Trial Outcomes & Findings for Risk and Benefits of Electronic Cigarettes to Older Smokers at High Risk for Lung Cancer (NCT NCT05144542)

NCT ID: NCT05144542

Last Updated: 2026-08-05

Results Overview

Mean cigarettes per day during the week of baseline combustible cigarette smoking and during the final week of electronic cigarette provision (week 27)

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

NA

Target enrollment

135 participants

Primary outcome timeframe

Study Week 1 and Week 27

Results posted on

2026-08-05

Participant Flow

Participants were adults residing in the state of Texas

Participant milestones

Participant milestones
Measure
Electronic Cigarettes Arm
Assigned to vape electronic cigarettes for up to 26 weeks
Overall Study
STARTED
135
Overall Study
COMPLETED
107
Overall Study
NOT COMPLETED
28

Reasons for withdrawal

Reasons for withdrawal
Measure
Electronic Cigarettes Arm
Assigned to vape electronic cigarettes for up to 26 weeks
Overall Study
Lost to Follow-up
11
Overall Study
Withdrawal by Subject
17

Baseline Characteristics

Risk and Benefits of Electronic Cigarettes to Older Smokers at High Risk for Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Electronic Cigarettes Arm
n=135 Participants
Assigned to vape electronic cigarettes for up to 26 weeks
Age, Continuous
56.51 years
STANDARD_DEVIATION 5.46 • n=20 Participants
Sex: Female, Male
Female
79 Participants
n=20 Participants
Sex: Female, Male
Male
56 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
11 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
124 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=20 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
36 Participants
n=20 Participants
Race (NIH/OMB)
White
87 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=20 Participants
Region of Enrollment
United States
135 participants
n=20 Participants

PRIMARY outcome

Timeframe: Study Week 1 and Week 27

Mean cigarettes per day during the week of baseline combustible cigarette smoking and during the final week of electronic cigarette provision (week 27)

Outcome measures

Outcome measures
Measure
Electronic Cigarettes Arm
n=135 Participants
Assigned to vape electronic cigarettes for up to 26 weeks
Combustible Cigarettes Per Day
Baseline Combustible Cigarette Smoking (study week 1)
15.36 cigarettes per day
Standard Deviation 8.93
Combustible Cigarettes Per Day
Electronic Cigarette Provision (study week 27)
7.52 cigarettes per day
Standard Deviation 7.54

SECONDARY outcome

Timeframe: Study Week 27

Mean electronic cigarette sessions per day during the week of baseline combustible cigarette smoking and during the final week of electronic cigarette provision (week 27)

Outcome measures

Outcome measures
Measure
Electronic Cigarettes Arm
n=135 Participants
Assigned to vape electronic cigarettes for up to 26 weeks
Electronic Cigarette Sessions Per Day
11.13 Electronic Cigarette Sessions per Day
Standard Deviation 11.99

SECONDARY outcome

Timeframe: Study Week 1 and Week 27

Geometric means of the natural log of urine anabasine levels collected at study week 1 (end of combustible cigarette smoking baseline) and week 27 (end of electronic cigarette provision).

Outcome measures

Outcome measures
Measure
Electronic Cigarettes Arm
n=135 Participants
Assigned to vape electronic cigarettes for up to 26 weeks
Anabasine
Baseline Combustible Cigarette Smoking (study week 1)
40.9 ln(ng/mL)
Interval 33.13 to 50.48
Anabasine
Electronic Cigarette Provision (study week 27)
37.56 ln(ng/mL)
Interval 27.5 to 51.31

SECONDARY outcome

Timeframe: Study Week 1 and Week 27

The Fagerström Test for Cigarette Dependence (FTCD) is a measure of cigarette dependence. Scores range from 0 to 10, with higher scores indicating greater dependence.

Outcome measures

Outcome measures
Measure
Electronic Cigarettes Arm
n=135 Participants
Assigned to vape electronic cigarettes for up to 26 weeks
Fagerström Test for Cigarette Dependence
Baseline Combustible Cigarette Smoking (study week 1)
4.39 score on a scale
Standard Deviation 3.99
Fagerström Test for Cigarette Dependence
Electronic Cigarette Provision (study week 27)
2.94 score on a scale
Standard Deviation 2.48

Adverse Events

Electronic Cigarettes Arm

Serious events: 7 serious events
Other events: 79 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Electronic Cigarettes Arm
n=135 participants at risk
Assigned to vape electronic cigarettes for up to 26 weeks
Psychiatric disorders
Anxiety
0.74%
1/135 • 26 weeks
Musculoskeletal and connective tissue disorders
Back Pain
0.74%
1/135 • 26 weeks
Psychiatric disorders
Depression
0.74%
1/135 • 26 weeks
Injury, poisoning and procedural complications
Fracture
0.74%
1/135 • 26 weeks
Musculoskeletal and connective tissue disorders
Muscle Weakness Lower Limb
0.74%
1/135 • 26 weeks
Nervous system disorders
Stroke
1.5%
2/135 • 26 weeks

Other adverse events

Other adverse events
Measure
Electronic Cigarettes Arm
n=135 participants at risk
Assigned to vape electronic cigarettes for up to 26 weeks
Musculoskeletal and connective tissue disorders
Arthritis
3.0%
4/135 • 26 weeks
Musculoskeletal and connective tissue disorders
Back Pain
3.7%
5/135 • 26 weeks
General disorders
Chest Pain - Non Cardiac
8.9%
12/135 • 26 weeks
Respiratory, thoracic and mediastinal disorders
Coughing
3.0%
4/135 • 26 weeks
Psychiatric disorders
Depression
2.2%
3/135 • 26 weeks
General disorders
Edema
1.5%
2/135 • 26 weeks
Injury, poisoning and procedural complications
Fall
1.5%
2/135 • 26 weeks
General disorders
Fatigue
27.4%
37/135 • 26 weeks
General disorders
Fever
1.5%
2/135 • 26 weeks
General disorders
Flu Like Symptoms
3.7%
5/135 • 26 weeks
Injury, poisoning and procedural complications
Fracture
2.2%
3/135 • 26 weeks
Metabolism and nutrition disorders
Hypercholesterolemia
1.5%
2/135 • 26 weeks
Vascular disorders
Hypertension
4.4%
6/135 • 26 weeks
Infections and infestations
Infection
2.2%
3/135 • 26 weeks
Gastrointestinal disorders
Nausea
1.5%
2/135 • 26 weeks
Infections and infestations
Pneumonia
2.2%
3/135 • 26 weeks
Respiratory, thoracic and mediastinal disorders
Productive Cough
14.8%
20/135 • 26 weeks
Respiratory, thoracic and mediastinal disorders
Shortness Of Breath
20.7%
28/135 • 26 weeks
Infections and infestations
Sinusitis
2.2%
3/135 • 26 weeks
Surgical and medical procedures
Surgical And Medical Procedures - Other
3.0%
4/135 • 26 weeks
Respiratory, thoracic and mediastinal disorders
Wheezing
1.5%
2/135 • 26 weeks

Additional Information

Jason Robinson

MD Anderson Cancer Center

Phone: 713-792-2265

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place