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| ID | Type | Description | Link |
|---|---|---|---|
| ZRHR-ERS-09-EXT-US | Other Identifier | Philip Morris Products S.A. |
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The objective of the ZRHR-ERS-09-EXT-US study is to further assess the effect of the Tobacco Heating System 2.2 (THS 2.2), a candidate Modified Risk Tobacco Product, compared to conventional cigarettes (CC) on the components of the "smokers' health profile" for a prolonged period of 26 weeks, providing additional information to the results of the original study ZRHR-ERS-09-US of 26-week exposure (NCT02396381). In total, the ZRHR-ERS-09-EXT-US study will extend the exposure period to 52 weeks.
The ZRHR-ERS-09-EXT-US study is a 26-week extension of the original study ZRHR-ERS-09-US.
The subjects in the Full Analysis Set - As Exposed (FAS-EX) included subjects for combined analyses from the original six month study (ZRHR-ERS-09-US ) who did not enter the extension study (ZRHR-ERS-09-EXT-US).
This study was conducted as a separate investigation, as a follow-up of the randomized exposure period of the original study, extending the exposure from Week 26 (Visit 10 [V10]) to Week 52 (Visit 16 [V16]), and using the same sites.
Subjects continued to use the product they were randomized to in the original study ZRHR-ERS-09-US (THS 2.2 arm or CC arm).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| THS 2.2 | Experimental | Ad libitum use of THS 2.2 |
|
| CC | Active Comparator | Ad libitum use of CC |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| THS 2.2 | Other | Ad libitum use of THS 2.2 in an ambulatory setting for 26 weeks. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Levels of High Density Lipoprotein C (HDL-C). | Concentrations (mg/dL) measured in serum. Mean values are provided as descriptive statistics. | 52 weeks |
| Levels of White Blood Cells (WBC). | Total count in blood (GI/L). Mean values are provided as descriptive statistics. | 52 weeks |
| Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1). | FEV1 post-bronchodilator and expressed as percentage predicted (FEV1 %pred). Mean values are provided as descriptive statistics. | 52 weeks |
| Concentrations of Soluble Intercellular Adhesion Molecule 1 (sICAM-1). | Concentrations (ng/mL) measured in serum. Geometric Mean values are provided as descriptive statistics. | 52 weeks |
| Concentrations of 11-dehydrothromboxane B2 (11-DTXB2). | Concentrations measured in urine and expressed as concentration adjusted for creatinine (pg/mg creat). Geometric Mean values are provided as descriptive statistics. | 52 weeks |
| Concentrations of 8-epi-prostaglandin F2α (8-epi-PGF2α). | Concentrations measured in urine and expressed as concentration adjusted for creatinine (pg/mg creat). Geometric Mean values are provided as descriptive statistics. | 52 weeks |
| Concentrations of Total 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (Total NNAL). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christelle Haziza, PhD | Philip Morris Products S.A. | Study Chair |
| Danielle Armas, MD | Celerion Arizona | Principal Investigator |
| Leonard Dunn, MD | Clinical Research West Florida | Principal Investigator |
| Hugh Coleman, MD | Covance | Principal Investigator |
| George Stoica, MD | Compass Research | Principal Investigator |
| Mark Adams, MD | Central Kentucky Research Associate | Principal Investigator |
| Peter Davidson, MD | Celerion Lincoln | Principal Investigator |
| John Rubino, MD | PMG Research of Raleigh | Principal Investigator |
| George Raad, MD | PMG Research of Charlotte | Principal Investigator |
| Kevin Cannon, MD | PMG Research of Wilmington |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celerion Arizona | Tempe | Arizona | 85283 | United States | ||
| Clinical Research West Florida |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38804903 | Derived | Ansari SM, Hession PS, David M, Blanc N, de La Bourdonnaye G, Pouly S, Haziza C. Impact of switching from cigarette smoking to tobacco heating system use on biomarkers of potential harm in a randomized trial. Biomarkers. 2024 Jul;29(5):298-314. doi: 10.1080/1354750X.2024.2358318. Epub 2024 Jun 7. |
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672 subjects enrolled in the extension study; the 857 subjects in the Full Analysis Set - As Exposed (FAS-EX) included subjects for combined analyses from the original six month study who did not enter the extension study. The analysis was performed according to subjects' exposure over the 12 month period as detailed in "Arm/Group" (Reporting Groups) table.
Of the 984 subjects (488 in the THS arm and 496 in the CC arm) who were enrolled and randomized into the original study, NCT02396381, 672 subjects were enrolled into the extension study (309 in the THS arm and 363 in the CC arm).
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| ID | Title | Description |
|---|---|---|
| FG000 | THS 2.2 Use | This reporting group comprised 230 subjects. The "THS 2.2 use" product use category was defined as THS use of 70% or more over the entire analysis period. (≥1 THS 2.2 or CC, and ≥70% THS 2.2 use over the analysis period, and ≥70% THS 2.2 use on >50% of days in the analysis period.) |
| FG001 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Aug 23, 2016 | May 15, 2020 |
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| CC |
| Other |
Ad libitum use of CC in an ambulatory setting for 26 weeks. The subject's own preferred brands of CC (no brand restriction) continue to be used as the reference product. |
|
Concentrations measured in urine and expressed as concentration adjusted for creatinine (pg/mg creat). Geometric Mean values are provided as descriptive statistics.
| 52 weeks |
| Levels of Carboxyhemoglobin (COHb). | Carboxyhemoglobin (COHb) is assayed from whole blood. Expressed as % of saturation of hemoglobin. Geometric Mean values are provided as descriptive statistics. | 52 weeks |
| Principal Investigator |
| Derek Schroder, MD | PMG Research of Cary | Principal Investigator |
| Stephanie Powell, MD | PMG Research of Bristol | Principal Investigator |
| William Smith, MD | NOCCR | Principal Investigator |
| Darrell Herrington, MD | Benchmark | Principal Investigator |
| Laurence Chu, MD | Benchmark | Principal Investigator |
| William Seger, MD | Benchmark | Principal Investigator |
| David Subich, MD | Compass Research | Principal Investigator |
| Lon Lynn, MD | Clinical Research West Florida | Principal Investigator |
| Isabel Kuhare-Arcure, MD | Midwest Clinical Research | Principal Investigator |
| Keith Scott, MD | National Clinical Research | Principal Investigator |
| Clearwater |
| Florida |
| 33765 |
| United States |
| Covance, Inc | Daytona Beach | Florida | 32117 | United States |
| Compass Research | Orlando | Florida | 32806 | United States |
| Clinical Research West Florida | Tampa | Florida | 33603 | United States |
| Compass Research | The Villages | Florida | 32162 | United States |
| Central Kentucky Research Associate | Lexington | Kentucky | 40509 | United States |
| Celerion Lincoln | Lincoln | Nebraska | 68502 | United States |
| PMG Research of Cary | Cary | North Carolina | 27518 | United States |
| PMG Research of Charlotte | Charlotte | North Carolina | 28209 | United States |
| PMG Research of Raleigh | Raleigh | North Carolina | 27609 | United States |
| PMG Research of Wilmington | Wilmington | North Carolina | 28401 | United States |
| Midwest Clinical Research | Dayton | Ohio | 45417 | United States |
| PMG Research of Bristol | Bristol | Tennessee | 37620 | United States |
| NOCCR | Knoxville | Tennessee | 37920 | United States |
| Benchmark | Austin | Texas | 78705 | United States |
| Benchmark | Fort Worth | Texas | 76135 | United States |
| Benchmark | San Angelo | Texas | 76904 | United States |
| National Clinical Research | Richmond | Virginia | 23294 | United States |
| CC Use |
This reporting group comprised 424 subjects. The "CC use" product use category was defined as THS use of less than 1% over the entire analysis period. (≥1 THS 2.2 or CC use, and <1% THS 2.2 use over the entire analysis period and <1% THS 2.2 use on ≥ 50% of days in the analysis period.) |
| FG002 | Dual Use | This reporting group comprised 152 subjects. The "Dual use" product use category was defined as THS use of less than 70% over the entire analysis period. (≥ 1 THS 2.2 or CC and, 1% ≤THS 2.2 <70% over the analysis period, or THS 2.2-use and CC use categories do not apply to 50% of these days.) |
| FG003 | Other Use | This reporting group comprised 51 subjects. "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | THS 2.2 Use | The "THS 2.2 use" product use category was defined as THS use of 70% or more over the entire analysis period. (≥1 THS 2.2 or CC, and ≥70% THS 2.2 use over the analysis period, and ≥70% THS 2.2 use on >50% of days in the analysis period.) |
| BG001 | CC Use | The "CC use" product use category was defined as THS use of less than 1% over the entire analysis period. (≥1 THS 2.2 or CC use, and <1% THS 2.2 use over the entire analysis period and <1% THS 2.2 use on ≥ 50% of days in the analysis period.) |
| BG002 | Dual Use | The "Dual use" product use category was defined as THS use of less than 70% over the entire analysis period. (≥ 1 THS 2.2 or CC and, 1% ≤THS 2.2 <70% over the analysis period, or THS 2.2-use and CC use categories do not apply to 50% of these days.) |
| BG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| BMI | Mean | Standard Deviation | kg/m^2 |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Levels of High Density Lipoprotein C (HDL-C). | Concentrations (mg/dL) measured in serum. Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Mean | 95% Confidence Interval | mg/dL | 52 weeks |
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| Primary | Levels of White Blood Cells (WBC). | Total count in blood (GI/L). Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Mean | 95% Confidence Interval | GI/L | 52 weeks |
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| Primary | Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1). | FEV1 post-bronchodilator and expressed as percentage predicted (FEV1 %pred). Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Mean | 95% Confidence Interval | Percent of predicted FEV1 | 52 weeks |
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| Primary | Concentrations of Soluble Intercellular Adhesion Molecule 1 (sICAM-1). | Concentrations (ng/mL) measured in serum. Geometric Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Geometric Mean | 95% Confidence Interval | ng/mL | 52 weeks |
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| Primary | Concentrations of 11-dehydrothromboxane B2 (11-DTXB2). | Concentrations measured in urine and expressed as concentration adjusted for creatinine (pg/mg creat). Geometric Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Geometric Mean | 95% Confidence Interval | pg/mg creat | 52 weeks |
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| Primary | Concentrations of 8-epi-prostaglandin F2α (8-epi-PGF2α). | Concentrations measured in urine and expressed as concentration adjusted for creatinine (pg/mg creat). Geometric Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Geometric Mean | 95% Confidence Interval | pg/mg creat | 52 weeks |
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| Primary | Concentrations of Total 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (Total NNAL). | Concentrations measured in urine and expressed as concentration adjusted for creatinine (pg/mg creat). Geometric Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Geometric Mean | 95% Confidence Interval | pg/mg creat | 52 weeks |
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| Primary | Levels of Carboxyhemoglobin (COHb). | Carboxyhemoglobin (COHb) is assayed from whole blood. Expressed as % of saturation of hemoglobin. Geometric Mean values are provided as descriptive statistics. | Full Analysis Set - As Exposed Analysis (FAS-EX). Some participants were excluded from analysis for protocol deviations (including, but not limited to, missing measurements). | Posted | Geometric Mean | 95% Confidence Interval | percent change | 52 weeks |
|
18 months (from March 2015 to September 2016)
Of the 984 subjects who started the original study (NCT02396381), 20 subjects without a valid safety assessment and 24 subjects from a site terminated for non-GCP compliance were excluded from the safety population (N=940). The safety population comprised the 857 subjects of the Full Analysis Set - As Exposed (FAS-EX), who had at least one record of reported product use post randomization, and 83 subjects who were randomized and had at least 1 valid safety assessment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | THS 2.2 Use | The "THS 2.2 use" product use category was defined as THS use of 70% or more over the entire analysis period. (≥1 THS 2.2 or CC, and ≥70% THS 2.2 use over the analysis period, and ≥70% THS 2.2 use on >50% of days in the analysis period.) | 1 | 241 | 12 | 241 | 40 | 241 |
| EG001 | CC Use | The "CC use" product use category was defined as THS use of less than 1% over the entire analysis period. (≥1 THS 2.2 or CC use, and <1% THS 2.2 use over the entire analysis period and <1% THS 2.2 use on ≥ 50% of days in the analysis period.) | 1 | 434 | 15 | 434 | 87 | 434 |
| EG002 | Dual Use | The "Dual use" product use category was defined as THS use of less than 70% over the entire analysis period. (≥ 1 THS 2.2 or CC and, 1% ≤THS 2.2 <70% over the analysis period, or THS 2.2-use and CC use categories do not apply to 50% of these days.) . | 0 | 159 | 1 | 159 | 26 | 159 |
| EG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) | 1 | 106 | 1 | 106 | 13 | 106 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis with Peritonitis | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Cellulitis | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Cellulitis staphylococcal | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Epiglottitis | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Influenza | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Pneumonia mycoplasmal | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Tooth infection | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
| |
| Urosepsis with Nephrolithiasis | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
| |
| Head injury with Seizure | Injury, poisoning and procedural complications | MedDRA (18.0) | Non-systematic Assessment |
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| Hip fracture | Injury, poisoning and procedural complications | MedDRA (18.0) | Non-systematic Assessment |
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| Laceration | Injury, poisoning and procedural complications | MedDRA (18.0) | Non-systematic Assessment |
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| Multiple fractures | Injury, poisoning and procedural complications | MedDRA (18.0) | Non-systematic Assessment |
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| Rib fracture, Clavicle fracture, Pulmonary contusion, Pleural effusion, and Traumatic Hemothorax | Injury, poisoning and procedural complications | MedDRA (18.0) | Non-systematic Assessment |
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| Alchohol abuse | Psychiatric disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Completed suicide | Psychiatric disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Suicidal ideation | Psychiatric disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (18.0) | Non-systematic Assessment |
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| Metastases to small intestine with Anaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (18.0) | Non-systematic Assessment |
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| Papillary thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (18.0) | Non-systematic Assessment |
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| Transient ischaemic attack | Nervous system disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Costochondritis | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Vertebral osteophyte with Cervical Myelopathy | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Acute myocardial infarction | Cardiac disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Pancreatitis chronic | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Death | General disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Menorrhagia | Reproductive system and breast disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Bereavement and Adjustment Disorder with Depressed Mood | Social circumstances | MedDRA (18.0) | Non-systematic Assessment |
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| Peripheral ischaemia | Vascular disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Foot Fracture | Injury, poisoning and procedural complications | MedDRA (18.0) | Non-systematic Assessment |
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| Pyelonephritis Acute | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Upper respiratory tract infection | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Blood triglycerides increased | Investigations | MedDRA (18.0) | Non-systematic Assessment |
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We confirm we have the contractual provisions in place which specify that in no event will the study site be allowed to disclose to any third party (or publicly release) any information obtained through the study without the CRO's prior written consent which in turn cannot provide such consent without Sponsor's approval unless such publication is made to satisfy regulatory requirements.
The Intellectual Property rights and research results from the present study belong to the Sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Christelle Haziza | Philip Morris Products S.A. | +41 58 242 11 11 | christelle.haziza@pmi.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 8, 2017 | May 15, 2020 | SAP_001.pdf |
| ID | Term |
|---|---|
| D012907 | Smoking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| OG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
|
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| OG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
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| OG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
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| OG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
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| OG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
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| OG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
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| OG003 | Other Use | "Other use" refers to any other product use over the entire analysis period. (Subjects with missing product use data, subjects using e-cigarettes or other tobacco products, quitters, or subjects who switched across different use patterns.) |
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