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Completed

NCT Number: NCT04170907

Pharmacokinetics and Pharmacodynamics of Different Nicotine Salt Concentration Vape System Pods and Free-base Nicotine

Comparison of the pharmacokinetics and pharmacodynamics of two different nicotine salt concentrations and free-base nicotine using an open vape pod system

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Inselspital, University Hospital Bern

Bern, Canton of Bern, 3010, Switzerland

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Men or women, age 18 or older at screening, who have used electronic cigarettes and/or smoked at least 5 cigarettes per day in the past 30 days
  • Saliva cotinine of > 50 ng/mL at screening
  • No clinically significant findings on the physical examination at screening
  • Ability to communicate well with the investigator and to understand and comply with the requirements of the study
  • Women of child-bearing age: willingness of using a reliable contraception method during the study
  • Signed informed consent

Exclusion criteria

  • Known hypersensitivity/allergy to a content of the e-liquid
  • Pregnancy or breast feeding
  • BMI < 18 or > 28 kg/m2 at screening
  • History or clinical evidence of alcoholism or drug abuse within the 3-year period prior to screening
  • Loss of ≥ 250 ml of blood within 3 months prior to screening, including blood donation
  • Treatment with an investigational drug within 30 days prior to screening
  • Treatment with prescribed or over-the-counter (OTC) medications with potential influence on CYP2A6 function within 1 week prior to screening (with the exception of contraception)
  • History or clinical evidence of any disease (e.g. gastrointestinal tract-disease) and/or existence of any surgical or medical condition, which in the opinion of the investigator might interfere with the absorption, distribution, metabolism or excretion of the study drugs, or which might increase the risk for toxicity
  • Legal incapacity or limited legal capacity at screening
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol

Treatment and study plan

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.

Primary outcomes

  1. Nicotine Peak Plasma Concentration (Cmax)

    Time frame: Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff

    Comparison of nicotine Cmax between groups

Secondary outcomes

  1. Area under the plasma concentration versus time curve (AUC)

    Time frame: Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff

    Comparison of the nicotine AUC between groups

  2. Time at which the Cmax is observed (Tmax)

    Time frame: Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff

    Comparison of the nicotine Tmax between groups

  3. Elimination half-life (t1/2)

    Time frame: Blood samples collection: 15 minutes before and 2, 5, 15, 30, 60, 120, and 180 minutes after the last puff

    Comparison of t1/2 between groups

  4. Genotyping of the hepatic cytochrome P450 enzyme CYP2A6

    Time frame: Blood sample collection during first session

    CYP2A6 genotype (allele variants)

  5. Nicotine metabolite ratio (NMR)

    Time frame: Assessed at screening visit

    Nicotine clearance assessed using 3'-hydroxycotinine/cotinine ratios

  6. Modified Minnesota Nicotine Withdrawal Scale (MNWS)

    Time frame: Baseline, 10 minutes and 1 and 3 hours after the last puff

    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

  7. Tiffany Questionnaire on Smoking Urges-Brief (QSU) total (global) craving score

    Time frame: Baseline, 10 minutes and 1 and 3 hours after the last puff

    Mean of ten items, rated on a 1=strongly disagree to 7=strongly agree scale

  8. Positive and Negative Affect Schedule (PANAS)

    Time frame: Baseline, 10 minutes and 1 and 3 hours after the last puff

    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)

  9. Respiratory symptoms

    Time frame: At baseline and 5 minutes after the last puff

    Yes/no: shortness of breath, wheezing, cough, phlegm

  10. Direct effects

    Time frame: Ten minutes post-use

    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)

  11. Heart rate

    Time frame: 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff

    Heart rate measurements (bpm)

  12. Systolic blood pressure

    Time frame: 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff

    Systolic blood pressure measurements (mmHg)

  13. Diastolic blood pressure

    Time frame: 15 minutes before and 2, 10, 15, 30, 60, 120, and 180 minutes after the last puff

    Diastolic blood pressure measurements (mmHg)

Sponsors and collaborators

Lead sponsor

Insel Gruppe AG, University Hospital Bern

Other

Collaborators

  • University of Bern

Registry information

Official study title

Randomized Crossover Study Comparing the Pharmacokinetics and Pharmacodynamics of Two Different Nicotine Salt Concentrations and Free-base Nicotine Using an Open Vape Pod System

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Nov 20, 2019
Registry last updated
Jan 8, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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