Effect of Flavored on!® Nicotine Pouch Products on Smoking Behaviors: a Sequential Multiple Assignment Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 400
- 试验地点
- 2
- 主要终点
- Change in cigarette-related toxicant exposure
研究概览
简要总结
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.
详细描述
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:
- Access to complete flavor profile (Berry, Citrus, Cinnamon, Wintergreen, Mint, Coffee, and Original) for the entire six-week trial period (Group I);
- Access to Original only for the entire six-week trial period (Group IIa); and
- Access to Original only for the first three-week period and then access to complete flavor profile for the second three-week period (Group IIb).
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 22 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Has signed the Informed Consent Form (ICF) and is able to read and understand the information provided in the ICF.
- •Healthy adults who smoke cigarettes and are 22 to 65 years of age (inclusive) at screening.
- •Smokes an average of at least 5 cigarettes per day for the last 12 months.
- •Does not intend to use an FDA-approved treatment for nicotine dependence within the next 60 days (as assessed at screening).
- •Interested in replacing combustible cigarettes with a smoke-free tobacco product.
- •Willing and able to comply with the requirements of the study.
- •Owns a smart phone with text message and data capabilities compatible with necessary surveys.
排除标准
- •Participant enrollment numbers met (in sub-group or entire study).
- •Participant, or their first-degree relative (e.g., parent, sibling, child, spouse) or household member, is a current or former employee of the tobacco or e-vapor industry.
- •Participant, or their first-degree relative (e.g., parent, sibling, child, spouse) or household member is a named party or class representative in litigation involving a tobacco or e-vapor company.
- •Participant, or their first-degree relative (e.g., parent, sibling, child, spouse), or household member, is a current or former employee of a marketing consultant, market research firm, advertising or promotions agency, television or radio station, magazine or newspaper, government regulatory agency or public policy advocacy group, or law firm or legal department of a company.
- •Participant self-reports being "in poor health."
- •Participants of childbearing potential (CBP) who have a positive pregnancy test (as assessed at screening) or are nursing or planning to become pregnant during their participation.
- •Participant has an allergy/sensitivity to menthol or menthol-containing products or phenylalanine.
- •Participant has any other self-reported health restrictions.
- •Participant self-reports cardiovascular disease, cancer, diabetes, or is being treated for high blood pressure.
- •Participant self-reports periodontal disease, gum disease or bleeding, open mouth sores or ulcers.
- •Participant self-reports as wanting to stop using tobacco products in the next 60 days.
- •Participant has participated in one tobacco research study in the past 30 days OR a tobacco research study lasting two weeks or longer in the past 90 days.
- •Participant is unable to read, speak or understand English.
- •Participants who ever used at least a pack of nicotine pouch products or currently uses nicotine pouch products.
- •Participant who smokes marijuana more than once a week.
- •Heterosexually active participants of CBP (not sterilized by tubal ligation, oophorectomy, hysterectomy, or other surgical methods, or post-menopausal) that do not agree to practice medically appropriate methods of birth control (or remain abstinent) during the course of the trial and for 30 days after the last use of the research product. Medically acceptable methods of birth control include: vasectomy, vaginal diaphragm with spermicide, intrauterine device, hormonal birth control (oral, injected, patch, or implanted), condom with spermicide, or sponge with spermicide.
- •Taking psychoactive medications (e.g., antipsychotics or mood stabilizers).
- •Cannot participate in the study for any reason (e.g., medical, psychiatric, and or social reason) as judged by the Investigator or designated medical staff based on all available information from the screening period.
结局指标
主要结局
Change in cigarette-related toxicant exposure
时间窗: End of Week 3, End of Week 6
50% reduction in carbon monoxide (CO) readings from baseline (yes/no)
Cigarette-related toxicant exposure
时间窗: End of Week 3, End of Week 6
Reduction in numeric expired air CO readings
次要结局
- Change in self-reported cigarette consumption(End of Week 3, End of Week 6)
- CO-verified smoking abstinence(End of Week 3, End of Week 6)
- Number of cigarettes smoked(End of Week 3, End of Week 6)