Trial Outcomes & Findings for Low Nicotine Cigarettes Plus Electronic Cigarettes (NCT NCT04058717)

NCT ID: NCT04058717

Last Updated: 2025-09-11

Results Overview

Measure of tobacco-specific nitrosamine

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

88 participants

Primary outcome timeframe

Week 16

Results posted on

2025-09-11

Participant Flow

88 participants consented and enrolled in the pre-randomization phase of the study. Eight participants were lost to follow-up or withdrawn from the study before being randomized to a study intervention. Therefore, 80 participants were randomized to a study intervention.

Participant milestones

Participant milestones
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Randomization Period
STARTED
20
20
20
20
Randomization Period
COMPLETED
17
13
13
13
Randomization Period
NOT COMPLETED
3
7
7
7
Week 20 Follow up
STARTED
17
13
13
13
Week 20 Follow up
COMPLETED
15
13
13
11
Week 20 Follow up
NOT COMPLETED
2
0
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Randomization Period
Lost to Follow-up
2
3
4
4
Randomization Period
Withdrawal by Subject
1
3
3
3
Randomization Period
PI decision
0
1
0
0

Baseline Characteristics

Low Nicotine Cigarettes Plus Electronic Cigarettes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
43.9 years
STANDARD_DEVIATION 9.2 • n=5 Participants
51.2 years
STANDARD_DEVIATION 10.4 • n=7 Participants
44.6 years
STANDARD_DEVIATION 9 • n=5 Participants
47.8 years
STANDARD_DEVIATION 12.1 • n=4 Participants
46.9 years
STANDARD_DEVIATION 10.5 • n=21 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
12 Participants
n=7 Participants
18 Participants
n=5 Participants
12 Participants
n=4 Participants
60 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
8 Participants
n=7 Participants
2 Participants
n=5 Participants
8 Participants
n=4 Participants
20 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
7 Participants
n=21 Participants
Race (NIH/OMB)
White
18 Participants
n=5 Participants
17 Participants
n=7 Participants
18 Participants
n=5 Participants
18 Participants
n=4 Participants
71 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
20 participants
n=7 Participants
20 participants
n=5 Participants
20 participants
n=4 Participants
80 participants
n=21 Participants
Cigarettes per day
22 cigarettes per day
STANDARD_DEVIATION 11.7 • n=5 Participants
18.8 cigarettes per day
STANDARD_DEVIATION 9.9 • n=7 Participants
22.4 cigarettes per day
STANDARD_DEVIATION 8.6 • n=5 Participants
17.6 cigarettes per day
STANDARD_DEVIATION 9.8 • n=4 Participants
20.2 cigarettes per day
STANDARD_DEVIATION 10.1 • n=21 Participants

PRIMARY outcome

Timeframe: Week 16

Population: The Overall Number of Participants Analyzed includes participants with non-missing values at Week 16. Therefore, in one of the groups, 20 people were randomized and 13 people completed the randomization phase, but only 12 of the samples could be analyzed.

Measure of tobacco-specific nitrosamine

Outcome measures

Outcome measures
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=17 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=13 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=12 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=13 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Urinary NNAL (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol)
505.6 pg/mg creatinine
Standard Deviation 432.7
459.1 pg/mg creatinine
Standard Deviation 312.8
373.3 pg/mg creatinine
Standard Deviation 553.1
180.5 pg/mg creatinine
Standard Deviation 218.2

SECONDARY outcome

Timeframe: Week 16

Population: The Overall Number of Participants Analyzed includes participants with non-missing values at Week 16. In two of the groups, 1 person had missing CO values.

Measure of cigarette smoke exposure

Outcome measures

Outcome measures
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=17 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=12 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=12 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=13 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Exhaled Carbon Monoxide
23.6 parts per million
Standard Deviation 9.4
25.2 parts per million
Standard Deviation 14.6
21.9 parts per million
Standard Deviation 24.5
12.6 parts per million
Standard Deviation 10.3

SECONDARY outcome

Timeframe: Week 16

Population: The Overall Number of Participants Analyzed includes all participants with non-missing values at Week 16. In the VLNC cigarettes + High Nicotine Containing E-cigarette group, two participants did not complete the entire Week 16 visit, but they did complete the Kessler-6 survey for Week 16. Therefore, their Kessler-6 survey data are included in this analysis even though they were not included in the final sample size for Week 16, resulting in a sample size of n=15 for this group.

Measure of serious psychological distress. This scale is a brief, self-report tool used to assess psychological distress. Scores range from 0-24, with higher scores indicating greater distress

Outcome measures

Outcome measures
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=17 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=13 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=15 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=13 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Kessler-6 Score
6.9 score on a scale
Standard Deviation 5.9
5.7 score on a scale
Standard Deviation 5.1
5.4 score on a scale
Standard Deviation 5.9
5.9 score on a scale
Standard Deviation 4.3

SECONDARY outcome

Timeframe: Week 16

Population: The Overall Number of Participants Analyzed includes everyone with non-missing values at Week 16. In the VLNC cig+High Nic E-cig group, 1 person did not complete the entire Week 16 visit, but they did complete the Cig Dep survey for Week 16. Therefore, their Cig Dep survey data are included in this analysis, even though they were not included in the final sample size for Week 16, resulting in a sample size of n=14 for this group. 1 person had missing data in the VLNC cig+Zero Nic E-cig.

Measure of cigarette dependence. This 10-item scale (with scores ranging from 0 to 20) was developed to measure cigarette dependence, where a score of 0 indicates no cigarette dependence and 20 indicates maximum cigarette dependence.

Outcome measures

Outcome measures
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=17 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=13 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=14 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=12 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Penn State Cigarette Dependence Index
11.9 score on a scale
Standard Deviation 3
11.5 score on a scale
Standard Deviation 2.9
11.8 score on a scale
Standard Deviation 4.3
9.4 score on a scale
Standard Deviation 3.2

SECONDARY outcome

Timeframe: Week 16

Population: The Overall Number of Participants Analyzed includes everyone with non-missing values at Week 16. In the VLNC cig+High Nic E-cig group, 1 person did not complete the entire Week 16 visit, but they did complete the E-cig Dep survey for Week 16. Therefore, their E-cig Dep survey data are included in this analysis, even though they were not included in the final sample size for Week 16, resulting in a sample size of n=14 for this group. 2 people had missing data in the VLNC cig+0 Nic E-cig group.

Measure of e-cigarette dependence. This 10-item scale (with scores ranging from 0 to 20) was developed to measure e-cigarette dependence, where a score of 0 indicates no cigarette dependence and 20 indicates maximum e-cigarette dependence.

Outcome measures

Outcome measures
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=17 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=13 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=14 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=11 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Penn State Electronic Cigarette Dependence Index
3.1 score on a scale
Standard Deviation 3
5.8 score on a scale
Standard Deviation 3.8
8.1 score on a scale
Standard Deviation 5.2
5.8 score on a scale
Standard Deviation 4.1

SECONDARY outcome

Timeframe: Week 20

Population: This is an intent-to-treat analysis so everyone who was randomized was included in the sample analyzed, regardless of whether they completed the Week 20 assessment. Those who did not complete the Week 20 assessment were assumed to be non-abstainers. This is normal practice in smoking cessation research.

No cigarette use in the past 7 days and exhaled carbon monoxide \< 6ppm

Outcome measures

Outcome measures
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 Participants
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Cigarette Abstinence
1 Participants
1 Participants
4 Participants
4 Participants

Adverse Events

NNC Cigarettes + High Nicotine Containing E-cigarette

Serious events: 4 serious events
Other events: 7 other events
Deaths: 0 deaths

NNC Cigarettes + Zero Nicotine Containing E-cigarette

Serious events: 4 serious events
Other events: 11 other events
Deaths: 0 deaths

VLNC Cigarettes + High Nicotine Containing E-cigarette

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

VLNC Cigarettes + Zero Nicotine Containing E-cigarette

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
NNC Cigarettes + High Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Psychiatric disorders
Alcoholism
0.00%
0/20 • 20 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%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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
Upper respiratory infection
0.00%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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.
Pregnancy, puerperium and perinatal conditions
Pregnancy loss
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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%
0/20 • 20 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
Lung infection
0.00%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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
Clostridium difficile infection
0.00%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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.
Psychiatric disorders
Self-injurious ideation
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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%
0/20 • 20 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.
Surgical and medical procedures
Surgical and Medical Procedures, other back electrodes
0.00%
0/20 • 20 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%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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
Infections and infestations - Other, influenza
0.00%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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.
Cardiac disorders
Chest pain - cardiac
0.00%
0/20 • 20 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%
0/20 • 20 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%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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.
Psychiatric disorders
Depression
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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.
Vascular disorders
Hypertension
5.0%
1/20 • Number of events 1 • 20 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%
0/20 • 20 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%
0/20 • 20 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%
0/20 • 20 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
NNC Cigarettes + High Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid
NNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with normal nicotine content (NNC) cigarettes (11.6 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid. Normal Nicotine Content research cigarettes: Research cigarettes with 11.6 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
VLNC Cigarettes + High Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with high nicotine e-liquid. High Nicotine e-cigarette: E-cigarette containing high nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette.
VLNC Cigarettes + Zero Nicotine Containing E-cigarette
n=20 participants at risk
Participants are provided with very low nicotine content (VLNC) cigarettes (0.2 mg nicotine/cigarette) plus e-cigarette with zero nicotine e-liquid Very Low Nicotine Content research cigarettes: Research cigarettes with 0.2 mg nicotine/cigarette. Zero Nicotine e-cigarette: E-cigarette containing zero nicotine e-liquid
Respiratory, thoracic and mediastinal disorders
Cough
10.0%
2/20 • Number of events 2 • 20 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.
15.0%
3/20 • Number of events 3 • 20 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%
0/20 • 20 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.
15.0%
3/20 • Number of events 3 • 20 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.
Psychiatric disorders
Suicidal ideation
5.0%
1/20 • Number of events 1 • 20 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.
25.0%
5/20 • Number of events 5 • 20 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.
20.0%
4/20 • Number of events 4 • 20 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.
10.0%
2/20 • Number of events 2 • 20 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.
Psychiatric disorders
Depression
10.0%
2/20 • Number of events 2 • 20 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.
10.0%
2/20 • Number of events 2 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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.
Vascular disorders
Hypertension
10.0%
2/20 • Number of events 2 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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.
5.0%
1/20 • Number of events 1 • 20 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.
10.0%
2/20 • Number of events 2 • 20 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

Nicolle Krebs

Penn State College of Medicine

Phone: 7175315673

Results disclosure agreements

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