ClinicalTrials.gg
Not yet recruitingNCT07896330REFLECTUpdated Oct 27, 2026

Flavored Electronic Nicotine Delivery Systems to Lower Smoking and Exposure to Tobacco Toxicants Among Cigarette Smokers Interested in Quitting, REFLECT Trial

An interventional study of Vaping - Fruit flavored ENDS and Biospecimen Collection in Tobacco Cessation and Electronic Nicotine Delivery Systems, sponsored by Roswell Park Cancer Institute. Not yet recruiting at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-27.

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

Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
286
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

This clinical trial studies whether different flavored electronic nicotine delivery systems (ENDS) help lower smoking and exposure to tobacco toxicants among cigarette smokers interested in reducing their smoking. ENDS are battery-powered electronic devices designed to deliver a nicotine-containing liquid solution for inhalation. They do not burn tobacco. Previous research has shown that ENDS have the potential to lower exposure to potentially toxic substances compared to burned cigarettes as well as lower short-term adverse health outcomes. However, there are many different ENDS products with varying characteristics, including different flavors, and a need remains to understand more how flavors affect ENDS use, the potential reduction in cigarette use, and exposure to toxicants. This trial studies how two different flavors, fruit and tobacco, affect an individual's smoking behavior and ultimately whether flavored ENDS can help lower smoking and exposure to tobacco toxicants among cigarette smokers interested in reducing their smoking.

Read the detailed description

PRIMARY OBJECTIVES:

I. To assess the impact of ENDS flavors (fruit versus [vs.] tobacco) on combustible cigarette smoking intensity by comparing the mean change in cigarettes per day (CPD) from baseline to 12 months in individuals who initiate ENDS use.

02

Conditions studied

  • Tobacco Cessation
  • Electronic Nicotine Delivery Systems
03

In context

Tobacco Use Cessation

276 studies on the registry are indexed under Tobacco Use Cessation; 45 are open to participants now.

This study's planned enrollment of 286 is above the median of 226 across 256 interventional studies indexed under Tobacco Use Cessation.

Browse Tobacco Use Cessation studies →

Lead sponsor

Roswell Park Cancer Institute is the lead sponsor of 419 studies on the registry; 65 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 and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Be a regular cigarette smoker, defined as >= 5 CPD for at least 12 months. Smoking status will be bio-verified via salivary cotinine (>= 30 ng/mL) and exhaled breath carbon monoxide (CO) > 10 parts per million (ppm) at the baseline visit
  • A history of cigarette use for >= 2 years
  • Have at least a moderate interest in quitting smoking (defined as >= 4 on a Likert-style 1-10 scale, where 10 represents the greatest interest)
  • No regular daily ENDS use in the past 12 months
  • Participant (or legal representative) must understand the nature of this study and sign an Independent Ethics Committee/Institutional Review Board-approved written form prior to receiving any study-related procedure

Exclusion criteria

Exclusion Criteria:

  • Presence of health issues or illnesses, including asthma, (COPD), or cancer (as self-reported during phone pre-screening and confirmed at baseline visit screening)
  • Patients at Roswell Park Comprehensive Cancer Center, regardless of cancer diagnosis status
  • Pregnant or nursing female participants (self-reported on telephone screener, self-reported and bio-verified with urinary pregnancy test at baseline visit)
  • Use of nicotine products other than cigarettes within 7 days before the baseline visit (self-reported during phone pre-screening and confirmed at the baseline visit)
  • Use of any other tobacco products, including cigarillos, cigars, little cigars, or oral nicotine pouches, more than 1 day per week within 30 days before the baseline visit (self-reported during phone pre-screening and confirmed at the baseline visit)
  • Use of smoking cessation medications within 3 months before the baseline visit (self-reported during phone pre-screening and confirmed at the baseline visit)
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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

COPD

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

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
286 participants (estimated)

Study arms

  • Experimental
    Arm 1 - Fruit flavored ENDS

    Participants receive and use fruit flavored ENDS ad libitum for 12 months in the absence of unacceptable toxicity. Participants also undergo urine sample collection on study.

    Other: Vaping - Fruit flavored ENDS · Procedure: Biospecimen Collection

  • Experimental
    Arm 2 - tobacco flavored ENDS

    Participants receive and use tobacco flavored ENDS ad libitum for 12 months in the absence of unacceptable toxicity. Participants also undergo urine sample collection on study.

    Procedure: Biospecimen Collection · Other: Vaping - tobacco flavored ENDS

Interventions

  • OtherVaping - Fruit flavored ENDS

    Receive and use fruit flavored ENDS

  • ProcedureBiospecimen Collection

    Undergo urine sample collection

  • OtherVaping - tobacco flavored ENDS

    receive and use tobacco flavored ENDS

06

What researchers measure

Primary outcomes

  1. Change in Cigarettes per day (CPD) from baseline to 12 month follow up visit

    CPD reduction at month 12 compared to baseline

    Time frame: baseline to 12 months

  2. Measure Change in biomarker concentration NNAL

    urinary measure of NNAL

    Time frame: From Baseline to 12 months

Secondary outcomes

  1. Proportion of participants achieving a greater than or equal to 50% reduction in Cigarettes Per Day

    Will be summarized by treatment group and compared between participants who received fruit-flavored ENDS and those who received tobacco-flavored ENDS.

    Time frame: Baseline to 12 months

  2. Proportion of participants achieving a 100% reduction in CPD

    Self reported - Will be summarized by treatment group and compared between participants who received fruit-flavored ENDS and those who received tobacco-flavored ENDS.

    Time frame: Baseline to 12 months

  3. Proportion of participants achieving a greater than or equal to 50% reduction in urinary NNAL

    Will be summarized by treatment group and compared between participants who received fruit-flavored ENDS and those who received tobacco-flavored ENDS

    Time frame: Baseline to 12 months

  4. Proportion of participants achieving a 100% reduction in NNAL

    Will be summarized by treatment group and compared between participants who received fruit-flavored ENDS and those who received tobacco-flavored ENDS

    Time frame: Baseline to 12 months

07

Study locations

1 site
08

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Nov 2027, 12 months later.

Of 115 non-industry interventional studies with no phase under Tobacco Use Cessation, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 40. This study's planned 12 months is below that.

Counting every sponsor, half of 116 studies reached it within 24 months; a quarter within 15 and three quarters within 40.

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

Registered
Oct 20, 2026
First posted
Oct 27, 2026
StartEst.
Nov 30, 2026
Primary completionEst.
Nov 30, 2027
CompletionEst.
Nov 30, 2027
Last update
Oct 27, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07896330
Responsible party
Sponsor
First posted
Oct 27, 2026
Start date
Nov 30, 2026 (estimated)
Primary completion
Nov 30, 2027 (estimated)
Completion
Nov 30, 2027 (estimated)
Last update
Oct 27, 2026

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 not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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