Clinical trial Recruiting at 1 site Interventional Ages 21 and up

Evaluating nicotine pouches for quitting smoking

Official title: Evaluation of Low and High Nicotine Tobacco Free Nicotine Pouches as a Harm Reducing Substitute for Combustible Cigarettes - (Pack2Pouch)

Run by Medical University of South Carolina · NCT06678789 · Data updated 2026-11-12

This study is testing if tobacco-free nicotine pouches can help smokers switch from cigarettes by trying out different nicotine levels over 28 days.

Quick facts

Study typeInterventional
Ages21 Years and up
SexAll
Enrollment50 (estimated)
SponsorMedical University of South Carolina
Academic / other
Locations1 site (Charleston, South Carolina)
StatusRecruiting
StartedFebruary 14, 2025
Main results expectedNovember 1, 2026
Study endsMay 28, 2027
Registry record updatedAugust 20, 2026
Trial IDNCT06678789 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 21 and older who are current cigarette smokers with a significant smoking history.

Probably not a fit

Patients who use other tobacco products or smoking cessation medications 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 assesses the effectiveness of tobacco-free oral nicotine pouches at different nicotine levels in helping smokers switch from cigarettes. Participants will be recruited to use either high (6 mg) or low (3 mg) nicotine pouches over a 28-day period, during which they will provide feedback on their tobacco use and submit biological samples. The study aims to measure outcomes such as complete switching from cigarettes, reduction in smoking, changes in biomarkers of harm, and levels of nicotine dependence. Participants will attend two in-person visits at the Medical University of South Carolina for assessments.

Why it matters

Potential benefit: If successful, this study could provide a safer alternative for smokers looking to quit by using nicotine pouches.

How similar studies have gone: Previous studies have shown promise in using nicotine pouches as harm reduction tools, making this approach both relevant and potentially impactful.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 21+
* current cigarette smoking (25+ days per previous month, 5 or more cigarettes/day, for greater than 1yr, greater than 100 lifetime cigarettes)
* have not used TNFPs more than 5 times during their lifetime
* willing and able to attend 2 in-person visits in Charleston (to assess biomarkers)
* have internet access

Exclusion Criteria:

* Lack of proficiency in English.
* Use of other combustible tobacco products (i.e., cigars, cigarillos, hookahs) and/or other non-combusted nicotine/tobacco products (i.e., e-cigarettes, smokeless tobacco) in the past 30 days.
* Current use of smoking cessation medications (i.e., varenicline, bupropion, nicotine replacement therapy).
* Use of marijuana within the past month, and unwillingness to abstain from marijuana during course of study.
* Medical conditions contraindicated to NRT use (including pregnancy, breastfeeding, and nursing, past month myocardial infarction, current untreated cardiac arrhythmia, current severe angina, current uncontrolled severe vascular disease).

Where it's running

  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting

Study contacts

  • Principal investigator: Amanda Palmer, PhD. — Medical University of South Carolina
  • Study coordinator: Talia Ogretman
  • Email: ogretmet@musc.edu
  • Phone: 843-259-8111

Similar studies

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

  • Varenicline plus enhanced TMS to help adults quit smoking and vaping

    This study tests whether adding active enhanced accelerated transcranial magnetic stimulation (aTMS) to varenicline helps adults 18–65 quit nicotine use more effectively than varenicline with sham stimulation.

    Recruiting Phase 4 Massachusetts General Hospital · Boston, Massachusetts · NCT07145866

  • Quitting Matters: a smoking quit program for people living with HIV

    This 6-month program will test whether a tailored smartphone app plus nicotine patches and gum helps people living with HIV quit smoking better than a standard quit app.

    Recruiting Wake Forest University Health Sciences · Winston-Salem, North Carolina · NCT06883097

  • tDCS plus varenicline to help people quit smoking

    This will test if adding noninvasive tDCS brain stimulation to varenicline helps adults who smoke at least 8 cigarettes a day quit and stay smoke-free.

    Recruiting Phase 4 Centre for Addiction and Mental Health · Toronto, Ontario · NCT06798324

  • Adapting a Skills-Based Smoking Cessation Program for Gender-Diverse Adults Under Stress

    A skills-based smoking cessation program is being adapted and tested to see if it helps gender-diverse adults who smoke, especially when stressed by gender-related factors and mood problems.

    Recruiting Massachusetts General Hospital · Boston, Massachusetts and 2 other locations · NCT06654414

  • Investigating the effects of propranolol and nicotine patches on smoking cues

    This study is testing whether taking propranolol and using nicotine patches can help daily smokers resist the urge to smoke when they see things that remind them of smoking.

    Recruiting Phase 4 University of Oklahoma · Tulsa, Oklahoma · NCT05587361

  • Impact of Menstrual Cycle Phase on Smoking Cessation

    This study tests if starting smoking cessation treatment during certain phases of the menstrual cycle helps women quit smoking more successfully.

    Recruiting Phase 4 Centre for Addiction and Mental Health · Toronto, Ontario · NCT05515354

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.