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| Name | Class |
|---|---|
| University of Bern | OTHER |
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Comparison of the pharmacokinetics and pharmacodynamics of two different nicotine salt concentrations and free-base nicotine using an open vape pod system
On each study day, one puff will be taken with the assigned product every 30 seconds (total of 10 puffs). Blood samples will be collected to measure nicotine 15 minutes before vaping and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff. Heart rate and blood pressure will be measured 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff. Post-use withdrawal, craving, reward, and satisfaction will be assessed 10 minutes and 1 and 3 hours after the last puff using the modified Minnesota Nicotine Withdrawal Scale (MNWS), the Tiffany Questionnaire on Smoking Urges (QSU), and the Positive and Negative Affect Schedule (PANAS) questionnaires. Respiratory symptoms will be assessed at baseline and 5 minutes after the last puff. Ten minutes post-use, the direct effects of the assigned product (e.g. satisfying, calming, pleasant, vape another one right now) will also be assessed using visual analog scales.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nicotine salt 20 mg/mL | Other | Vaping of nicotine salt e-liquids with a nicotine concentration of 20 mg/mL. |
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| Nicotine salt 40 mg/mL | Other | Vaping of nicotine salt e-liquids with a nicotine concentration of 40 mg/mL. |
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| Free-base nicotine 20 mg/mL | Other | Vaping of free-base nicotine e-liquids with a nicotine concentration of 20 mg/mL. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| standardized vaping protocol | Other | The following questionnaires will first be completed: Modified Minnesota Nicotine Withdrawal Scale, Tiffany Questionnaire on Smoking Urges-Brief total (global) craving score, Positive and Negative Affect Schedule. The assigned product will then be given to the participant, and one puff will be taken every 30 seconds (total of 10 puffs). Blood samples will be collected 15 minutes before vaping and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff. Heart rate and blood pressure will be measured 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff. Post-use withdrawal, craving, reward, and satisfaction will be assessed 10 minutes and 1 and 3 hours after the last puff. Respiratory Symptoms will be assessed at baseline and 5 minutes after the last puff. Ten minutes post-use, the direct effects will also be assessed. |
| Measure | Description | Time Frame |
|---|---|---|
| Nicotine Peak Plasma Concentration (Cmax) | Comparison of nicotine Cmax between groups | Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the plasma concentration versus time curve (AUC) | Comparison of the nicotine AUC between groups | Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff |
| Time at which the Cmax is observed (Tmax) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Evangelia Liakoni, MD | Sponsor: Inselspital, Bern University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Inselspital, University Hospital Bern | Bern | Canton of Bern | 3010 | Switzerland |
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| ID | Term |
|---|---|
| D014029 | Tobacco Use Disorder |
| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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Participants will be switched in a within-subject crossover design among the three product types.
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Vaping of high and low concentration nicotine salt and free-base nicotine will be double-blinded.
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Comparison of the nicotine Tmax between groups |
| Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff |
| Elimination half-life (t1/2) | Comparison of t1/2 between groups | Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff |
| Genotyping of the hepatic cytochrome P450 enzyme CYP2A6 | CYP2A6 genotype (allele variants) | Blood sample collection during first session |
| Nicotine metabolite ratio (NMR) | Nicotine clearance assessed using 3'-hydroxycotinine/cotinine ratios | Assessed at screening visit |
| Modified Minnesota Nicotine Withdrawal Scale (MNWS) | Excluding items relating to sleep disturbance and constipation, including eight items (angry/irritable/frustrated, anxious/nervous, depressed mood/sad, desire or craving to smoke, difficulty concentrating, increased appetite/hungry, restless and impatient), rated on a 0=none to 4=severe scale | Baseline, 10 minutes and 1 and 3 hours after the last puff |
| Tiffany Questionnaire on Smoking Urges-Brief (QSU) total (global) craving score | Mean of ten items, rated on a 1=strongly disagree to 7=strongly agree scale | Baseline, 10 minutes and 1 and 3 hours after the last puff |
| Positive and Negative Affect Schedule (PANAS) | Including items assigned as Positive or Negative Affect (each score is the sum of ten items, rated on a 1=very slightly/not at all to 5=extremely scale) | Baseline, 10 minutes and 1 and 3 hours after the last puff |
| Respiratory symptoms | Yes/no: shortness of breath, wheezing, cough, phlegm | At baseline and 5 minutes after the last puff |
| Direct effects | E.g. satisfying, calming, pleasant, vape another one right now, assessed using visual analog scales (0-100 mm) with a single word scored from left (not at all) to right (extremely) | Ten minutes post-use |
| Heart rate | Heart rate measurements (bpm) | 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff |
| Systolic blood pressure | Systolic blood pressure measurements (mmHg) | 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff |
| Diastolic blood pressure | Diastolic blood pressure measurements (mmHg) | 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff |