Baby Albert: Electronic Cigarette Pharmacokinetics (PK) and Abuse Liability

Study Overview
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Brief Summary
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The overall aim of the current research is to understand purchasing and product choice behaviors of tobacco/nicotine users if banning the sale of fully nicotinized cigarettes were to go into effect. A sample of up to 30 current cigarette users (n=15) and dual e-cigarette and combustible cigarette users (n=15) who are willing to try an alternative nicotine-delivery device will be recruited. They will complete the screening visit, visit 1 and 2 preceded by 12 hours of nicotine/tobacco abstinent.

Detailed Description
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Participants will be provided information about the study and will provide initial consent for screening via an online screener. Written consent will be completed in person when participants are present to the laboratory. Eligible participants will include anyone over the age of 18 years and those who exclusively use combustible cigarettes or those who dual use e-cigarettes and combustible cigarettes. For the exclusive cigarette group, we will allow some e-cigarette experimentation. Participants will complete three in-lab study visits (1 screener visit and 2 study visits) separated by a standard minimum 48-hour washout period. They will be offered an Uber or other rideshare service as transportation to each study visit, however, they will not be required to use the service. Participants will complete an in-person screening visit in which they will be rescreened according to the eligibility criteria. Their exhaled carbon monoxide (eCO) will be checked prior to their visits as well as breath alcohol and urine pregnancy (for females) test will be conducted. Participant will also complete baseline assessment measures and Balloon Analog Risk Task (BART)- computerized task measuring impulsivity. At visit 2, participants will complete a standard 10 puff bout with the three e-cigarette devices and their usual brand cigarette. During visit 3, participants will complete three concurrent choice tasks in a counter-balanced fashion.

Official Title
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Baby Albert: Electronic Cigarette Pharmacokinetics (PK) and Abuse Liability

Conditions
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Tobacco Use

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: be at least 18 years old live within 30 miles of the research site interested in/willing to use an e-cigarette during study visits be willing and able to complete study procedures including specimen collection, survey completion, and remaining nicotine abstinent for 12 hours prior to each study visit speak and understand English willing to provide informed consent bring usual brand cigarettes to screener study visit should have healthy veins Additional Inclusion criteria for smokers: smoke at least 10 cigarettes per day for the past three months exhaled more than equal to 6 ppm carbon monoxide at the screener visit Additional Inclusion criteria for dual users: smoke more than equal to 5 tobacco cigarettes per day for the last 3 months use e-cigarettes at least 15 days per month for the last 3 months, and bring e-cigarette device to screener study visit Exclusion Criteria: currently suffering from lung disease including asthma, cystic fibrosis (CF), or chronic obstructive pulmonary disease (COPD), unless it is well-controlled currently pregnant or breast-feeding or have plans to become pregnant or begin breast-feeding at any point during the study intoxicated at study visits (breath alcohol testing and clean urine drug screen) any known allergies or sensitivity to the known major constituents contained in the aerosol of the study e-cigarette devices (e.g., flavorants, vegetable glycerin, propylene glycol) User of zero-nicotine e-cigarettes history of cardiac event or distress within the past 3 months currently suffering from any blood disorder that includes von willebrand, hemophilia, anemia, sickle cell, leukopenia, thrombocytopenia currently taking an anticoagulant or blood thinning medications have stent, graph, mastectomy or artificial hardware placed in arms or hands (bilaterally) Additional Exclusion criteria for smokers: have previously used any e-cigarette device (cig-a-like, pen style, mod, APV) for longer than 30 days use of an e-cigarette device over the past 14 days.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Exclusive cigarette smokers<br>Exclusive cigarette smokers must smoke at least 10 cigarettes per day for the past three months and have exhaled carbon monoxide (eCO) levels of at least 6 ppm at the screening visit. | |
| Dual (Electronic cigarette and cigarette smoking) users<br>Dual e-cigarette and cigarette users must have smoked at least 5 cigarettes per day for the last 3 months and use e-cigarettes at least 15 days per month for the last 3 months. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nicotine delivery measured by serum (blood) nicotine | Participants will complete one standardized puffing bout (10 puffs) with each of the three electronic cigarettes and their usual brand cigarette. Serum nicotine will be measured throughout each standardized puffing bout. Greater levels of serum nicotine will be indicative of greater nicotine delivery. | 1 month | 
| Proportion of puffs earned and allocated to each product in three hypothetical tobacco regulatory scenarios | Participants will complete three computer tasks simulating hypothetical regulatory scenarios and will earn and allocate puffs to study products. A greater proportion of puffs allocated will indicate greater demand for the product in that hypothetical scenario | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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e-cigarettes, juul brand e-cigarette, njoy brand e-cigarette, evolv/mirage DNA 75c brand e-cigarette