ClinicalTrials.gg
WithdrawnNCT03379025Updated Nov 6, 2019

Effects of Electronic Cigarettes in Cigarette Smokers With Mild to Moderate COPD

An interventional study of Electronic cigarette in COPD and Tobacco Use, sponsored by Massachusetts General Hospital. Withdrawn. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-11-06.

Sponsored by Massachusetts General Hospital · Not applicable, Interventional, and Other

Why this study was withdrawn
did not start RCT due to current concerns about vaping-related lung illness

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Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Study summary

This study evaluates the effects of electronic cigarette use on cigarette smoking and markers of tobacco use, as well as respiratory symptoms and function in smokers with mild to moderate chronic obstructive pulmonary disease (COPD). All participants will receive a 12 week supply of electronic cigarettes to use instead of their regular conventional cigarettes.

Read the detailed description

Electronic cigarettes are devices that heat a solution containing nicotine to form an aerosol that is then inhaled by the user. Electronic cigarettes are used by many smokers, including smokers with chronic health conditions such as COPD. Given that e-cigarettes are still relatively new, their effects on health are not well defined.

It is important to understand how electronic cigarettes affects symptoms and lung function in smokers with COPD to determine the short-term safety of these products. To do this, an initial step involves observing the extent to which smokers substitute their conventional cigarette use with electronic cigarette use and change their exposure to tobacco use biomarkers.

02

Conditions studied

  • COPD
  • Tobacco Use

Keywords

  • electronic cigarettes; e-cigarettes
03

In context

Pulmonary Disease, Chronic Obstructive

5,521 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,588 studies on the registry; 446 are open to participants now.

Of its 223 completed or terminated interventional studies of FDA-regulated products, 168 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • At least 10 pack year smoking history
  • Daily use of at least 5 cigarettes
  • No plan to quit cigarettes in the next 30 days
  • Willing to use e-cigarettes
  • Diagnosis of (/forced vital capacity [FVC] \<0.70) with mild (FEV1 >80% predicted) or moderate (FEV1 \<80% but >50% predicted) airflow limitation (post-bronchodilator); confirmed by spirometry
  • English-speaking

Exclusion criteria

Exclusion Criteria:

  • Past 30-day use of nicotine-containing products (cigars, cigarillos, hookah, electronic cigarettes, smokeless tobacco, nicotine replacement therapy)
  • Past 30 day use of inhaled drugs (marijuana, crack)
  • Pregnant or breastfeeding
  • Planning to become pregnant within the next 3 months or unable to agree to use appropriate during study
  • Pulmonary disease other than or asthma
  • Ever requiring mechanical ventilation
  • 2 or more hospitalizations for COPD in the past 12 months
  • Cardiac hospitalization in the past 6 months
  • Active chest pain or palpitations
  • Uncontrolled hypertension (blood pressure >160/100)
  • Oxygen therapy
  • Inability or to perform spirometry (e.g. recent eye, thoracic, or abdominal surgery)
  • Known allergy to propylene glycol or vegetable glycerin
  • Unable to consent or complete assessments
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Early Intervention Group

    JUUL Electronic Cigarettes, nicotine concentration 59 mg/ml, to replace all cigarette use for 12 weeks

    Other: Electronic cigarette

  • Other
    Delayed Intervention Group

    After a 12 week period of no electronic cigarette use, JUUL Electronic Cigarettes, nicotine concentration 59 mg/ml, to replace all cigarette use for 12 weeks

    Other: Electronic cigarette

Interventions

  • OtherElectronic cigarette

    electronic cigarette and cartridge refills (also known as pods)

    Also known as: e-cigarette, JUUL electronic cigarette

06

What researchers measure

Primary outcomes

  1. Change in cigarettes per day

    Change in self-reported cigarettes per day from Week 0 to Week 12

    Time frame: baseline and 12 weeks

Secondary outcomes

  1. Change in urine anabasine

    Change in tobacco biomarker anabasine from Week 0 to Week 12

    Time frame: baseline and 12 weeks

  2. Change in urine cotinine

    Change in nicotine metabolite cotinine from Week 0 to Week 12

    Time frame: baseline and 12 weeks

  3. Change in exhaled carbon monoxide

    Change in exhaled carbon monoxide from Week 0 to Week 12

    Time frame: baseline and 12 weeks

  4. Change in pulmonary function

    Change in post-bronchodilator forced expiratory volume in one second (FEV1) from Week 0 to Week 12

    Time frame: baseline and 12 weeks

  5. Transition Dyspnea Index

    Change in Transition Dyspnea Index at Week 12 from the Baseline Dyspnea Index at Week 0

    Time frame: baseline and 12 weeks

  6. St. George's Respiratory Questionnaire

    Change in quality of life as measured by the St. George's Respiratory Questionnaire from Week 0 to Week 12

    Time frame: baseline and 12 weeks

Other outcomes

  1. Sustained change in cigarettes per day

    Assess whether any changes in cigarettes per day after 12 weeks of receiving e-cigarettes are sustained after an additional 12 weeks

    Time frame: 12 weeks and 24 weeks for immediate intervention group; 24 weeks and 36 weeks for delayed intervention group

  2. Sustained change in urine anabasine

    Assess whether any changes in urine anabasine after 12 weeks of receiving e-cigarettes are sustained after an additional 12 weeks

    Time frame: 12 weeks and 24 weeks for immediate intervention group; 24 weeks and 36 weeks for delayed intervention group

  3. Sustained change in urine cotinine

    Assess whether any changes in urine cotinine after 12 weeks of receiving e-cigarettes are sustained after an additional 12 weeks

    Time frame: 12 weeks and 24 weeks for immediate intervention group; 24 weeks and 36 weeks for delayed intervention group

  4. Sustained change in exhaled carbon monoxide

    Assess whether any changes in exhaled carbon monoxide after 12 weeks of receiving e-cigarettes are sustained after an additional 12 weeks

    Time frame: 12 weeks and 24 weeks for immediate intervention group; 24 weeks and 36 weeks for delayed intervention group

  5. Sustained change in pulmonary function

    Assess whether any changes in post-bronchodilator FEV1 after 12 weeks of receiving e-cigarettes are sustained after an additional 12 weeks

    Time frame: 12 weeks and 24 weeks for immediate intervention group; 24 weeks and 36 weeks for delayed intervention group

  6. Sustained change in transition dyspnea index

    Assess whether any changes in post-bronchodilator FEV1 after 12 weeks of receiving e-cigarettes are sustained after an additional 12 weeks

    Time frame: 12 weeks and 24 weeks for immediate intervention group; 24 weeks and 36 weeks for delayed intervention group

  7. Sustained change in St. George's Respiratory Questionnaire

    Assess whether any changes in quality of life as measured by the St. George's Respiratory Questionnaire after 12 weeks of receiving e-cigarettes are sustained after an additional 12 weeks

    Time frame: 12 weeks and 24 weeks for immediate intervention group; 24 weeks and 36 weeks for delayed intervention group

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Oct 2019; primary completion for Apr 2021, 18 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 8, 2017
First posted
Dec 20, 2017
StartEst.
Oct 2019
Primary completionEst.
Apr 2021
CompletionEst.
Aug 2021
Last update
Nov 6, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03379025
Responsible party
Sara Kalkhoran (Assistant Professor of Medicine, Massachusetts General Hospital) — Principal investigator
First posted
Dec 20, 2017
Start date
Oct 2019 (estimated)
Primary completion
Apr 2021 (estimated)
Completion
Aug 2021 (estimated)
Last update
Nov 6, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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