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Effects of Narratives on Demand for Low and High Ventilated Cigarettes and Substitution for Alternative Products

Effects of Narratives on Demand for Low and High Ventilated Cigarettes and Substitution for Alternative Products

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05487625
Enrollment
89
Registered
2022-08-04
Start date
2022-08-08
Completion date
2024-03-26
Last updated
2025-07-02

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

Conditions

Cigarette Smoking

Brief summary

This study will investigate the effects of narratives on demand for low and high ventilated cigarettes and substitution for alternative products in the Experimental Tobacco Marketplace.

Detailed description

An important aim of tobacco control is to reduce demand for the most harmful products. One product feature that could be changed to benefit public health is cigarette filter ventilation. A recent review examined the effects of cigarette filter ventilation and concluded that filter ventilation, by changing how a cigarette burns, yields more mutagens and carcinogens, and results in greater puff volume and possibly depth of inhalation, which has led to increases in peripheral lung adenocarcinomas. This study will use a novel method, the Experimental Tobacco Marketplace (ETM), to compare the impact of a narrative and a factsheet on the negative consequences of filter ventilation on tobacco product purchases. High-ventilated cigarette smokers will complete multiple scenarios in the ETM.

Interventions

BEHAVIORALHigh-ventilated cigarette alone

High-ventilated cigarettes are the only available cigarettes in the Experimental Tobacco Marketplace which increases in price across trials. Other nicotine/tobacco products are available in the Experimental Tobacco Marketplace at market price. Note that all participants will complete all the specified conditions.

BEHAVIORALLow-ventilated cigarette alone

Low-ventilated cigarettes are the only available cigarettes in the Experimental Tobacco Marketplace which increases in price across trials. Other nicotine/tobacco products are available in the Experimental Tobacco Marketplace at market price. Note that all participants will complete all the specified conditions.

BEHAVIORALHigh- and low-ventilated cigarette with high-ventilated cigarettes increasing in price

High- and low ventilated cigarettes are available in the Experimental Tobacco Marketplace with high-ventilated cigarettes increasing in price across trials. Other nicotine/tobacco products are available in the Experimental Tobacco Marketplace at market price. Note that all participants will complete all the specified conditions.

BEHAVIORALLow- and high-ventilated cigarette with high-ventilated cigarettes increasing in price

Low- and high-ventilated cigarettes are available in the Experimental Tobacco Marketplace with low-ventilated cigarettes increasing in price across trials. Other nicotine/tobacco products are available in the Experimental Tobacco Marketplace at market price. Note that all participants will complete all the specified conditions.

BEHAVIORALUsual, high- and low-ventilated cigarette with usual cigarettes increasing in price.

Usual cigarette, low- and high-ventilated cigarettes are available in the Experimental Tobacco Marketplace with usual cigarettes increasing in price across trials. Other nicotine/tobacco products are available in the Experimental Tobacco Marketplace at market price. Note that all participants will complete all the specified conditions.

Sponsors

University of Minnesota
CollaboratorOTHER
National Cancer Institute (NCI)
CollaboratorNIH
Virginia Polytechnic Institute and State University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Subject)

Masking description

Participants will be provided with study cigarettes (commercially available) however the brand will not be provided to them.

Intervention model description

Participants will complete five ETM conditions, which include six trials assessing different cigarette prices: a) high-ventilated cigarette alone, b) low-ventilated cigarette alone, c) high- and low-ventilated cigarette with high-ventilated cigarettes increasing in price, d) high- and low-ventilated cigarette with low-ventilated cigarettes increasing in price, and e) usual, high- and low-ventilated cigarette with usual cigarettes increasing in price.

Eligibility

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

Inclusion criteria

* Provide informed consent * Be at least 21 years of age or older * Provide a breath sample for measuring carbon monoxide (CO ≥ 8 ppm) * Stable tobacco use patterns for at least three months * Be willing to sample the study cigarettes (high- and low-ventilated cigarettes) * Report smoking a high-ventilated cigarette (\>= 20% ventilation) * Report smoking at least 10 cigarettes per day

Exclusion criteria

* Have plans to move out of the area * Have a serious or unstable physical or mental health condition * Taking a tobacco cessation medication or medication that interferes with nicotine metabolism, motivation or reinforcement * Report concrete, immediate plans to alter/quit using their usual nicotine products at the beginning of the study Note: Participants may be withdrawn from the study after providing consent if they submit an invalid breath sample (CO ≥ 8 ppm).

Design outcomes

Primary

MeasureTime frameDescription
Nicotine/Tobacco Products Substitution Intercept1 dayParticipants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). To obtain estimates of substitution of price-constant products in the different ETM conditions, the investigators used ordinary least squares regression to predict total mg of nicotine purchased of the price constant product. Y-intercept of price-constant products is reported.
Cigarette Demand Intensity q01 dayParticipants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). Demand was estimated using the exponential equation: Q = Q0 \* 10\^k(exp(-αQ0C) - 1), where Q is nicotine purchased (mg), C is price, Q0 is demand intensity (purchases at no cost), k is the function's logarithmic span, and α is demand elasticity. Intensity q0 is reported, which represents the estimated mg of nicotine purchased when cigarettes are free (price = 0).
Nicotine/Tobacco Products Substitution Slope1 dayParticipants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). To obtain estimates of substitution of price-constant products in the different ETM conditions, the investigators used ordinary least squares regression to predict total mg of nicotine purchased of the price-constant product. Slope of price-constant products is reported, which represents the change in mg of nicotine purchased of price-constant products divided by the change in cigarette price.
Cigarette Demand Elasticity Alpha1 dayParticipants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). Demand was estimated using the exponential equation: Q = Q0 \* 10\^k(exp(-αQ0C) - 1), where Q is nicotine purchased (mg), C is price, Q0 is demand intensity (purchases at no cost), k is the function's logarithmic span, and α is demand elasticity. Elasticity alpha is reported, which represents the sensitivity of purchasing to changes in cigarette price.

Countries

United States

Participant flow

Participants by arm

ArmCount
Narratives
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking HVC and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
27
Fact Sheet
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
28
Control
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
27
Total82

Baseline characteristics

CharacteristicNarrativesFact SheetControlTotal
Age, Continuous46.37 Years of age
STANDARD_DEVIATION 10.76
40.32 Years of age
STANDARD_DEVIATION 10.06
43.81 Years of age
STANDARD_DEVIATION 7.71
43.46 Years of age
STANDARD_DEVIATION 9.81
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
27 Participants28 Participants27 Participants82 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Fagerstrom Test for Cigarette Dependence5.52 Scores on a scale
STANDARD_DEVIATION 2.19
6.25 Scores on a scale
STANDARD_DEVIATION 2.03
5.26 Scores on a scale
STANDARD_DEVIATION 1.58
5.68 Scores on a scale
STANDARD_DEVIATION 1.97
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants2 Participants1 Participants4 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
6 Participants2 Participants7 Participants15 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
White
20 Participants22 Participants19 Participants61 Participants
Sex: Female, Male
Female
16 Participants15 Participants19 Participants50 Participants
Sex: Female, Male
Male
11 Participants13 Participants8 Participants32 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 270 / 280 / 27
other
Total, other adverse events
0 / 271 / 280 / 27
serious
Total, serious adverse events
0 / 270 / 280 / 27

Outcome results

Primary

Cigarette Demand Elasticity Alpha

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). Demand was estimated using the exponential equation: Q = Q0 \* 10\^k(exp(-αQ0C) - 1), where Q is nicotine purchased (mg), C is price, Q0 is demand intensity (purchases at no cost), k is the function's logarithmic span, and α is demand elasticity. Elasticity alpha is reported, which represents the sensitivity of purchasing to changes in cigarette price.

Time frame: 1 day

ArmMeasureGroupValue (MEAN)Dispersion
NarrativesCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: HVC only0.005474398 Mg of Nicotine purchased/Price changesStandard Error 0.002837352
NarrativesCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: LVC and HVC with LVC increasing in price0.0001730126 Mg of Nicotine purchased/Price changesStandard Error 0.00008899978
NarrativesCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: usual0.0001184530 Mg of Nicotine purchased/Price changesStandard Error 0.00002668313
NarrativesCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: HVC and LVC with HVC increasing in price-0.004862780 Mg of Nicotine purchased/Price changesStandard Error 0.00730483
NarrativesCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: LVC only0.0017715209 Mg of Nicotine purchased/Price changesStandard Error 0.0015139344
Fact SheetCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: LVC and HVC with LVC increasing in price0.0010937345 Mg of Nicotine purchased/Price changesStandard Error 0.0007710276
Fact SheetCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: usual0.0001866522 Mg of Nicotine purchased/Price changesStandard Error 0.00005510821
Fact SheetCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: HVC and LVC with HVC increasing in price0.003933976 Mg of Nicotine purchased/Price changesStandard Error 0.00373252
Fact SheetCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: HVC only0.002718229 Mg of Nicotine purchased/Price changesStandard Error 0.00248995
Fact SheetCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: LVC only0.0003113996 Mg of Nicotine purchased/Price changesStandard Error 0.0001296562
ControlCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: LVC only0.0058833919 Mg of Nicotine purchased/Price changesStandard Error 0.0053767638
ControlCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: HVC only0.006274115 Mg of Nicotine purchased/Price changesStandard Error 0.005146063
ControlCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: usual0.0006728454 Mg of Nicotine purchased/Price changesStandard Error 0.0004281379
ControlCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: LVC and HVC with LVC increasing in price0.0004953039 Mg of Nicotine purchased/Price changesStandard Error 0.0003009148
ControlCigarette Demand Elasticity AlphaCigarette demand elasticity alpha: HVC and LVC with HVC increasing in price0.002001107 Mg of Nicotine purchased/Price changesStandard Error 0.0019229
Primary

Cigarette Demand Intensity q0

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). Demand was estimated using the exponential equation: Q = Q0 \* 10\^k(exp(-αQ0C) - 1), where Q is nicotine purchased (mg), C is price, Q0 is demand intensity (purchases at no cost), k is the function's logarithmic span, and α is demand elasticity. Intensity q0 is reported, which represents the estimated mg of nicotine purchased when cigarettes are free (price = 0).

Time frame: 1 day

ArmMeasureGroupValue (MEAN)Dispersion
NarrativesCigarette Demand Intensity q0Cigarette demand intensity q0: HVC only1293.099 Mg of Nicotine purchasedStandard Error 247.6387
NarrativesCigarette Demand Intensity q0Cigarette demand intensity q0: LVC and HVC with LVC increasing in price1296.955 Mg of Nicotine purchasedStandard Error 371.953
NarrativesCigarette Demand Intensity q0Cigarette demand intensity q0: usual2509.951 Mg of Nicotine purchasedStandard Error 636.7094
NarrativesCigarette Demand Intensity q0Cigarette demand intensity q0: HVC and LVC with HVC increasing in price1226.371 Mg of Nicotine purchasedStandard Error 313.1189
NarrativesCigarette Demand Intensity q0Cigarette demand intensity q0: LVC only2289.174 Mg of Nicotine purchasedStandard Error 613.9061
Fact SheetCigarette Demand Intensity q0Cigarette demand intensity q0: LVC and HVC with LVC increasing in price1106.049 Mg of Nicotine purchasedStandard Error 292.4133
Fact SheetCigarette Demand Intensity q0Cigarette demand intensity q0: usual2446.043 Mg of Nicotine purchasedStandard Error 629.3318
Fact SheetCigarette Demand Intensity q0Cigarette demand intensity q0: HVC and LVC with HVC increasing in price1389.097 Mg of Nicotine purchasedStandard Error 376.9664
Fact SheetCigarette Demand Intensity q0Cigarette demand intensity q0: HVC only2207.993 Mg of Nicotine purchasedStandard Error 483.5283
Fact SheetCigarette Demand Intensity q0Cigarette demand intensity q0: LVC only1379.648 Mg of Nicotine purchasedStandard Error 215.8875
ControlCigarette Demand Intensity q0Cigarette demand intensity q0: LVC only2085.754 Mg of Nicotine purchasedStandard Error 565.8513
ControlCigarette Demand Intensity q0Cigarette demand intensity q0: HVC only1395.041 Mg of Nicotine purchasedStandard Error 321.987
ControlCigarette Demand Intensity q0Cigarette demand intensity q0: usual2002.901 Mg of Nicotine purchasedStandard Error 431.5768
ControlCigarette Demand Intensity q0Cigarette demand intensity q0: LVC and HVC with LVC increasing in price1393.520 Mg of Nicotine purchasedStandard Error 416.9316
ControlCigarette Demand Intensity q0Cigarette demand intensity q0: HVC and LVC with HVC increasing in price1201.065 Mg of Nicotine purchasedStandard Error 333.2428
Primary

Nicotine/Tobacco Products Substitution Intercept

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). To obtain estimates of substitution of price-constant products in the different ETM conditions, the investigators used ordinary least squares regression to predict total mg of nicotine purchased of the price constant product. Y-intercept of price-constant products is reported.

Time frame: 1 day

ArmMeasureGroupValue (MEAN)Dispersion
NarrativesNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated intercept49.9 Mg of Nicotine purchasedStandard Error 48.6
NarrativesNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC intercept6.24 Mg of Nicotine purchasedStandard Error 37.9
NarrativesNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated intercept102.3 Mg of Nicotine purchasedStandard Error 45.4
NarrativesNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated intercept56.1 Mg of Nicotine purchasedStandard Error 45.4
NarrativesNicotine/Tobacco Products Substitution InterceptHigh-ventilated cigarette alone: e-cigarette estimated intercept16.4 Mg of Nicotine purchasedStandard Error 37.6
NarrativesNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC intercept-55.80 Mg of Nicotine purchasedStandard Error 37.9
NarrativesNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated intercept129.8 Mg of Nicotine purchasedStandard Error 48.6
NarrativesNicotine/Tobacco Products Substitution InterceptLow-ventilated cigarette alone: e-cigarette estimated intercept56.0 Mg of Nicotine purchasedStandard Error 43.5
NarrativesNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette intercept59.43 Mg of Nicotine purchasedStandard Error 37.9
Fact SheetNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated intercept40.3 Mg of Nicotine purchasedStandard Error 44.8
Fact SheetNicotine/Tobacco Products Substitution InterceptHigh-ventilated cigarette alone: e-cigarette estimated intercept94.2 Mg of Nicotine purchasedStandard Error 36.9
Fact SheetNicotine/Tobacco Products Substitution InterceptLow-ventilated cigarette alone: e-cigarette estimated intercept12.1 Mg of Nicotine purchasedStandard Error 42.8
Fact SheetNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated intercept182.0 Mg of Nicotine purchasedStandard Error 47.9
Fact SheetNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated intercept56.9 Mg of Nicotine purchasedStandard Error 47.9
Fact SheetNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated intercept184.8 Mg of Nicotine purchasedStandard Error 44.8
Fact SheetNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette intercept40.35 Mg of Nicotine purchasedStandard Error 37.4
Fact SheetNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC intercept-24.32 Mg of Nicotine purchasedStandard Error 37.4
Fact SheetNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC intercept23.99 Mg of Nicotine purchasedStandard Error 37.4
ControlNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated intercept236.2 Mg of Nicotine purchasedStandard Error 48.6
ControlNicotine/Tobacco Products Substitution InterceptHigh-ventilated cigarette alone: e-cigarette estimated intercept47.8 Mg of Nicotine purchasedStandard Error 37.5
ControlNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette intercept2.80 Mg of Nicotine purchasedStandard Error 37.9
ControlNicotine/Tobacco Products Substitution InterceptLow-ventilated cigarette alone: e-cigarette estimated intercept67.4 Mg of Nicotine purchasedStandard Error 43.5
ControlNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC intercept-5.20 Mg of Nicotine purchasedStandard Error 37.9
ControlNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated intercept40.7 Mg of Nicotine purchasedStandard Error 45.4
ControlNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated intercept30.2 Mg of Nicotine purchasedStandard Error 48.6
ControlNicotine/Tobacco Products Substitution InterceptUsual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC intercept35.66 Mg of Nicotine purchasedStandard Error 37.9
ControlNicotine/Tobacco Products Substitution InterceptHVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated intercept206.9 Mg of Nicotine purchasedStandard Error 45.4
Primary

Nicotine/Tobacco Products Substitution Slope

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). To obtain estimates of substitution of price-constant products in the different ETM conditions, the investigators used ordinary least squares regression to predict total mg of nicotine purchased of the price-constant product. Slope of price-constant products is reported, which represents the change in mg of nicotine purchased of price-constant products divided by the change in cigarette price.

Time frame: 1 day

ArmMeasureGroupValue (MEAN)Dispersion
NarrativesNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated slope1.88 Mg of nicotine/price US$Standard Error 9.89
NarrativesNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC slope20.456 Mg of nicotine/price US$Standard Error 8.17
NarrativesNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated slope24.678 Mg of nicotine/price US$Standard Error 9.65
NarrativesNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated slope0.989 Mg of nicotine/price US$Standard Error 9.65
NarrativesNicotine/Tobacco Products Substitution SlopeHigh-ventilated cigarette alone: e-cigarette estimated slope13.24 Mg of nicotine/price US$Standard Error 8.35
NarrativesNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC slope28.306 Mg of nicotine/price US$Standard Error 8.17
NarrativesNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated slope26.48 Mg of nicotine/price US$Standard Error 9.89
NarrativesNicotine/Tobacco Products Substitution SlopeLow-ventilated cigarette alone: e-cigarette tobacco estimated slope1.65 Mg of nicotine/price US$Standard Error 9.47
NarrativesNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette slope-4.370 Mg of nicotine/price US$Standard Error 8.17
Fact SheetNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated slope1.593 Mg of nicotine/price US$Standard Error 9.54
Fact SheetNicotine/Tobacco Products Substitution SlopeHigh-ventilated cigarette alone: e-cigarette estimated slope-10.33 Mg of nicotine/price US$Standard Error 8.24
Fact SheetNicotine/Tobacco Products Substitution SlopeLow-ventilated cigarette alone: e-cigarette tobacco estimated slope11.50 Mg of nicotine/price US$Standard Error 9.34
Fact SheetNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated slope20.94 Mg of nicotine/price US$Standard Error 9.79
Fact SheetNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated slope-3.67 Mg of nicotine/price US$Standard Error 9.79
Fact SheetNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated slope25.283 Mg of nicotine/price US$Standard Error 9.54
Fact SheetNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette slope-0.643 Mg of nicotine/price US$Standard Error 8.09
Fact SheetNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC slope32.033 Mg of nicotine/price US$Standard Error 8.09
Fact SheetNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC slope24.182 Mg of nicotine/price US$Standard Error 8.09
ControlNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated slope27.70 Mg of nicotine/price US$Standard Error 9.89
ControlNicotine/Tobacco Products Substitution SlopeHigh-ventilated cigarette alone: e-cigarette estimated slope1.96 Mg of nicotine/price US$Standard Error 8.35
ControlNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette slope7.577 Mg of nicotine/price US$Standard Error 8.17
ControlNicotine/Tobacco Products Substitution SlopeLow-ventilated cigarette alone: e-cigarette tobacco estimated slope-4.26 Mg of nicotine/price US$Standard Error 9.47
ControlNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC slope32.403 Mg of nicotine/price US$Standard Error 8.17
ControlNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated slope0.110 Mg of nicotine/price US$Standard Error 9.65
ControlNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated slope3.09 Mg of nicotine/price US$Standard Error 9.89
ControlNicotine/Tobacco Products Substitution SlopeUsual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC slope40.253 Mg of nicotine/price US$Standard Error 8.17
ControlNicotine/Tobacco Products Substitution SlopeHVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated slope23.800 Mg of nicotine/price US$Standard Error 9.65

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