Triangulating abuse liability assessment for flavoured cigar products using physiological, behavioural economic and subjective assessments: a within-subjects clinical laboratory protocol

Autor: Cosima Hoetger, Mignonne C. Guy, Rose S Bono, Thokozeni Lipato, Rebecca C Lester, Andrew J. Barnes, Thomas Eissenberg, Warren K. Bickel, Catherine S J Wall, Caroline O. Cobb
Jazyk: angličtina
Rok vydání: 2018
Předmět:
PURCHASE TASK
DEMAND
Cigar Smoking
030508 substance abuse
tobacco
0302 clinical medicine
Surveys and Questionnaires
YOUNG-ADULTS
Protocol
Regulatory science
030212 general & internal medicine
Young adult
Clinical Trials as Topic
General Medicine
Institutional review board
Ganglionic Stimulants
3. Good health
abuse liability
TRANSDERMAL NICOTINE
regulatory science
SMOKING
0305 other medical science
Life Sciences & Biomedicine
Behavioural economic
Adult
medicine.medical_specialty
Nicotine
Adolescent
NICOTINE EXPOSURE
TOBACCO PRODUCTS
Within person
UNITED-STATES
1117 Public Health and Health Services
03 medical and health sciences
Young Adult
Medicine
General & Internal

General & Internal Medicine
medicine
Abuse liability
Humans
EXPOSURE
protocol
Psychiatry
Saliva
Smoking and Tobacco
Protocol (science)
flavor
business.industry
CONSUMPTION
1103 Clinical Sciences
Flavoring Agents
cigars
PUFF TOPOGRAPHY
business
1199 Other Medical and Health Sciences
Zdroj: BMJ Open
Popis: IntroductionIn the USA, Food and Drug Administration regulations prohibit the sale of flavoured cigarettes, with menthol being the exception. However, the manufacture, advertisement and sale of flavoured cigar products are permitted. Such flavourings influence positive perceptions of tobacco products and are linked to increased use. Flavourings may mask the taste of tobacco and enhance smoke inhalation, influencing toxicant exposure and abuse liability among novice tobacco users. Using clinical laboratory methods, this study investigates how flavour availability affects measures of abuse liability in young adult cigarette smokers. The specific aims are to evaluate the effect of cigar flavours on nicotine exposure, and behavioural and subjective measures of abuse liability.Methods and analysesParticipants (projected n=25) are healthy smokers of five or more cigarettes per day over the past 3 months, 18–25 years old, naive to cigar use (lifetime use of 50 or fewer cigar products and no more than 10 cigars smoked in the past 30 days) and without a desire to quit cigarette smoking in the next 30 days. Participants complete five laboratory sessions in a Latin square design with either their own brand cigarette or a session-specific Black & Mild cigar differing in flavour (apple, cream, original and wine). Participants are single-blinded to cigar flavours. Each session consists of two 10-puff smoking bouts (30 s interpuff interval) separated by 1 hour. Primary outcomes include saliva nicotine concentration, behavioural economic task performance and response to various questionnaire items assessing subjective effects predictive of abuse liability. Differences in outcomes across own brand cigarette and flavoured cigar conditions will be tested using linear mixed models.Ethics and disseminationThe Virginia Commonwealth University Institutional Review Board approved the study (VCU IRB: HM20007848). Dissemination channels for study findings include scientific journals, scientific meetings, and policy briefs.Trial registration numberNCT02937051.
Databáze: OpenAIRE