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Identify Biomarkers of Tobacco Exposure and Nicotine Uptake From JUUL 5% in Adult Smokers

A Randomized, Open-Label, Parallel-Group Study to Characterize Biomarkers of Tobacco Exposure and Nicotine Uptake From JUUL 5% Electronic Nicotine Delivery Systems (ENDS) in Adult Smokers

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03463837
Acronym
Diamond
Enrollment
90
Registered
2018-03-13
Start date
2018-03-04
Completion date
2018-08-13
Last updated
2021-06-21

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

Conditions

Nicotine Dependence, Other Tobacco Product, Smoking, Tobacco, Tobacco Use

Brief summary

The JUUL 5% Electronic Nicotine Delivery System (ENDS) is being studied as an alternative to combustible cigarette use. This study aims to find out how much nicotine is in the blood and urine of healthy adult subjects after using three JUUL 5% ENDS compared to smoking usual brands of combustible cigarettes and stopping smoking.

Detailed description

This study will serve as a clinical evaluation of the exclusive use of selected JUUL ENDS, with the purpose of gaining an understanding of toxicant exposure.

Interventions

OTHERTreatment with JUUL 5%, Virginia Tobacco

JUUL 5%, ENDS for 5-days in confinement

OTHERTreatment with JUUL 5%, Cool Mint, ENDS

JUUL 5%, ENDS for 5-days in confinement

OTHERTreatment with JUUL 5%, Mango, ENDS

JUUL 5%, ENDS for 5-days in confinement

OTHERJUUL 5%, Creme Bruele, ENDS

JUUL 5%, ENDS for 5-days in confinement

Exclusive use of combustible cigarette for 5 days in confinement.

OTHERSmoking Cessation

No smoking for 5-days in confinement.

Sponsors

Celerion
CollaboratorINDUSTRY
Juul Labs, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: 1. Healthy, adult, male or female smoker, 21 to 65 years of age. 2. Has been a smoker for at least 12 months prior to Screening. 3. Currently smokes an average of 10 cigarettes each day. 4. Has a positive urine cotinine (≥ 500 ng/mL). 5. Has an exhaled carbon monoxide (CO) \> 12 ppm. 6. A female subject of childbearing potential must have been using contraception and agree to continue using it through completion of the study: 7. Provides voluntary consent to participate in this study documented on the signed informed consent form (ICF). Key

Exclusion criteria

1. Has a history or presence of clinically significant conditions. 2. Has a body mass index (BMI) \> 40 kg/m2 or \< 18 kg/m2 at Screen 3. Has a history of drug or alcohol abuse 4. Has an estimated creatinine clearance \< 80 mL/minute 5. If female, the subject is pregnant, lactating, or intends to become pregnant during the time period from Screening through the end of study. 6. Has used nicotine-containing products other than manufactured cigarettes within 14days of screening. 7. Is planning to quit smoking during the study, planning to quit within 3 months following Day 1

Design outcomes

Primary

MeasureTime frameDescription
Change in primary biomarkers day 5 values for each JUUL 5% product will be compared to baseline:[Time Frame: 5 days]Change in ; Urine N nitrosonornicotine (NNN), 4 (methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), 3 hydroxypropylmercapturic acid (3-HPMA), monohydroxybutenylmercapturic acid (MHBMA), and S-phenyl mercapturic acid (S-PMA) Blood carboxyhemoglobin (COHb)

Secondary

MeasureTime frameDescription
Change in concentration of 2-cyanoethyl-mercapturic acid (CEMA) in urine[Time Frame: 5 days]Change in Biomarker
Change in concentration of 1-hydroxypyrene (1-OHP) in urine[Time Frame: 5 days]Change in Biomarker
Change in concentration of Nicotine in urine[Time Frame: 5 days]Change in Biomarker
Change in concentration of Cotinine in urine[Time Frame: 5 days]Change in Biomarker
Change in concentration of trans-3'-hydroxycotinine in urine[Time Frame: 5 days]Change in Biomarker
Change in concentration of Glucuronides in urine[Time Frame: 5 days]Change in Biomarker
Change in concentration of Nicotine in blood[Time Frame: 5 days]Change in Biomarker
Change in concentration of Cotinine in blood[Time Frame: 5 days]Change in Biomarker
Change in concentration of trans-3'-hydroxycotinine in blood[Time Frame: 5 daysChange in Biomarker
Change in concentration of 3-hydroxy-1-methylpropylmercapturic acid (HMPMA) in urine[Time Frame: 5 days]Change in Biomarker
Change in time to maximum concentration (Tmax) Plasma PK of Nicotine[Time Frame: Day 7,Nicotine absorption
Change of area under the curve (AUC) Plasma PK of Nicotine[Time Frame: Day 7,Nicotine absorption
Product use over 5-day period and during 5-minute fixed and ad libitum use episodes[Time Frame: 7 days]Change in product use
Measure of subjective Smoking Urge Assessment[Time Frame: 6-7 days, intervention dependent]Change in Assessment
Measure of subjective product evaluation using the modified Product Evaluation Scale (mPES)[Time Frame: 6-7 days, intervention dependent]Change in Evaluation; Scale: 1 = not at all, 2 = very little, 3 = a little, 4 = moderately, 5 = a lot, 6 = quite a lot, 7 = extremely Four multi-item subscales will be derived from Satisfaction (items 1, 2, 3, and 12); Psychological Reward (items 4 through 8); Aversion (items 9, 10, 16, and 18); and Relief (item 11, 13, 14, 15, and reversed for item 19) and single items 17 and 20 will be summarized.
Measure of future intent to use JUUL 5% Device device relative to usual combustible cigarette and smoking cessation.[Time Frame: 6-7 days, intervention dependent]Change in Intent
Number of participants with Adverse Events associated with use of JUUL 5% Device to combustible cigarette and smoking cessation[Time Frame: 13-14 days, intervention dependent]Safety
Incidence of JUUL 5% Device, including malfunction and/or misuse[Time Frame: 7 days]Device performance
Change in maximum concentration (Cmax) Plasma pharmacokinetic (PK) of Nicotine[Time Frame: Day 7,Nicotine absorption

Countries

United States

Outcome results

None listed

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