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Project 4, Study 2: Extended Exposure to Low Nicotine Content Cigarettes in Pregnant Women

Project 4, Study 2: Extended Exposure to Low Nicotine Content Cigarettes in Pregnant Women

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04033237
Enrollment
30
Registered
2019-07-26
Start date
2019-08-21
Completion date
2024-08-19
Last updated
2026-05-18

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

Conditions

Tobacco Use Disorder

Keywords

Biomarkers of exposure, Compensatory smoking, Nicotine dependence, Reduced nicotine cigarettes, Tobacco withdrawal, Women, Pregnancy, Health disparities, Vulnerable populations

Brief summary

Study 2 will evaluate the effects of extended exposure to cigarettes with varying levels of nicotine in pregnant smokers who have less than an Associate's degree. This study will be limited to two conditions: usual brand vs. 0.4 mg nicotine/g tobacco. After a baseline period in which daily smoking rate and other baseline assessments are completed, participants will be randomly (by chance) assigned to either their usual brand or the very low nicotine content condition and followed for 12 weeks.

Detailed description

Some inclusion/exclusion criteria are purposely omitted at this time to preserve scientific integrity. They will be included after the trial is complete.

Interventions

Cigarettes containing 0.4 mg nicotine/g tobacco

Sponsors

University of Vermont
Lead SponsorOTHER
National Institute on Drug Abuse (NIDA)
CollaboratorNIH
Food and Drug Administration (FDA)
CollaboratorFED
University of Kentucky
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 44 Years
Healthy volunteers
Yes

Inclusion criteria

* Female * Ages 18-44 years * Gestational age ≤ 25 weeks

Exclusion criteria

* Male * Under 18 years old * Over 44 years old * Gestational age \> 25 weeks

Design outcomes

Primary

MeasureTime frame
Total Cigarettes Per Day12 weeks

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORSarah H. Heil

University of Vermont

Participant flow

Participants by arm

ArmCount
Very Low Nicotine Content Cigarettes
Very low nicotine content cigarettes: Cigarettes containing 0.4 mg nicotine/g tobacco
16
Usual Brand
Participant's usual brand cigarettes
14
Total30

Baseline characteristics

CharacteristicVery Low Nicotine Content CigarettesUsual BrandTotal
Age, Continuous28.31 Years
STANDARD_DEVIATION 4.8
27.57 Years
STANDARD_DEVIATION 4.77
27.97 Years
STANDARD_DEVIATION 4.72
Cigarettes per day19.19 Cigarettes per day
STANDARD_DEVIATION 8.15
16.21 Cigarettes per day
STANDARD_DEVIATION 8.05
17.80 Cigarettes per day
STANDARD_DEVIATION 8.1
Cigarettes per day pre-pregnancy18.38 Cigarettes per day
STANDARD_DEVIATION 5.91
23.93 Cigarettes per day
STANDARD_DEVIATION 14.08
20.97 Cigarettes per day
STANDARD_DEVIATION 10.72
Gestational age at screening11.94 Weeks
STANDARD_DEVIATION 4.99
13.43 Weeks
STANDARD_DEVIATION 6.26
12.63 Weeks
STANDARD_DEVIATION 5.57
Race/Ethnicity, Customized
Non-Latino other
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Non-Latino White
15 Participants14 Participants29 Participants
Sex: Female, Male
Female
16 Participants14 Participants30 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 160 / 14
other
Total, other adverse events
11 / 1613 / 14
serious
Total, serious adverse events
0 / 161 / 14

Outcome results

Primary

Total Cigarettes Per Day

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
Very Low Nicotine Content CigarettesTotal Cigarettes Per Day16.31 Cigarettes per dayStandard Error 2.63
Usual BrandTotal Cigarettes Per Day18.36 Cigarettes per dayStandard Error 2.32

Source: ClinicalTrials.gov · Data processed: May 19, 2026