Pharmacokinetics and Pharmacodynamics of Nicotine With Use of Standardized Research Electronic Cigarette (SREC)

NCT ID: NCT05658471

Last Updated: 2025-03-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-01

Study Completion Date

2026-01-31

Brief Summary

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This is a crossover study that will examine use behaviors, chemical exposures, and biological effects of Standardized Research Electronic Cigarette (SREC) compared to usual brand e-cigarette use in natural or synthetic nicotine users.

Detailed Description

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OBJECTIVES:

I. To characterize nicotine delivery, systemic exposure and effects from SREC in comparison with usual to usual nicotine brand use.

II. To assess aspects of harm of SREC use compared to usual nicotine brand use.

OUTLINE:

Eligible participants will be assigned to one of two treatment conditions for the initial assessment which will take place in a hospital setting. The participant will then be assigned to the second condition within 2 weeks after the initial assessment which will also take place in a hospital setting to repeat the same procedures.

Conditions

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Nicotine Dependence Tobacco Toxicity Cardiovascular Risk Factors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Participants will be randomized to the starting condition using a Latin square design
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Usual Brand E-Cigarette (EC) then SREC

Participants will be admitted to hospital research ward within 32 hours of the orientation visit and begin a standardized session of product use using the usual brand of e-cigarette that participants utilize for nicotine use, and will provide expired carbon dioxide samples, pharmacokinetic (PK) blood samples, urine samples, and have cardiovascular and vital signs monitored. Participants will also be asked to complete nicotine-related questionnaires. Participants will then return within 2 weeks to repeat the procedures using the SREC.

Group Type EXPERIMENTAL

Standardized Research E-Cigarette (SREC)

Intervention Type OTHER

Standardized Research E-Cigarette (SREC) will be obtained through NJOY, LLC and provided at the hospital stay.

Over the Counter E-Cigarette (EC)

Intervention Type OTHER

Usual brand e-cigarettes will be provided at the hospital stay.

Biological Samples

Intervention Type BEHAVIORAL

Blood, urine, and expired carbon dioxide will be obtained during the course of the study.

Smoking-related Questionnaires

Intervention Type OTHER

Nicotine and Smoking behavior and dependence questionnaires will be administered at screening, before and during hospital stays.

SREC then Usual Brand E-Cigarette (EC)

Participants will be admitted to hospital research ward within 32 hours of the orientation visit and begin a standardized session of product use using the SREC, and will provide expired carbon dioxide samples, pharmacokinetic (PK) blood samples, urine samples, and have cardiovascular and vital signs monitored. Participants will also be asked to complete nicotine-related questionnaires. Participants will then return within 2 weeks to repeat the procedures using the usual brand of e-cigarette that participants utilize for nicotine use.

Group Type EXPERIMENTAL

Standardized Research E-Cigarette (SREC)

Intervention Type OTHER

Standardized Research E-Cigarette (SREC) will be obtained through NJOY, LLC and provided at the hospital stay.

Over the Counter E-Cigarette (EC)

Intervention Type OTHER

Usual brand e-cigarettes will be provided at the hospital stay.

Biological Samples

Intervention Type BEHAVIORAL

Blood, urine, and expired carbon dioxide will be obtained during the course of the study.

Smoking-related Questionnaires

Intervention Type OTHER

Nicotine and Smoking behavior and dependence questionnaires will be administered at screening, before and during hospital stays.

Interventions

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Standardized Research E-Cigarette (SREC)

Standardized Research E-Cigarette (SREC) will be obtained through NJOY, LLC and provided at the hospital stay.

Intervention Type OTHER

Over the Counter E-Cigarette (EC)

Usual brand e-cigarettes will be provided at the hospital stay.

Intervention Type OTHER

Biological Samples

Blood, urine, and expired carbon dioxide will be obtained during the course of the study.

Intervention Type BEHAVIORAL

Smoking-related Questionnaires

Nicotine and Smoking behavior and dependence questionnaires will be administered at screening, before and during hospital stays.

Intervention Type OTHER

Other Intervention Names

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Usual Brand E-Cigarette (EC) Biological Specimens Behavioral Questionnaires

Eligibility Criteria

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Inclusion Criteria

* Healthy on the basis of medical history and limited physical examination-

* Heart rate \< 105 beats per minute (BPM)\*.
* Systolic Blood Pressure \< 160 and \> 90\*.
* Diastolic Blood Pressure \< 100 and \> 50\*.
* \*considered out of range if both machine and manual readings are above/below these thresholds.
* Body Mass Index \<= 38.0.
* Current regular user of electronic cigarettes (EC)

* EC device use at least 15 or more days in the past 30 days (with e- liquid \>= 3mg/ml)
* No restriction on flavor or type of e-cigarette used
* Saliva cotinine \>= 50 ng/ml and/or NicAlert = 6
* Age \>= 21 years old \<= 70 years old
* Willingness to abstain from drug use for the duration of the study

Exclusion Criteria

* The following unstable medical conditions:

* Heart disease
* Seizures
* Cancer
* Thyroid disease (okay if controlled with medication)
* Diabetes
* Hepatitis B or C or Liver disease
* Glaucoma
* Kidney disease or urinary retention
* History of stroke
* An ulcer in the past year
* Active use of an inhaler for Asthma or chronic obstructive pulmonary disease (COPD)
* Medications

* Use of medications that are inducers of nicotine metabolizing enzyme CYP2A6 (Example: rifampicin, carbamazepine, phenobarbital, and other anticonvulsant drugs).
* Use of sympatholytic medications for cardiovascular conditions including hypertension (Example: beta and alpha-blockers).
* Concurrent use of nicotine-containing medications (Example: nicotine patch, lozenge, gum).
* Any stimulant medications (example: Adderall) generally given for attention deficit hyperactivity disorder (ADHD) treatment.
* Other/Misc. Health Conditions

* Oral thrush
* Fainting (within the last 30 days)
* Other "life threatening illnesses" as per principal investigator and/or study physician's discretion
* Pregnancy

* Pregnancy (self-reported and urine pregnancy test)
* Breastfeeding (determined by self-report)
* Women of childbearing potential must be using an acceptable method of contraception
* Concurrent participation in another clinical trial.
* Inability to read and write in English
* Planning to quit smoking or vaping within the next 60 days
* A known propylene glycol/vegetable glycerin allergy
* Uncomfortable with getting blood drawn
* Recent onset or change (worsening) in cough, fever and/or abdominal symptoms (vomiting or pain) in the past two weeks
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Neal Benowitz, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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University of California, San Francisco - Tobacco Research Center

San Francisco, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Lisa Lawrence

Role: CONTACT

415-608-4864

Facility Contacts

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Lisa Lawrence

Role: primary

628-206-4204

Other Identifiers

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5U01DA045519-02

Identifier Type: NIH

Identifier Source: secondary_id

View Link

SREC22

Identifier Type: -

Identifier Source: org_study_id

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