Studying Flavors and Cooling Agents in Oral Nicotine Pouches to Understand User Preferences

Purpose

This clinical trial studies how the flavors and synthetic coolant properties in oral nicotine pouches (ONPs) compare to one another and how these characteristics are perceived by users. ONPs are placed between the gum and lip, and the nicotine is absorbed in the mouth. They have a strong potential for harm reduction if smokers can switch to using them, and they are growing in popularity. One factor that could be contributing to the increase in popularity is the wide range of flavors, including mint or menthol. With recent flavor restriction policies that have gone into effect in certain areas of the United States, ONPs are now including synthetic cooling agents (WS-3) in place of the flavors. They provide a cooling sensation, but do not have a characterizing flavor, like mint or menthol, allowing them to be sold where flavor restriction policies are in place. Learning more about the flavors and cooling properties in ONPs and user preferences may help researchers guide future ONP regulation and understand how these characteristics may be used as a potential harm reduction or quit smoking tool.

Condition

  • Cigarette Smoking-Related Carcinoma

Eligibility

Eligible Ages
Over 21 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Age 21 years or older - Willing to complete study procedures, including abstaining from all tobacco, nicotine, and marijuana for 12 hours before clinic visits - Ability to read and speak English - Has smoked >= 100 cigarettes - Smokes >= 5 cigarettes/day for past year

Exclusion Criteria

  • Use other tobacco products (including ONPs) more than 10 days per month - Unstable or significant psychiatric conditions (past and stable conditions allowed) - Pregnant, planning to become pregnant, or breastfeeding (will be verified with urine pregnancy test before each visit) - History of cardiac event or distress within the past 3 months - Currently attempting to quit all tobacco use

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Single Group Assignment
Primary Purpose
Prevention
Masking
Double (Participant, Investigator)
Masking Description
In a double-blind, randomized crossover design, N=30 adult daily cigarette smokers will sample 4 ONPs with varying flavor and synthetic coolant properties. Participants are blinded to their study product(s) and will not be unblinded.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Chill (WS-3 only)
Participants receive Chill-flavored nicotine pouch over 10 minutes and will complete questionnaires assessing measures of product appeal, sensory ratings and an oral tobacco purchase task.
  • Procedure: Carbon Monoxide Measurement
    Ancillary studies
    Other names:
    • Carbon Monoxide
    • CMONOX
  • Drug: Nicotine Oral Pouch
    Sample randomly-ordered ONPs
    Other names:
    • ZYN
  • Other: Questionnaire Administration
    Ancillary studies
Experimental
Menthol (menthol only)
Participants receive Menthol-flavored nicotine pouch over 10 minutes and will complete questionnaires assessing measures of product appeal, sensory ratings and an oral tobacco purchase task.
  • Procedure: Carbon Monoxide Measurement
    Ancillary studies
    Other names:
    • Carbon Monoxide
    • CMONOX
  • Drug: Nicotine Oral Pouch
    Sample randomly-ordered ONPs
    Other names:
    • ZYN
  • Other: Questionnaire Administration
    Ancillary studies
Experimental
Peppermint (menthol+WS-3)
Participants receive Peppermint-flavored nicotine pouch over 10 minutes and will complete questionnaires assessing measures of product appeal, sensory ratings and an oral tobacco purchase task.
  • Procedure: Carbon Monoxide Measurement
    Ancillary studies
    Other names:
    • Carbon Monoxide
    • CMONOX
  • Drug: Nicotine Oral Pouch
    Sample randomly-ordered ONPs
    Other names:
    • ZYN
  • Other: Questionnaire Administration
    Ancillary studies
Experimental
Smooth (no menthol or WS-3)
Participants receive Smooth-flavored nicotine pouch over 10 minutes and will complete questionnaires assessing measures of product appeal, sensory ratings and an oral tobacco purchase task.
  • Procedure: Carbon Monoxide Measurement
    Ancillary studies
    Other names:
    • Carbon Monoxide
    • CMONOX
  • Drug: Nicotine Oral Pouch
    Sample randomly-ordered ONPs
    Other names:
    • ZYN
  • Other: Questionnaire Administration
    Ancillary studies
Experimental
Usual brand cigarette visit
Participants smoke their usual brand cigarette over 5 minutes and will complete questionnaires assessing measures of product appeal, sensory ratings and a tobacco purchase task.
  • Procedure: Carbon Monoxide Measurement
    Ancillary studies
    Other names:
    • Carbon Monoxide
    • CMONOX
  • Other: Questionnaire Administration
    Ancillary studies
  • Drug: Smoke usual brand cigarette
    Participant will smoke their usual brand of cigarette during 1 study visit for 5 minutes.

Recruiting Locations

Ohio State University Comprehensive Cancer Center
Columbus, Ohio 43210
Contact:
Brittney L. Keller-Hamilton, PhD, MPH
614-366-9652
keller-hamilton.1@osu.edu

More Details

NCT ID
NCT07111234
Status
Recruiting
Sponsor
Ohio State University Comprehensive Cancer Center

Study Contact

The Ohio State University Comprehensive Cancer Center
800-293-5066
OSUCCCClinicaltrials@osumc.edu

Detailed Description

PRIMARY OBJECTIVES: I. Evaluate the individual and joint effects of menthol flavors and WS-3 on appeal of ONPs. II. Test the individual and joint effects of menthol flavors and WS-3 on self-reported relief of withdrawal and craving symptoms associated with use of ONPs. II. Compare demand for ONPs that vary according to menthol flavors and WS-3. OUTLINE: Participants are randomized to sample 4 ONPs in a 1 visit, 4-session, randomized cross-over study. Participants sample four randomly-ordered ONPs with flavors consisting of WS-3 only, menthol only, menthol + WS-3, and no menthol or WS-3 over 10 minutes each, with washout periods of 10 minutes between each ONP use period.