Trial Outcomes & Findings for Testing the Effect of ENDS Flavors on Neurotransmission (NCT NCT05836051)

NCT ID: NCT05836051

Last Updated: 2026-08-07

Results Overview

Absolute reinforcement will be calculated as the mean difference in puffs per day calculated as the average puffs per day during last four days minus the first four days of the 10-day use period.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

Pre to post-intervention (approximately 10 days)

Results posted on

2026-08-07

Participant Flow

Participant milestones

Participant milestones
Measure
Hexyl Acetate
E-cigarette liquid containing hexyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Ethyl Acetate
E-cigarette liquid containing ethyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Overall Study
STARTED
19
17
Overall Study
COMPLETED
19
16
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Hexyl Acetate
E-cigarette liquid containing hexyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Ethyl Acetate
E-cigarette liquid containing ethyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Testing the Effect of ENDS Flavors on Neurotransmission

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hexyl Acetate
n=19 Participants
E-cigarette liquid containing hexyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Ethyl Acetate
n=17 Participants
E-cigarette liquid containing ethyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
34.3 years
STANDARD_DEVIATION 9.7 • n=20 Participants
42.9 years
STANDARD_DEVIATION 10.7 • n=20 Participants
38.4 years
STANDARD_DEVIATION 11.01 • n=40 Participants
Sex: Female, Male
Female
13 Participants
n=20 Participants
10 Participants
n=20 Participants
23 Participants
n=40 Participants
Sex: Female, Male
Male
6 Participants
n=20 Participants
7 Participants
n=20 Participants
13 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=20 Participants
1 Participants
n=20 Participants
2 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=20 Participants
16 Participants
n=20 Participants
34 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
Race (NIH/OMB)
Asian
2 Participants
n=20 Participants
0 Participants
n=20 Participants
2 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=20 Participants
1 Participants
n=20 Participants
2 Participants
n=40 Participants
Race (NIH/OMB)
White
16 Participants
n=20 Participants
15 Participants
n=20 Participants
31 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Region of Enrollment
United States
19 Participants
n=20 Participants
17 Participants
n=20 Participants
36 Participants
n=40 Participants
Current Cigarette Use
7 Participants
n=20 Participants
6 Participants
n=20 Participants
13 Participants
n=40 Participants
Current E-cigarette Use
16 Participants
n=20 Participants
15 Participants
n=20 Participants
31 Participants
n=40 Participants

PRIMARY outcome

Timeframe: Pre to post-intervention (approximately 10 days)

Population: This analysis was conducted on a subsample of 25 out of 36 participants that completed a functional magnetic resonance imaging scan at baseline and post-use follow-up laboratory visits.

Brain reward reactivity will be calculated as the difference in the percent of BOLD signal calculated by subtracting the absolute percentage at the post-scan from baseline in a pre-defined ventral tegmental area (VTA) region of interest during electronic nicotine delivery system (ENDS) inhalation.

Outcome measures

Outcome measures
Measure
Hexyl Acetate
n=13 Participants
E-cigarette liquid containing hexyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Ethyl Acetate
n=12 Participants
E-cigarette liquid containing ethyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Brain Reward Reactivity
-5.54 percentage of BOLD signal change
Standard Deviation 25.58
-3.42 percentage of BOLD signal change
Standard Deviation 15.82

PRIMARY outcome

Timeframe: Pre to post-intervention (approximately 10 days)

Population: 35 participants completed the baseline and post-use laboratory visits with daily logs of E-cigarette puffs collected between visits.

Absolute reinforcement will be calculated as the mean difference in puffs per day calculated as the average puffs per day during last four days minus the first four days of the 10-day use period.

Outcome measures

Outcome measures
Measure
Hexyl Acetate
n=19 Participants
E-cigarette liquid containing hexyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Ethyl Acetate
n=16 Participants
E-cigarette liquid containing ethyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Absolute Reinforcement
13.85 puffs per day
Standard Deviation 11.19
-2.37 puffs per day
Standard Deviation 7.92

Adverse Events

Hexyl Acetate

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ethyl Acetate

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Hexyl Acetate
n=19 participants at risk
E-cigarette liquid containing hexyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Ethyl Acetate
n=17 participants at risk
E-cigarette liquid containing ethyl acetate, ethyl maltol, propylene glycol, vegetable glycerin and methylbutyl acetate with nicotine salt. Flavor: E-liquid flavor chemicals
Musculoskeletal and connective tissue disorders
Jaw pain
0.00%
0/19 • Baseline to post-use was approximately 12 days.
5.9%
1/17 • Number of events 1 • Baseline to post-use was approximately 12 days.
Psychiatric disorders
Anxiety
5.3%
1/19 • Number of events 1 • Baseline to post-use was approximately 12 days.
0.00%
0/17 • Baseline to post-use was approximately 12 days.
Respiratory, thoracic and mediastinal disorders
Upper respiratory infection
0.00%
0/19 • Baseline to post-use was approximately 12 days.
5.9%
1/17 • Number of events 1 • Baseline to post-use was approximately 12 days.

Additional Information

Andrea Hobkirk

Penn State College of Medicine

Phone: 717-531-7279

Results disclosure agreements

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