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| Name | Class |
|---|---|
| Rose Research Center, LLC | INDUSTRY |
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The goal of this clinical trial is to learn about the role of flavored on!® nicotine pouch products (the research products), an oral tobacco-leaf-free product, in the replacement of cigarettes with the use of the research products among adults who smoke cigarettes. The main question it aims to answer is whether flavored (vs. non-flavored) research products generate greater reduction of cigarette smoking among adults who smoke cigarettes.
Participants will be provided with research products to use for 6 weeks. Researchers will compare the reduction in cigarette smoking between participants with access to a complete flavor profile of research products and participants with access to only the Original (non-flavored) variety of research product to see if reduction in cigarette smoking is greater among those with access to flavored research products.
This open label randomized controlled study (target n=400) among adults who smoke will evaluate the impact of differential availability of research products on cigarette smoking. All products will be on!® 4mg nicotine pouch products.
In this design, there are three configurations:
This study will involve approximately 7 weeks (including the baseline period) of study participation in a home use test with daily surveys, weekly surveys, and a 6-month follow-up survey after the trial period. Approximately 400 participants will be recruited. A total of 150 participants will be randomized to Group I, 125 to Group IIa, and 125 to Group IIb.
After consenting and screening procedures, participants will be followed for 3-7 days to establish baseline measures of cigarettes smoked per day. During this baseline period at least two CO readings will be collected. Participants randomized into Group I will enter a seven-day trial period to try all flavors of research products. This trial period is intended to allow participants to identify their preferred flavor(s). After the trial period, they will then complete five additional weeks of home use testing with ad libitum product trial of research products with free choice of the flavors available in this study.
Likewise, following the baseline period, participants randomized into Group II will be provided with the Original variety of research products to use for the next three weeks. At the three-week point, participants in Group IIa will continue with the Original variety of research product for the remaining three weeks and Group IIb will switch to having access to all flavors of research products for the remaining three weeks. Group IIb will enter a seven-day trial period to try all flavors of research products (a total of seven packs - one of each flavor will be provided). This trial period is intended to allow participants to identify their preferred flavor(s). After the trial period, they will then complete two additional weeks of home use testing with ad libitum product trial of research products with free choice of the flavors available in this study.
Participants will be invited to complete a six-month follow-up survey to gain insights about their tobacco use and related factors after the end of the product trial.
Analysis will be conducted to compare outcomes between:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Complete flavor profile of on! nicotine pouches | Experimental | This study arm will provided with access to all varieties of 4mg on! nicotine pouch products throughout the trial. |
|
| Non-Flavored on! nicotine pouches only | Active Comparator | This study arm will provided with access to non-flavored (i.e., Original) 4mg on! nicotine pouch products throughout the trial. |
|
| Non-Flavored then complete flavor on! nicotine pouches | Active Comparator | This study arm will provided with access to non-flavored (i.e., Original) 4mg on! nicotine pouch products during the first 3 weeks of the trial and then access to all varieties of 4mg on! nicotine pouch products during the last 3 weeks of the trial. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Access to all varieties of on! 4mg nicotine pouches (Berry, Citrus, Cinnamon, Wintergreen, Mint, Coffee, and Original) | Other | Access to all varieties of on! 4mg nicotine pouch products (Berry, Citrus, Cinnamon, Wintergreen, Mint, Coffee, and Original), throughout the trial. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in cigarette-related toxicant exposure | 50% reduction in carbon monoxide (CO) readings from baseline (yes/no) | End of Week 3, End of Week 6 |
| Cigarette-related toxicant exposure | Reduction in numeric expired air CO readings | End of Week 3, End of Week 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in self-reported cigarette consumption | 50% reduction in self-reported cigarette consumption from baseline (Yes/No) | End of Week 3, End of Week 6 |
| CO-verified smoking abstinence | Cigarette smoking abstinence in the past 7 days based on self-report and CO<6ppm |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hui Cheng, PhD | Contact | 5175998785 | hui.cheng@altria.com |
| Name | Affiliation | Role |
|---|---|---|
| Hui Cheng, PhD | ALCS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rose Research Center | Recruiting | Raleigh | North Carolina | 27617 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38905632 | Derived | Cheng HG, Rose JE, Karelitz JL, Botts DR, Botts TL, Willette PN, Cohen G. Effect of Flavored on! Nicotine Pouch Products on Smoking Behaviors: Protocol for a Sequential, Multiple Assignment, Randomized Controlled Trial. JMIR Res Protoc. 2024 Jun 21;13:e56565. doi: 10.2196/56565. |
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The study involves two randomizations, one at the beginning of the study and another at the end of week 3.
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|
| Access to Original on! 4mg nicotine pouches | Other | Access to non-flavored (i.e., Original) 4mg on! nicotine pouch products throughout the trial. |
|
| Non-Flavored then complete flavor on! nicotine pouches | Other | Access to non-flavored (i.e., Original) on! 4mg nicotine pouch products during the first 3 weeks and then access to all varieties (Berry, Citrus, Cinnamon, Wintergreen, Mint, Coffee, and Original) of on! 4mg nicotine pouch products during the rest of the trial |
|
| End of Week 3, End of Week 6 |
| Number of cigarettes smoked | Numeric number of cigarettes smoked (based on self-report) | End of Week 3, End of Week 6 |
| ID | Term |
|---|---|
| D000073865 | Cigarette Smoking |
| ID | Term |
|---|---|
| D000073869 | Tobacco Smoking |
| D012907 | Smoking |
| D001519 | Behavior |
| D064424 | Tobacco Use |
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| ID | Term |
|---|---|
| D005638 | Fruit |
| C476510 | SPEN protein, human |
| D003069 | Coffee |
| ID | Term |
|---|---|
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D001628 | Beverages |
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