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Impact of E-cigarette Characteristics on Reinforcement and Tobacco Use Patterns

Impact of E-cigarette Characteristics on Reinforcement and Tobacco Use Patterns Among

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03844672
Enrollment
93
Registered
2019-02-18
Start date
2019-04-01
Completion date
2023-11-09
Last updated
2024-10-24

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

Conditions

Smoking, Tobacco Use

Brief summary

The purpose of this project is to understand how different e-cigarettes influence their likeability and use among current smokers who try using e-cigarettes. Participants will receive an e-cigarette to sample over a three week period. During this time period they will complete daily electronic diaries and weekly lab visits. The results from this information will help understand how different types of e-cigarettes are likely to influence cigarette and e-cigarette use.

Interventions

BEHAVIORALLow Power

Participants will receive a low power e-cigarette to use for 3 weeks

BEHAVIORALHigh Power

Participants will receive a high power e-cigarette to use for 3 weeks

BEHAVIORALLow Concentration

Participants will receive a low concentration e-liquid to use for 3 weeks

BEHAVIORALHigh Concentration

Participants will receive a high concentration e-liquid to use for 3 weeks

Sponsors

National Institute on Drug Abuse (NIDA)
CollaboratorNIH
Medical University of South Carolina
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)

Eligibility

Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No

Inclusion criteria

include * adults who have been smoking daily * interested in using e-cigarettes * who have a smartphone that can receive text messages and access to the internet or has an e-mail account that they check daily

Exclusion criteria

include * minimal prior e-cigarette use * use of tobacco products other than cigarettes * current use of cessation medications * pregnant, trying to become pregnant, or breastfeeding, * recent history of cardiovascular distress in the last three months (e.g., arrhythmia, heart attack, stroke, uncontrolled hypertension), * household member currently enrolled in the study.

Design outcomes

Primary

MeasureTime frameDescription
Mean Cigarettes Per DayWeek 3Participants complete weekly surveys reporting the number of cigarettes smoked each day on a continuous scale

Secondary

MeasureTime frameDescription
Average Number of E-cigarette Puffing EpisodesWeek 3Participants complete weekly surveys reporting the number of e-cigarette puffing episodes each day on a continuous scale
Number of Choices to Smoke Cigarette in Lab SettingWeek 3Participants complete lab-based choice task at Week 3 visit in which they choose between smoking conventional cigarette and e-cigarette over 10 trials. Outcome is number of times each participant chooses to smoke conventional cigarette.

Countries

United States

Participant flow

Participants by arm

ArmCount
Low Concentration / Low Power
Participant will receive an e-liquid with a low nicotine concentration and an e-cigarette with a low power for three weeks. Low Power: Participants will receive a low power e-cigarette to use for 3 weeks Low Concentration: Participants will receive a low concentration e-liquid to use for 3 weeks
23
Low Concentration / High Power
Participant will receive an e-liquid with a low nicotine concentration and an e-cigarette with a high power for three weeks. High Power: Participants will receive a high power e-cigarette to use for 3 weeks Low Concentration: Participants will receive a low concentration e-liquid to use for 3 weeks
24
High Concentration / Low Power
Participant will receive an e-liquid with a high nicotine concentration and an e-cigarette with a low power for three weeks. Low Power: Participants will receive a low power e-cigarette to use for 3 weeks High Concentration: Participants will receive a high concentration e-liquid to use for 3 weeks
23
High Concentration / High Power
Participant will receive an e-liquid with a high nicotine concentration and an e-cigarette with a high power for three weeks. High Power: Participants will receive a high power e-cigarette to use for 3 weeks High Concentration: Participants will receive a high concentration e-liquid to use for 3 weeks
23
Total93

Baseline characteristics

CharacteristicLow Concentration / Low PowerTotalHigh Concentration / High PowerHigh Concentration / Low PowerLow Concentration / High Power
Age, Continuous48.8 years
STANDARD_DEVIATION 12
49.7 years
STANDARD_DEVIATION 12.3
49.7 years
STANDARD_DEVIATION 11.2
51.3 years
STANDARD_DEVIATION 13.1
48.9 years
STANDARD_DEVIATION 13.3
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
4 Participants13 Participants4 Participants4 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants2 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
19 Participants77 Participants17 Participants19 Participants22 Participants
Sex: Female, Male
Female
13 Participants48 Participants12 Participants12 Participants11 Participants
Sex: Female, Male
Male
10 Participants45 Participants11 Participants11 Participants13 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 230 / 240 / 230 / 23
other
Total, other adverse events
12 / 2313 / 2412 / 2311 / 23
serious
Total, serious adverse events
0 / 230 / 240 / 230 / 23

Outcome results

Primary

Mean Cigarettes Per Day

Participants complete weekly surveys reporting the number of cigarettes smoked each day on a continuous scale

Time frame: Week 3

ArmMeasureValue (MEAN)Dispersion
Low Concentration / Low PowerMean Cigarettes Per Day13.1 cigarettes per dayStandard Deviation 9.3
Low Concentration / High PowerMean Cigarettes Per Day12.6 cigarettes per dayStandard Deviation 6
High Concentration / Low PowerMean Cigarettes Per Day12.2 cigarettes per dayStandard Deviation 8.8
High Concentration / High PowerMean Cigarettes Per Day13.3 cigarettes per dayStandard Deviation 9.3
Secondary

Average Number of E-cigarette Puffing Episodes

Participants complete weekly surveys reporting the number of e-cigarette puffing episodes each day on a continuous scale

Time frame: Week 3

ArmMeasureValue (MEAN)Dispersion
Low Concentration / Low PowerAverage Number of E-cigarette Puffing Episodes4.8 cigarettes per dayStandard Deviation 5.4
Low Concentration / High PowerAverage Number of E-cigarette Puffing Episodes6.5 cigarettes per dayStandard Deviation 10.7
High Concentration / Low PowerAverage Number of E-cigarette Puffing Episodes5.4 cigarettes per dayStandard Deviation 4.5
High Concentration / High PowerAverage Number of E-cigarette Puffing Episodes3.0 cigarettes per dayStandard Deviation 4
Secondary

Number of Choices to Smoke Cigarette in Lab Setting

Participants complete lab-based choice task at Week 3 visit in which they choose between smoking conventional cigarette and e-cigarette over 10 trials. Outcome is number of times each participant chooses to smoke conventional cigarette.

Time frame: Week 3

ArmMeasureValue (MEAN)Dispersion
Low Concentration / Low PowerNumber of Choices to Smoke Cigarette in Lab Setting1.7 EventsStandard Error 0.42
Low Concentration / High PowerNumber of Choices to Smoke Cigarette in Lab Setting2.4 EventsStandard Error 0.38
High Concentration / Low PowerNumber of Choices to Smoke Cigarette in Lab Setting1.8 EventsStandard Error 0.44
High Concentration / High PowerNumber of Choices to Smoke Cigarette in Lab Setting2.4 EventsStandard Error 0.43

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