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CompletedNCT04231539Updated Oct 31, 2025Results posted

Pharmacokinetics, Subjective Effects, and Abuse Liability of Nicotine Salt-Based Vaping Products With Tobacco or Unflavored E-liquids, SALTVAPE Study

An interventional study of Nicotine and Vaporizer Device in Nicotine Dependence, sponsored by Roswell Park Cancer Institute. Completed at 1 site in United States. Open to participants aged 21 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-31.

Sponsored by Roswell Park Cancer Institute · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
21 Years to 55 Years
Sex
All
01

Study summary

This trial studies activity of time (pharmacokinetics), subjective effects, and abuse liability of nicotine salt-based vaping products with tobacco or e-liquids. This study aims to determine and compare the levels of nicotine delivered to the bloodstream from nicotine salt and free-base nicotine e-liquid solutions.

Read the detailed description

PRIMARY OBJECTIVES:

I. To determine the effect of nicotine salt (nicotine benzoate) and free-base nicotine in different flavored e-liquid solutions on puffing behaviors and systemic exposure to nicotine from electronic nicotine delivery systems (ENDS) by:

Ia. Assessing short-term effects on nicotine cravings, withdrawal, and satisfaction from single use of ENDS refilled with flavored nicotine salt or flavored free-base nicotine solutions with two different flavors (tobacco or unflavored) in current daily ENDS users following an overnight fast.

Ib. Comparing users' perceptions and preferences towards inhaling vapors containing nicotine salt (nicotine benzoate) or freebase nicotine with two different flavors (tobacco and unflavored) versus their regular brand.

II. This project provides important information on whether the pharmacokinetics of nicotine delivery differ between salt and free-base forms of e-liquid of equivalent nominal concentration using the same device, and whether the previously observed effects of flavors on subjective effects differ between salt and free-base forms.

III. Determine whether maximum concentration of nicotine in plasma (Cmax) or time to maximum concentration (Tmax) differ between free-base and salt-based versions of the same liquid, controlling for flavoring and nominal nicotine concentration [main effect of salt].

IV. Determine whether the effect of flavoring on subjective effects (e.g., harshness, liking) differs between matched free-base and salt-based e-liquids [flavor X salt interaction].

EXPLORATORY OBJECTIVE:

I. Examine effects of salt and flavoring on abuse liability using the Experimental Tobacco Marketplace (ETM).

OUTLINE:

After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours, 5-7 days apart. During each session, participants take 20 puffs over 10 minutes (one puff every 30 seconds) of vaporizer filled with freebased nicotine electronic (e)-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored, or salt-based nicotine e-liquid solution of tobacco flavor assigned in a random order.

02

Conditions studied

  • Nicotine Dependence

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03

In context

Tobacco Use Disorder

968 studies on the registry are indexed under Tobacco Use Disorder; 126 are open to participants now.

This study's enrollment of 15 is below the median of 89 across 851 interventional studies indexed under Tobacco Use Disorder.

Browse Tobacco Use Disorder studies →

Lead sponsor

Roswell Park Cancer Institute is the lead sponsor of 412 studies on the registry; 62 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 21 (55%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Willingness to abstain from using ENDS product for 8-10 hours (overnight abstinence) prior to study visits
  • Current daily ENDS user as determined by

    • Has used ENDS product every day for the past 6 months (by history)
    • Has used ENDS product or e-liquid containing nicotine (by history)
  • Participant or legal representative must understand the investigational nature of this study and sign and Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure

Exclusion criteria

Exclusion Criteria:

  • Smoked cigarettes in the past 7 days
  • Currently smokes >= 5 cigarettes per month
  • Unstable medical conditions (such as unstable heart disease, uncontrolled hypertension, thyroid disease, diabetes, renal or liver impairment, or glaucoma) or psychiatric condition (such as current major depression, history of schizophrenia or bipolar disorder) or current regular use of psychiatric medications (such as major tranquilizers and antidepressants)
  • History of serious side effects from nicotine or from any nicotine replacement therapies
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnant or nursing females
  • Concurrent participation in another clinical trial
  • Unwilling or unable to follow protocol requirements
  • Any condition which in the investigator's opinion deems the participant an unsuitable candidate
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Investigator)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Product Sequence D

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Device: Vaporizer Device · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product Sequence A then B then C

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C)

  • Experimental
    Product sequence B then C then A then D

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence D then B then A then C

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence C then D then B then A

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence A then C

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Free-Low Nicotine Tobacco Flavored (Product C)

  • Experimental
    Product sequence D then C then B then A

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence A then D then B then C

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence D then A then C then B

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence C then D then A then B

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence A then C then D then B

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product Sequence A then B then D then C

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence B then A then D thn C

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

  • Experimental
    Product sequence B then D then C then A

    After 8-10 hours after nicotine abstinence, participants attend 4 vaping sessions over 2-2.5 hours , 5-7 days apart. They are randomized to take 20 puffs over 10 minutes (1 puff every 30 seconds) of vaporized filled with freebased nicotine e-liquid solution of unflavored, free-based nicotine e-liquid solution of tobacco flavor, salt-based nicotine e-liquid solution of unflavored or salt based nicotine e-liquid solution of tobacco flavor assigned in a random order.

    Drug: Nicotine · Device: Vaporizer Device · Drug: Salt-HIgh Nicotine Unflavored (Product B) · Drug: Free-Low Nicotine Tobacco Flavored (Product C) · Drug: Salt-High Nicotine Tobacco Flavored (Product D)

Interventions

  • DrugNicotine

    Vape Free-Low nicotine unflavored

    Also known as: Free-Low Nicotine Unflavored (Product A), NIC

  • DeviceVaporizer Device

    Take puffs from vaporizer filled with different flavors

    Also known as: Vaporizer

  • DrugSalt-HIgh Nicotine Unflavored (Product B)

    Vape Salt-High nicotine unflavored

  • DrugFree-Low Nicotine Tobacco Flavored (Product C)

    Vape Free-Low Nicotine Tobacco

  • DrugSalt-High Nicotine Tobacco Flavored (Product D)

    Vape Salt-High Tobacco

06

What researchers measure

Primary outcomes

  1. Maximum Concentration of Nicotine in Plasma (Cmax)

    The maximum nicotine concentration in blood plasma

    Time frame: Samples were taken at minutes 0, then they started puffing and samples were taken 2, 4, 5, 6, 8, 10 minutes during puffing. Then, samples were taken at times 13, 15, 20, 30, and 120 minutes post puffing. The last dose occurred at week 4.

  2. Area Under the Concentration-time Curve (AUC)

    Area under the plasma nicotine concentration over time curve

    Time frame: Samples were taken at minutes 0, then they started puffing and samples were taken 2, 4, 5, 6, 8, 10 minutes during puffing. Then, samples were taken at times 13, 15, 20, 30, and 120 minutes post puffing. The last dose occurred at week 4.

  3. Time to Maximum Concentration

    Time to maximum nicotine concentration in the blood plasma

    Time frame: Samples were taken at minutes 0, then they started puffing and samples were taken 2, 4, 5, 6, 8, 10 minutes during puffing. Then, samples were taken at times 13, 15, 20, 30, and 120 minutes post puffing. The last dose occurred at week 4.

Secondary outcomes

  1. Perceived Harshness of Experimental Product Sampled

    Subjective Measure of Perceived Harshness (Likert, 1-5: 1 = best outcome, 5 = worst outcome).

    Time frame: 1 minute post puffing for 4 weeks

  2. Perceived Satisfaction of Experimental Product Sampled

    Nicotine Solution Rating Scale that orders each of the four products from 1 to 4, with 1 being least satisfying and 4 being most satisfying. Mean rank is provided with a possible score of 1 through 4.

    Time frame: 120 minutes after session start on last session (session 4)

  3. Perceived Liking of Experimental Product Sampled

    Drug Effects Questionnaire Item #1 - perceived liking of the experimental product assessed by the question, "Do you like any of the effects you are feeling right now?" on a Likert scale from 0 (not at all) to 100 (extremely), with lower scores representing less liking of the experimental product. Mean is provided with possible scores between 0 and 100.

    Time frame: 1 minute post puffing for 4 weeks

  4. Minnesota Nicotine Withdrawal Scale Change (Change From Pre- to Post-)

    Minnesota Nicotine Withdrawal Scale Change Minnesota Nicotine Withdrawal scale measures 8 facets of withdrawal and results in a total score. We use change from 5 minutes Pre-puffing to 3 minutes post puffing session. Individual questions are scored 0 (none/better) to 4 (severe/worse). And then the scores are totaled. Positive change score = more withdrawal symptoms. Change score can range from -32 to 36). Positive change score = worse withdrawal symptoms Individual questions are scored 0 (none/better) to 4 (severe/worse). And then the scores are totaled.

    Time frame: 5 minutes pre puffing and 3 minutes post puffing for 4 weeks

Other outcomes

  1. Intensity of Demand or Estimated Milligrams E-cigarettes Purchased at Free Cost for Each Device Sampled

    Demand intensity is a behavioral economic estimated measure of consumption at zero cost in a experimental marketplace focused on purchasing of tobacco and nicotine products over increasing price of one product while others stay the same price. Participants were asked to purchase tobacco products (12 options) for one week's use. At each of the four sessions, participants experienced a marketplace with e-cigarette liquid prices of $1.63, $3.25, $6.50, and $13.00, while the prices of the other 11 tobacco products remained the same. Units purchased are transformed into mg of nicotine and nonlinear regression is used to estimate the purchasing when e-cigarettes are free/demand intensity, which is reported here. Higher scores indicate more mg of nicotine from e-cigarettes were purchased

    Time frame: 60 minutes post puffing for 4 weeks

  2. Elasticity of Demand or Sensitivity to Price for Each Device Sampled

    Demand elasticity , or sensitivity to price, is a behavioral economic measure of of the rate of purchasing decline over increasing cost for e-cigarettes. At each of the four sessions, participants experienced a marketplace with e-cigarette liquid prices of $1.63, $3.25, $6.50, and $13.00, while the prices of the other 11 tobacco products remained the same. Units purchased are transformed into mg of nicotine and nonlinear regression is used to estimate the purchasing when e-cigarettes are free/demand intensity, which is reported here. Higher scores indicate more sensitivity to price, also called inelastic demand.

    Time frame: 60 minutes post puffing for 4 weeks

  3. Substitution Levels of Alternative Tobacco Products

    Substitution is the slope of the line regressing consumption of the substitute product onto the price of cigarettes (cross-price elasticity). A positive coefficient indicates substitution (use of the substitute increases with increasing cigarette price). A negative value indicates complementarity (use of the substitute declines with increasing cigarette price). A value of 0 indicates no relationship.

    Time frame: 120 minutes post puffing for 4 weeks

07

Results

Posted Oct 31, 2025

Participant flow

Participant flow — Overall Study
MilestoneProduct Sequence DProduct Sequence A then B then CProduct sequence B then C then A then DProduct sequence D then B then A then CProduct sequence C then D then B then AProduct sequence A then CProduct sequence D then C then B then AProduct sequence A then D then B then CProduct sequence D then A then C then BProduct sequence C then D then A then BProduct sequence A then C then D then BProduct Sequence A then B then D then CProduct sequence B then A then D thn CProduct sequence B then D then C then A
Started21111111111111
Completed00111011111111
Not completed21000100000000

Outcome measures

PrimaryMaximum Concentration of Nicotine in Plasma (Cmax)

The maximum nicotine concentration in blood plasma

Time frame:
Samples were taken at minutes 0, then they started puffing and samples were taken 2, 4, 5, 6, 8, 10 minutes during puffing. Then, samples were taken at times 13, 15, 20, 30, and 120 minutes post puffing. The last dose occurred at week 4.
Reported as:
Mean · ng/mL
Maximum Concentration of Nicotine in Plasma (Cmax)
ng/mLA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Maximum Concentration of Nicotine in Plasma (Cmax)5.7 ± 0.811.8 ± 3.36.7 ± 1.38.1 ± 1.7
PrimaryArea Under the Concentration-time Curve (AUC)

Area under the plasma nicotine concentration over time curve

Time frame:
Samples were taken at minutes 0, then they started puffing and samples were taken 2, 4, 5, 6, 8, 10 minutes during puffing. Then, samples were taken at times 13, 15, 20, 30, and 120 minutes post puffing. The last dose occurred at week 4.
Reported as:
Mean · ng*min/mL
Area Under the Concentration-time Curve (AUC)
ng*min/mLA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Area Under the Concentration-time Curve (AUC)128.8 ± 40.8295.6 ± 126.7177.3 ± 51.7199.7 ± 71.7
PrimaryTime to Maximum Concentration

Time to maximum nicotine concentration in the blood plasma

Time frame:
Samples were taken at minutes 0, then they started puffing and samples were taken 2, 4, 5, 6, 8, 10 minutes during puffing. Then, samples were taken at times 13, 15, 20, 30, and 120 minutes post puffing. The last dose occurred at week 4.
Reported as:
Mean · minutes
Time to Maximum Concentration
minutesA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Time to Maximum Concentration11.5 ± 1.69.8 ± 1.511.7 ± 1.58.6 ± 1.3
SecondaryPerceived Harshness of Experimental Product Sampled

Subjective Measure of Perceived Harshness (Likert, 1-5: 1 = best outcome, 5 = worst outcome).

Time frame:
1 minute post puffing for 4 weeks
Reported as:
Mean · score on a scale
Perceived Harshness of Experimental Product Sampled
score on a scaleA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Perceived Harshness of Experimental Product Sampled4.85 ± 0.12.92 ± 0.44.62 ± 0.13.08 ± 0.4
SecondaryPerceived Satisfaction of Experimental Product Sampled

Nicotine Solution Rating Scale that orders each of the four products from 1 to 4, with 1 being least satisfying and 4 being most satisfying. Mean rank is provided with a possible score of 1 through 4.

Time frame:
120 minutes after session start on last session (session 4)
Reported as:
Mean · score on a scale
Perceived Satisfaction of Experimental Product Sampled
score on a scaleA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Perceived Satisfaction of Experimental Product Sampled3.08 ± 0.33.75 ± 0.43.77 ± 0.44.23 ± 0.3
SecondaryPerceived Liking of Experimental Product Sampled

Drug Effects Questionnaire Item #1 - perceived liking of the experimental product assessed by the question, "Do you like any of the effects you are feeling right now?" on a Likert scale from 0 (not at all) to 100 (extremely), with lower scores representing less liking of the experimental product. Mean is provided with possible scores between 0 and 100.

Time frame:
1 minute post puffing for 4 weeks
Reported as:
Mean · score on a scale
Perceived Liking of Experimental Product Sampled
score on a scaleA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Perceived Liking of Experimental Product Sampled45.9 ± 5.255.2 ± 4.046.5 ± 6.052.5 ± 5.4
SecondaryMinnesota Nicotine Withdrawal Scale Change (Change From Pre- to Post-)

Minnesota Nicotine Withdrawal Scale Change Minnesota Nicotine Withdrawal scale measures 8 facets of withdrawal and results in a total score. We use change from 5 minutes Pre-puffing to 3 minutes post puffing session. Individual questions are scored 0 (none/better) to 4 (severe/worse). And then the scores are totaled. Positive change score = more withdrawal symptoms. Change score can range from -32 to 36). Positive change score = worse withdrawal symptoms Individual questions are scored 0 (none/better) to 4 (severe/worse). And then the scores are totaled.

Time frame:
5 minutes pre puffing and 3 minutes post puffing for 4 weeks
Reported as:
Mean · score on a scale
Minnesota Nicotine Withdrawal Scale Change (Change From Pre- to Post-)
score on a scaleA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Minnesota Nicotine Withdrawal Scale Change (Change From Pre- to Post-)0.5 ± 0.70.7 ± 0.71.5 ± 0.5-0.5 ± 0.7
Other pre-specifiedIntensity of Demand or Estimated Milligrams E-cigarettes Purchased at Free Cost for Each Device Sampled

Demand intensity is a behavioral economic estimated measure of consumption at zero cost in a experimental marketplace focused on purchasing of tobacco and nicotine products over increasing price of one product while others stay the same price. Participants were asked to purchase tobacco products (12 options) for one week's use. At each of the four sessions, participants experienced a marketplace with e-cigarette liquid prices of $1.63, $3.25, $6.50, and $13.00, while the prices of the other 11 tobacco products remained the same. Units purchased are transformed into mg of nicotine and nonlinear regression is used to estimate the purchasing when e-cigarettes are free/demand intensity, which is reported here. Higher scores indicate more mg of nicotine from e-cigarettes were purchased

Time frame:
60 minutes post puffing for 4 weeks
Reported as:
Mean · mg of nicotine
Intensity of Demand or Estimated Milligrams E-cigarettes Purchased at Free Cost for Each Device Sampled
mg of nicotineA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Intensity of Demand or Estimated Milligrams E-cigarettes Purchased at Free Cost for Each Device Sampled908.3 (425.1 to 2022)1142 (539.2 to 2926)785.5 (416.1 to 1521)985.8 (475.7 to 2416)
Other pre-specifiedElasticity of Demand or Sensitivity to Price for Each Device Sampled

Demand elasticity , or sensitivity to price, is a behavioral economic measure of of the rate of purchasing decline over increasing cost for e-cigarettes. At each of the four sessions, participants experienced a marketplace with e-cigarette liquid prices of $1.63, $3.25, $6.50, and $13.00, while the prices of the other 11 tobacco products remained the same. Units purchased are transformed into mg of nicotine and nonlinear regression is used to estimate the purchasing when e-cigarettes are free/demand intensity, which is reported here. Higher scores indicate more sensitivity to price, also called inelastic demand.

Time frame:
60 minutes post puffing for 4 weeks
Reported as:
Mean · mg nicotine per dollar
Elasticity of Demand or Sensitivity to Price for Each Device Sampled
mg nicotine per dollarA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
Elasticity of Demand or Sensitivity to Price for Each Device Sampled0.0005 (.0002 to .0007)0.0004 (.0002 to .0006)0.0004 (.0002 to .0006)0.0005 (.0003 to .0007)
Other pre-specifiedSubstitution Levels of Alternative Tobacco Products

Substitution is the slope of the line regressing consumption of the substitute product onto the price of cigarettes (cross-price elasticity). A positive coefficient indicates substitution (use of the substitute increases with increasing cigarette price). A negative value indicates complementarity (use of the substitute declines with increasing cigarette price). A value of 0 indicates no relationship.

Time frame:
120 minutes post puffing for 4 weeks
Reported as:
Mean · mg nicotine per dollar
Substitution Levels of Alternative Tobacco Products
mg nicotine per dollarA: Unflavored Free-based Nicotine FormB: Unflavored Salt-based Nicotine FormC: Tobacco Flavor Free-based Nicotine FormD: Tobacco Flavor Salt-based Nicotine Form
JUUL Virginia Tobacco0 (0 to 0)0 (0 to 0)0 (0 to 0)7.377 (-0.5177 to 15.27)
JUUL Classic Tobacco-0.000000000000 (-87.64 to 87.64)8.167 (-69.45 to 85.78)2.554 (-81.9 to 87.01)-4.175 (-95.61 to 87.26)
JUUL Menthol15.54 (-38.02 to 69.11)17.31 (-36.31 to 70.93)14.75 (-32.1 to 61.61)18.28 (-26.91 to 63.47)
Revel Dark Mint0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)
Revel Mint4.232 (-1.547 to 10.01)0.2371 (-2.216 to 2.69)4.663 (-0.6079 to 9.935)0.2371 (-2.216 to 2.69)
Marlboro Reds0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)
Marlboro Menthols0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)
Camel Snus Mellow0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)
Camel Snus Frost0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)
IQOS Menthol4.86 (0.398 to 9.359)4.389 (1.230 to 7.548)4.432 (-0.622 to 9.485)2.43 (-0.9026 to 5.762)
IQOS Tobacco0 (0 to 0)0.2552 (-2.385 to 2.895)2.382 (-0.1672 to 4.931)1.813 (-2637 to 6.262)

Adverse events

Collected over 2 year and 2 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
A: Unflavored Free-based Nicotine Form0/12 (0%)0/12 (0%)0/12 (0%)
B: Unflavored Salt-based Nicotine Form0/12 (0%)0/12 (0%)0/12 (0%)
C: Tobacco Flavor Free-based Nicotine Form0/12 (0%)0/12 (0%)0/12 (0%)
D: Tobacco Flavor Salt-based Nicotine Form0/13 (0%)0/13 (0%)0/13 (0%)

Baseline characteristics

All treated and eligible patients

Age, Continuous
Age, Continuous(years)Product Sequence DProduct Sequence A Then B Then CProduct Sequence B Then C Then A Then DProduct Sequence D Then B Then A Then CProduct Sequence C Then D Then B Then AProduct Sequence A Then CProduct Sequence D Then C Then B Then AProduct Sequence A Then D Then B Then CProduct Sequence D Then A Then C Then BProduct Sequence C Then D Then A Then BProduct Sequence A Then C Then D Then BProduct Sequence A Then B Then D Then CProduct Sequence B Then A Then D Thn CProduct Sequence B Then D Then C Then ATotal
Mean26 ± 2.824 ± na55 ± na37 ± na21 ± na21 ± na24 ± na23 ± na29 ± na26 ± na22 ± na32 ± na33 ± na32 ± na28.7 ± 8.7
Sex: Female, Male
Sex: Female, Male(Participants)Product Sequence DProduct Sequence A Then B Then CProduct Sequence B Then C Then A Then DProduct Sequence D Then B Then A Then CProduct Sequence C Then D Then B Then AProduct Sequence A Then CProduct Sequence D Then C Then B Then AProduct Sequence A Then D Then B Then CProduct Sequence D Then A Then C Then BProduct Sequence C Then D Then A Then BProduct Sequence A Then C Then D Then BProduct Sequence A Then B Then D Then CProduct Sequence B Then A Then D Thn CProduct Sequence B Then D Then C Then ATotal
Female101001000100105
Male1101101110110110
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Product Sequence DProduct Sequence A Then B Then CProduct Sequence B Then C Then A Then DProduct Sequence D Then B Then A Then CProduct Sequence C Then D Then B Then AProduct Sequence A Then CProduct Sequence D Then C Then B Then AProduct Sequence A Then D Then B Then CProduct Sequence D Then A Then C Then BProduct Sequence C Then D Then A Then BProduct Sequence A Then C Then D Then BProduct Sequence A Then B Then D Then CProduct Sequence B Then A Then D Thn CProduct Sequence B Then D Then C Then ATotal
American Indian or Alaska Native000000000000000
Asian000010000010002
Native Hawaiian or Other Pacific Islander000000000000000
Black or African American000000000000000
White2111011011011112
More than one race000000010000001
Unknown or Not Reported000000000000000
08

Study locations

1 site
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
09

References and documents

Publications

  • Block AC, Martin CD, Leigh NJ, Page MK, Kaiser LM, Nardotto GHB, Rosario SR, Felicione NJ, O'Connor RJ, Goniewicz ML, Quisenberry AJ. Effects of nicotine form and tobacco flavor on pharmacokinetics, subjective effects, and behavioral indicators of abuse liability of e-cigarettes. Nicotine Tob Res. 2026 Mar 21:ntag058. doi: 10.1093/ntr/ntag058. Online ahead of print. PubMed 41863629 ↗

Study documents

  • Protocol and statistical analysis plan · Jun 5, 2023
  • Informed consent form · Sep 7, 2023

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04231539
Lead sponsor
Roswell Park Cancer Institute
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 18, 2020
Start date
Feb 18, 2020
Primary completion
Jul 10, 2024
Completion
Jul 10, 2024
Results posted
Oct 31, 2025
Last update
Oct 31, 2025

Study contacts

Amanda Quisenberry
principal investigator · Roswell Park Cancer Institute

Oversight

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

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