CClinicalTrials.gg
CompletedNCT05849051Updated Jan 8, 2025Results posted

Little Cigar and Cigarillo Warnings Among US Adults Who Use LCCs

An interventional study of Newly developed warnings with images at 30% size and FDA proposed text-only warnings at 30% size in Tobacco Use, sponsored by UNC Lineberger Comprehensive Cancer Center. Completed at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-01-08.

Sponsored by UNC Lineberger Comprehensive Cancer Center · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
1,029
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

The goal of this research is to assess whether little Cigars and cigarillos (LCC) warnings developed by the study team are more effective than the current warnings proposed by FDA for LCC products. A 3-week web-based randomized controlled trial will be conducted in the United States. Participants are adult persons who currently use LCCs.

Read the detailed description

In this study, LCC warnings on packs will be electronically presented to participants over time to determine if newly developed LCC warnings increase quit intentions compared to FDA-proposed text-only warnings and a control condition (in which participants do not see LCC packs or warnings.) A daily diary methodology will be employed to present LCC warnings on packs to participants over time. Qualtrics will contact, screen, consent, and administer the survey. To enroll participants, Qualtrics will screen participants using the inclusion criteria and measures and invite eligible participants to enroll in the study.

At the beginning of the baseline survey (day 0), participants will first consent to participate in the study and then complete a questionnaire about their tobacco use and behaviors (e.g., intentions and quit attempts) and other measures of interest. At the end of the baseline questionnaire, survey software will randomly assign participants to one of the 3 study conditions. The three study conditions are 1) Newly developed warnings with images (the six most effective warnings developed by the study team), 2) FDA-proposed text-only warnings, or 3) control condition in which participants will not receive an intervention (no warnings). Participants will be contacted via email each day (at approximately 6 am) to invite them to complete the survey for that day of the study protocol.

For subsequent days (days 1-6, 8-13, 15-20) participants will be contacted and asked to complete a daily survey which will assess their previous day use of LCCs, as well as cigarettes and e-cigarettes. During these daily surveys, participants assigned to condition 1 or 2 (i.e., the warning conditions) will view an image of a little cigar and cigarillo package with a warning according to the participant's condition. Participants within each warning condition will view a total of 6 different warnings over the course of 6 days each week, this will be repeated 3 times during the study, resulting in a total of 18 exposures. Participants will be required to view the warning for at least 5 seconds before answering questions.

On days 7 and 14 participants will be asked to complete a slightly longer survey with questions about their LCC behaviors including the number of LCCs used in the past week, the number of LCCs butted out because they wanted to smoke less, the number of LCCs forgone, other tobacco use, blunt use, and quit intentions and attempts.

For the post-test on day 21, participants will be asked to complete a longer questionnaire about their current tobacco use and behaviors including current LCC smoking behavior, LCC nicotine dependence, other tobacco product (OTP) use, LCC and OTP quit intentions, and LCC and O

02

Conditions studied

  • Tobacco Use

Keywords

  • Cigar Warnings
  • Little Cigar Use
  • Cigar Use
  • Cigarillo Use
03

In context

Lead sponsor

UNC Lineberger Comprehensive Cancer Center is the lead sponsor of 414 studies on the registry; 96 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 25 (78%) have results posted.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Members of the recruitment panel (the investigators are partnering with a panel provider for recruitment of all participants)
  • Agree to provide their honest answers
  • Current little cigar and/or cigarillo every day or some day users
  • Over 21 years old
  • Currently living in US
  • Feel comfortable taking a survey in English without help
  • Feel comfortable taking an online survey without help
  • Have an email address that they check regularly
  • Have access to the internet at work or home
  • Able to read and respond to surveys delivered to their email
  • Able to complete 2 surveys that take approximately 20 minutes
  • Able to complete a 5 minute survey each day for 20 days
  • Able to verify they are not a bot using CAPTCHA
  • Able to answer a simple, random math question

Exclusion criteria

Exclusion Criteria:

  • None
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,029 participants (actual)

Study arms

  • Experimental
    Newly developed warnings with images

    Participants receive newly developed warnings intervention

    Behavioral: Newly developed warnings with images at 30% size

  • Experimental
    FDA proposed text-only warnings

    Participants receive FDA proposed text only warning intervention

    Behavioral: FDA proposed text-only warnings at 30% size

  • No intervention
    Control group, no intervention

    Participants do not receive an intervention

Interventions

  • BehavioralNewly developed warnings with images at 30% size

    On study days 1-6, 8-13 and 15-20, participants in this condition will view an image of a little cigar and cigarillo package with a warning developed by the study team that includes an image. The warnings will take up 30% of the package. Participants will view a total of 6 different warnings over the course of 6 days each week, this will be repeated 3 times during the study, resulting in a total of 18 exposures. Participants will be required to view the warning for at least 5 seconds.

  • BehavioralFDA proposed text-only warnings at 30% size

    On study days 1-6, 8-13 and 15-20, participants in this condition will view an image of a little cigar and cigarillo package with a warning proposed by the FDA which is text only. The warnings will take up 30% of the package. Participants will view a total of 6 different warnings over the course of 6 days each week, this will be repeated 3 times during the study, resulting in a total of 18 exposures. Participants will be required to view the warning for at least 5 seconds.

06

What researchers measure

Primary outcomes

  1. LCC Quit Intentions

    Average quit intention score measured by survey. Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.

    Time frame: day 21 (post test)

Secondary outcomes

  1. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant.

    Time frame: day 1

  2. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 2

  3. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day was reported by participants.

    Time frame: day 3

  4. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant.

    Time frame: day 4

  5. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 5

  6. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 6

  7. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 7

  8. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 8

  9. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 9

  10. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 10

  11. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 11

  12. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 12

  13. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 13

  14. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 14

  15. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 15

  16. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 16

  17. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 17

  18. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 18

  19. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 19

  20. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 20

  21. Number of LCCs Smoked in Past Day

    The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

    Time frame: day 21 (post test)

  22. Number of Days Smoked LCCs in Past Week

    The mean number days that a participant reported smoking little cigars and cigarillos (LCCs) smoked in the past week

    Time frame: day 7

  23. Number of Days Smoked LCCs in Past Week

    The mean number days that a participant reported smoking little cigars and cigarillos (LCCs) smoked in the past week

    Time frame: day 14

  24. Number of Days Smoked LCCs in Past Week

    The mean number days that a participant reported smoking little cigars and cigarillos (LCCs) smoked in the past week

    Time frame: day 21 (post test)

  25. Number of LCCs Smoked in the Past Week

    The mean number of little cigars and cigarillos (LCCs) smoked in the past week reported by participant

    Time frame: day 7

  26. Number of LCCs Smoked in the Past Week

    The mean number of little cigars and cigarillos (LCCs) smoked in the past week reported by participant

    Time frame: day 14

  27. Number of LCCs Smoked in the Past Week

    The mean number of little cigars and cigarillos (LCCs) smoked in the past week reported by participant

    Time frame: day 21 (post test)

  28. Number of LCCs Butted Out in the Past Week

    The mean number of little cigars and cigarillos (LCCs) that participants reported butting out in the past week

    Time frame: day 7

  29. Number of LCCs Butted Out in the Past Week

    The mean number of little cigars and cigarillos (LCCs) that participants reported butting out in the past week

    Time frame: day 14

  30. Number of LCCs Butted Out in the Past Week

    The mean number of little cigars and cigarillos (LCCs) that participants reported butting out in the past week

    Time frame: day 21 (post test)

  31. Number of LCCs Forgone in the Past Week

    The mean number of little cigars and cigarillos (LCCs) that participants reported forgoing in the past week

    Time frame: day 7

  32. Number of LCCs Forgone in the Past Week

    The mean number of little cigars and cigarillos (LCCs) that participants reported forgoing in the past week

    Time frame: day 14

  33. Number of LCCs Forgone in the Past Week

    The mean number of little cigars and cigarillos (LCCs) that participants reported forgoing in the past week

    Time frame: day 21 (post test)

  34. LCC Quit Attempts in Past Week

    The number and percent of participants who reported trying to quit smoking little cigars and cigarillos (LCCs) in the past week

    Time frame: day 7

  35. LCC Quit Attempts in Past Week

    The number and percent of participants who reported trying to quit smoking little cigars and cigarillos (LCCs) in the past week

    Time frame: day 14

  36. LCC Quit Attempts in Past Week

    The number and percent of participants who reported trying to quit smoking little cigars and cigarillos (LCCs) in the past week

    Time frame: day 21 (post test)

  37. LCC Quit Intentions

    Average quit intention score measured by survey. Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.

    Time frame: day 7

  38. LCC Quit Intentions

    Average quit intention score measured by survey. Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.

    Time frame: day 14

  39. Self Reported Learning

    Mean self-reported learning reported by participants. Self-reported learning measured with one item on a 1 to 5 scale, where 1 indicates no learning, and 5 indicates a great deal of learning from the warnings in the study. Self reported learning is only measured in conditions 1 and 2, the conditions that receive warnings.

    Time frame: day 21 (post test)

07

Results

Posted Jan 8, 2025

Participant flow

Participants were recruited and screened for study eligiblity online between May and August 2024, and invited to in the study once they were determined to be eligible.

Participant flow — Overall Study
MilestoneNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Started339346344
Completed339346344
Not completed000

Outcome measures

PrimaryLCC Quit Intentions

Average quit intention score measured by survey. Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.

Time frame:
day 21 (post test)
Reported as:
Mean · score on a scale
LCC Quit Intentions
score on a scaleNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
LCC Quit Intentions2.9 ± 1.102.49 ± 1.122.54 ± 1.09
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant.

Time frame:
day 1
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.75 ± 4.092.47 ± 3.142.28 ± 2.85
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 2
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.43 ± 3.092.62 ± 3.302.21 ± 2.79
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day was reported by participants.

Time frame:
day 3
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.56 ± 3.172.66 ± 3.132.44 ± 2.86
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant.

Time frame:
day 4
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.66 ± 3.513.04 ± 4.462.50 ± 2.95
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 5
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.77 ± 3.673.07 ± 4.212.43 ± 2.78
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 6
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.66 ± 3.723.12 ± 4.812.20 ± 2.64
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 7
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.30 ± 3.182.73 ± 4.042.33 ± 3.49
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 8
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.37 ± 3.612.68 ± 4.462.28 ± 3.13
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 9
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.64 ± 4.282.68 ± 4.502.43 ± 3.27
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 10
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.62 ± 4.502.56 ± 4.162.39 ± 3.27
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 11
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.69 ± 4.112.94 ± 4.472.47 ± 3.23
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 12
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.28 ± 3.282.77 ± 4.332.46 ± 3.01
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 13
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.62 ± 3.862.79 ± 4.612.50 ± 3.38
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 14
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.19 ± 3.242.44 ± 4.582.24 ± 3.47
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 15
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.35 ± 4.272.56 ± 4.462.26 ± 3.39
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 16
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.21 ± 3.072.62 ± 4.432.35 ± 3.57
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 17
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.23 ± 3.382.62 ± 4.352.38 ± 3.58
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 18
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.26 ± 3.332.87 ± 4.512.47 ± 3.36
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 19
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.27 ± 3.382.85 ± 4.362.38 ± 3.39
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 20
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.18 ± 3.462.62 ± 4.252.36 ± 3.40
SecondaryNumber of LCCs Smoked in Past Day

The mean number of little cigars and cigarillos (LCCs) smoked in the past day reported by participant

Time frame:
day 21 (post test)
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in Past Day
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in Past Day2.13 ± 3.302.34 ± 3.362.43 ± 4.58
SecondaryNumber of Days Smoked LCCs in Past Week

The mean number days that a participant reported smoking little cigars and cigarillos (LCCs) smoked in the past week

Time frame:
day 7
Reported as:
Mean · number of days
Number of Days Smoked LCCs in Past Week
number of daysNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of Days Smoked LCCs in Past Week3.46 ± 2.293.58 ± 2.313.46 ± 2.25
SecondaryNumber of Days Smoked LCCs in Past Week

The mean number days that a participant reported smoking little cigars and cigarillos (LCCs) smoked in the past week

Time frame:
day 14
Reported as:
Mean · number of days
Number of Days Smoked LCCs in Past Week
number of daysNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of Days Smoked LCCs in Past Week3.26 ± 2.403.50 ± 2.383.45 ± 2.28
SecondaryNumber of Days Smoked LCCs in Past Week

The mean number days that a participant reported smoking little cigars and cigarillos (LCCs) smoked in the past week

Time frame:
day 21 (post test)
Reported as:
Mean · number of days
Number of Days Smoked LCCs in Past Week
number of daysNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of Days Smoked LCCs in Past Week3.15 ± 2.443.46 ± 2.473.41 ± 2.29
SecondaryNumber of LCCs Smoked in the Past Week

The mean number of little cigars and cigarillos (LCCs) smoked in the past week reported by participant

Time frame:
day 7
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in the Past Week15.66 ± 23.1316.05 ± 24.8413.32 ± 17.32
SecondaryNumber of LCCs Smoked in the Past Week

The mean number of little cigars and cigarillos (LCCs) smoked in the past week reported by participant

Time frame:
day 14
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in the Past Week14.67 ± 22.4515.35 ± 22.3713.47 ± 18.03
SecondaryNumber of LCCs Smoked in the Past Week

The mean number of little cigars and cigarillos (LCCs) smoked in the past week reported by participant

Time frame:
day 21 (post test)
Reported as:
Mean · number of LCCs
Number of LCCs Smoked in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Smoked in the Past Week14.11 ± 20.3015.89 ± 22.3813.93 ± 18.94
SecondaryNumber of LCCs Butted Out in the Past Week

The mean number of little cigars and cigarillos (LCCs) that participants reported butting out in the past week

Time frame:
day 7
Reported as:
Mean · number of LCCs
Number of LCCs Butted Out in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Butted Out in the Past Week4.24 ± 7.863.64 ± 18.093.03 ± 6.51
SecondaryNumber of LCCs Butted Out in the Past Week

The mean number of little cigars and cigarillos (LCCs) that participants reported butting out in the past week

Time frame:
day 14
Reported as:
Mean · number of LCCs
Number of LCCs Butted Out in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Butted Out in the Past Week3.11 ± 5.223.48 ± 15.532.59 ± 5.71
SecondaryNumber of LCCs Butted Out in the Past Week

The mean number of little cigars and cigarillos (LCCs) that participants reported butting out in the past week

Time frame:
day 21 (post test)
Reported as:
Mean · number of LCCs
Number of LCCs Butted Out in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Butted Out in the Past Week3.11 ± 5.413.46 ± 14.932.81 ± 5.67
SecondaryNumber of LCCs Forgone in the Past Week

The mean number of little cigars and cigarillos (LCCs) that participants reported forgoing in the past week

Time frame:
day 7
Reported as:
Mean · number of LCCs
Number of LCCs Forgone in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Forgone in the Past Week3.85 ± 5.243.64 ± 17.622.88 ± 4.83
SecondaryNumber of LCCs Forgone in the Past Week

The mean number of little cigars and cigarillos (LCCs) that participants reported forgoing in the past week

Time frame:
day 14
Reported as:
Mean · number of LCCs
Number of LCCs Forgone in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Forgone in the Past Week6.79 ± 30.853.47 ± 15.392.81 ± 4.31
SecondaryNumber of LCCs Forgone in the Past Week

The mean number of little cigars and cigarillos (LCCs) that participants reported forgoing in the past week

Time frame:
day 21 (post test)
Reported as:
Mean · number of LCCs
Number of LCCs Forgone in the Past Week
number of LCCsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
Number of LCCs Forgone in the Past Week5.69 ± 14.674.30 ± 15.953.46 ± 7.30
SecondaryLCC Quit Attempts in Past Week

The number and percent of participants who reported trying to quit smoking little cigars and cigarillos (LCCs) in the past week

Time frame:
day 7
Reported as:
Count of participants · Participants
LCC Quit Attempts in Past Week
ParticipantsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
LCC Quit Attempts in Past Week1086162
SecondaryLCC Quit Attempts in Past Week

The number and percent of participants who reported trying to quit smoking little cigars and cigarillos (LCCs) in the past week

Time frame:
day 14
Reported as:
Count of participants · Participants
LCC Quit Attempts in Past Week
ParticipantsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
LCC Quit Attempts in Past Week1027166
SecondaryLCC Quit Attempts in Past Week

The number and percent of participants who reported trying to quit smoking little cigars and cigarillos (LCCs) in the past week

Time frame:
day 21 (post test)
Reported as:
Count of participants · Participants
LCC Quit Attempts in Past Week
ParticipantsNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
LCC Quit Attempts in Past Week1349086
SecondaryLCC Quit Intentions

Average quit intention score measured by survey. Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.

Time frame:
day 7
Reported as:
Mean · score on a scale
LCC Quit Intentions
score on a scaleNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
LCC Quit Intentions2.76 ± 1.072.33 ± 1.052.46 ± 1.04
SecondaryLCC Quit Intentions

Average quit intention score measured by survey. Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.

Time frame:
day 14
Reported as:
Mean · score on a scale
LCC Quit Intentions
score on a scaleNewly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no Intervention
LCC Quit Intentions2.82 ± 1.082.42 ± 1.092.51 ± 1.04
SecondarySelf Reported Learning

Mean self-reported learning reported by participants. Self-reported learning measured with one item on a 1 to 5 scale, where 1 indicates no learning, and 5 indicates a great deal of learning from the warnings in the study. Self reported learning is only measured in conditions 1 and 2, the conditions that receive warnings.

Time frame:
day 21 (post test)
Reported as:
Mean · units on a scale
Self Reported Learning
units on a scaleNewly Developed Warnings With ImagesFDA Proposed Text-only Warnings
Self Reported Learning4.14 ± 1.013.60 ± 1.18

Adverse events

Collected over Low risk study, no adverse event data collected. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Newly Developed Warnings With Images———
FDA Proposed Text-only Warnings———
Control Group, no Intervention———

Baseline characteristics

Everyone who enrolled in the study, consented to participate, completed the baseline questionnaire, and was randomized to each condition.

Age, Continuous
Age, Continuous(years)Newly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no InterventionTotal
Mean43.03 ± 10.4444.48 ± 11.7344.07 ± 11.6143.86 ± 11.29
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Newly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no InterventionTotal
Male175208195578
Female163138148449
Another Gender1012
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Newly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no InterventionTotal
Hispanic or Latino685052170
Not Hispanic or Latino270294291855
Unknown or Not Reported1214
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Newly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no InterventionTotal
American Indian or Alaska Native54110
Asian21131953
Native Hawaiian/Pacific Islander0112
Black/African American707077217
White203228214645
More than one Race24202165
Unknown not reported16101137
Region of Enrollment
Region of Enrollment(participants)Newly Developed Warnings With ImagesFDA Proposed Text-only WarningsControl Group, no InterventionTotal
United States3393463441029
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Study locations

1 site
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
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References and documents

Study documents

  • Protocol, analysis plan and consent form · Apr 17, 2023

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

Individual participant data

Plan to share: Yes — The investigators will make data collection instruments available for public use after data collection and analyses are complete. On request, the investigators will also make data sets available, stripped of individual identifiers, following publication of the study's main findings.

Supporting information: Study protocol, Sap, Icf

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05849051
Lead sponsor
UNC Lineberger Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
May 8, 2023
Start date
May 22, 2023
Primary completion
Aug 27, 2023
Completion
Aug 27, 2023
Results posted
Jan 8, 2025
Last update
Jan 8, 2025

Study contacts

Adam O Goldstein
principal investigator · the University of North Carolina (UNC) Department of Family Medicine

Oversight

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

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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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