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Cigarette Smoking-Related CarcinomaNCT03856515

Gender Differences in Switching From Smoking Regular Cigarettes to E-Cigarettes

A study testing Nicotine Replacement, Questionnaire Administration and Electronic Cigarette in people with Cigarette Smoking-Related Carcinoma, run by M.D. Anderson Cancer Center 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

This early phase I trial studies potential differences between men and women when switching from the use of combustible cigarettes to the National Institute on Drug Abuse's Standard Research E-Cigarette (SREC). Read more about this study

Who is it for?
Ages 21 years and olderHealthy volunteers can take part
Conditions the study is for
Cigarette Smoking-Related Carcinoma
What is being tested?
Nicotine Replacement, Questionnaire Administration and Electronic Cigarette
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
169 participants
Where
1 siteUnited States
Study dates
2 Jun 2022to 7 Jan 2026
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 21 years or older
  • Reports being a daily or non-daily smoker (any self-reported smoking in the past 30 days)
  • Have an address where he/she can receive mail
  • Able to follow verbal and written instructions in English and complete all aspects of the study as determined by PI
  • Willing to have urine biospecimen samples taken, either in-home and returning them by mail, or in-person at an approved collection site.
  • Willing to use tobacco-flavored study electronic cigarettes
  • Agrees to comply with all MD Anderson institutional policies related to COVID-19 screening prior to any in-person research visit.
  • The individual agrees to not engage in study procedures or interactions with study personnel while operating a vehicle.

Who cannot join

  • Individuals who report depressive symptoms in the moderately severe or severe range on the PHQ-9 (scores of 15 or above) or who report current suicidal ideation on the PHQ-9
  • Uncontrolled or unstable medical condition (e.g., uncontrolled hypertension, angina, diabetes).
  • Evidence of cognitive deficits or instability that would preclude reliable study participation.
  • Being pregnant, engaging in breast-feeding, or being of childbearing potential and engaging in sexual activity that could lead to pregnancy and is not protected by a medically acceptable, effective method of birth control while enrolled in the study, as determined by self-report. Medically acceptable contraceptives include: (1) approved hormonal contraceptives (such as birth control pills, patches, implants or injections), (2) barrier methods (such as a condom or diaphragm) used with a spermicide, or (3) an intrauterine device (IUD). Contraceptive measures sold for emergency use after unprotected sex are not acceptable methods for routine use.
  • Considered by the investigator to be an unsuitable or unstable candidate (including but not limited to the following situation: unwilling or unable to comply with study procedures)
  • Individuals who reside in an area that is outside of our shipping company's area of operation or in a jurisdiction outside of our medical staff's licensure (if unable to attend in-person clinic visits) AND who decline or are unable to come in to clinic to provide necessary samples and/or collect study products.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • M D Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: Gender Differences in Standardized Research E-Cigarette (SREC) Product Use, Acceptability, Reinforcement, and Nicotine Dependence Symptoms

This early phase I trial studies potential differences between men and women when switching from the use of combustible cigarettes to the National Institute on Drug Abuse's Standard Research E-Cigarette (SREC). Studying the differences between men and women may increase understanding about the effects of switching from smoking regular cigarettes to electronic cigarettes.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To characterize the effects of switching to nicotine versus (vs.) placebo standard research E-cigarettes (SRECs) from combustible cigarettes (CCs) on product use, product acceptability, reinforcement, and nicotine dependence symptoms among adult daily CC smokers.

II. To characterize the differences between male and female CC smokers when switching to nicotine versus (vs.) placebo SRECs from CCs on product use, product acceptability, reinforcement, and nicotine dependence symptoms.

EXPLORATORY OBJECTIVE:

  1. To characterize which factors moderate or mediate the effects of switching to nicotine and placebo SRECs from CCs among male and female CC smokers.

OUTLINE:

Participants will be instructed to smoke their usual brand cigarette as they normally would in weeks 1-2 (Phase I) and to use only the SREC (with or without nicotine) in weeks 3-4 (Phase II) and in weeks 5-6 (Phase III). Participant assignment to SREC type at Phases II and III will be counter-balanced within group, with half of men and women receiving the placebo SREC during Phase II and half during Phase III. Participants will attend 4 laboratory visits with study investigators for 3 hours each over 6 weeks of study participation.

Being tested
Nicotine Replacement, Questionnaire Administration, Electronic Cigarette

What participants receive

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

  • Nicotine ReplacementDrug

    Also called Nicotine Replacement Therapy, NRT

    Received NRT (Electronic Cigarette - With Nicotine)

  • Questionnaire AdministrationOther

    Ancillary studies

  • Electronic CigaretteDevice

    Electronic Cigarette - with Nicotine

  • Electronic CigaretteDevice

    Electronic Cigarette -without Nicotine

Study groups in NCT03856515
Study groupRoleWhat they receive
E-Cig placebo dose followed by E-Cig nicotine doseExperimentalParticipants will be instructed to smoke their usual brand cigarette as they normally would in weeks 1-2 (Phase I) and to use only the SREC (with or without nicotine) in weeks 3-4 (Phase II) and in weeks 5-6 (Phase III). Participant assignment to SREC type at Phases II and III will be counter-balanced within group, with half of men and women receiving the placebo SREC during Phase II and half during Phase III. Participants will attend 4 laboratory visits with study investigators for 3 hours each over 6 weeks of study participation.
Receives: Drug: Nicotine Replacement; Other: Questionnaire Administration; Device: Electronic Cigarette
E-Cig nicotine dose followed by E-Cig placebo doseExperimentalParticipants will be instructed to smoke their usual brand cigarette as they normally would in weeks 1-2 (Phase I) and to use only the SREC (with or without nicotine) in weeks 3-4 (Phase II) and in weeks 5-6 (Phase III). Participant assignment to SREC type at Phases II and III will be counter-balanced within group, with half of men and women receiving the placebo SREC during Phase II and half during Phase III. Participants will attend 4 laboratory visits with study investigators for 3 hours each over 6 weeks of study participation.
Receives: Drug: Nicotine Replacement; Other: Questionnaire Administration; Device: Electronic Cigarette

What is being measured

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

  1. Cigarettes Per Day

    Mean cigarettes per day (CPD) smoked during the phase

    Measured: 2 weeks

Secondary outcomes (21)
  1. Electronic Cigarette Sessions Per Day

    Study electronic cigarette use measured by the mean number of sessions per day during each phase for male and female participants.

    Measured: 2 weeks

  2. Total Nicotine Equivalents (TNE)

    A measure of nicotine exposure, calculated as the sum of total nicotine, cotinine, 3'-hydroxycotinine, and nicotine N-oxide excreted in urine, collected at the end of each phase for male and female participants.

    Measured: 2 weeks

  3. Anabasine

    A tobacco minor alkaloid (MA) excreted in urine collected at the end of each phase for male and female participants to evaluate nicotine product exposure.

    Measured: 2 weeks

  4. Nicotelline

    A tobacco minor alkaloid (MA) excreted in urine collected at the end of each phase for male and female participants to evaluate nicotine product exposure.

    Measured: 2 weeks

  5. Perceived Health Risk Questionnaire (PHRQ)

    Evaluation of participants' beliefs about their risks of developing health conditions from cigarettes or electronic cigarette collected at the end of each phase for male and female participants. Range 1-10, with higher values indicating greater perceived risk of negative health outcomes.

    Measured: 2 weeks

  6. Product Evaluation Scales (PES)

    Evaluation of explicit cigarette or electronic cigarette product liking collected at the end of each phase for male and female participants. Range 1-7, with higher values indicating more unpleasant ratings.

    Measured: 2 weeks

  7. Implicit Association Test (IAT)

    Evaluation of implicit cigarette or electronic cigarette liking collected at the end of each phase for male and female participants. Range: -1 to 1, with more negative values indicating a more negative attitude toward the cigarette product

    Measured: 2 weeks

  8. Brief Smoking Consequences Questionnaire-Adult (BSCQ-A)

    Evaluation of the perceived outcomes of cigarette or electronic cigarette use collected at the end of each phase for male and female participants. Range 0 to 9, with larger values indicating greater perceived negative consequences of cigarette use

    Measured: 2 weeks

  9. Purchase Task Breakpoint Measure

    Evaluation of the Purchase Task Breakpoint measure (first price at which consumption goes to zero, i.e., unwilling to pay) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.05 - 251, dollars per cigarette or per electronic cigarette puff with higher values indicating the willingness to smoke/vape at a higher price.

    Measured: 2 weeks

  10. Purchase Task Demand Intensity Measure

    Evaluation of the Purchase Task Demand Intensity measure (consumption at the lowest price) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 1 - 351, the number of cigarettes or electronic cigarette puffs with higher values indicating an intension to smoke/vape more when the price is set as 0

    Measured: 2 weeks

  11. Purchase Task Omax Measure

    Evaluation of the Purchase Task Omax measure (maximum financial expenditure on the product) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.03 - 1001, the maximum expenditure in dollars on cigarettes or electronic cigarette puffs with higher values indicating greater expenditure

    Measured: 2 weeks

  12. Purchase Task Pmax Measure

    Evaluation of the Purchase Task Pmax measure (price at which expenditure is maximized) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.01 - 1001, the price of the cigarette or electronic cigarette puffs when the Omax is reached

    Measured: 2 weeks

  13. Purchase Task Elasticity of Demand Measure

    Evaluation of the Purchase Task Elasticity of Demand measure (sensitivity of product consumption to increases in cost) for cigarettes or electronic cigarettes collected at the end of each phase for male and female participants. Range: 0.0001 - 2.69, the elasticity of the demand for cigarettes or electronic cigarette puffs, with higher values indicating a greater sensitivity in reducing the consumption in response to the price increases

    Measured: 2 weeks

  14. Fagerström Test for Cigarette Dependence (FTCD)

    Evaluation of cigarette dependence collected at the end of each phase for male and female participants. Range 0 to 10, with higher values indicating greater cigarette dependence

    Measured: 2 weeks

  15. Penn State Electronic Cigarette Dependence Index (PSECDI)

    Evaluation of electronic cigarette dependence collected at the end of each phase for male and female participants. Range 0 to 20, with higher scores indicating greater electronic cigarette dependence

    Measured: 2 weeks

  16. Minnesota Nicotine Withdrawal Scale-Revised (MNWS)

    Evaluation of nicotine withdrawal symptoms collected at the end of each phase for male and female participants. Range 0 to 60, with higher scores indicating greater nicotine withdrawal

    Measured: 2 weeks

  17. Questionnaire of Smoking Urges-Brief (QSU-Brief)

    Evaluation of the craving to smoke cigarettes collected at the end of each phase for male and female participants. Range 1 to 10, with higher values indicating greater urge to smoke

    Measured: 2 weeks

  18. Positive and Negative Affect Scales - Positive Affect Scale (PANAS-Pos)

    Evaluation of positive affect collected at the end of each phase for male and female participants. Range 10 to 50, with higher scores indicating greater positive affect

    Measured: 2 weeks

  19. Positive and Negative Affect Scales - Negative Affect Scale (PANAS-Neg)

    Evaluation of negative affect collected at the end of each phase for male and female participants. Range 10 to 50, with higher scores indicating greater negative affect

    Measured: 2 weeks

  20. Smartphone Daily Measures of Nicotine Dependence Symptoms

    Evaluation of mean nicotine dependence symptoms collected daily during each phase. Range 1 to 5, with higher values indicating greater nicotine dependence symptoms

    Measured: 2 weeks

  21. American Thoracic Society Questionnaire (ATSQ)

    Evaluation of respiratory symptoms collected at the end of each phase for male and female participants. Range 8 to 40, with higher numbers indicating more respiratory symptoms

    Measured: 2 weeks

Timeline

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

  1. First posted27 Feb 2019
  2. Study start2 Jun 2022
  3. Primary completion24 Jun 2024
  4. Study completion7 Jan 2026

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
Prevention
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
169 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03856515
Sponsor's protocol ID
2018-0794
Other IDs
NCI-2018-03354, 2018-0794, U01DA047875
Status last verified
Jan 2026
First submitted
23 Jan 2019
Last updated
28 Jan 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Robinson JD, Cui Y, Karam-Hage M, Blalock JA, Shete S, Kypriotakis G, Yang P, Cinciripini PM. Standardized research electronic cigarette acceptability among adult men and women who smoke combustible cigarettes. Psychol Addict Behav. 2025 Dec;39(8):780-791. doi: 10.1037/adb0001100. Epub 2025 Oct 6.

    PubMed 41051837

Questions about this trial

What is this clinical trial studying?

A study testing Nicotine Replacement, Questionnaire Administration and Electronic Cigarette in people with Cigarette Smoking-Related Carcinoma, run by M.D. Anderson Cancer Center 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 8 inclusion and 6 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 28 Jan 2026. 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?

Yes. Results are posted in the registry (first posted 14 Jul 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Cigarettes Per Day (time frame: 2 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03856515, which also lists 1 linked publication.

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 28 Jan 2026.

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