Trial Outcomes & Findings for E-cigarettes for Harm Reduction in Adults With Asthma (NCT NCT05278065)

NCT ID: NCT05278065

Last Updated: 2025-11-18

Results Overview

Assessed using spirometry and indexed in liters.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

17 participants

Primary outcome timeframe

Baseline, Week 8

Results posted on

2025-11-18

Participant Flow

Participant milestones

Participant milestones
Measure
Electronic Cigarette
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
Participants in this assessment-only condition will continue smoking as usual.
Overall Study
STARTED
12
5
Overall Study
Completed Primary Outcome Visit
11
5
Overall Study
COMPLETED
11
5
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Electronic Cigarette
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
Participants in this assessment-only condition will continue smoking as usual.
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

E-cigarettes for Harm Reduction in Adults With Asthma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Total
n=17 Participants
Total of all reporting groups
Race (NIH/OMB)
More than one race
1 Participants
n=202 Participants
0 Participants
n=283 Participants
1 Participants
n=120 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=202 Participants
1 Participants
n=283 Participants
2 Participants
n=120 Participants
Age, Continuous
48.25 years
STANDARD_DEVIATION 11.7 • n=202 Participants
57.20 years
STANDARD_DEVIATION 5.26 • n=283 Participants
50.88 years
STANDARD_DEVIATION 10.90 • n=120 Participants
Sex: Female, Male
Female
7 Participants
n=202 Participants
2 Participants
n=283 Participants
9 Participants
n=120 Participants
Sex: Female, Male
Male
5 Participants
n=202 Participants
3 Participants
n=283 Participants
8 Participants
n=120 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=202 Participants
2 Participants
n=283 Participants
3 Participants
n=120 Participants
Race (NIH/OMB)
Asian
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=202 Participants
0 Participants
n=283 Participants
1 Participants
n=120 Participants
Race (NIH/OMB)
White
8 Participants
n=202 Participants
2 Participants
n=283 Participants
10 Participants
n=120 Participants
Region of Enrollment
United States
12 Participants
n=202 Participants
5 Participants
n=283 Participants
17 Participants
n=120 Participants

PRIMARY outcome

Timeframe: Baseline, Week 8, Week 16

Population: 1 participant withdrew from the study between baseline and week 8

Past week average cigarettes per day assessed using timeline follow-back (TLFB).

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Cigarettes Per Day From Baseline to Week 8 and Week 16
Baseline
16.34 cigarettes per day
Standard Deviation 8.68
15.39 cigarettes per day
Standard Deviation 6.43
Change in Cigarettes Per Day From Baseline to Week 8 and Week 16
Week 8
9.51 cigarettes per day
Standard Deviation 11.06
8.66 cigarettes per day
Standard Deviation 6.83
Change in Cigarettes Per Day From Baseline to Week 8 and Week 16
Week 16
8.12 cigarettes per day
Standard Deviation 7.06
12.30 cigarettes per day
Standard Deviation 10.00

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Assessed using the Fagerstrom Test for Cigarette Dependence (FTCD). Range: 0-10; higher scores = more dependent.

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Cigarette Dependence From Baseline to Week 8
Baseline
5.08 score on a scale
Standard Deviation 2.68
5.60 score on a scale
Standard Deviation 2.19
Change in Cigarette Dependence From Baseline to Week 8
Week 8
4.73 score on a scale
Standard Deviation 2.33
5.60 score on a scale
Standard Deviation 0.89

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Assessed using the Wisconsin Inventory for Smoking Dependence Motives - Brief (Brief-WISDM). The value of this outcome variable is the TOTAL SCORE (possible range: 1-7). The TOTAL SCORE is computed as a MEAN of all subscale scores (possible range: 1-7). Each subscale score is the mean of the relevant item scores (possible range: 1-7). Only the TOTAL SCORE is being investigated as an outcome measure. HIGHER SCORES = STRONGER dependence motive.

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Cigarette Dependence Motives From Baseline to Week 8
Baseline
4.79 score on a scale
Standard Deviation 0.96
5.41 score on a scale
Standard Deviation 1.69
Change in Cigarette Dependence Motives From Baseline to Week 8
Week 8
4.36 score on a scale
Standard Deviation 1.56
4.18 score on a scale
Standard Deviation 2.15

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Assessed using the Asthma Symptom Utility Index (ASUI). Range: 0-1 continuous; higher scores = fewer or lighter symptoms (0 = worst possible symptoms, 1 = no symptoms).

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Asthma Symptoms From Baseline to Week 8
Week 8
0.61 score on a scale
Standard Deviation 0.21
0.69 score on a scale
Standard Deviation 0.23
Change in Asthma Symptoms From Baseline to Week 8
Baseline
0.71 score on a scale
Standard Deviation 0.18
0.65 score on a scale
Standard Deviation 0.23

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Assessed using spirometry and indexed in liters.

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Pulmonary Functioning From Baseline to Week 8 (Forced Expiratory Volume [FEV])
Baseline
2.24 liters
Standard Deviation 0.84
2.41 liters
Standard Deviation 0.53
Change in Pulmonary Functioning From Baseline to Week 8 (Forced Expiratory Volume [FEV])
Week 8
2.32 liters
Standard Deviation 0.93
2.30 liters
Standard Deviation 0.57

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Assessed using spirometry and indexed in liters.

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Pulmonary Functioning From Baseline to Week 8 (Forced Vital Capacity [FVC])
Baseline
3.02 liters
Standard Deviation 1.00
3.35 liters
Standard Deviation 0.79
Change in Pulmonary Functioning From Baseline to Week 8 (Forced Vital Capacity [FVC])
Week 8
3.13 liters
Standard Deviation 1.16
2.98 liters
Standard Deviation 0.74

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Assessed using spirometry and indexed as liters per section (L/s).

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Pulmonary Functioning From Baseline to Week 8 (Forced Expiratory Flow 25%-75% [FEF25-75])
Baseline
1.91 liters per second (L/s)
Standard Deviation 1.00
1.82 liters per second (L/s)
Standard Deviation 0.87
Change in Pulmonary Functioning From Baseline to Week 8 (Forced Expiratory Flow 25%-75% [FEF25-75])
Week 8
1.88 liters per second (L/s)
Standard Deviation 0.98
2.12 liters per second (L/s)
Standard Deviation 0.64

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Assessed using spirometry and indexed in liters per minute (L/min).

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Pulmonary Functioning From Baseline to Week 8 (Peak Expiratory Flow [PEF])
Baseline
6.50 liters per minute (L/min)
Standard Deviation 2.57
6.45 liters per minute (L/min)
Standard Deviation 1.41
Change in Pulmonary Functioning From Baseline to Week 8 (Peak Expiratory Flow [PEF])
Week 8
6.68 liters per minute (L/min)
Standard Deviation 2.91
5.69 liters per minute (L/min)
Standard Deviation 1.69

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: 1 participant withdrew from the study between baseline and week 8

Level of exhaled FENO assessed with NIOX breath sensor in parts per billion (PPB).

Outcome measures

Outcome measures
Measure
Electronic Cigarette
n=12 Participants
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 Participants
Participants in this assessment-only condition will continue smoking as usual.
Change in Fractional Exhaled Nitric Oxide (FENO) From Baseline to Week 8
Baseline
11.6 parts per billion (PPB)
Standard Deviation 10.2
9.80 parts per billion (PPB)
Standard Deviation 8.01
Change in Fractional Exhaled Nitric Oxide (FENO) From Baseline to Week 8
Week 8
10.9 parts per billion (PPB)
Standard Deviation 8.96
7.75 parts per billion (PPB)
Standard Deviation 2.36

Adverse Events

Electronic Cigarette

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

Smoking As Usual

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Electronic Cigarette
n=12 participants at risk
Participants in this experimental condition will be provided with a 4th generation electronic cigarette device and disposable cartridges. Nicotine: Participants will be provided with electronic cigarettes and 5% nicotine e-liquid cartridges for 8 weeks and encouraged at weekly assessments to use the electronic cigarette any time they would normally smoke. Participants will be able to choose commercially available e-liquid flavors (tobacco) at each weekly assessment.
Smoking As Usual
n=5 participants at risk
Participants in this assessment-only condition will continue smoking as usual.
Respiratory, thoracic and mediastinal disorders
Irritation from e-cigarette vapor
8.3%
1/12 • Number of events 1 • Entire 8 week experimental and 8 week follow-up period (16 weeks
Adverse changes in medical status were assessed weekly during the experimental period (baseline - wk 8) and again at the final follow-up visit (wk 16)
0.00%
0/5 • Entire 8 week experimental and 8 week follow-up period (16 weeks
Adverse changes in medical status were assessed weekly during the experimental period (baseline - wk 8) and again at the final follow-up visit (wk 16)

Additional Information

Alexander Sokolovsky

Brown University

Phone: 401-863-6629

Results disclosure agreements

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