Evaluation of the Electronic Cigarette Withdrawal Syndrome

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age21-55
SponsorJohns Hopkins University

About this trial

The goal of this project is to rigorously evaluate the nature of e-cigarette withdrawal in exclusive e-cigarette users during a monitored abstinence period and the role of nicotine in the expression of this withdrawal syndrome.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

21-55 years old

good general health as reviewed by study medical team

vital signs in normal range as reviewed by study medical team

negative urine test for illicit drug use (excluding THC) and negative breath alcohol test

Disqualifiers

psychoactive drug use (aside from cannabis, nicotine, alcohol, caffeine) in past month

current use of over-the-counter (OTC) or prescription medications that may impact safety

use cannabis >2 times per week

history of or current significant medical condition that would impact participation or safety according to the study investigators and medical staff

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transdermal Nicotine Patch

    Drug

    Blinded Nicotine Patch

  • Placebo Nicotine Patch

    Drug

    Blinded Patch with No Nicotine

Treatment groups

150 Participants
are divided into 3 treatment groups
Group A: Transdermal Nicotine PatchExperimental treatment 1 intervention
Group B: Transdermal Placebo PatchPlacebo comparator 1 intervention
Group C: No PatchNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Change in Hughes-Hatsukami Withdrawal Scale

The Hughes-Hatsukami Withdrawal Scale consists of 13 items presented individually on a 100mm visual analog scale. Higher scores reflect higher withdrawal (worse outcome) \[range 0-32\]. Measures are taken at baseline, 8am, 12pm, 4pm, and 8pm every day during the seven day residential stay.

Time frame
Baseline, every 4 hours up to 16 hours
2

Change in Smoking urges as assessed by the Tiffany-Drobes Questionnaire of Smoking Urges (QSU) Brief

The Tiffany-Drobes QSU Brief consists of ten items, each presented on the screen as a phrase centered above seven boxes ranging from (strongly disagree) to (strongly agree). Higher scores reflect higher withdrawal (worse outcome) \[range 0-70\]. Measures are taken at baseline, 8am, 12pm, 4pm, and 8pm every day during the seven day residential stay.

Time frame
Baseline, every 4 hours up to 16 hours
3

Change in Positive and Negative Affect Schedule (PANAS)

The PANAS consists of 20 items presented individually on a five-point Likert scale. Higher scores reflect more positive affect and negative affect \[range 0-50\]. Measures are taken at baseline, 8am, 12pm, 4pm, and 8pm every day during the seven day residential stay.

Time frame
Baseline, every 4 hours up to 16 hours
4

Change in Conners' Continuous Performance Task (CPT)

On the CPT, participants respond to single letters appearing on their computer screen but are asked to refrain from responding to a specified letter(i.e., the letter X). Higher scores reflect more inattention. Measures are taken at baseline, 8am, 12pm, 4pm, and 8pm every day during the seven day residential stay.

Time frame
Baseline, every 4 hours up to 16 hours

Secondary outcomes

1

Change in E-Cigarette Demand Intensity

E-cigarette use at unconstrained price measured using a commodity purchase task. Higher scores reflect more demand (worse outcome). Measures are taken at baseline, 8am, 12pm, 4pm, and 8pm every day during the seven day residential stay.

Time frame
Baseline, every 4 hours up to 16 hours
2

Change in E-Cigarette Demand Elasticity

Sensitivity of e-cigarette use to price measured using a commodity purchase task. Higher scores reflect more price sensitivity (better outcome). Measures are taken at baseline, 8am, 12pm, 4pm, and 8pm every day during the seven day residential stay.

Time frame
Baseline, every 4 hours up to 16 hours
3

Return to Use

Return to e-cigarette use at the one week follow-up.

Time frame
Day 14

Other outcomes

Sponsors and contacts

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Johns Hopkins University

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator