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SmokingNCT02323438

Assess Biomarkers of Tobacco Exposure and Nicotine Pharmacokinetics in Smokers After a 5-Day In-Clinic Confinement Switch to an Electronic Cigarette or Nicotine Gum

A study testing Usual Brand Cigarette, Electronic Cigarette #1 and Electronic Cigarette #2 in people with Smoking, run by R.J. Reynolds Vapor Company at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A single-center, randomized, controlled, switching, open-label, parallel cohort study. Smoking subjects will be confined to a clinic for 9 days. During their stay, baseline assessments during ad libitum smoking will occur for the first 3 days. Read more about this study

Who is it for?
Ages 21 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Smoking
What is being tested?
Usual Brand Cigarette, Electronic Cigarette #1 and Electronic Cigarette #2
Could I receive a placebo?
No, everyone receives an active treatment
How many people
153 participants
Where
1 siteUnited States
Study dates
Dec 2014to May 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Able to read, understand, and willing to sign an Informed Consent Form (ICF) and complete questionnaires written in English;
  • Generally healthy males or females, 21 to 60 years of age (inclusive);
  • Screening expired-air carbon monoxide (ECO) level ≥ 15 parts per million (ppm; sample taken 30 to 60 minutes after smoking a single UB cigarette);
  • Currently smokes combustible, filtered, nonmenthol or menthol cigarettes, 83 mm to 100 mm length;
  • Self-reports that cigarettes are the only tobacco or nicotine-containing product used within 30 days of the Screening Visit;
  • Self-reports at the Screening Visit smoking at least 10 cigarettes per day and inhaling the smoke for at least 6 months prior to the Screening Visit;
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  • Response to Fagerström Test for Nicotine Dependence (FTND) Question 1 ("How soon after you wake up do you smoke your first cigarette?") is either "Within 5 minutes" or "6-30 minutes" at the Screening Visit;
  • Positive urine cotinine test at Screening and Enrollment;
  • Willing to switch from current cigarette to VUSE Digital Vapor Cigarettes or nicotine gum for 6 days during in-clinic confinement (nonmenthol smokers willing to switch to VUSE Original Digital Vapor Cigarettes or nicotine gum; menthol smokers willing to switch to VUSE Menthol Digital Vapor Cigarettes or nicotine gum);
  • Willing to abstain from tobacco and nicotine use for at least 12 hours twice during confinement;
  • Willing to not participate for 60 days poststudy in donation of blood samples or in any study that requires collection of blood samples;
  • Females of childbearing potential must be willing to use a form of contraception acceptable to the Investigator from the time of signing the ICF until Study Discharge or be surgically sterile for at least 90 days prior to the Screening Visit;
  • Able to safely perform the required study procedures, as determined by the Investigator.

Who cannot join

  • Clinically significant or unstable/uncontrolled acute or chronic medical conditions at screening, as determined by the Investigator, that would preclude a subject from participating safely in the study (eg, hypertension, asthma, or other lung disease, cardiac disease, neurological disease, or psychiatric disorders) based on screening assessments such as safety labs, medical history, and physical/oral examinations;
  • Self-reports or safety labs indicate diabetes;
  • Self-reports stomach ulcers;
  • At risk for heart disease, as determined by the Investigator;
  • Use of medicine for treatment of depression or asthma;
  • Systolic blood pressure of ≥ 150 mmHg or a diastolic blood pressure of ≥ 95 mmHg, measured after being seated for 5 minutes;
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  • Positive test for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus antibody (anti-HCV);
  • Hemoglobin level is < 12 g/dL at Screening:
  • History or presence of hemophilia or any other bleeding disorders:
  • History or presence of clotting disorders with concomitant use of anticoagulants (eg, clopidogrel [Plavix®], warfarin [Coumadin®, Jantoven®], and aspirin [> 325 mg/day]);
  • Given a whole blood donation within 8 weeks (≤ 56 days) prior to Enrollment;
  • Plasma donation within (≤) 7 days prior to Enrollment;
  • Weight of ≤ 110 pounds;
  • Poor peripheral venous access;
  • Postponing a decision to quit smoking (defined as planning a quit attempt within 30 days of Screening) to participate in this study;
  • Employed by a tobacco company, the clinical site, or handles unprocessed tobacco as part of his/her job;
  • Use of marijuana-based materials within 30 days prior to screening;
  • Use of any medication or supplement that aids smoking cessation, including but not limited to any NRT (eg, nicotine gum, lozenge, patch), varenicline (Chantix®), bupropion (Wellbutrin®, Zyban®), or lobelia extract within 30 days of the Screening Visit;
  • Use of injectable forms of medication(s), with the exception of injectable forms of birth control that are not required to be administered during the study period.
  • Self-reports drinking more than 14 servings of alcoholic beverages per week (1 serving = 12 oz of beer, 6 oz of wine, or 1 oz of liquor);
  • Females who have a positive pregnancy test, are pregnant, breastfeeding, or intend to become pregnant during the course of the study;
  • Females ≥ 35 years of age currently using systemic, estrogen-containing contraception, or hormone replacement therapy;
  • A positive urine drug screen without disclosure of corresponding prescribed concomitant medication(s) at the Screening Visit or Enrollment;
  • A positive alcohol breathalyzer test at Screening or Enrollment;
  • Regularly exposed to solvent fumes or gasoline (eg, painter, gas station mini-mart employee, etc.);
  • Determined by the Investigator to be inappropriate for this study, including a subject who is unable to communicate or unwilling to cooperate with the clinical staff;
  • Unable or unwilling to participate in the in-clinic confinement for the full study duration (total of 9 days).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • DaVita Clinical Research

    Minneapolis, Minnesota, 55404

Other trials in United States

About this study

Official title: A Randomized, Controlled Study to Assess Biomarkers of Tobacco Exposure and Nicotine Pharmacokinetics in Smokers After a 5-Day In-Clinic Confinement Switch to an Electronic Cigarette or Nicotine Gum

A single-center, randomized, controlled, switching, open-label, parallel cohort study. Smoking subjects will be confined to a clinic for 9 days. During their stay, baseline assessments during ad libitum smoking will occur for the first 3 days. Following baseline, subjects will be switched to either an Electronic Cigarette or Nicotine Gum, and post-product switch assessments will occur for 6 days.

Conditions
Smoking
Being tested
Usual Brand Cigarette, Electronic Cigarette #1, Electronic Cigarette #2, Leading U.S. Nicotine Gum
Keywords
biomarkers of tobacco exposure, exposure, tobacco, nicotine, nicotine gum, electronic cigarette, e-cig
Medical subject headings
Smoking, Vaping

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Usual Brand CigaretteOther

    Also called UB Cigarette

    Combustible cigarette brand style smoked most frequently by subject

  • Electronic Cigarette #1Other

    Also called VUSE® Digital Vapor Cigarette (original flavor, 29 mg nicotine)

    Electronic cigarette

  • Electronic Cigarette #2Other

    Also called VUSE® Digital Vapor Cigarette (menthol flavor, 26 mg nicotine)

    Electronic cigarette

  • Leading U.S. Nicotine GumOther

    4 mg nicotine polacrilex gum

Study groups in NCT02323438
Study groupRoleWhat they receive
Usual Brand (UB) CigarettesActive comparatorUsual Brand Cigarette
Receives: Other: Usual Brand Cigarette
Electronic Cigarette #1ExperimentalVUSE® (original flavor, 29 mg nicotine)
Receives: Other: Electronic Cigarette #1
Electronic Cigarette #2ExperimentalVUSE® (menthol flavor, 26 mg nicotine)
Receives: Other: Electronic Cigarette #2
Leading U.S. Nicotine GumExperimental4 mg nicotine polacrilex gum
Receives: Other: Leading U.S. Nicotine Gum

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in carboxyhemoglobin (COHb), after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  2. Nicotine pharmacokinetics with respect to initiation of in-clinic investigational product (IP) use following a 12-hour tobacco and nicotine abstinence

    Determine area under the plasma nicotine concentration versus time curve (AUC)

    Measured: -5, -0.5, 3, 5, 7.5, 10, 15, 20, 30, 45, 60, 75, 90, 120, 150, 180, 240, 300, 360 minutes

  3. Nicotine pharmacokinetics with respect to initiation of in-clinic investigational product (IP) use following a 12-hour tobacco and nicotine abstinence

    Determine maximum plasma nicotine concentration (Cmax), baseline adjusted

    Measured: -5, -0.5, 3, 5, 7.5, 10, 15, 20, 30, 45, 60, 75, 90, 120, 150, 180, 240, 300, 360 minutes

  4. Nicotine pharmacokinetics with respect to initiation of in-clinic investigational product (IP) use following a 12-hour tobacco and nicotine abstinence

    Determine maximum plasma nicotine concentration (Tmax)

    Measured: -5, -0.5, 3, 5, 7.5, 10, 15, 20, 30, 45, 60, 75, 90, 120, 150, 180, 240, 300, 360 minutes

  5. Subjective effects scores for Urge to Smoke (UTS)

    Determine trends in Urge to Smoke

    Measured: Three times during baseline UB cigarette smoking and 3 times per day for 5 days after switch to randomized IP use

  6. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine trends in plasma nicotine and cotinine during randomized IP use compared to UB smoking

    Measured: 6 days

  7. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary total nicotine equivalents (Nicotine + 10 metabolites), after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  8. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary nitrosamines and metabolites, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  9. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 3-aminobiphenyl, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  10. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 4-aminobiphenyl, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  11. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 1-aminonaphthalene, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  12. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 2-aminonaphthalene, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  13. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary o-toluidine, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  14. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary S-phenyl mercapturic acid, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  15. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 1-hydroxypyrene, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  16. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 3-hydroxy-benzo[a]pyrene, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  17. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 1-hydroxynapthalene, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  18. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 2-hydroxynaphthalene, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  19. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 2-hydroxyfluorene, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  20. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary N-acetyl-S-(3-amino-3-oxypropyl) cysteine, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  21. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary N-acetyl-S-(3-amino-2-hydroxy-3-oxopropyl) cysteine, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  22. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 3-hydroxypropyl mercapturic acid, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  23. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 3-hydroxy-1-methylpropyl-mercapturic acid, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  24. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary monohydroxybutyl mercapturic acid, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  25. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 2-cyanoethyl mercapturic acid, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  26. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary 2-hydroxyethyl mercapturic acid, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  27. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary thiocyanate, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

  28. Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum

    Determine percent change in urinary mutagenicity, after 5 days of randomized IP use compared to UB smoking

    Measured: 6 days

Secondary outcomes (1)
  1. Daily product use amounts

    Measured: Daily during baseline UB cigarette smoking and each day for 5 days after switch to randomized IP use

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Dec 2014 (estimated)
  2. Study startDec 2014
  3. Primary completionMay 2015
  4. Study completionMay 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
153 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02323438
Sponsor's protocol ID
CSD1304
Status last verified
May 2018
First submitted
18 Dec 2014
Last updated
1 Jun 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Usual Brand Cigarette, Electronic Cigarette #1 and Electronic Cigarette #2 in people with Smoking, run by R.J. Reynolds Vapor Company at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in biomarkers of tobacco exposure after a 5-day, in-clinic switch from usual brand (UB) cigarettes to an Electronic Cigarette or Nicotine Gum (time frame: 6 days). The study lists 28 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jun 2018.

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