The Role of Nicotine and Non-Nicotine Alkaloids in E-Cigarette Use and Dependence (Ecig1)
Nicotine Dependence
About this trial
This is an interventional basic science trial for Nicotine Dependence focused on measuring Nicotine addiction, Cigarette smoking, E-cigarettes
Eligibility Criteria
Inclusion Criteria:
- Have no known serious medical conditions;
- Are 21-65 years old;
- Smoke an average of at least 10 cigarettes per day;
- Have smoked at least one cumulative year;
- Have an expired air CO reading of at least 10ppm;
- Are able to read and understand English.
Potential subjects must agree to use acceptable contraception during their participation in this study. Potential subjects must agree to avoid the following during their participation in this study:
- Participation in any other nicotine-related modification strategy outside of this protocol;
- Use of tobacco products other than cigarettes, including pipe tobacco, cigars, snuff, and chewing tobacco;
- Use of e-cigarettes other than the ones provided during the study;
- Use of experimental (investigational) drugs or devices;
- Use of illegal drugs.
Exclusion Criteria:
- Actively seeking treatment for nicotine dependence;
- Uncontrolled high blood pressure (self-report);
- Coronary heart disease with symptoms (e.g., chest pain);
- Heart attack in the past year;
- Cardiac rhythm disorder (irregular heart rhythm with symptoms);
- Chest pain in the last month (unless history indicates a non-cardiac source);
- Symptomatic heart disorder such as heart failure;
- Advanced liver or kidney disease that requires medication or dialysis, paracentesis;
- Bleeding stomach ulcers in the past 30 days;
- Lung disease that requires oxygen;
- Major brain disorder (including stroke with residual deficit, brain tumor, and seizure disorder);
- Migraine headaches that occur more frequently than once per week;
- Recent, unexplained fainting spells;
- Diabetes with insulin use;
- Current cancer or treatment for cancer in the past six months (except basal or squamous cell skin cancer);
- Other major medical condition (as determined by study medical provider);
- Diagnosis of thought disorder; such as bipolar disorder or schizophrenia;
- Psychiatric hospitalization within the past 12 months;
- Pregnant or nursing mothers;
- Use (within the past 7 days) of illegal drugs (or if the urine drug screen is positive for THC, Cocaine, Amphetamine, Opiates, Methamphetamines, PCP, Benzodiazepines, or Barbiturates), unless recent use of prescription opiates or benzodiazepines were taken for management of acute symptoms (e.g., tooth extraction, recent surgery, or sleep);
- Use of experimental (investigational) drugs within the past 7 days;
- Use of psychiatric medications including antidepressants and anti-psychotics may be permitted if the condition is stable (study medical provider discretion).
- Use of opiates, benzodiazepines, and muscle relaxants (unless taken for sleep or acute symptoms such as tooth extraction or recent surgery) within the past 7 days (study medical provider discretion);
- Use of Wellbutrin, bupropion, Zyban, Chantix, varenicline, nicotine patch, nicotine replacement therapy, clonidine or any other smoking cessation aid within the past 30 days;
- Use of cigars, pipes, Hookah, dissolvable nicotine, snuff, chewing tobacco, or e-cigarettes within the past 7 days;
- Diagnosis of alcohol abuse or dependence or self-report of consuming more than 6 drinks on one occasion more than one day per week;
- Significant adverse reaction to nicotine patch in the past;
- Current or recent participation (in the past 30 days) in another smoking treatment study at our Center or another research facility;
Sites / Locations
- Duke Center for Smoking Cessation
Arms of the Study
Arm 1
Experimental
Nicotine + NNTAs
Participants will be asked to switch from cigarette use to use of e-cigarettes for eight weeks. E-cigarette cartridges will contain tobacco extract with nicotine + NNTAs in a vehicle of propylene glycol and vegtable glycerin, with tobacco or menthol flavor matched to each participant's preference. The yields of nicotine and NNTAs will be in the range of typical commercial cigarettes.