Nicotine E-Cigarette UseNCT05257109
Water Content in E-Liquids
A study testing Water Concentration 1, Water Concentration 2 and Water Concentration 3 in people with Nicotine E-Cigarette Use, run by Yale University at 1 site in United States.
Trial summary
This study looks at the effect of manipulating the water concentration of certain e-liquids on sensory perception. Read more about this study
- Who is it for?
- Ages 21 years and olderHealthy volunteers can take part
- Conditions the study is for
- Nicotine E-Cigarette Use
- What is being tested?
- Water Concentration 1, Water Concentration 2 and Water Concentration 3
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 31 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Aug 2022to 10 Mar 2023
- 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
- at least 21 years old
- able to read/write
- >/= 6 mths e-cig use
- regular e-cig use (>/= 4 days/week)
- use of flavored e-cigs
- use of nicotine containing e-cigs
- urine cotinine >/= 200ng/ml
- no plan to quit e-cig use
Who cannot join
- breastfeeding, pregnant, trying to become pregnant
- Medical conditions that increase risk of respiratory problems among participants
- Current use of illegal substances
- Medical conditions increasing risk of respiratory problems in nonpatient populations
- Current diagnosis of an untreated psychiatric condition
- Not fully vaccinated for Coronavirus-19
Trial locations and contacts
1 site in 1 country.
United States1 site
Yale School of Medicine
New Haven, Connecticut, 06511
About this study
Official title: Water Content In E-Liquids
This study looks at the effect of manipulating the water concentration of certain e-liquids on sensory perception.
Read the detailed description
This study looks at the effect of manipulating water concentration on e-cigarettes that contain aldehyde flavor chemicals on sensory perception. Regular e-cigarette users will be asked to complete 2 lab sessions in which they will sample 4 nicotine containing e-liquids. Each e-liquid will be sampled in four water concentration manipulations. Researchers will examine influence of flavor and water concentrations on sensory experience including appeal/liking and irritation and harshness.
- Conditions
- Nicotine E-Cigarette Use
- Being tested
- Water Concentration 1, Water Concentration 2, Water Concentration 3, Water Concentration 4
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Water Concentration 1Other
E-liquid containing 36mg/ml pronated nicotine will be administered with no alteration to water concentration.
Water Concentration 2Other
E-liquid containing 36mg/ml pronated nicotine will be administered with 5% total water concentration of e-liquid.
Water Concentration 3Other
E-liquid containing 36mg/ml pronated nicotine will be administered with 10% total water concentration of e-liquid.
Water Concentration 4Other
E-liquid containing 36mg/ml pronated nicotine will be administered with 20% total water concentration of e-liquid.
| Study group | Role | What they receive |
|---|---|---|
| Experimental E-Liquid Order "A" | Experimental | All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. Receives: Other: Water Concentration 1; Other: Water Concentration 2; Other: Water Concentration 3; Other: Water Concentration 4 |
| Experimental E-Liquid Order "B" | Experimental | All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. Receives: Other: Water Concentration 1; Other: Water Concentration 2; Other: Water Concentration 3; Other: Water Concentration 4 |
| Experimental E-Liquid Order "C" | Experimental | All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. Receives: Other: Water Concentration 1; Other: Water Concentration 2; Other: Water Concentration 3; Other: Water Concentration 4 |
| Experimental E-Liquid Order "D" | Experimental | All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. Receives: Other: Water Concentration 1; Other: Water Concentration 2; Other: Water Concentration 3; Other: Water Concentration 4 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Irritation/Harshness
Change in irritation at each water level as measured by the computerized Generalized Labeled Magnitude Scale (gLMS). Participants will self-report their responses using a computer mouse to indicate where on the scale response falls. The Generalized Labeled Magnitude Scales (gLMS) are category ratio scales with seven semantic labels: "no sensation", "barely detectable", "weak", "moderate", "strong", "very strong", and "strongest imaginable", positioned quasi-logarithmically as per empirically determined semantic magnitudes on a 0-100 scale (strongest imaginable at the 100 end).
Measured: immediately after intervention, up to 15 minutes
Appeal Assessed Using the Labeled Hedonic Scale (LHS) Ranging From -100 to 100
Change in appeal at each water level as measured by the computerized Labeled Hedonic Scale (LHS). Participants will self-report their responses using a computer mouse to indicate where on the scale response falls. The Labeled Hedonic Scale (LHS) is a bipolar category ratio scale that ranges from -100 (most disliked, minimum score) to 100 (most liked, maximum score), with 'neither liked nor disliked' as midpoint (0). Scores range from -100 (minimum) to 100 (maximum). Negative scores indicate dislike (lack of appeal) and positive scores indicate liking (appeal).
Measured: immediately after intervention, up to 15 minutes
Appeal Assessed Using the Drug Effects Questionnaire (DEQ)
Change in appeal at each water level as measured by the computerized version of the Drug Effects Questionnaire (DEQ). Participants will self-report their responses using a computer mouse to indicate where on the scale response falls. A modified version of the Drug Effects Questionnaire (DEQ) will be used in which participants rate acute responses to the e-cigarette on a 0-100mm scale from "not at all" (0mm) to "extremely" (100mm).
Measured: immediately after intervention, up to 15 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Feb 2022
- Study start1 Aug 2022
- Primary completion10 Mar 2023
- Study completion10 Mar 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Nicotine E-Cigarette UseStudies of the same condition, open and under way.
- More trials run by Yale UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Within subject design, all participants will receive all e-liquid flavors/water concentrations
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 31 participants (actual)
Sponsor and investigators
- Lead sponsor
- Yale University
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Drug Abuse (NIDA)
- Responsible party
- Sponsor
- Investigators
- Danielle Davis, PhD, Principal investigator, Yale University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05257109
- Sponsor's protocol ID
- 2000031495
- Other IDs
- 2U54DA036151-06
- Status last verified
- Sep 2024
- First submitted
- 11 Feb 2022
- Last updated
- 22 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Davis D, Green BG, Krishnan-Sarin S, Martin TD, Wu R, Gueorguieva R, Anastas PT, Zimmerman JB, O'Malley S, Allen W, Erythropel HC. Water addition to e-liquids to reduce flavour aldehyde acetal formation: chemistry and user sensory experience and appeal. Tob Control. 2026 May 20:tc-2025-060013. doi: 10.1136/tc-2025-060013. Online ahead of print.
PubMed 42161504
Study at a glance
From the registry record, last updated by the sponsor on 22 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Water Content In E-Liquids
- ClinicalTrials.gov ID
- NCT05257109
- Acronym / sponsor ID
- 2000031495
- Conditions
- Nicotine E-Cigarette Use
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 31 participants (actual)
- Lead sponsor
- Yale UniversityUniversity, hospital or other
- Collaborators
- National Institute on Drug Abuse (NIDA)
- Study start
- 1 Aug 2022 (actual)
- Primary completion
- 10 Mar 2023 (actual)
- Study completion
- 10 Mar 2023 (actual)
- First posted
- 25 Feb 2022 (actual)
- Results
- Posted 22 Oct 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study looks at the effect of manipulating the water concentration of certain e-liquids on sensory perception.
Detailed description
This study looks at the effect of manipulating water concentration on e-cigarettes that contain aldehyde flavor chemicals on sensory perception. Regular e-cigarette users will be asked to complete 2 lab sessions in which they will sample 4 nicotine containing e-liquids. Each e-liquid will be sampled in four water concentration manipulations. Researchers will examine influence of flavor and water concentrations on sensory experience including appeal/liking and irritation and harshness.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
- Model description
- Within subject design, all participants will receive all e-liquid flavors/water concentrations
| Arm | Type | Receives |
|---|---|---|
| Experimental E-Liquid Order "A" | Experimental | Other: Water Concentration 1, Other: Water Concentration 2, Other: Water Concentration 3, Other: Water Concentration 4All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. |
| Experimental E-Liquid Order "B" | Experimental | Other: Water Concentration 1, Other: Water Concentration 2, Other: Water Concentration 3, Other: Water Concentration 4All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. |
| Experimental E-Liquid Order "C" | Experimental | Other: Water Concentration 1, Other: Water Concentration 2, Other: Water Concentration 3, Other: Water Concentration 4All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. |
| Experimental E-Liquid Order "D" | Experimental | Other: Water Concentration 1, Other: Water Concentration 2, Other: Water Concentration 3, Other: Water Concentration 4All participants will be given all e-liquids (i.e. all 16 flavor*water concentration combinations (4 flavors and four water concentrations)) in this within subject cross-over design study. Participants will be randomized in the order in which they receive the flavor conditions (across the 2 visits). For each flavor condition, water order will be randomized. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- at least 21 years old
- able to read/write
- >/= 6 mths e-cig use
- regular e-cig use (>/= 4 days/week)
- use of flavored e-cigs
Key exclusion criteria (6 listed)
- breastfeeding, pregnant, trying to become pregnant
- Medical conditions that increase risk of respiratory problems among participants
- Current use of illegal substances
- Medical conditions increasing risk of respiratory problems in nonpatient populations
- Current diagnosis of an untreated psychiatric condition
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Water Concentration 1E-liquid containing 36mg/ml pronated nicotine will be administered with no alteration to water concentration. | Other | Experimental E-Liquid Order "A", Experimental E-Liquid Order "B", Experimental E-Liquid Order "C", Experimental E-Liquid Order "D" |
| Water Concentration 2E-liquid containing 36mg/ml pronated nicotine will be administered with 5% total water concentration of e-liquid. | Other | Experimental E-Liquid Order "A", Experimental E-Liquid Order "B", Experimental E-Liquid Order "C", Experimental E-Liquid Order "D" |
| Water Concentration 3E-liquid containing 36mg/ml pronated nicotine will be administered with 10% total water concentration of e-liquid. | Other | Experimental E-Liquid Order "A", Experimental E-Liquid Order "B", Experimental E-Liquid Order "C", Experimental E-Liquid Order "D" |
| Water Concentration 4E-liquid containing 36mg/ml pronated nicotine will be administered with 20% total water concentration of e-liquid. | Other | Experimental E-Liquid Order "A", Experimental E-Liquid Order "B", Experimental E-Liquid Order "C", Experimental E-Liquid Order "D" |
Primary outcome
Irritation/Harshness
Time frame: immediately after intervention, up to 15 minutes
Change in irritation at each water level as measured by the computerized Generalized Labeled Magnitude Scale (gLMS). Participants will self-report their responses using a computer mouse to indicate where on the scale response falls. The Generalized Labeled Magnitude Scales (gLMS) are category ratio scales with seven semantic labels: "no sensation", "barely detectable", "weak", "moderate", "strong", "very strong", and "strongest imaginable", positioned quasi-logarithmically as per empirically determined semantic magnitudes on a 0-100 scale (strongest imaginable at the 100 end).
Appeal Assessed Using the Labeled Hedonic Scale (LHS) Ranging From -100 to 100
Time frame: immediately after intervention, up to 15 minutes
Change in appeal at each water level as measured by the computerized Labeled Hedonic Scale (LHS). Participants will self-report their responses using a computer mouse to indicate where on the scale response falls. The Labeled Hedonic Scale (LHS) is a bipolar category ratio scale that ranges from -100 (most disliked, minimum score) to 100 (most liked, maximum score), with 'neither liked nor disliked' as midpoint (0). Scores range from -100 (minimum) to 100 (maximum). Negative scores indicate dislike (lack of appeal) and positive scores indicate liking (appeal).
Appeal Assessed Using the Drug Effects Questionnaire (DEQ)
Time frame: immediately after intervention, up to 15 minutes
Change in appeal at each water level as measured by the computerized version of the Drug Effects Questionnaire (DEQ). Participants will self-report their responses using a computer mouse to indicate where on the scale response falls. A modified version of the Drug Effects Questionnaire (DEQ) will be used in which participants rate acute responses to the e-cigarette on a 0-100mm scale from "not at all" (0mm) to "extremely" (100mm).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42161504Davis D, Green BG, Krishnan-Sarin S, Martin TD, Wu R, Gueorguieva R, Anastas PT, Zimmerman JB, O'Malley S, Allen W, Erythropel HC. Water addition to e-liquids to reduce flavour aldehyde acetal formation: chemistry and user sensory experience and appeal. Tob Control. 2026 May 20:tc-2025-060013. doi: 10.1136/tc-2025-060013. Online ahead of print.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Danielle Davis, PhD principal investigator
Yale University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Water Concentration 1, Water Concentration 2 and Water Concentration 3 in people with Nicotine E-Cigarette Use, run by Yale University 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 22 Oct 2024. 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 22 Oct 2024). 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?
Irritation/Harshness (time frame: immediately after intervention, up to 15 minutes). The study lists 3 primary outcomes in all. 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 NCT05257109, 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 22 Oct 2024; AzTrials last refreshed its copy on 26 Oct 2026.