Tobacco Abuse Smoke Clinical Trial
Official title:
Pharmacokinetic Profile of Toxic Substances and Nicotine in Electronic Cigarettes: a Randomised Cross-over Trial KINECIG
The aim of the present study is to compare serum nicotine levels of different e-Cigarette strength with usual cigarettes. Serum levels of carcinogenic and toxic substances will be also compared.
The study is randomised cross-over trial designed to compare: 1) serum nicotine levels of
four different e-Cigarette strength ; 2) Serum levels of carcinogenic and toxic substances
will be also compared. Participants will be requested to abstain from smoking and alcohol
from 20:00 on the night before each study day and from food and caffeine for at least 1 h
before the session. On arrival at the study centre, carbon monoxide (CO) will be measured in
participants' expired breath. If CO will be less than 15 parts per million (ppm), the
assigned study treatment will be allocated; however, if CO was > 15 ppm or they will report
smoking in the previous 12 h, participants will be rescheduled wherever possible to a
subsequent session.
On the first study day, participants will be randomised to use one of five ordered
conditions (each separated by 3 day): ENDDs (fourth generation) containing nicotine 2,4%;
ENDDs (second generation) containing nicotine 7,4 mg; ENDDs containing nicotine 9 mg; ENDDs
nicotine free; their usual cigarette. Additionally participants will be trained to use an
electronic cigarette. The following tests will be completed at the each visits: Aldehydes;
ROM/TOS; Total thiols; Nicotine; Hydroxypyrene; Cotinine; 1,3-butadiene; Acrylonitrile.
After, they will be cannulated and serial venous blood samples for Aldehydes; ROM/TOS; Total
thiols; Nicotine will be collected at 0.5, 2, 5, 15, 30 and 60 min after being instructed to
take 10 puffs. Additionally, levels of carbon monoxide in exhaled breath (eCO) will be
measured 0.5, 2, 5, 15, 30 and 60 min after being instructed to take 10 puffs. At 60 min,
after being instructed to take 10 puffs, urine sample for Hydroxypyrene; Cotinine;
1,3-butadiene; Acrylonitrile will be collected. Participants then will leave the study
centre with instructions to continue their usual daily activities and to use the study
product regularly (for at least 10 hrs) and freely throughout the day. At bedtime and after
the puffing chronic phase, when participants will use the study product regularly for at
least 10 hrs, urine sample for Hydroxypyrene; Cotinine; 1,3-butadiene; Acrylonitrile will be
collected. Participants will be allowed to smoke as they will wish once these measures will
be collected and during the 3-day washout period between each study day.
;
Allocation: Randomized, Endpoint Classification: Pharmacokinetics Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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