Modeling Tobacco Regulatory Impacts in Appalachia Using the Experimental Tobacco Marketplace

NCT ID: NCT06234722

Last Updated: 2024-08-19

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

473 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-16

Study Completion Date

2028-08-31

Brief Summary

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The goal of this project is to look at the effect of proposed tobacco product regulations in Appalachian Kentucky. Appalachian Kentucky is a diverse and underserved rural area that would benefit from more tobacco regulation research. Researchers will study the effects of three proposed tobacco product regulations among users of tobacco products in Appalachian KY. Researchers will also study how degree of rurality effects how those regulations impact behavior. Participants will be asked to complete online surveys and tests, online shopping sessions in a simulated Experimental Tobacco Marketplace, and track their tobacco product use throughout the 9-week experiment.

Detailed Description

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After granting informed consent, participants will complete a baseline assessment session. This will be followed by an extended 9-week sampling period to acclimate participants to their randomly assigned experimental cigarette and allow any shifts in product consumption patterns to materialize. In the final week of this sampling period, participants will complete behavioral assessments and a series of assessments to assess the impact of potential regulatory environments relevant to our aims.

Experimental Tobacco Marketplace. In this procedure, participants will complete purchasing scenarios in our realistic tobacco/nicotine product marketplace to model and examine the impact of each of the proposed tobacco product regulations. Participants will be seated in front of a computer to access an online marketplace with an interface similar to many online merchants. This will allow participants to browse through the selection of products and add as many as they desire of each product to the virtual shopping cart. Each product will have the price clearly displayed along with an image and description of the product. The selection of products will vary based on the particular regulatory scenario that is being modeled. Tobacco and nicotine products will match the products found by surveying product availability vendors in the local communities. In each pricing scenario during each marketplace session, participants will be asked to make nicotine-product purchases sufficient for one week's use from this marketplace. During a purchasing session, the participant will be provided with a virtual budget that matches their actual weekly budget for nicotine/tobacco products, a procedure we have shown to generate realistic results. They will use that virtual budget to indicate which selection of products they would purchase from those available in the marketplace.

Baseline Assessment Session. The first experimental session will be an assessment session to collect information from participants on substance use patterns and addiction severity, as well as the results of behavioral and cognitive tasks that have measure components of our behavioral economic model of product valuation.

Sampling Period. After their assessment session, participants will be given a supply of their randomly assigned reduced-nicotine cigarette corresponding to two weeks of their typical cigarette consumption and asked to use the provided cigarettes as their only combusted tobacco product for 9 consecutive weeks.

Conditions

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Tobacco Use Cigarette Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Mixed crossover-factorial
Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Rural - Conventional Cigarette

Participants who reside in rural locales of Appalachian KY and receive conventional cigarettes during the sampling period.

Group Type PLACEBO_COMPARATOR

Reduced nicotine regulatory environment

Intervention Type BEHAVIORAL

In this regulatory environment, participants' usual combustible cigarette will not be available in the Experimental Tobacco Marketplace and only the participants' assigned investigational cigarette will be the only available combustible cigarette.

Restriction on characterizing flavors in combustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in combustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored combustible nicotine products will be the only combustible nicotine products available.

Restriction on characterizing flavors in noncombustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in noncombustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored noncombustible nicotine products will be the only noncombustible nicotine products available.

Peri-Urban - Conventional Cigarette

Participants who reside in peri-urban locales of Appalachian KY and receive conventional cigarettes during the sampling period.

Group Type PLACEBO_COMPARATOR

Reduced nicotine regulatory environment

Intervention Type BEHAVIORAL

In this regulatory environment, participants' usual combustible cigarette will not be available in the Experimental Tobacco Marketplace and only the participants' assigned investigational cigarette will be the only available combustible cigarette.

Restriction on characterizing flavors in combustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in combustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored combustible nicotine products will be the only combustible nicotine products available.

Restriction on characterizing flavors in noncombustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in noncombustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored noncombustible nicotine products will be the only noncombustible nicotine products available.

Peri-Urban - Very Low Nicotine Cigarette

Participants who reside in peri-urban locales of Appalachian KY and receive very low nicotine cigarettes during the sampling period.

Group Type ACTIVE_COMPARATOR

Very Low Nicotine Cigarette

Intervention Type DRUG

Participants will be assigned to one of two investigational cigarette nicotine levels for the duration of the experiment: 0.4mg/g or 15.8mg/g

Reduced nicotine regulatory environment

Intervention Type BEHAVIORAL

In this regulatory environment, participants' usual combustible cigarette will not be available in the Experimental Tobacco Marketplace and only the participants' assigned investigational cigarette will be the only available combustible cigarette.

Restriction on characterizing flavors in combustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in combustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored combustible nicotine products will be the only combustible nicotine products available.

Restriction on characterizing flavors in noncombustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in noncombustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored noncombustible nicotine products will be the only noncombustible nicotine products available.

Rural - Very Low Nicotine Cigarette

Participants who reside in rural locales of Appalachian KY and receive very low nicotine cigarettes during the sampling period.

Group Type ACTIVE_COMPARATOR

Very Low Nicotine Cigarette

Intervention Type DRUG

Participants will be assigned to one of two investigational cigarette nicotine levels for the duration of the experiment: 0.4mg/g or 15.8mg/g

Reduced nicotine regulatory environment

Intervention Type BEHAVIORAL

In this regulatory environment, participants' usual combustible cigarette will not be available in the Experimental Tobacco Marketplace and only the participants' assigned investigational cigarette will be the only available combustible cigarette.

Restriction on characterizing flavors in combustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in combustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored combustible nicotine products will be the only combustible nicotine products available.

Restriction on characterizing flavors in noncombustible nicotine products

Intervention Type BEHAVIORAL

In this regulatory environment, menthol and other characterizing flavors in noncombustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored noncombustible nicotine products will be the only noncombustible nicotine products available.

Interventions

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Very Low Nicotine Cigarette

Participants will be assigned to one of two investigational cigarette nicotine levels for the duration of the experiment: 0.4mg/g or 15.8mg/g

Intervention Type DRUG

Reduced nicotine regulatory environment

In this regulatory environment, participants' usual combustible cigarette will not be available in the Experimental Tobacco Marketplace and only the participants' assigned investigational cigarette will be the only available combustible cigarette.

Intervention Type BEHAVIORAL

Restriction on characterizing flavors in combustible nicotine products

In this regulatory environment, menthol and other characterizing flavors in combustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored combustible nicotine products will be the only combustible nicotine products available.

Intervention Type BEHAVIORAL

Restriction on characterizing flavors in noncombustible nicotine products

In this regulatory environment, menthol and other characterizing flavors in noncombustible nicotine products will not be available in the Experimental Tobacco Marketplace. Only tobacco or no flavored noncombustible nicotine products will be the only noncombustible nicotine products available.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* At least 21 years old
* Consume nicotine and/or tobacco products daily
* Have no plans to quit nicotine/tobacco consumption or seek treatment in the subsequent 9 weeks
* Read and understand English
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Mikhail N Koffarnus

OTHER

Sponsor Role lead

Responsible Party

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Mikhail N Koffarnus

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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University of Kentucky

Lexington, Kentucky, United States

Site Status

Countries

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United States

Other Identifiers

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1U54DA058256-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

87440

Identifier Type: -

Identifier Source: org_study_id

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