Trial Outcomes & Findings for Free-Base Nicotine or Nicotine Salt e-Liquids in Current E-Cigarette Smokers, PeloPET Study (NCT NCT05455086)

NCT ID: NCT05455086

Last Updated: 2025-03-24

Results Overview

Evaluate effect of nicotine form (free-base vs nicotine salt base) on nicotine absorption and distribution in the brain with total absorbed dose (TAD) of \[11C\]nicotine.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

1.5 hours

Results posted on

2025-03-24

Participant Flow

1 participant was consented and enrolled in the study but found to be ineligible during visit 1, prior to randomization.

Participant milestones

Participant milestones
Measure
Arm I (Protonated E-liquid, Unprotonated E-liquid)
Visit 2: Patients sample protonated e-liquid Visit 3: Patients sample unprotonated e-liquid
Arm II (Unprotonated E-liquid, Protonated E-liquid)
Visit 2: Patients sample unprotonated e-liquid Visit 3: Patients sample protonated e-liquid
Overall Study
STARTED
12
8
Overall Study
Sample Protonated E-liquid
12
8
Overall Study
Sample Unprotonated E-liquid
12
8
Overall Study
COMPLETED
12
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Free-Base Nicotine or Nicotine Salt e-Liquids in Current E-Cigarette Smokers, PeloPET Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Protonated E-liquid, Unprotonated E-liquid)
n=12 Participants
Visit 2: Patients sample protonated e-liquid Visit 3: Patients sample unprotonated e-liquid
Arm II (Unprotonated E-liquid, Protonated E-liquid)
n=8 Participants
Visit 2: Patients sample unprotonated e-liquid Visit 3: Patients sample protonated e-liquid
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
34.17 years
STANDARD_DEVIATION 7.91 • n=5 Participants
31.50 years
STANDARD_DEVIATION 7.27 • n=7 Participants
33.10 years
STANDARD_DEVIATION 7.58 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
12 Participants
n=5 Participants
6 Participants
n=7 Participants
18 Participants
n=5 Participants
Race/Ethnicity, Customized
Middle Eastern
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Years of regular e-cigarette use
3.67 years
STANDARD_DEVIATION 2.84 • n=5 Participants
4.13 years
STANDARD_DEVIATION 2.95 • n=7 Participants
3.85 years
STANDARD_DEVIATION 2.81 • n=5 Participants

PRIMARY outcome

Timeframe: 1.5 hours

Population: Scan data from 3 participants was insufficient for calculating TAD and are not included in the statistics presented here, these participants were used for protocol optimizations.

Evaluate effect of nicotine form (free-base vs nicotine salt base) on nicotine absorption and distribution in the brain with total absorbed dose (TAD) of \[11C\]nicotine.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=34 PET Scans
Patients sample protonated e-liquid
Unprotonated E-liquid
n=34 PET Scans
Patients sample unprotonated e-liquid
PET/CT Imaging of the Head
2.81 %TAD/kg
Standard Deviation 0.92
2.40 %TAD/kg
Standard Deviation 0.62

PRIMARY outcome

Timeframe: 1.5 hours

Population: Scan data from 3 participants was insufficient for calculating TAD and are not included in the statistics presented here, these participants were used for protocol optimizations.

Evaluate effect of nicotine form (free-base vs nicotine salt base) on nicotine absorption and distribution in the respiratory tract with total absorbed dose (TAD) of \[11C\]nicotine.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=34 PET Scans
Patients sample protonated e-liquid
Unprotonated E-liquid
n=34 PET Scans
Patients sample unprotonated e-liquid
PET/CT Imaging of the Chest
Upper Respiratory Tract
6.18 %TAD/kg
Standard Deviation 2.17
11.62 %TAD/kg
Standard Deviation 3.17
PET/CT Imaging of the Chest
Lower Respiratory Tract
10.35 %TAD/kg
Standard Deviation 3.49
5.53 %TAD/kg
Standard Deviation 0.81

PRIMARY outcome

Timeframe: approx. 30 minutes

Population: Puffing topography was not able to be recorded for 2 participants while sampling the Protonated e-liquid and 1 participant while sampling the Unprotonated e-liquid.

Puffing topography data was captured by the study e-cigarette to determine the puff volume.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=35 Puffs
Patients sample protonated e-liquid
Unprotonated E-liquid
n=36 Puffs
Patients sample unprotonated e-liquid
Puff Volume (mL)
79.35 mL
Standard Deviation 72.75
73.76 mL
Standard Deviation 70.82

PRIMARY outcome

Timeframe: approx. 30 minutes

Population: Puffing topography was not able to be recorded for 2 participants while sampling the Protonated e-liquid and 1 participant while sampling the Unprotonated e-liquid.

Puffing topography data was captured by the study e-cigarette to determine the puff duration.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=35 Puffs
Patients sample protonated e-liquid
Unprotonated E-liquid
n=36 Puffs
Patients sample unprotonated e-liquid
Puff Duration (s)
2.87 seconds
Standard Deviation 1.43
2.82 seconds
Standard Deviation 1.61

PRIMARY outcome

Timeframe: approx. 5 minutes

Age of first use will be assessed using the tobacco use history questionnaire.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=12 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=8 Participants
Patients sample unprotonated e-liquid
Age of First Tobacco Use
14.58 years
Standard Deviation 2.02
14.63 years
Standard Deviation 1.60

PRIMARY outcome

Timeframe: approx. 5 minutes

Years of tobacco use will be assessed using the tobacco use history questionnaire.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=12 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=8 Participants
Patients sample unprotonated e-liquid
Years of Tobacco Use
19.58 years
Standard Deviation 8.85
16.88 years
Standard Deviation 6.75

PRIMARY outcome

Timeframe: approx. 5 minutes

Years of regular use of nicotine/tobacco products will be assessed using the tobacco history questionnaire

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=12 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=8 Participants
Patients sample unprotonated e-liquid
Years of Regular Use of Nicotine/Tobacco Products
16.83 years
Standard Deviation 8.99
15.13 years
Standard Deviation 6.90

PRIMARY outcome

Timeframe: approx. 5 minutes

Population: 2 participants in Arm I declined to provide a response for the number of days they have used cigarettes in the past 30 days.

Days used in the past 30 days of nicotine/tobacco products including cigars, cigarillos, little cigars, pipe tobacco, chewing tobacco, snuff, snus, EC/vape/mod/APV/e-hookah, and hookah tobacco.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=12 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=8 Participants
Patients sample unprotonated e-liquid
Past 30 Day Use of Nicotine/Tobacco Products
Cigarettes
0 days
Standard Deviation 0
0.75 days
Standard Deviation 2.12
Past 30 Day Use of Nicotine/Tobacco Products
Pipes
0 days
Standard Deviation 0
0 days
Standard Deviation 0
Past 30 Day Use of Nicotine/Tobacco Products
Cigars
0 days
Standard Deviation 0
0 days
Standard Deviation 0
Past 30 Day Use of Nicotine/Tobacco Products
Cigarillos
0 days
Standard Deviation 0
0 days
Standard Deviation 0
Past 30 Day Use of Nicotine/Tobacco Products
Little Cigars
0 days
Standard Deviation 0
0 days
Standard Deviation 0
Past 30 Day Use of Nicotine/Tobacco Products
e-cigarettes
29.83 days
Standard Deviation 0.58
30.00 days
Standard Deviation 0
Past 30 Day Use of Nicotine/Tobacco Products
Smokeless Tobacco
0 days
Standard Deviation 0
0 days
Standard Deviation 0
Past 30 Day Use of Nicotine/Tobacco Products
Snus
0 days
Standard Deviation 0
0 days
Standard Deviation 0
Past 30 Day Use of Nicotine/Tobacco Products
Hookah
0.17 days
Standard Deviation 0.58
0 days
Standard Deviation 0

PRIMARY outcome

Timeframe: approx. 5 minutes

Population: mCEQ was only evaluated during the second study visit

12-item modified Cigarette Evaluation Questionnaire (mCEQ) completed following e-cigarette self-administration to assess subjective responses. The 12-item mCEQ includes five subscales: Smoking Satisfaction, Psychological Reward, Aversion, Enjoyment of Respiratory Tract Sensations, and Craving Reduction, with items rated from 0 (not at all) to 6 (extremely likely). Scores for each subscale are calculated as the mean of the individual item responses or the single item. Higher scores indicate greater intensity on that scale.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=12 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=8 Participants
Patients sample unprotonated e-liquid
Modified Cigarette Evaluation Questionnaire (mCEQ)
Satisfaction
2.28 Score on a scale
Standard Deviation 1.31
1.42 Score on a scale
Standard Deviation 0.92
Modified Cigarette Evaluation Questionnaire (mCEQ)
Psychological Reward
2.17 Score on a scale
Standard Deviation 1.27
1.38 Score on a scale
Standard Deviation 0.93
Modified Cigarette Evaluation Questionnaire (mCEQ)
Aversion
0.88 Score on a scale
Standard Deviation 1.05
0.94 Score on a scale
Standard Deviation 1.47
Modified Cigarette Evaluation Questionnaire (mCEQ)
Enjoyment of Respiratory Tract Sensations
2.42 Score on a scale
Standard Deviation 1.31
1.25 Score on a scale
Standard Deviation 1.16
Modified Cigarette Evaluation Questionnaire (mCEQ)
Craving Reduction
3.67 Score on a scale
Standard Deviation 2.10
3.25 Score on a scale
Standard Deviation 1.83

PRIMARY outcome

Timeframe: approx. 5 minutes

Population: The drug effects liking questionnaire was only administered during the second study visit

An adapted version of the Drug Effects/Liking Questionnaire will assess the desire and liking of the study products. Five visual analog scale items ranging from 0 (not at all) to 100 (extremely) assessed wanting to vape the product again, liking the product, enjoying the product, finding the product pleasurable and satisfying. Higher scores indicate greater liking.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=12 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=8 Participants
Patients sample unprotonated e-liquid
Drug Effects Liking Questionnaire (DEQ)
Want
60.08 units on a scale
Standard Deviation 29.44
42.88 units on a scale
Standard Deviation 26.69
Drug Effects Liking Questionnaire (DEQ)
Like
51.25 units on a scale
Standard Deviation 32.76
32.50 units on a scale
Standard Deviation 25.93
Drug Effects Liking Questionnaire (DEQ)
Enjoy
57.25 units on a scale
Standard Deviation 30.63
31.88 units on a scale
Standard Deviation 26.38
Drug Effects Liking Questionnaire (DEQ)
Pleasurable
56.08 units on a scale
Standard Deviation 32.42
29.13 units on a scale
Standard Deviation 26.94
Drug Effects Liking Questionnaire (DEQ)
Satisfying
60.33 units on a scale
Standard Deviation 32.66
35.63 units on a scale
Standard Deviation 28.54

PRIMARY outcome

Timeframe: aprox. 5 minutes

Urges/craving will be measured using a modified version of the Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form. This is a 10-item measure where participants rate e-cigarette smoking-related items (All I want right now is an e-cigarette) on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). Similar to previous studies, we will collapse the items into two previously identified factors (Factor 1: strong desire and intention to smoke an e-cigarette; Factor 2: anticipation of relief from withdrawal symptoms). Scores are calculated by summing the items and range from 5 to 35 with higher scores indicating greater craving to vape.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=20 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=20 Participants
Patients sample unprotonated e-liquid
Modified Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
Desire
29.45 Score on a scale
Standard Deviation 6.83
30.15 Score on a scale
Standard Deviation 5.82
Modified Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
Relief
16.35 Score on a scale
Standard Deviation 8.01
17.40 Score on a scale
Standard Deviation 9.38

PRIMARY outcome

Timeframe: approx. 5 minutes

Nicotine withdrawal will be assessed using the empirically validated 15-item version of the Minnesota Nicotine Withdrawal Scale (MNWS). Items were rated on a 5-point scale from 0 (none) to 4 (severe). This measure assesses smoking craving, anger/irritability, anxiety, depressed mood, restlessness/difficulty concentrating, increased appetite, sleep problems, and somatic symptoms (nausea, constipation, sore throat, dizziness, coughing). MNWS is the sum of 8 items with scores ranging from 0 to 32 and MNWS Craving is a single item with scores ranging from 0 to 4, higher scores indicate a greater craving.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=20 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=20 Participants
Patients sample unprotonated e-liquid
Minnesota Nicotine Withdrawal Scale
MNWS
9.50 score on a scale
Standard Deviation 7.38
9.10 score on a scale
Standard Deviation 6.32
Minnesota Nicotine Withdrawal Scale
MNWS Craving
2.60 score on a scale
Standard Deviation 0.94
2.70 score on a scale
Standard Deviation 1.17

PRIMARY outcome

Timeframe: approx. 5 minutes

Exhaled breath carbon monoxide was collected before each scan with a handheld electrochemical device.

Outcome measures

Outcome measures
Measure
Protonated E-liquid
n=20 Participants
Patients sample protonated e-liquid
Unprotonated E-liquid
n=20 Participants
Patients sample unprotonated e-liquid
Exhaled Breath Carbon Monoxide (CO)
2.45 ppm
Standard Deviation 1.79
2.80 ppm
Standard Deviation 2.31

Adverse Events

Protonated E-liquid

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

Unprotonated E-liquid

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
Protonated E-liquid
n=20 participants at risk
Patients sample protonated e-liquid
Unprotonated E-liquid
n=20 participants at risk
Patients sample unprotonated e-liquid
Respiratory, thoracic and mediastinal disorders
Cough
10.0%
2/20 • Number of events 2 • Over 3 study visits, up to 3 months
0.00%
0/20 • Over 3 study visits, up to 3 months

Additional Information

Dr. Theodore L. Wagener

OhioSUCCC

Phone: 614-366-4265

Results disclosure agreements

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