Harm Reduction, Smoking Cessation
Conditions
Brief summary
To determine whether smokers who initially respond (within 2 weeks) to nicotine products (including nicotine replacement therapy, e-cigarettes, nicotine pouches) by reducing their smoking by ≥50% can be successfully maintained on use of these noncombustible nicotine alternatives to cigarettes for 6 months, and whether this results in sustained smoking reduction/abstinence.
Interventions
DRUGNicoderm
Depending on responder status and group assignment the maximum amount of time nicotine patches will be used is 24 weeks. The final four weeks of nicotine patch treatment will comprise 2 weeks of 14 mg patches and two weeks of 7 mg patches.
4mg Nicorette gum (flavors - cinnamon surge, fruit chill, and mint); as needed maximum usage 24 weeks.
4mg Nicorette mint lozenge; as needed maximum usage 24 weeks.
OTHERNJOY e-cigarette
Each NJOY Classic Tobacco and Menthol pod is pre-filled with 1.9 mL of e-liquid with 5% nicotine (by weight); as needed maximum usage 24 weeks.
OTHERon!
4mg on! Nicotine Pouch (flavors - Berry, Mint, and Original); as needed for maximum usage 24 weeks.
Sponsors
Rose Research Center, LLC
Global Action to End Smoking
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
22 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy, adult smoker of combustible cigarettes. * Age 22 to 65 years at time of screening (verified by government issued ID). * Smoke cigarettes for ≥12 months prior to screening. * Currently smokes at least 10 tobacco cigarettes per day. * Screening eCO ≥ 10 ppm. * Voluntarily provides consent for participation by signing the informed consent form (ICF). * Willing and able to comply with study requirements.
Exclusion criteria
* Unable to read, speak or understand English * Has a history or presence of clinically significant medical or psychiatric disease, or any other condition that would in the PI's judgement jeopardize the safety of the participant, impair the participant's ability to comply with study procedures, or impact the validity of the study results. * Has used nicotine-containing e-cigarettes (or vapes) or any nicotine replacement therapy (nicotine patch, nicotine gum, nicotine spray, nicotine inhaler, nicotine lozenge) or prescription smoking cessation medications, including, but not limited to, varenicline (Chantix\*) or bupropion (Zyban®) within the past 30 days. If female, participant is pregnant, nursing, or intends to become pregnant during the time period from screening through the end of study. * Has participated in a research study about tobacco products or ENDS within the past 30 days. * Has participated in a smoking cessation or nicotine switching research study in the past year. * Smokes or vapes cannabis more than once a week. * Cannabis Use Disorder Identification Test-Revised (CUDIT-R) score of 8 or greater. * Heterosexually active participants of Childbearing Potential (not sterilized by tubal ligation, oophorectomy, hysterectomy, or other surgical methods, or post-menopausal) that do not agree to practice medically appropriate methods of birth control (or remain abstinent) during the course of the trial. Medically acceptable methods of birth control include: vasectomy, vaginal diaphragm with spermicide, intrauterine device, hormonal birth control (oral, injected, or implanted), condom with spermicide, or sponge with spermicide. * Subgroup enrollment is complete.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Smoking abstinence - CO | Week 12 and Week 24 | To determine whether maintained use of nicotine products can help sustain smoking abstinence rates for early responders. An expired air CO reading of ≤ 5 ppm at 24 weeks. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Smoking abstinence - Self report of no smoking | Week 12 and Week 24 | Percent smoking abstinence at 12 weeks and 24 weeks, defined on an intent-to-treat basis as a self-report of no-smoking for the prior 7 days |
| Reduction in Expired Air CO | Week 12 and Week 24 | Percent of participants achieving a 50% reduction in expired air CO at 12 weeks and 24 weeks relative to baseline. |
| Usage of Nicotine Products | Week 1 through Week 24, Week 36 | Self-reported usage of nicotine products. |
| Saliva Cotinine Concentrations | Week 12, Week 24, Week 36 | Saliva cotinine concentrations reflective of nicotine product usage in smoking-abstinent individuals. |
Countries
United States
Outcome results
None listed