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NCT04231539

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

Completed NA Results posted Last updated 31 October 2025
What this trial tests

NA trial testing Nicotine in Nicotine Dependence in 15 participants. Completed in 10 July 2024.

Timeline
18 February 2020
Primary endpoint
10 July 2024
10 July 2024

Quick facts

Lead sponsorRoswell Park Cancer Institute
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designfactorial
Maskingdouble
Primary purposeprevention
Enrollment15
Start date18 February 2020
Primary completion10 July 2024
Estimated completion10 July 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Roswell Park Cancer Institute

Who can join

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

GroupValue95% CI
A: Unflavored Free-based Nicotine Form5.7± 0.8
B: Unflavored Salt-based Nicotine Form11.8± 3.3
C: Tobacco Flavor Free-based Nicotine Form6.7± 1.3
D: Tobacco Flavor Salt-based Nicotine Form8.1± 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

GroupValue95% CI
A: Unflavored Free-based Nicotine Form128.8± 40.8
B: Unflavored Salt-based Nicotine Form295.6± 126.7
C: Tobacco Flavor Free-based Nicotine Form177.3± 51.7
D: Tobacco Flavor Salt-based Nicotine Form199.7± 71.7
Time to Maximum Concentration 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.

Time to maximum nicotine concentration in the blood plasma

GroupValue95% CI
A: Unflavored Free-based Nicotine Form11.5± 1.6
B: Unflavored Salt-based Nicotine Form9.8± 1.5
C: Tobacco Flavor Free-based Nicotine Form11.7± 1.5
D: Tobacco Flavor Salt-based Nicotine Form8.6± 1.3
Perceived Harshness of Experimental Product Sampled Secondary · 1 minute post puffing for 4 weeks

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

GroupValue95% CI
A: Unflavored Free-based Nicotine Form4.85± 0.1
B: Unflavored Salt-based Nicotine Form2.92± 0.4
C: Tobacco Flavor Free-based Nicotine Form4.62± 0.1
D: Tobacco Flavor Salt-based Nicotine Form3.08± 0.4
Perceived Satisfaction of Experimental Product Sampled Secondary · 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.

GroupValue95% CI
A: Unflavored Free-based Nicotine Form3.08± 0.3
B: Unflavored Salt-based Nicotine Form3.75± 0.4
C: Tobacco Flavor Free-based Nicotine Form3.77± 0.4
D: Tobacco Flavor Salt-based Nicotine Form4.23± 0.3
Perceived Liking of Experimental Product Sampled Secondary · 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.

GroupValue95% CI
A: Unflavored Free-based Nicotine Form45.9± 5.2
B: Unflavored Salt-based Nicotine Form55.2± 4.0
C: Tobacco Flavor Free-based Nicotine Form46.5± 6.0
D: Tobacco Flavor Salt-based Nicotine Form52.5± 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.

GroupValue95% CI
A: Unflavored Free-based Nicotine Form0.5± 0.7
B: Unflavored Salt-based Nicotine Form0.7± 0.7
C: Tobacco Flavor Free-based Nicotine Form1.5± 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 Sampled Secondary · 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

GroupValue95% CI
A: Unflavored Free-based Nicotine Form908.3425.1 – 2022
B: Unflavored Salt-based Nicotine Form1142539.2 – 2926
C: Tobacco Flavor Free-based Nicotine Form785.5416.1 – 1521
D: Tobacco Flavor Salt-based Nicotine Form985.8475.7 – 2416
Elasticity of Demand or Sensitivity to Price for Each Device Sampled Secondary · 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

GroupValue95% CI
A: Unflavored Free-based Nicotine Form0.0005.0002 – .0007
B: Unflavored Salt-based Nicotine Form0.0004.0002 – .0006
C: Tobacco Flavor Free-based Nicotine Form0.0004.0002 – .0006
D: Tobacco Flavor Salt-based Nicotine Form0.0005.0003 – .0007
Substitution Levels of Alternative Tobacco Products Secondary · 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
GroupValue95% CI
A: Unflavored Free-based Nicotine Form00 – 0
B: Unflavored Salt-based Nicotine Form00 – 0
C: Tobacco Flavor Free-based Nicotine Form00 – 0
D: Tobacco Flavor Salt-based Nicotine Form7.377-0.5177 – 15.27
JUUL Classic Tobacco
GroupValue95% CI
A: Unflavored Free-based Nicotine Form-0.000000000000-87.64 – 87.64
B: Unflavored Salt-based Nicotine Form8.167-69.45 – 85.78
C: Tobacco Flavor Free-based Nicotine Form2.554-81.9 – 87.01
D: Tobacco Flavor Salt-based Nicotine Form-4.175-95.61 – 87.26
JUUL Menthol
GroupValue95% CI
A: Unflavored Free-based Nicotine Form15.54-38.02 – 69.11
B: Unflavored Salt-based Nicotine Form17.31-36.31 – 70.93
C: Tobacco Flavor Free-based Nicotine Form14.75-32.1 – 61.61
D: Tobacco Flavor Salt-based Nicotine Form18.28-26.91 – 63.47
Revel Dark Mint
GroupValue95% CI
A: Unflavored Free-based Nicotine Form00 – 0
B: Unflavored Salt-based Nicotine Form00 – 0
C: Tobacco Flavor Free-based Nicotine Form00 – 0
D: Tobacco Flavor Salt-based Nicotine Form00 – 0
Revel Mint
GroupValue95% CI
A: Unflavored Free-based Nicotine Form4.232-1.547 – 10.01
B: Unflavored Salt-based Nicotine Form0.2371-2.216 – 2.69
C: Tobacco Flavor Free-based Nicotine Form4.663-0.6079 – 9.935
D: Tobacco Flavor Salt-based Nicotine Form0.2371-2.216 – 2.69
Marlboro Reds
GroupValue95% CI
A: Unflavored Free-based Nicotine Form00 – 0
B: Unflavored Salt-based Nicotine Form00 – 0
C: Tobacco Flavor Free-based Nicotine Form00 – 0
D: Tobacco Flavor Salt-based Nicotine Form00 – 0
Marlboro Menthols
GroupValue95% CI
A: Unflavored Free-based Nicotine Form00 – 0
B: Unflavored Salt-based Nicotine Form00 – 0
C: Tobacco Flavor Free-based Nicotine Form00 – 0
D: Tobacco Flavor Salt-based Nicotine Form00 – 0
Camel Snus Mellow
GroupValue95% CI
A: Unflavored Free-based Nicotine Form00 – 0
B: Unflavored Salt-based Nicotine Form00 – 0
C: Tobacco Flavor Free-based Nicotine Form00 – 0
D: Tobacco Flavor Salt-based Nicotine Form00 – 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):

  1. Effects of nicotine form and tobacco flavor on pharmacokinetics, subjective effects, and behavioral indicators of abuse liability of e-cigarettes.
    Block AC, Martin CD, Leigh NJ, Page MK, et al · · 2026 · PMID 41863629 · DOI 10.1093/ntr/ntag058

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Other trials of Nicotine

Trials testing the same drug.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing