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Effects of a Low Nicotine Standard and Tobacco Prices on Illegal Cigarette Purchasing

Effects of a Low Nicotine Standard and Tobacco Prices on Illegal Cigarette Purchasing

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07161050
Enrollment
70
Registered
2025-09-08
Start date
2025-12-01
Completion date
2026-10-07
Last updated
2026-01-16

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

Conditions

Cigarette Smoking, E-cigarette Use

Keywords

Experimental Tobacco Marketplace, Illegal cigarette

Brief summary

This study will investigate the effects of a very-low-nicotine cigarette (VLNC) standard, e-cigarette price, and illegal cigarette price on illegal product purchasing and alternative product use in a virtual marketplace.

Detailed description

This experiment will examine the effects of a VLNC standard, electronic cigarette price, and illegal cigarette price on illegal cigarette purchasing. Exclusive cigarette smokers and dual cigarette/nicotine vaping product (NVP) users, stratified by age, will complete multiple scenarios in the legal Experimental Tobacco Marketplace. The investigators will examine the effects of a VLNC standard, predicted to promote illegal purchasing. In the NNC conditions, participants' preferred normal nicotine content (NNC) cigarettes, NVPs, and a variety of other products will be available in the ETM, and preferred NNC cigarettes will also be available in the illegal marketplace. In the VLNC standard conditions, a ban will permit only VLNCs legally in the ETM, but preferred NNC cigarettes will continue to be available illegal marketplace. In this experiment, which will be completed in the lab, we will test three levels of NVP prices and three levels of illegal cigarette prices in scenarios under a VLNC standard or NNC condition. This study will involve a total of three sessions, including an assessment session, an ETM session, and a follow-up phone call.

Interventions

In the full nicotine conditions, participants' preferred cigarettes and NVP products will be available in the LETM and preferred cigarettes will be available in the iETM. In the low nicotine conditions, a ban will permit only VLNCs in the LETM and preferred cigarettes will be available in the iETM.

BEHAVIORALIllegal cigarette price

At each level of nicotine content, we will manipulate the price of illegal cigarettes (1xMP, 1.5x MP, 2x MP). MP is market price.

BEHAVIORALE-cigarette price

At each level of nicotine content and illegal cigarette price, we will manipulate the price of e-cigarettes (1xMP, 1.5x MP, 2x MP). MP is the market price.

Sponsors

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

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Intervention model description

Participants will complete one ETM session with a total of 18 purchasing trials, 9 trials in each of the two conditions - NNC and VLNC. The participant's preferred cigarette will be available in both the LETM and iETM in the NNC condition. In the VLNC condition, the preferred cigarette will be available only in the iETM and VLN cigarettes will be available in the LETM. E-cigarettes, nicotine replacement therapy, snus, and nicotine pouches will be available throughout all trials in the LETM. Within each condition, we will manipulate the price of illegal cigarettes (1xMP, 1.5x MP, 2x MP). At each level of illegal cigarette price, we will also manipulate the price of NVP (1/2x MP, 1x MP, 2x MP). This design will permit the investigation and comparison of the effects of a VLNC standard as well as changes in illegal and NVP price. The investigators will counterbalance the order of the conditions within the ETM session.

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 two months

Exclusion criteria

For exclusive cigarette smokers: Smoke at least 10 cigarettes daily and do not use NVPs regularly (no more than 9 times in the last month). For dual cigarette/NVP users: Smoke at least 10 cigarettes daily and use NVPs at least 3 times in a week (report use of closed nicotine salt system) For both groups: 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 Being pregnant or lactating

Design outcomes

Primary

MeasureTime frameDescription
Percent of budget allocated to each product category (eg, legal cigarettes, e-cigarettes, illegal cigarettes, etc) in the marketplace1 dayThe investigators will measure the percent of each partcipants' study budget spent on products from each category (eg, legal cigarettes, e-cigarettes, illegal cigarettes, etc) in the marketplace

Countries

United States

Contacts

CONTACTKirstin Gatchalian
kmgatch@vtc.vt.edu540-526-2071
CONTACTMadeleine Mason, PhD
mgmason@vtc.vt.edu540-526-2114
PRINCIPAL_INVESTIGATORRoberta Freitas-Lemos, PhD

Fralin Biomedical Research Institute at Virginia Tech Carilion

Outcome results

None listed

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