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The purpose of this study is to estimate nicotine uptake and assess subjective effects during ad libitum use sessions of 4 flavors of JUUL ENDS (also referred to as nicotine salt pod system; NSPS) products (i.e., Virginia Tobacco, Mint, Menthol and Mango) with 2 different nicotine concentrations. Subjective effects will also be assessed to gain an understanding of the user's experience during and after JUUL ENDS product use to evaluate the abuse liability of the products. The subject population will consist of healthy adult, male and female smokers, 21 to 65 years of age.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virginia Tobacco | Experimental | Subjects will use 5 products according to a randomized crossover assignment: JUUL 5% Virginia Tobacco ENDS, JUUL 3% Virginia Tobacco ENDS, Subject's UB combustible cigarette, Comparator e-cigarette, Nicorette White Ice Mint 4 mg nicotine polacrilex gum. |
|
| Mint | Experimental | Subjects will use 5 products according to a randomized crossover assignment: JUUL 5% Mint ENDS, JUUL 3% Mint ENDS, Subject's UB combustible cigarette, Comparator e-cigarette, Nicorette White Ice Mint 4 mg nicotine polacrilex gum. |
|
| Menthol | Experimental | Subjects will use 5 products according to a randomized crossover assignment: JUUL 5% Menthol ENDS, JUUL 3% Menthol ENDS, Subject's UB combustible cigarette, Comparator e-cigarette, Nicorette White Ice Mint 4 mg nicotine polacrilex gum. |
|
| Mango | Experimental | Subjects will use 5 products according to a randomized crossover assignment: JUUL 5% Mango ENDS, JUUL 3% Mango ENDS, Subject's UB combustible cigarette, Comparator e-cigarette, Nicorette White Ice Mint 4 mg nicotine polacrilex gum. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JUUL ENDS, Combustible cigarette, comparator e-cigarette, Nicorette gum | Other | JUUL ENDS and comparator e-cigarette will be used for 5 minutes ad libitum, one combustible cigarette will be used ad libitum, Nicorette gum will be used for 30 minutes ad libitum |
| Measure | Description | Time Frame |
|---|---|---|
| Nicotine uptake | Baseline-adjusted maximum plasma nicotine concentration [Cmax] | 120 minutes |
| Product liking as measured by the Product-Liking Questionnaire | Maximum response to the Product-Liking Questionnaire (visual analog scale, range of "not at all" to "a great deal") | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Nicotine uptake | Time of the maximum post-baseline nicotine concentration | 120 minutes |
| Nicotine uptake | Area under the nicotine concentration-time curve calculated using linear trapezoidal summation from time 0 to 30 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Altasciences Clinical Kansas, Inc. | Kansas City | Kansas | 66212 | United States | ||
| Central Kentucky Research Associates |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28056007 | Background | Babb S, Malarcher A, Schauer G, Asman K, Jamal A. Quitting Smoking Among Adults - United States, 2000-2015. MMWR Morb Mortal Wkly Rep. 2017 Jan 6;65(52):1457-1464. doi: 10.15585/mmwr.mm6552a1. | |
| 27401980 | Background | D'Ruiz CD, Graff DW, Robinson E. Reductions in biomarkers of exposure, impacts on smoking urge and assessment of product use and tolerability in adult smokers following partial or complete substitution of cigarettes with electronic cigarettes. BMC Public Health. 2016 Jul 11;16:543. doi: 10.1186/s12889-016-3236-1. |
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The study is open label; however, subjects will be masked to the percentage of nicotine in JUUL products.
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| 30 minutes |
| Nicotine uptake | Area under the nicotine concentration-time curve calculated using linear trapezoidal summation from time 0 to 60 minutes | 60 minutes |
| Nicotine uptake | Area under the nicotine concentration-time curve calculated using linear trapezoidal summation from time 0 to 120 minutes | 120 minutes |
| The effects of nicotine exposure as measured by the Nicotine Withdrawal Questionnaire visual analog scale | Maximum response to the Nicotine Withdrawal Questionnaire (visual analog scale, range "not at all" to "extremely") | 60 minutes |
| The effects of nicotine exposure as measured by the Product Direct Effects Questionnaire | Maximum response to the Product Direct Effects Questionnaire (visual analog scale, range "not at all" to "extremely") | 60 minutes |
| Subjective product assessments as measured by the Modified Product Evaluation Scale | Subjective product assessments as measured by responses to the Modified Product Evaluation Scale (scale range of 1 [not at all] to 7 [extremely]) | 60 minutes |
| Likelihood of future product use as measured by the Future Intent to Use the Product Questionnaire | Maximum response to the Future Intent to Use the Product Questionnaire (visual analog scale range of "definitely would not" to "definitely would") | 60 minutes |
| E-cigarette product use | Change in mass of e-cigarette pods/cartridges | 5 minutes |
| Physiologic impact of product use as measured by blood pressure | Systolic and diastolic pressures | 60 minutes |
| Physiologic impact of product use as measured by heart rate | Heart rate | 60 minutes |
| Puff count during ad libitum (e-)cigarette use periods | Number of puffs taken during ad libitum use session | 5 minutes |
| Safety and tolerability of short-term product use assessed by monitoring the incidence of product-use emergent adverse events | Safety and tolerability will be assessed by monitoring the incidence of product-use emergent adverse events. | 14 days |
| Lexington |
| Kentucky |
| 40509 |
| United States |
| 28813211 | Background | Gottlieb S, Zeller M. A Nicotine-Focused Framework for Public Health. N Engl J Med. 2017 Sep 21;377(12):1111-1114. doi: 10.1056/NEJMp1707409. Epub 2017 Aug 16. No abstract available. |
| 23239843 | Background | Hatsukami DK, Zhang Y, O'Connor RJ, Severson HH. Subjective responses to oral tobacco products: scale validation. Nicotine Tob Res. 2013 Jul;15(7):1259-64. doi: 10.1093/ntr/nts265. Epub 2012 Dec 13. |
| 25607446 | Background | Jensen RP, Luo W, Pankow JF, Strongin RM, Peyton DH. Hidden formaldehyde in e-cigarette aerosols. N Engl J Med. 2015 Jan 22;372(4):392-4. doi: 10.1056/NEJMc1413069. No abstract available. |
| Background | McNeill A [et al.] E-cigarettes: an evidence update. A report commissioned by Public Health England [Report]. - 2015. |
| 24814944 | Background | Polosa R, Morjaria J, Caponnetto P, Caruso M, Strano S, Battaglia E, Russo C. Effect of smoking abstinence and reduction in asthmatic smokers switching to electronic cigarettes: evidence for harm reversal. Int J Environ Res Public Health. 2014 May 8;11(5):4965-77. doi: 10.3390/ijerph110504965. |
| 29194389 | Background | Tanner JA, Tyndale RF. Variation in CYP2A6 Activity and Personalized Medicine. J Pers Med. 2017 Dec 1;7(4):18. doi: 10.3390/jpm7040018. |
| Background | USDHH US Department of Health and Human Services The Health Consequences of Smoking- 50 Years of Progress: A Report of the Surgeon General [Book] / ed. Health National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and. - 2014. |
| 30408019 | Background | Wang TW, Asman K, Gentzke AS, Cullen KA, Holder-Hayes E, Reyes-Guzman C, Jamal A, Neff L, King BA. Tobacco Product Use Among Adults - United States, 2017. MMWR Morb Mortal Wkly Rep. 2018 Nov 9;67(44):1225-1232. doi: 10.15585/mmwr.mm6744a2. |
| ID | Term |
|---|---|
| D000072137 | Vaping |
| D000073869 | Tobacco Smoking |
| ID | Term |
|---|---|
| D012907 | Smoking |
| D001519 | Behavior |
| D064424 | Tobacco Use |
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