ClinicalTrials.gg
CompletedNCT03463837DiamondUpdated Jun 21, 2021

Identify Biomarkers of Tobacco Exposure and Nicotine Uptake From JUUL 5% in Adult Smokers

An interventional study of Treatment with JUUL 5%, Virginia Tobacco and Treatment with JUUL 5%, Cool Mint, ENDS in Nicotine Dependence, Other Tobacco Product, Tobacco Use and Smoking, Tobacco, sponsored by Juul Labs, Inc.. Completed at 1 site in United States. Open to participants aged 21 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-06-21.

Sponsored by Juul Labs, Inc. · Not applicable, Interventional, and Other

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Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 799 studies in Tobacco Use Disorder with a site in United States — 75 open to participants now, 91 under way, 5 of them phase 3. Tobacco Use Disorder · United States.

Enrollment
350th of 736
90 · median 84
Started
2018
with 39 others
No phase
364 of 799
47 open now
Registered
562nd of 799
by date

Among the 799 studies in Tobacco Use Disorder with a site in United States, this one is the 350th largest by enrollment of the 736 interventional ones that give a count, is one of 40 that started in 2018, is one of 364 with no phase, and was the 562nd registered.

Tobacco Use Disorder

1,028 studies on the registry are indexed under Tobacco Use Disorder; 128 are open to participants now.

Browse Tobacco Use Disorder studies →

Open to participants now

75 of the 799 studies in Tobacco Use Disorder with a site in United States are open now. Recruiting first, the newest first:

70 more — sign in →

All 75 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 95 Tobacco Use Disorder studies recruiting now, 42 (44%) set no upper age limit and 50 (53%) stop at 75 or younger; 6 take children under 18; 37 take healthy volunteers.

This study: 21 Years to 65 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 799 studies in Tobacco Use Disorder with a site in United States, or all of them as a file.
02

Study summary

The JUUL 5% Electronic Nicotine Delivery System (ENDS) is being studied as an alternative to combustible cigarette use. This study aims to find out how much nicotine is in the blood and urine of healthy adult subjects after using three JUUL 5% ENDS compared to smoking usual brands of combustible cigarettes and stopping smoking.

Read the detailed description

This study will serve as a clinical evaluation of the exclusive use of selected JUUL ENDS, with the purpose of gaining an understanding of toxicant exposure.

03

Conditions studied

  • Nicotine Dependence, Other Tobacco Product
  • Tobacco Use
  • Smoking, Tobacco
04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Key Inclusion Criteria:

  1. Healthy, adult, male or female smoker, 21 to 65 years of age.
  2. Has been a smoker for at least 12 months prior to Screening.
  3. Currently smokes an average of 10 cigarettes each day.
  4. Has a positive urine cotinine (≥ 500 ng/mL).
  5. Has an exhaled carbon monoxide (CO) > 12 ppm.
  6. A female subject of must have been using and agree to continue using it through completion of the study:
  7. Provides voluntary consent to participate in this study documented on the signed form (ICF).

Key Exclusion Criteria

  1. Has a history or presence of conditions.
  2. Has a (BMI) > 40 kg/m2 or \< 18 kg/m2 at Screen
  3. Has a history of drug or alcohol abuse
  4. Has an estimated \< 80 mL/minute
  5. If female, the subject is pregnant, lactating, or intends to become pregnant during the time period from Screening through the end of study.
  6. Has used nicotine-containing products other than manufactured cigarettes within 14days of screening.
  7. Is planning to quit smoking during the study, planning to quit within 3 months following Day 1
Terms in these criteria, in plain language(6)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
90 participants (actual)

Study arms

  • Experimental
    Treatment with JUUL 5%, Virginia Tobacco

    JUUL 5%,Virginia Tobacco \[5 days\] in confinement.

    Other: Treatment with JUUL 5%, Virginia Tobacco

  • Experimental
    Treatment with JUUL 5%, Cool Mint, ENDS

    JUUL 5%, Cool Mint \[5 days\] in confinement.

    Other: Treatment with JUUL 5%, Cool Mint, ENDS

  • Experimental
    Treatment with JUUL 5%, Mango, ENDS

    JUUL 5%, Mango \[5 days\] in confinement.

    Other: Treatment with JUUL 5%, Mango, ENDS

  • Experimental
    JUUL 5%, Creme Bruele, ENDS

    JUUL 5%, Creme Bruele \[5 days\] in confinement.

    Other: JUUL 5%, Creme Bruele, ENDS

  • Active comparator
    Combustible cigarette

    Exclusive use of combustible cigarette \[5 days\] in confinement.

    Other: Combustible cigarette

  • Sham comparator
    Smoking cessation (no smoking)

    Smoking cessation (no smoking).

    Other: Smoking Cessation

Interventions

  • OtherTreatment with JUUL 5%, Virginia Tobacco

    JUUL 5%, ENDS for 5-days in confinement

    Also known as: JUUL

  • OtherTreatment with JUUL 5%, Cool Mint, ENDS

    JUUL 5%, ENDS for 5-days in confinement

    Also known as: JUUL

  • OtherTreatment with JUUL 5%, Mango, ENDS

    JUUL 5%, ENDS for 5-days in confinement

    Also known as: JUUL

  • OtherJUUL 5%, Creme Bruele, ENDS

    JUUL 5%, ENDS for 5-days in confinement

    Also known as: JUUL

  • OtherCombustible cigarette

    Exclusive use of combustible cigarette for 5 days in confinement.

  • OtherSmoking Cessation

    No smoking for 5-days in confinement.

06

What researchers measure

Primary outcomes

  1. Change in primary biomarkers day 5 values for each JUUL 5% product will be compared to baseline:

    Change in ; Urine N nitrosonornicotine (NNN), 4 (methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), 3 hydroxypropylmercapturic acid (3-HPMA), monohydroxybutenylmercapturic acid (MHBMA), and S-phenyl mercapturic acid (S-PMA) "Blood carboxyhemoglobin (COHb)

    Time frame: [Time Frame: 5 days]

Secondary outcomes

  1. Change in concentration of 3-hydroxy-1-methylpropylmercapturic acid (HMPMA) in urine

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  2. Change in concentration of 2-cyanoethyl-mercapturic acid (CEMA) in urine

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  3. Change in concentration of 1-hydroxypyrene (1-OHP) in urine

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  4. Change in concentration of Nicotine in urine

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  5. Change in concentration of Cotinine in urine

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  6. Change in concentration of trans-3'-hydroxycotinine in urine

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  7. Change in concentration of Glucuronides in urine

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  8. Change in concentration of Nicotine in blood

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  9. Change in concentration of Cotinine in blood

    Change in Biomarker

    Time frame: [Time Frame: 5 days]

  10. Change in concentration of trans-3'-hydroxycotinine in blood

    Change in Biomarker

    Time frame: [Time Frame: 5 days

  11. Change in maximum concentration (Cmax) Plasma pharmacokinetic (PK) of Nicotine

    Nicotine absorption

    Time frame: [Time Frame: Day 7,

  12. Change in time to maximum concentration (Tmax) Plasma PK of Nicotine

    Nicotine absorption

    Time frame: [Time Frame: Day 7,

  13. Change of area under the curve (AUC) Plasma PK of Nicotine

    Nicotine absorption

    Time frame: [Time Frame: Day 7,

  14. Product use over 5-day period and during 5-minute fixed and ad libitum use episodes

    Change in product use

    Time frame: [Time Frame: 7 days]

  15. Measure of subjective Smoking Urge Assessment

    Change in Assessment

    Time frame: [Time Frame: 6-7 days, intervention dependent]

  16. Measure of subjective product evaluation using the "modified Product Evaluation Scale (mPES)"

    Change in Evaluation; Scale: 1 = not at all, 2 = very little, 3 = a little, 4 = moderately, 5 = a lot, 6 = quite a lot, 7 = extremely Four multi-item subscales will be derived from "Satisfaction" (items 1, 2, 3, and 12); "Psychological Reward" (items 4 through 8); "Aversion" (items 9, 10, 16, and 18); and "Relief" (item 11, 13, 14, 15, and reversed for item 19) and single items 17 and 20 will be summarized.

    Time frame: [Time Frame: 6-7 days, intervention dependent]

  17. Measure of future intent to use JUUL 5% Device device relative to usual combustible cigarette and smoking cessation.

    Change in Intent

    Time frame: [Time Frame: 6-7 days, intervention dependent]

  18. Number of participants with Adverse Events associated with use of JUUL 5% Device to combustible cigarette and smoking cessation

    Safety

    Time frame: [Time Frame: 13-14 days, intervention dependent]

  19. Incidence of JUUL 5% Device, including malfunction and/or misuse

    Device performance

    Time frame: [Time Frame: 7 days]

07

Study locations

1 site
  • Celerion
    Lincoln, Nebraska 68516, United States
08

References and documents

Publications

  • HIPAA Privacy Rule. Information for Researchers. De-identifying Protected Health Information Under the Privacy Rule. U.S. Department of Health and Human Services. NIH (Feb 2007). Available at: http://privacyruleandresearch.nih.gov/pr_08.asp#8a. Last accessed 31-Jul-2017.
  • D'Ruiz CD, Graff DW, Robinson E. Reductions in biomarkers of exposure, impacts on smoking urge and assessment of product use and tolerability in adult smokers following partial or complete substitution of cigarettes with electronic cigarettes. BMC Public Health. 2016 Jul 11;16:543. doi: 10.1186/s12889-016-3236-1. PubMed 27401980 ↗
  • Jensen RP, Luo W, Pankow JF, Strongin RM, Peyton DH. Hidden formaldehyde in e-cigarette aerosols. N Engl J Med. 2015 Jan 22;372(4):392-4. doi: 10.1056/NEJMc1413069. No abstract available. PubMed 25607446 ↗
  • McNeill A et al. E-cigarettes: An Evidence Update. A report commissioned by Public Health England. Available at: https://www.gov.uk/government/uploads/system/uploads/ attachment_data/file/457102/Ecigarettes_an_evidence_update_A_report_commissioned_by_ Public_Health_England_FINAL.pdf (Aug 2015).
  • Polosa R, Morjaria J, Caponnetto P, Caruso M, Strano S, Battaglia E, Russo C. Effect of smoking abstinence and reduction in asthmatic smokers switching to electronic cigarettes: evidence for harm reversal. Int J Environ Res Public Health. 2014 May 8;11(5):4965-77. doi: 10.3390/ijerph110504965. PubMed 24814944 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Jul 2018, 4 months.

Of 266 interventional studies with no phase under Tobacco Use Disorder, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 50. This study's 4 months is below that.

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

Registered
Mar 7, 2018
First posted
Mar 13, 2018
StartActual
Mar 4, 2018
Primary completionActual
Jul 27, 2018
CompletionActual
Aug 13, 2018
Last update
Jun 21, 2021
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 Jun 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03463837
Lead sponsor
Juul Labs, Inc.
Collaborators
Celerion
Responsible party
Sponsor
First posted
Mar 13, 2018
Start date
Mar 4, 2018
Primary completion
Jul 27, 2018
Completion
Aug 13, 2018
Last update
Jun 21, 2021

Study contacts

Philip Mathew, M.D.
principal investigator · Celerion

Oversight

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

Not currently enrolling

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

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