Clinical trial Recruiting at 1 site Interventional Ages 21 and up

Evaluating how flavor affects smokers switching to e-cigarettes

Official title: The Role of Flavor in the Substitutability of E-cigarettes for Combustible Cigarettes Among Persistent Smokers

Run by Abramson Cancer Center at Penn Medicine · NCT06264154 · Data updated 2026-11-12

This study tests whether different e-cigarette flavors can help smokers switch from regular cigarettes to e-cigarettes more easily.

Quick facts

Study typeInterventional
Ages21 Years and up
SexAll
Enrollment210 (estimated)
SponsorAbramson Cancer Center at Penn Medicine
Academic / other
Locations1 site (Philadelphia, Pennsylvania)
StatusRecruiting
StartedAugust 26, 2024
Main results expectedJune 2027
Study endsDecember 2027
Registry record updatedFebruary 19, 2026
Trial IDNCT06264154 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 21 who smoke at least 5 cigarettes daily and have made multiple unsuccessful quit attempts.

Probably not a fit

Patients who regularly use other nicotine products or have not attempted to quit smoking may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the impact of different e-cigarette flavors on the ability of persistent smokers to switch from combustible cigarettes to e-cigarettes. A total of 210 participants will be randomized to use fruit-flavored, tobacco-flavored, or menthol-flavored e-cigarettes over a six-week period. The study will assess the subjective reward and reinforcing value of these flavored e-cigarettes compared to traditional cigarettes, aiming to understand how flavor influences smoking cessation efforts. The findings could provide insights into effective harm reduction strategies for smokers.

Why it matters

Potential benefit: If successful, this study could help smokers transition to less harmful e-cigarettes, potentially reducing smoking-related health risks.

How similar studies have gone: While there is limited prospective research specifically on flavor impact, existing studies suggest that flavored e-cigarettes may be more appealing to smokers, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Able to communicate fluently in English (i.e. speaking, writing, and reading)
2. Male and female smokers who are \> 21 years of age and self-report smoking at least 5 cigarettes (menthol and/or non-menthol) per day for at least the last 12 months
3. 5 or more failed quit attempts and the use of smoking cessation medication on at least one prior attempt.
4. Ever use of an e-cigarette
5. Have a carbon monoxide (CO) greater than 10 ppm
6. Not using any forms of nicotine regularly other than cigarettes
7. Be willing to switch to e-cigarettes for 6 weeks and use the assigned flavors
8. Plan to live in the area for the duration of the study
9. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the combined consent and HIPAA form.

Exclusion Criteria:

Smoking Behavior Regular use of nicotine-containing products other than cigarettes (e.g., chewing tobacco, snuff, snus, cigars, e-cigs, etc.). Regular e-cigarette use is defined as greater than 5 days/past 30 days

1. Participants agreeing to abstain from using nicotine-containing products other than cigarettes for the duration of the study will be considered eligible.
2. Current enrollment or plans to enroll in a smoking cessation program over the duration of the study.
3. Current use of smoking cessation medication
4. Provide a CO breath test reading less than 10 ppm at Intake.

Alcohol and Drug

1. History of substance abuse (other than nicotine dependence) in the past 12 months.
2. Current alcohol consumption that exceeds 20 standard drinks/week.
3. Current use of recreational drugs (other than nicotine and cannabis)
4. Breath alcohol reading (BrAC) greater than .000 at Intake.

Medical

1. Women, including all individuals assigned as "female" at birth, who are pregnant, breastfeeding, or planning a pregnancy over the duration of the study period.
2. Serious or unstable disease within the past year (e.g. cancer, heart disease). Applicable conditions will be evaluated on a case-by-case basis by the Principal Investigator.
3. Allergies to either propylene glycol or flavor additives

Psychiatric

1\. Lifetime history of schizophrenia or psychosis.

General Exclusion

1. Past, current, anticipated, or pending enrollment in another research program over the study period that could potentially impact subject safety, study data, and/or the study design as determined by the Principal Investigator.
2. Any medical condition, illness, disorder, adverse event (AE), or concomitant medication that could compromise participant safety or significantly impact study performance as determined by the Principal Investigator. Subjects may be deemed ineligible for any of the aforementioned reasons at any point throughout the study, as well as during the initial telephone screen.
3. Significant non-compliance with protocol and/or study design as determined by the Principal Investigator and/o. Subjects may be deemed ineligible at any point throughout the study.

Where it's running

  • University of Pennsylvania
    Philadelphia, Pennsylvania, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.