Adults 21 to 55, any sex, with Nicotine Dependence. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Maximum Concentration of Nicotine in Plasma (Cmax)Primary· 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.
The maximum nicotine concentration in blood plasma
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
5.7
± 0.8
B: Unflavored Salt-based Nicotine Form
11.8
± 3.3
C: Tobacco Flavor Free-based Nicotine Form
6.7
± 1.3
D: Tobacco Flavor Salt-based Nicotine Form
8.1
± 1.7
Area Under the Concentration-time Curve (AUC)Primary· 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.
Area under the plasma nicotine concentration over time curve
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
128.8
± 40.8
B: Unflavored Salt-based Nicotine Form
295.6
± 126.7
C: Tobacco Flavor Free-based Nicotine Form
177.3
± 51.7
D: Tobacco Flavor Salt-based Nicotine Form
199.7
± 71.7
Time to Maximum ConcentrationPrimary· 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.
Time to maximum nicotine concentration in the blood plasma
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
11.5
± 1.6
B: Unflavored Salt-based Nicotine Form
9.8
± 1.5
C: Tobacco Flavor Free-based Nicotine Form
11.7
± 1.5
D: Tobacco Flavor Salt-based Nicotine Form
8.6
± 1.3
Perceived Harshness of Experimental Product SampledSecondary· 1 minute post puffing for 4 weeks
Subjective Measure of Perceived Harshness (Likert, 1-5: 1 = best outcome, 5 = worst outcome).
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
4.85
± 0.1
B: Unflavored Salt-based Nicotine Form
2.92
± 0.4
C: Tobacco Flavor Free-based Nicotine Form
4.62
± 0.1
D: Tobacco Flavor Salt-based Nicotine Form
3.08
± 0.4
Perceived Satisfaction of Experimental Product SampledSecondary· 120 minutes after session start on last session (session 4)
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.
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
3.08
± 0.3
B: Unflavored Salt-based Nicotine Form
3.75
± 0.4
C: Tobacco Flavor Free-based Nicotine Form
3.77
± 0.4
D: Tobacco Flavor Salt-based Nicotine Form
4.23
± 0.3
Perceived Liking of Experimental Product SampledSecondary· 1 minute post puffing for 4 weeks
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.
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
45.9
± 5.2
B: Unflavored Salt-based Nicotine Form
55.2
± 4.0
C: Tobacco Flavor Free-based Nicotine Form
46.5
± 6.0
D: Tobacco Flavor Salt-based Nicotine Form
52.5
± 5.4
Minnesota Nicotine Withdrawal Scale Change (Change From Pre- to Post-)Secondary· 5 minutes pre puffing and 3 minutes post puffing for 4 weeks
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.
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
0.5
± 0.7
B: Unflavored Salt-based Nicotine Form
0.7
± 0.7
C: Tobacco Flavor Free-based Nicotine Form
1.5
± 0.5
D: Tobacco Flavor Salt-based Nicotine Form
-0.5
± 0.7
Intensity of Demand or Estimated Milligrams E-cigarettes Purchased at Free Cost for Each Device SampledSecondary· 60 minutes post puffing for 4 weeks
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
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
908.3
425.1 – 2022
B: Unflavored Salt-based Nicotine Form
1142
539.2 – 2926
C: Tobacco Flavor Free-based Nicotine Form
785.5
416.1 – 1521
D: Tobacco Flavor Salt-based Nicotine Form
985.8
475.7 – 2416
Elasticity of Demand or Sensitivity to Price for Each Device SampledSecondary· 60 minutes post puffing for 4 weeks
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 calle
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
0.0005
.0002 – .0007
B: Unflavored Salt-based Nicotine Form
0.0004
.0002 – .0006
C: Tobacco Flavor Free-based Nicotine Form
0.0004
.0002 – .0006
D: Tobacco Flavor Salt-based Nicotine Form
0.0005
.0003 – .0007
Substitution Levels of Alternative Tobacco ProductsSecondary· 120 minutes post puffing for 4 weeks
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.
JUUL Virginia Tobacco
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
0
0 – 0
B: Unflavored Salt-based Nicotine Form
0
0 – 0
C: Tobacco Flavor Free-based Nicotine Form
0
0 – 0
D: Tobacco Flavor Salt-based Nicotine Form
7.377
-0.5177 – 15.27
JUUL Classic Tobacco
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
-0.000000000000
-87.64 – 87.64
B: Unflavored Salt-based Nicotine Form
8.167
-69.45 – 85.78
C: Tobacco Flavor Free-based Nicotine Form
2.554
-81.9 – 87.01
D: Tobacco Flavor Salt-based Nicotine Form
-4.175
-95.61 – 87.26
JUUL Menthol
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
15.54
-38.02 – 69.11
B: Unflavored Salt-based Nicotine Form
17.31
-36.31 – 70.93
C: Tobacco Flavor Free-based Nicotine Form
14.75
-32.1 – 61.61
D: Tobacco Flavor Salt-based Nicotine Form
18.28
-26.91 – 63.47
Revel Dark Mint
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
0
0 – 0
B: Unflavored Salt-based Nicotine Form
0
0 – 0
C: Tobacco Flavor Free-based Nicotine Form
0
0 – 0
D: Tobacco Flavor Salt-based Nicotine Form
0
0 – 0
Revel Mint
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
4.232
-1.547 – 10.01
B: Unflavored Salt-based Nicotine Form
0.2371
-2.216 – 2.69
C: Tobacco Flavor Free-based Nicotine Form
4.663
-0.6079 – 9.935
D: Tobacco Flavor Salt-based Nicotine Form
0.2371
-2.216 – 2.69
Marlboro Reds
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
0
0 – 0
B: Unflavored Salt-based Nicotine Form
0
0 – 0
C: Tobacco Flavor Free-based Nicotine Form
0
0 – 0
D: Tobacco Flavor Salt-based Nicotine Form
0
0 – 0
Marlboro Menthols
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
0
0 – 0
B: Unflavored Salt-based Nicotine Form
0
0 – 0
C: Tobacco Flavor Free-based Nicotine Form
0
0 – 0
D: Tobacco Flavor Salt-based Nicotine Form
0
0 – 0
Camel Snus Mellow
Group
Value
95% CI
A: Unflavored Free-based Nicotine Form
0
0 – 0
B: Unflavored Salt-based Nicotine Form
0
0 – 0
C: Tobacco Flavor Free-based Nicotine Form
0
0 – 0
D: Tobacco Flavor Salt-based Nicotine Form
0
0 – 0
Sponsor's own description
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.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Roswell Park Cancer Institute
Last refreshed: 31 October 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04231539.