Switching to e-cigarettes for African American smokers

4th Generation E-cigarettes: Reducing Harm and Quitting Combustible Cigarettes in Dual Users

Phase 3 Interventional University of Kansas Medical Center · NCT05703672

This study is testing whether switching to nicotine salt e-cigarettes can help African American smokers cut down on their cigarette use and reduce harm from smoking.

Quick facts

PhasePhase 3
Study typeInterventional
Enrollment500 (estimated)
Ages21 Years and up
SexAll
SponsorUniversity of Kansas Medical Center Academic / other
Locations2 sites (Kansas City, Missouri and 1 other locations)
Trial IDNCT05703672 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate the effectiveness of nicotine salt pod-based electronic cigarettes in promoting smoking reduction among African American smokers. It will compare the harm reduction and potential for abuse between exclusive e-cigarette users, dual users of cigarettes and e-cigarettes, and exclusive cigarette users. Participants will receive a 6-week supply of e-cigarettes and counseling, with dual users receiving additional treatment with varenicline or placebo for 12 weeks. The study will track changes in harmful substances and participant behavior over a year.

Who should consider this trial

Good fit: Ideal candidates are African American smokers aged 21 and older who smoke more than 5 cigarettes per day and are interested in switching to e-cigarettes.

Not a fit: Patients who are actively seeking to quit smoking or have used other tobacco products recently may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a safer alternative to traditional smoking for African American smokers, potentially reducing health risks associated with smoking.

How similar studies have performed: Other studies have shown promise in using e-cigarettes for smoking cessation, but this specific approach focusing on African American smokers is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥ 21 years of age
* Smoke \>5 cigarettes per day
* Smoked cigarettes for \> 6 months
* Verified smoker (CO \> 5 ppm)
* Functioning telephone
* Interested in switching to EC
* Willing to take varenicline and complete all study visits

Exclusion Criteria:

* Interested in quitting smoking
* Use of smoking cessation pharmacotherapy in the month prior to enrollment
* Use of other tobacco products in past 30 days (i.e., cigarillos, cigars, hookah, smokeless tobacco, pipes)
* EC use on \> 4 of the past 30 days
* Uncontrolled hypertension: BP \> 180 (systolic) or \> 105 (diastolic)
* Heart-related event in the past 30 days
* Medical contraindications to VAR: unstable cardiac condition (e.g., unstable angina or AMI) cardiac event, or stroke in the past 4 weeks; renal impairment; history of clinically significant allergic reactions; history of epilepsy or seizure disorder; hospitalized for psychiatric issue in past 30 days; active suicidal ideation
* Pregnant, contemplating getting pregnant, or breastfeeding
* Plans to move from Kansas City metro area during the treatment and follow-up phase
* Another household member enrolled in the study

Where this trial is running

Kansas City, Missouri and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Smoking Reduction
Last reviewed 2026-06-15 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.