
Standard Deviation 7.99
26.04 Units on a scale
Standard Deviation 7.62
28.81 Units on a scale
Standard Deviation 9.09
29.77 Units on a scale
Standard Deviation 9.77
28.08 Units on a scale
Standard Deviation 7.99

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of the craving to smoke cigarettes collected at the end of each phase for male and female participants. Range 1 to 10, with higher values indicating greater urge to smoke

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=82 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=75 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Questionnaire of Smoking Urges-Brief (QSU-Brief)
4.16 Units on a scale
Standard Deviation 2.57
3.35 Units on a scale
Standard Deviation 2.71
3.26 Units on a scale
Standard Deviation 2.83
4.25 Units on a scale
Standard Deviation 2.92
3.43 Units on a scale
Standard Deviation 3.04
2.80 Units on a scale
Standard Deviation 2.71

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of positive affect collected at the end of each phase for male and female participants. Range 10 to 50, with higher scores indicating greater positive affect

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=83 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=74 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Positive and Negative Affect Scales - Positive Affect Scale (PANAS-Pos)
32.30 Units on a scale
Standard Deviation 8.56
31.12 Units on a scale
Standard Deviation 9.25
32.82 Units on a scale
Standard Deviation 9.69
32.80 Units on a scale
Standard Deviation 9.40
31.65 Units on a scale
Standard Deviation 9.09
33.03 Units on a scale
Standard Deviation 8.76

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of negative affect collected at the end of each phase for male and female participants. Range 10 to 50, with higher scores indicating greater negative affect

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=83 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=74 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Positive and Negative Affect Scales - Negative Affect Scale (PANAS-Neg)
16.43 Units on a scale
Standard Deviation 7.31
16.22 Units on a scale
Standard Deviation 6.94
15.53 Units on a scale
Standard Deviation 6.89
17.19 Units on a scale
Standard Deviation 7.09
17.73 Units on a scale
Standard Deviation 8.06
16.07 Units on a scale
Standard Deviation 6.30

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of mean nicotine dependence symptoms collected daily during each phase. Range 1 to 5, with higher values indicating greater nicotine dependence symptoms

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=83 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=83 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=78 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=75 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=74 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
Smartphone Daily Measures of Nicotine Dependence Symptoms
2.40 Units on a scale
Standard Deviation 0.35
2.42 Units on a scale
Standard Deviation 0.48
2.34 Units on a scale
Standard Deviation 0.42
2.44 Units on a scale
Standard Deviation 0.33
2.53 Units on a scale
Standard Deviation 0.37
2.42 Units on a scale
Standard Deviation 0.34

SECONDARY outcome

Timeframe: 2 weeks

Evaluation of respiratory symptoms collected at the end of each phase for male and female participants. Range 8 to 40, with higher numbers indicating more respiratory symptoms

Outcome measures

Outcome measures
Measure
Usual Brand Cigarette Phase (Men)
n=87 Participants
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=82 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=76 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=81 Participants
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=71 Participants
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=75 Participants
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
American Thoracic Society Questionnaire (ATSQ)
18.30 Units on a scale
Standard Deviation 8.98
16.85 Units on a scale
Standard Deviation 8.86
16.93 Units on a scale
Standard Deviation 8.59
18.17 Units on a scale
Standard Deviation 8.59
16.13 Units on a scale
Standard Deviation 7.96
16.08 Units on a scale
Standard Deviation 7.96

Adverse Events

Usual Brand Cigarette Phase (Men)

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

Placebo Standardized Research Electronic Cigarette Phase (Men)

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

Nicotine Standardized Research Electronic Cigarette Phase (Men)

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

Usual Brand Cigarette Phase (Women)

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

Placebo Standardized Research Electronic Cigarette Phase (Women)

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

Nicotine Standardized Research Electronic Cigarette Phase (Women)

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

Serious adverse events

Serious adverse events
Measure
Usual Brand Cigarette Phase (Men)
n=87 participants at risk
Two weeks of smoking usual brand cigarettes (Men)
Placebo Standardized Research Electronic Cigarette Phase (Men)
n=87 participants at risk
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Men)
Nicotine Standardized Research Electronic Cigarette Phase (Men)
n=87 participants at risk
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Men)
Usual Brand Cigarette Phase (Women)
n=82 participants at risk
Two weeks of smoking usual brand cigarettes (Women)
Placebo Standardized Research Electronic Cigarette Phase (Women)
n=82 participants at risk
Two weeks of using the Placebo (0% nicotine content) Standardized Research Electronic Cigarette (Women)
Nicotine Standardized Research Electronic Cigarette Phase (Women)
n=82 participants at risk
Two weeks of using the Nicotine (5% nicotine content) Standardized Research Electronic Cigarette (Women)
General disorders
Flu Like Symptoms
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
1.2%
1/82 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks
Gastrointestinal disorders
Gastrointestinal Disorders - Other
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
1.1%
1/87 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks
Nervous system disorders
Psychosis
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks
1.2%
1/82 • 10 weeks
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
0.00%
0/82 • 10 weeks
1.2%
1/82 • 10 weeks
1.2%
1/82 • 10 weeks
Gastrointestinal disorders
Abdominal Pain
0.00%
0/87 • 10 weeks
1.1%
1/87 • 10 weeks
1.1%
1/87 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/87 • 10 weeks
0.00%
0/87 • 10 weeks
1.1%
1/87 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks
0.00%
0/82 • 10 weeks

Other adverse events

Adverse event data not reported

Additional Information

Jason Robinson

M.D. Anderson Cancer Center

Phone: 713-792-2265

Results disclosure agreements

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