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Project 2 Cigarette and E-cigarette Nicotine Content and E-liquid Flavors

Project 2: The Impact of Cigarette Nicotine Content, E-cigarette Nicotine Content, and E-cigarette Flavoring on Smoking Behavior

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03185546
Enrollment
156
Registered
2017-06-14
Start date
2018-08-06
Completion date
2020-03-13
Last updated
2021-05-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Smoking

Keywords

smoking, vaping

Brief summary

Project 2 will evaluate the impact of very low nicotine content cigarettes, e-cigarette nicotine content, and e-cigarette flavoring on cigarettes smoked per day, nicotine exposure, puff topography, discomfort/dysfunction, other health-related behaviors, nicotine/tobacco dependence, biomarkers of tobacco exposure, intention to quit, compensatory smoking, other tobacco use, cardiovascular function, and perceived risk. Project 2 will also evaluate differences between conditions in compliance with product use and the ability to abstain from cigarette smoking when provided a financial incentive for abstinence from combusted tobacco. This is not a treatment program for smoking.

Interventions

OTHERNNC Spectrum Cigarette

Participants are provided with normal nicotine content Spectrum Cigarette for 13 weeks.

OTHERVLNC Spectrum Cigarette

Participants are provided with very low nicotine content Spectrum Cigarette for13 weeks

OTHERModerate nicotine level e-liquid

Participants are provided with moderate nicotine level e-liquid for 13 weeks

OTHERLow nicotine level e-liquid

Participants are provided with very low or nicotine-free nicotine level e-liquid for 13 weeks

OTHERTobacco Flavors

Participants can choose e-liquid flavors from a selection of tobacco flavors

OTHERTobacco and non-tobacco e-liquid flavors

Participants can choose e-liquid flavors from a selection of flavors that includes tobacco and non-tobacco choices

Sponsors

University of Pennsylvania
CollaboratorOTHER
National Institute on Drug Abuse (NIDA)
CollaboratorNIH
Wake Forest University Health Sciences
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Smokers who have tried vaping multiple times. * Generally good health.

Exclusion criteria

* If female, currently pregnant, trying to become pregnant or breastfeeding. * Planning to quit smoking.

Design outcomes

Primary

MeasureTime frameDescription
Total Cigarettes Smoked Per DayWeek 10 through Week 12The average number of cigarettes (study and non-study, summed) smoked per day between the Week 10 and Week 12 visits (the end of the study).

Secondary

MeasureTime frameDescription
Measure of Cigarette Exposure Using Expired Carbon Monoxide (CO)Baseline - Week 12Measure of cigarette smoke exposure using data on expired breath CO. CO was captured using Covita Smokelyzer devices and standard exhalation procedures. The unit of measurement is parts per million (ppm).
Number of Subjects With Smoke Free DaysBaseline-Week 12Study team generates the smoke free days outcome by counting days where no cigarettes and no other forms of combusted tobacco products are used. Days where participants use no nicotine products and days where participants only vape are smoke free. Percentage of smoke free days = the number days that participants reported smoking 0 cigarettes (0 study cigarettes and 0 non-study cigarettes) divided by the total number of days between their randomization and Week 12 visits. Due to the distribution of the data, statisticians grouped participants according to whether they had 0 smoke-free days or more than 0 smoke free days during the study.

Other

MeasureTime frameDescription
Mercapturic AcidsBaseline-Week 12Measure of toxicant exposure
Fagerstrom Nicotine Dependence ScaleBaseline-Week 12Dependence Measure
Study Cigarettes Smoked Per DayBaseline-Week 12Study cigarettes smoked per day
IVR Review and Timeline Followback and E-liquid AccountabilityBaseline-Week 12Measure of vaping device use
Number of Choices to Smoke in Preference Assessment TaskWeek 00Measure of relative reinforcement
Purchase TaskBaseline, Week 12Measure of relative reinforcement and substitution
Predicted Behavior QuestionnaireWeek 12Measure of hypothetical cigarette and vaping device use
IVR Review and Timeline FollowbackBaseline-Week 12Measure of compliance
Drop-out RateBaseline-Week 12Drop-out rate
Urge to Use QuestionnaireBaseline-Week 12Measure of discomfort and dysfunction
Center for Epidemiologic Studies Depression ScaleBaseline, Weeks 04, 08, 12Measure of discomfort and dysfunction
Breath AlcoholBaseline - Week 12Alcohol use
Urine Drug ScreenBaseline, Week 12Drug use
Alcohol Use QuestionnaireBaseline-Week 12Alcohol use
Drug Use QuestionnaireBaseline-Week 12Drug use
WeightBaseline-Week 12Weight
Minnesota Nicotine Withdrawal ScaleBaseline-Week 12Measure of discomfort and dysfunction; 15-item self-reported scale to evaluate the effects of smoking cessation. Score ranges from 0 to 60 with higher score denoting more severe symptoms.
Total Nicotine EquivalentsBaseline - Week 12Measure of nicotine exposure
Environmental and Social Influences on Tobacco Use QuestionnaireBaseline-Week 12Measure of smoking and vaping context
Context of Product Use QuestionnaireBaseline-Week 12Measure of smoking and vaping context
Puff TopographyWeeks 01 and 10Measure of smoking and vaping topography
Vaping Utility QuestionnaireBaseline, Week 12Measure of product expectancy
Smoking and Vaping Expectancy QuestionnairesBaseline-Week 12Measure of product expectancy
Cigarette and Product Evaluation ScaleBaseline-Week 12Measure of product characteristics
Perceived Health Risk QuestionnaireBaseline-Week 12Measure of perceived personal health risk
Penn State Smoking Dependence QuestionnaireBaseline-Week 12Dependence Measure (smoking and vaping)
Primary Subscales From Brief Wisconsin Inventory of Smoking Dependence Motive (WISDM)Baseline-Week 12Dependence Measure
Population Assessment of Tobacco and Health (PATH) Smoking Dependence QuestionsBaseline-Week 12Dependence Measure (smoking and vaping)
Stages of ChangeBaseline-Week 12Measure of intention to quit
Contemplation LadderBaseline-Week 12Measure of intention to quit
Quit AttemptsBaseline-Week 12Measure of intention to quit
Post-intervention Changes in Tobacco Use Behavior30 Day Follow upMeasure of 30-day tobacco use post-intervention of study products
Qualitative Interview30 Day Follow upThemes related to product use patterns, e-liquid flavor selection, non-compliance and general study feedback
Urinary Anatabine BiomarkerBaseline -Week 12Measure of cigarette exposure and compliance
Number of Days Using Assigned Vaping DeviceBaseline-Week 12collected through Interactive Voice Response (IVR) Review
Cigarette Evaluation ScaleBaseline-Week 12Assesses the extent to which the product they just sampled produced various subjective effects including satisfaction, good taste, dizziness, reduced appetite, nausea, and enjoyable sensations in the throat and chest. Score ranges from 1 to 91 with a higher score denoting more positive sensations.

Countries

United States

Participant flow

Pre-assignment details

There were 106 screen failures.

Participants by arm

ArmCount
NNC Cigarette + Moderate Nicotine E-liquid + Tobacco Flavors
Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors. NNC Spectrum Cigarette: Participants are provided with normal nicotine content Spectrum Cigarette for 13 weeks. Moderate nicotine level e-liquid: Participants are provided with moderate nicotine level e-liquid for 13 weeks Tobacco Flavors: Participants can choose e-liquid flavors from a selection of tobacco flavors
6
VLNC Cigarette + Moderate Nicotine E-liquid + Variety Flavors
Participants are provided with very low nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors. VLNC Spectrum Cigarette: Participants are provided with very low nicotine content Spectrum Cigarette for13 weeks Moderate nicotine level e-liquid: Participants are provided with moderate nicotine level e-liquid for 13 weeks Tobacco and non-tobacco e-liquid flavors: Participants can choose e-liquid flavors from a selection of flavors that includes tobacco and non-tobacco choices
7
VLNC Cigarette + Low Nicotine E-liquid +Tobacco Flavors
Participants are provided with very low nicotine content tobacco Spectrum Cigarettes along with very low or nicotine-free nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors. VLNC Spectrum Cigarette: Participants are provided with very low nicotine content Spectrum Cigarette for13 weeks Low nicotine level e-liquid: Participants are provided with very low or nicotine-free nicotine level e-liquid for 13 weeks Tobacco Flavors: Participants can choose e-liquid flavors from a selection of tobacco flavors
6
VLNC Cigarette + Moderate Nicotine E-liquid + Tobacco Flavor
Participants are provided with very low nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors. VLNC Spectrum Cigarette: Participants are provided with very low nicotine content Spectrum Cigarette for13 weeks Moderate nicotine level e-liquid: Participants are provided with moderate nicotine level e-liquid for 13 weeks Tobacco Flavors: Participants can choose e-liquid flavors from a selection of tobacco flavors
6
NNC Cigarette + Low Nicotine E-liquid + Variety Flavors
Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with very low or nicotine-free nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors NNC Spectrum Cigarette: Participants are provided with normal nicotine content Spectrum Cigarette for 13 weeks. Low nicotine level e-liquid: Participants are provided with very low or nicotine-free nicotine level e-liquid for 13 weeks Tobacco and non-tobacco e-liquid flavors: Participants can choose e-liquid flavors from a selection of flavors that includes tobacco and non-tobacco choices
5
NNC Cigarette + Moderate Nicotine E-liquid + Variety Flavors
Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with moderate nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors. NNC Spectrum Cigarette: Participants are provided with normal nicotine content Spectrum Cigarette for 13 weeks. Moderate nicotine level e-liquid: Participants are provided with moderate nicotine level e-liquid for 13 weeks Tobacco and non-tobacco e-liquid flavors: Participants can choose e-liquid flavors from a selection of flavors that includes tobacco and non-tobacco choices
5
NNC Cigarette + Low Nicotine E-liquid + Tobacco Flavors
Participants are provided with normal nicotine content tobacco Spectrum Cigarettes along with very low nicotine level e-liquid cartridges and can choose from tobacco e-liquid flavors. NNC Spectrum Cigarette: Participants are provided with normal nicotine content Spectrum Cigarette for 13 weeks. Low nicotine level e-liquid: Participants are provided with very low or nicotine-free nicotine level e-liquid for 13 weeks Tobacco Flavors: Participants can choose e-liquid flavors from a selection of tobacco flavors
10
VLNC Cigarette + Low Nicotine E-liquid + Variety Flavors
Participants are provided with very low or nicotine-free nicotine content tobacco Spectrum Cigarettes along with very low nicotine level e-liquid cartridges and can choose from tobacco and non-tobacco e-liquid flavors VLNC Spectrum Cigarette: Participants are provided with very low nicotine content Spectrum Cigarette for13 weeks Low nicotine level e-liquid: Participants are provided with very low or nicotine-free nicotine level e-liquid for 13 weeks Tobacco and non-tobacco e-liquid flavors: Participants can choose e-liquid flavors from a selection of flavors that includes tobacco and non-tobacco choices
5
Total50

Baseline characteristics

CharacteristicNNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorsTotalVLNC Cigarette + Low Nicotine E-liquid + Variety FlavorsNNC Cigarette + Low Nicotine E-liquid + Tobacco FlavorsNNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsNNC Cigarette + Low Nicotine E-liquid + Variety FlavorsVLNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorVLNC Cigarette + Low Nicotine E-liquid +Tobacco FlavorsVLNC Cigarette + Moderate Nicotine E-liquid + Variety Flavors
Age, Continuous42 years
STANDARD_DEVIATION 7.7
41.6 years
STANDARD_DEVIATION 11.7
43.8 years
STANDARD_DEVIATION 11.1
40.5 years
STANDARD_DEVIATION 13.3
38 years
STANDARD_DEVIATION 7
42.8 years
STANDARD_DEVIATION 15.9
37.8 years
STANDARD_DEVIATION 11.7
45.2 years
STANDARD_DEVIATION 14.4
43.1 years
STANDARD_DEVIATION 13.8
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants4 Participants0 Participants0 Participants1 Participants1 Participants2 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants46 Participants5 Participants10 Participants4 Participants4 Participants4 Participants6 Participants7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black
3 Participants13 Participants4 Participants2 Participants2 Participants0 Participants0 Participants2 Participants0 Participants
Race/Ethnicity, Customized
More than One Race
0 Participants4 Participants0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Unknown/Prefer Not to Answer
0 Participants2 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
3 Participants30 Participants1 Participants7 Participants2 Participants5 Participants4 Participants4 Participants4 Participants
Region of Enrollment
United States
6 participants50 participants5 participants10 participants5 participants5 participants6 participants6 participants7 participants
Sex/Gender, Customized
Female
3 Participants20 Participants2 Participants2 Participants0 Participants4 Participants4 Participants2 Participants3 Participants
Sex/Gender, Customized
Male
3 Participants29 Participants3 Participants7 Participants5 Participants1 Participants2 Participants4 Participants4 Participants
Sex/Gender, Customized
Prefer not to answer
0 Participants1 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
0 / 60 / 70 / 60 / 60 / 50 / 50 / 100 / 50 / 106
other
Total, other adverse events
4 / 66 / 76 / 66 / 65 / 54 / 510 / 104 / 514 / 106
serious
Total, serious adverse events
0 / 60 / 70 / 60 / 60 / 51 / 51 / 100 / 50 / 106

Outcome results

Primary

Total Cigarettes Smoked Per Day

The average number of cigarettes (study and non-study, summed) smoked per day between the Week 10 and Week 12 visits (the end of the study).

Time frame: Week 10 through Week 12

ArmMeasureValue (MEAN)Dispersion
NNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorsTotal Cigarettes Smoked Per Day21.6 number of cigarettesStandard Deviation 3.7
VLNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsTotal Cigarettes Smoked Per Day7.7 number of cigarettesStandard Deviation 12.1
VLNC Cigarette + Low Nicotine E-liquid +Tobacco FlavorsTotal Cigarettes Smoked Per Day18.4 number of cigarettesStandard Deviation 8
VLNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorTotal Cigarettes Smoked Per Day12.5 number of cigarettesStandard Deviation 16.3
NNC Cigarette + Low Nicotine E-liquid + Variety FlavorsTotal Cigarettes Smoked Per Day34 number of cigarettesStandard Deviation 14.8
NNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsTotal Cigarettes Smoked Per Day18.7 number of cigarettesStandard Deviation 13.9
NNC Cigarette + Low Nicotine E-liquid + Tobacco FlavorsTotal Cigarettes Smoked Per Day17.7 number of cigarettesStandard Deviation 8.5
VLNC Cigarette + Low Nicotine E-liquid + Variety FlavorsTotal Cigarettes Smoked Per Day15.8 number of cigarettesStandard Deviation 1.1
Secondary

Measure of Cigarette Exposure Using Expired Carbon Monoxide (CO)

Measure of cigarette smoke exposure using data on expired breath CO. CO was captured using Covita Smokelyzer devices and standard exhalation procedures. The unit of measurement is parts per million (ppm).

Time frame: Baseline - Week 12

ArmMeasureValue (MEAN)Dispersion
NNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorsMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)31 parts per million (ppm)Standard Deviation 19.8
VLNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)7.2 parts per million (ppm)Standard Deviation 3.8
VLNC Cigarette + Low Nicotine E-liquid +Tobacco FlavorsMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)18 parts per million (ppm)Standard Deviation 7.4
VLNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)12 parts per million (ppm)Standard Deviation 7
NNC Cigarette + Low Nicotine E-liquid + Variety FlavorsMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)18.2 parts per million (ppm)Standard Deviation 3.4
NNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)21 parts per million (ppm)Standard Deviation 7.8
NNC Cigarette + Low Nicotine E-liquid + Tobacco FlavorsMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)18.3 parts per million (ppm)Standard Deviation 7.7
VLNC Cigarette + Low Nicotine E-liquid + Variety FlavorsMeasure of Cigarette Exposure Using Expired Carbon Monoxide (CO)32.5 parts per million (ppm)Standard Deviation 21.9
Secondary

Number of Subjects With Smoke Free Days

Study team generates the smoke free days outcome by counting days where no cigarettes and no other forms of combusted tobacco products are used. Days where participants use no nicotine products and days where participants only vape are smoke free. Percentage of smoke free days = the number days that participants reported smoking 0 cigarettes (0 study cigarettes and 0 non-study cigarettes) divided by the total number of days between their randomization and Week 12 visits. Due to the distribution of the data, statisticians grouped participants according to whether they had 0 smoke-free days or more than 0 smoke free days during the study.

Time frame: Baseline-Week 12

ArmMeasureGroupValue (NUMBER)
NNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorsNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days1 participants
NNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorsNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days1 participants
VLNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days1 participants
VLNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days3 participants
VLNC Cigarette + Low Nicotine E-liquid +Tobacco FlavorsNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days3 participants
VLNC Cigarette + Low Nicotine E-liquid +Tobacco FlavorsNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days1 participants
VLNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days3 participants
VLNC Cigarette + Moderate Nicotine E-liquid + Tobacco FlavorNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days2 participants
NNC Cigarette + Low Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days4 participants
NNC Cigarette + Low Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days0 participants
NNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days3 participants
NNC Cigarette + Moderate Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days1 participants
NNC Cigarette + Low Nicotine E-liquid + Tobacco FlavorsNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days1 participants
NNC Cigarette + Low Nicotine E-liquid + Tobacco FlavorsNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days6 participants
VLNC Cigarette + Low Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with 0% smoke free days0 participants
VLNC Cigarette + Low Nicotine E-liquid + Variety FlavorsNumber of Subjects With Smoke Free DaysSubjects with more than 0% smoke free days2 participants
Other Pre-specified

Alcohol Use Questionnaire

Alcohol use

Time frame: Baseline-Week 12

Other Pre-specified

Breath Alcohol

Alcohol use

Time frame: Baseline - Week 12

Other Pre-specified

Center for Epidemiologic Studies Depression Scale

Measure of discomfort and dysfunction

Time frame: Baseline, Weeks 04, 08, 12

Other Pre-specified

Cigarette and Product Evaluation Scale

Measure of product characteristics

Time frame: Baseline-Week 12

Other Pre-specified

Cigarette Evaluation Scale

Assesses the extent to which the product they just sampled produced various subjective effects including satisfaction, good taste, dizziness, reduced appetite, nausea, and enjoyable sensations in the throat and chest. Score ranges from 1 to 91 with a higher score denoting more positive sensations.

Time frame: Baseline-Week 12

Other Pre-specified

Contemplation Ladder

Measure of intention to quit

Time frame: Baseline-Week 12

Other Pre-specified

Context of Product Use Questionnaire

Measure of smoking and vaping context

Time frame: Baseline-Week 12

Other Pre-specified

Drop-out Rate

Drop-out rate

Time frame: Baseline-Week 12

Other Pre-specified

Drug Use Questionnaire

Drug use

Time frame: Baseline-Week 12

Other Pre-specified

Environmental and Social Influences on Tobacco Use Questionnaire

Measure of smoking and vaping context

Time frame: Baseline-Week 12

Other Pre-specified

Fagerstrom Nicotine Dependence Scale

Dependence Measure

Time frame: Baseline-Week 12

Other Pre-specified

IVR Review and Timeline Followback

Measure of compliance

Time frame: Baseline-Week 12

Other Pre-specified

IVR Review and Timeline Followback and E-liquid Accountability

Measure of vaping device use

Time frame: Baseline-Week 12

Other Pre-specified

Mercapturic Acids

Measure of toxicant exposure

Time frame: Baseline-Week 12

Other Pre-specified

Minnesota Nicotine Withdrawal Scale

Measure of discomfort and dysfunction; 15-item self-reported scale to evaluate the effects of smoking cessation. Score ranges from 0 to 60 with higher score denoting more severe symptoms.

Time frame: Baseline-Week 12

Other Pre-specified

Number of Choices to Smoke in Preference Assessment Task

Measure of relative reinforcement

Time frame: Week 00

Other Pre-specified

Number of Days Using Assigned Vaping Device

collected through Interactive Voice Response (IVR) Review

Time frame: Baseline-Week 12

Other Pre-specified

Penn State Smoking Dependence Questionnaire

Dependence Measure (smoking and vaping)

Time frame: Baseline-Week 12

Other Pre-specified

Perceived Health Risk Questionnaire

Measure of perceived personal health risk

Time frame: Baseline-Week 12

Other Pre-specified

Population Assessment of Tobacco and Health (PATH) Smoking Dependence Questions

Dependence Measure (smoking and vaping)

Time frame: Baseline-Week 12

Other Pre-specified

Post-intervention Changes in Tobacco Use Behavior

Measure of 30-day tobacco use post-intervention of study products

Time frame: 30 Day Follow up

Other Pre-specified

Predicted Behavior Questionnaire

Measure of hypothetical cigarette and vaping device use

Time frame: Week 12

Other Pre-specified

Primary Subscales From Brief Wisconsin Inventory of Smoking Dependence Motive (WISDM)

Dependence Measure

Time frame: Baseline-Week 12

Other Pre-specified

Puff Topography

Measure of smoking and vaping topography

Time frame: Weeks 01 and 10

Other Pre-specified

Purchase Task

Measure of relative reinforcement and substitution

Time frame: Baseline, Week 12

Other Pre-specified

Qualitative Interview

Themes related to product use patterns, e-liquid flavor selection, non-compliance and general study feedback

Time frame: 30 Day Follow up

Other Pre-specified

Quit Attempts

Measure of intention to quit

Time frame: Baseline-Week 12

Other Pre-specified

Smoking and Vaping Expectancy Questionnaires

Measure of product expectancy

Time frame: Baseline-Week 12

Other Pre-specified

Stages of Change

Measure of intention to quit

Time frame: Baseline-Week 12

Other Pre-specified

Study Cigarettes Smoked Per Day

Study cigarettes smoked per day

Time frame: Baseline-Week 12

Other Pre-specified

Total Nicotine Equivalents

Measure of nicotine exposure

Time frame: Baseline - Week 12

Other Pre-specified

Urge to Use Questionnaire

Measure of discomfort and dysfunction

Time frame: Baseline-Week 12

Other Pre-specified

Urinary Anatabine Biomarker

Measure of cigarette exposure and compliance

Time frame: Baseline -Week 12

Other Pre-specified

Urine Drug Screen

Drug use

Time frame: Baseline, Week 12

Other Pre-specified

Vaping Utility Questionnaire

Measure of product expectancy

Time frame: Baseline, Week 12

Other Pre-specified

Weight

Weight

Time frame: Baseline-Week 12

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026