<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03802019</url>
  </required_header>
  <id_info>
    <org_study_id>832540</org_study_id>
    <secondary_id>1U54CA229973</secondary_id>
    <nct_id>NCT03802019</nct_id>
  </id_info>
  <brief_title>Cigarette Packaging of Low Nicotine Cigarettes</brief_title>
  <official_title>The Effects of Cigarette Package Color on Smoking Behavior, Exposure and Risk Perception When Using Low Nicotine Content Cigarettes</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Andrew Strasser</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>Food and Drug Administration (FDA)</agency>
      <agency_class>U.S. Fed</agency_class>
    </collaborator>
    <collaborator>
      <agency>National Cancer Institute (NCI)</agency>
      <agency_class>NIH</agency_class>
    </collaborator>
    <collaborator>
      <agency>University of Pennsylvania</agency>
      <agency_class>Other</agency_class>
    </collaborator>
  </sponsors>
  <source>University of Pennsylvania</source>
  <oversight_info>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      The purpose of this study is to examine the effect of changes in cigarette package color on&#xD;
      smoking behaviors, harm exposure, and risk perceptions when using low nicotine content (LNC)&#xD;
      cigarettes.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      This project will utilize a randomized, parallel-design trial to examine the effects of low&#xD;
      nicotine content (LNC) cigarette packaging on smoking behaviors, harm exposure, risk&#xD;
      perceptions, and subjective ratings of cigarettes. The investigators will aim to recruit and&#xD;
      randomize 500 daily smokers (~250 male, ~250 female) in a 35-day protocol. After completing a&#xD;
      5-day baseline period of smoking their own brand, participants will be randomized to a 30-day&#xD;
      experimental period when they will receive either their own preferred brand (control), or LNC&#xD;
      cigarettes in one of four types of packaging: standard investigational (gray packaging); red,&#xD;
      or blue (tobacco industry strategy); or plain packaging (tobacco control strategy).&#xD;
      Participants will be asked to attend 5 in-person sessions at the Center for Interdisciplinary&#xD;
      Research on Nicotine Addiction (CIRNA) on Days 0, 5, 10, 20 &amp; 35. At Intake and Days 15, 25&#xD;
      and 30 participants will complete sessions with research staff remotely (i.e. by video call).&#xD;
      Sessions will occur every 4-6 days, for a total of 5 in-person and 4 remote sessions across&#xD;
      35 days.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Recruiting</overall_status>
  <start_date type="Actual">September 18, 2019</start_date>
  <completion_date type="Anticipated">September 2024</completion_date>
  <primary_completion_date type="Anticipated">September 2024</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <intervention_model_description>This project will recruit current, daily cigarette smokers to a 35-day, randomized, controlled, parallel design protocol. After a 5-day period of smoking their own preferred brand cigarettes, participants will be randomized to a 30-day experimental period when they will receive either their own preferred brand (control group), or LNC cigarettes in one of four types of packaging: standard investigational (current gray packaging); red, or blue (tobacco industry strategy); or plain packaging (tobacco control strategy), for 30 days.</intervention_model_description>
    <primary_purpose>Other</primary_purpose>
    <masking>Single (Participant)</masking>
    <masking_description>Participants will be informed that they will be supplied with study cigarettes with a low nicotine content, but will be blinded to the exact nicotine content and unaware that all packages will contain the same type of low nicotine content cigarette.</masking_description>
  </study_design_info>
  <primary_outcome>
    <measure>Daily Cigarette Consumption</measure>
    <time_frame>Day 0 through Day 35</time_frame>
    <description>Daily cigarette consumption will be assessed by participant self-report and verified through collection of spent filters for all cigarettes smoked throughout the entire 35-day study.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Total Puff Volume/Puff Duration</measure>
    <time_frame>Day 0 through Day 35</time_frame>
    <description>Total puff volume/puff duration (the sum of all puff volumes/duration per cigarette) will be collected for each cigarette smoked during each laboratory session using a standardized video scoring procedure. Total puff volume will be assessed for each cigarette smoked at in-person and remote sessions throughout the entire 35-day study.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Carbon Monoxide (CO)</measure>
    <time_frame>Days 0, 5, 10, 20 and 35</time_frame>
    <description>The investigators will assess CO (measured in parts per million [ppm]), a measure of toxicant exposure, at the onset of each session, as well as before and after each cigarette smoked during each in-person laboratory session. CO collected at the onset of each session represents daily exposure, while CO boost - the change in CO values before and after smoking a cigarette - estimates smoke exposure due to smoking an individual cigarette.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Total Nicotine Equivalents</measure>
    <time_frame>Days 5 and 35</time_frame>
    <description>Urine collected at Day 5 and Day 35 will be assessed for changes in total nicotine equivalents, nicotine plus its primary metabolites, across the experimental study period (Days 5-35). Total nicotine equivalents will be measured in nanograms per milliliter (ng per mL).</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Total NNAL</measure>
    <time_frame>Days 5 and 35</time_frame>
    <description>Urine collected at D5 and D35 will be assessed for changes in NNAL, a biomarker of carcinogen exposure, across the experimental study period (Days 5-35). Total NNAL will be measured in nanograms per milliliter (ng per mL).</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Subjective Cigarette Ratings (Visual Analog Scale [VAS] of Cigarette Characteristics)</measure>
    <time_frame>Days 0, 5, 10, 20 and 35</time_frame>
    <description>Participants will provide subjective ratings of each cigarette smoked during each in-person laboratory session using a 14-item, 100 mm visual analog scale (VAS) of cigarette characteristics. Anchors are item-specific (e.g., taste: 0 = &quot;very bad,&quot; 100 = &quot;very good&quot;), with lower scores indicating less favorable ratings.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Cigarette Risk Beliefs</measure>
    <time_frame>Days 0, 5, 20, and 35</time_frame>
    <description>To assess risk beliefs about the assigned cigarettes, the investigators will use an 8-item, 5-point scale (1 = definitely untrue; 5 = definitely true) including previously validated items (i.e., &quot;Compared to your own cigarettes, the cigarettes you are currently smoking: are lower in nicotine&quot;). The Cigarette Risk Beliefs questionnaire will be administered at Session 1 (Day 0) before the lab cigarette (18-item baseline version), Session 2 (Day 5) before lab cigarette 1 and 2, Session 5 (Day 20) before the lab cigarette, and Session 8 (Day 35) before the lab cigarette.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Cigarette Craving (Questionnaire on Smoking Urges [QSU])</measure>
    <time_frame>Days 0, 5, 10, 20 and 35</time_frame>
    <description>Participants will report cigarette craving at the onset of each in-person session. Craving will be assessed using a summary score and two factor subscales (i.e., desire to smoke and craving due to anticipation of negative affect relief) from a 32-item Questionnaire on Smoking Urges (QSU). Participants will respond to each item along a 7-point scale (1=Strongly disagree; 7=Strongly agree).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Cigarette Withdrawal (Withdrawal Symptom Checklist [WSC])</measure>
    <time_frame>: Days 0, 5, 10, 20 and 35</time_frame>
    <description>Participants will report cigarette withdrawal at the onset of each in-person session. Withdrawal will be assessed using a summary score from the 20-item (21 items at Session 1 [Day 0]) revised version of the Withdrawal Symptom Checklist with a one-week frame of reference (WSC-W). Specifically, participants will respond regarding to how they felt in regards to each potential withdrawal symptom along a 4-point scale (0=Not Present; 3=Severe).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Total Puff Count</measure>
    <time_frame>Day 0 through Day 35</time_frame>
    <description>Participants will be video recorded while smoking each lab cigarette in order to collect smoking topography data. During remote sessions, participants will be asked to record a video of their smoking to collect smoking topography data. We have previously used a procedure where we score digital files (video recorded) smoking sessions that has good reliability and consistency (ICCs &gt;.55) for number of puffs taken, interpuff interval, total time lit, and amount smoked (by mass and length), and propose to quantify cigarette smoking behavior using the same procedures.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Puff Duration</measure>
    <time_frame>Day 0 through Day 35</time_frame>
    <description>Participants will be video recorded while smoking each lab cigarette in order to collect smoking topography data. During remote sessions, participants will be asked to record a video of their smoking to collect smoking topography data. We have previously used a procedure where we score digital files (video recorded) smoking sessions that has good reliability and consistency (ICCs &gt;.55) for number of puffs taken, interpuff interval, total time lit, and amount smoked (by mass and length), and propose to quantify cigarette smoking behavior using the same procedures.</description>
  </secondary_outcome>
  <number_of_arms>5</number_of_arms>
  <enrollment type="Anticipated">575</enrollment>
  <condition>Smoking, Cigarette</condition>
  <arm_group>
    <arm_group_label>Own Brand</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>After completing a 5-day baseline period of smoking their own brand, participants will complete a 30-day experimental period when they will continue to receive their own preferred brand of cigarettes (i.e., control group).</description>
  </arm_group>
  <arm_group>
    <arm_group_label>LNC Cigarettes + Gray Packaging</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in standard investigational packaging (gray).</description>
  </arm_group>
  <arm_group>
    <arm_group_label>LNC Cigarettes + Red Packaging</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in red packaging.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>LNC Cigarettes + Blue Packaging</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in blue packaging.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>LNC Cigarettes + Plain Packaging</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in plain packaging.</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>LNC Cigarettes + Colored Packaging</intervention_name>
    <description>After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in one of four types of packaging: gray, red, blue, or plain.</description>
    <arm_group_label>LNC Cigarettes + Blue Packaging</arm_group_label>
    <arm_group_label>LNC Cigarettes + Gray Packaging</arm_group_label>
    <arm_group_label>LNC Cigarettes + Plain Packaging</arm_group_label>
    <arm_group_label>LNC Cigarettes + Red Packaging</arm_group_label>
  </intervention>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Own Brand</intervention_name>
    <description>After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive their own preferred brand of cigarette (i.e., control).</description>
    <arm_group_label>Own Brand</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Self-report smoking at least 5 non-menthol, filtered cigarettes per day for at least&#xD;
             the last 12 months.&#xD;
&#xD;
          -  Not currently undergoing smoking cessation treatment or planning to quit over the&#xD;
             duration of the study (~5 weeks).&#xD;
&#xD;
          -  Plan to live in the area for the duration of the study.&#xD;
&#xD;
          -  Capable of giving written informed consent, which includes compliance with the&#xD;
             requirements and restrictions listed in the combined consent and HIPAA form.&#xD;
&#xD;
          -  Able to communicate fluently in English (i.e., speaking, writing, and reading).&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Smoke menthol cigarettes greater than 20% of the time.&#xD;
&#xD;
          -  Smoke cigarettes of non-standard circumference (e.g., wides, slim, capri, etc.)&#xD;
&#xD;
          -  Use of any nicotine containing products other than cigarettes. Participants reporting&#xD;
             isolated use of other nicotine containing products less than 5 times per month are&#xD;
             eligible to participate.&#xD;
&#xD;
          -  Attempt to quit smoking over the duration of the study period.&#xD;
&#xD;
          -  Provide a Carbon Monoxide (CO) reading less than 5 parts per million (ppm) at Session&#xD;
             1 (D0).&#xD;
&#xD;
          -  History of substance abuse (other than nicotine) in the past 12 months and/or&#xD;
             currently receiving medical treatment for substance abuse. Attendance at alcoholics&#xD;
             anonymous or narcotics anonymous meetings will not be considered medical treatment for&#xD;
             the purposes of this protocol.&#xD;
&#xD;
          -  Current alcohol consumption that exceeds 25 standard drinks/week.&#xD;
&#xD;
          -  Women, including all individuals assigned as &quot;female&quot; at birth, who are pregnant,&#xD;
             breast feeding, or planning a pregnancy over the duration of the study period.&#xD;
&#xD;
          -  Any impairment including, but not limited to, visual, physical, and/or neurological&#xD;
             impairments preventing the proper completion of the study procedures. Notable&#xD;
             impairments will be evaluated on a case-by-case basis by the Principal Investigator&#xD;
             and/or the Study Physician.&#xD;
&#xD;
          -  Color blindness.&#xD;
&#xD;
          -  Serious or unstable medical condition. Applicable conditions will be evaluated on a&#xD;
             case-by-case basis by the Principal Investigator and/or the Study Physician.&#xD;
&#xD;
          -  Lifetime history of schizophrenia, psychosis, and/or bipolar disorder.&#xD;
&#xD;
          -  Current diagnosis of active major depression. Participants who maintain a diagnosis of&#xD;
             major depression who have not experienced any major depressive episodes in the past 6&#xD;
             months and are stable on antidepressant medication(s) are eligible to participate.&#xD;
&#xD;
        Additional, general reasons for exclusion include:&#xD;
&#xD;
          -  Past, current, anticipated, or pending enrollment in another research program over the&#xD;
             study period that could potentially impact subject safety, study data, and/or the&#xD;
             study design as determined by the Principal Investigator and/or Study Physician.&#xD;
&#xD;
          -  Any circumstance, medical condition, illness, disorder, adverse event (AE), or&#xD;
             concomitant medication that could compromise participant safety or significantly&#xD;
             impact study performance as determined by the Principal Investigator and/or Study&#xD;
             Physician. Participants may be withdrawn for any of the aforementioned reasons at any&#xD;
             point throughout the study.&#xD;
&#xD;
          -  Significant non-compliance with protocol and/or study design as determined by the&#xD;
             Principal Investigator and/or Study Physician. Participants may be withdrawn at any&#xD;
             point throughout the study.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>21 Years</minimum_age>
    <maximum_age>65 Years</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Andrew Strasser, Ph.D.</last_name>
    <role>Principal Investigator</role>
    <affiliation>University of Pennsylvania</affiliation>
  </overall_official>
  <overall_contact>
    <last_name>Catherine Kreider</last_name>
    <phone>215-746-2631</phone>
    <email>cathk@pennmedicine.upenn.edu</email>
  </overall_contact>
  <overall_contact_backup>
    <last_name>Valentina Souprountchouk</last_name>
    <phone>215-746-3602</phone>
    <email>vsoup@pennmedicine.upenn.edu</email>
  </overall_contact_backup>
  <location>
    <facility>
      <name>Center for Interdisciplinary Research for Nicotine Addiction</name>
      <address>
        <city>Philadelphia</city>
        <state>Pennsylvania</state>
        <zip>19104</zip>
        <country>United States</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Catherine Kreider</last_name>
    </contact>
  </location>
  <location_countries>
    <country>United States</country>
  </location_countries>
  <verification_date>August 2023</verification_date>
  <study_first_submitted>January 4, 2019</study_first_submitted>
  <study_first_submitted_qc>January 9, 2019</study_first_submitted_qc>
  <study_first_posted type="Actual">January 14, 2019</study_first_posted>
  <last_update_submitted>August 3, 2023</last_update_submitted>
  <last_update_submitted_qc>August 3, 2023</last_update_submitted_qc>
  <last_update_posted type="Actual">August 7, 2023</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor-Investigator</responsible_party_type>
    <investigator_affiliation>University of Pennsylvania</investigator_affiliation>
    <investigator_full_name>Andrew Strasser</investigator_full_name>
    <investigator_title>Associate Professor</investigator_title>
  </responsible_party>
  <keyword>Smoking Behavior</keyword>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03802019
org study id: 832540
secondary id: 1U54CA229973
nct id: NCT03802019
lead sponsor: 
collaborator: 
collaborator: 
collaborator: 
is fda regulated drug: No
is fda regulated device: No
The purpose of this study is to examine the effect of changes in cigarette package color on
      smoking behaviors, harm exposure, and risk perceptions when using low nicotine content (LNC)
      cigarettes.
This project will utilize a randomized, parallel-design trial to examine the effects of low
      nicotine content (LNC) cigarette packaging on smoking behaviors, harm exposure, risk
      perceptions, and subjective ratings of cigarettes. The investigators will aim to recruit and
      randomize 500 daily smokers (~250 male, ~250 female) in a 35-day protocol. After completing a
      5-day baseline period of smoking their own brand, participants will be randomized to a 30-day
      experimental period when they will receive either their own preferred brand (control), or LNC
      cigarettes in one of four types of packaging: standard investigational (gray packaging); red,
      or blue (tobacco industry strategy); or plain packaging (tobacco control strategy).
      Participants will be asked to attend 5 in-person sessions at the Center for Interdisciplinary
      Research on Nicotine Addiction (CIRNA) on Days 0, 5, 10, 20 & 35. At Intake and Days 15, 25
      and 30 participants will complete sessions with research staff remotely (i.e. by video call).
      Sessions will occur every 4-6 days, for a total of 5 in-person and 4 remote sessions across
      35 days.
allocation: Randomized
intervention model: Parallel Assignment
intervention model description: This project will recruit current, daily cigarette smokers to a 35-day, randomized, controlled, parallel design protocol. After a 5-day period of smoking their own preferred brand cigarettes, participants will be randomized to a 30-day experimental period when they will receive either their own preferred brand (control group), or LNC cigarettes in one of four types of packaging: standard investigational (current gray packaging); red, or blue (tobacco industry strategy); or plain packaging (tobacco control strategy), for 30 days.
primary purpose: Other
masking: Single (Participant)
masking description: Participants will be informed that they will be supplied with study cigarettes with a low nicotine content, but will be blinded to the exact nicotine content and unaware that all packages will contain the same type of low nicotine content cigarette.
measure: Daily Cigarette Consumption
time frame: Day 0 through Day 35
description: Daily cigarette consumption will be assessed by participant self-report and verified through collection of spent filters for all cigarettes smoked throughout the entire 35-day study.
measure: Total Puff Volume/Puff Duration
time frame: Day 0 through Day 35
description: Total puff volume/puff duration (the sum of all puff volumes/duration per cigarette) will be collected for each cigarette smoked during each laboratory session using a standardized video scoring procedure. Total puff volume will be assessed for each cigarette smoked at in-person and remote sessions throughout the entire 35-day study.
measure: Carbon Monoxide (CO)
time frame: Days 0, 5, 10, 20 and 35
description: The investigators will assess CO (measured in parts per million [ppm]), a measure of toxicant exposure, at the onset of each session, as well as before and after each cigarette smoked during each in-person laboratory session. CO collected at the onset of each session represents daily exposure, while CO boost - the change in CO values before and after smoking a cigarette - estimates smoke exposure due to smoking an individual cigarette.
measure: Total Nicotine Equivalents
time frame: Days 5 and 35
description: Urine collected at Day 5 and Day 35 will be assessed for changes in total nicotine equivalents, nicotine plus its primary metabolites, across the experimental study period (Days 5-35). Total nicotine equivalents will be measured in nanograms per milliliter (ng per mL).
measure: Total NNAL
time frame: Days 5 and 35
description: Urine collected at D5 and D35 will be assessed for changes in NNAL, a biomarker of carcinogen exposure, across the experimental study period (Days 5-35). Total NNAL will be measured in nanograms per milliliter (ng per mL).
measure: Subjective Cigarette Ratings (Visual Analog Scale [VAS] of Cigarette Characteristics)
time frame: Days 0, 5, 10, 20 and 35
description: Participants will provide subjective ratings of each cigarette smoked during each in-person laboratory session using a 14-item, 100 mm visual analog scale (VAS) of cigarette characteristics. Anchors are item-specific (e.g., taste: 0 = "very bad," 100 = "very good"), with lower scores indicating less favorable ratings.
measure: Cigarette Risk Beliefs
time frame: Days 0, 5, 20, and 35
description: To assess risk beliefs about the assigned cigarettes, the investigators will use an 8-item, 5-point scale (1 = definitely untrue; 5 = definitely true) including previously validated items (i.e., "Compared to your own cigarettes, the cigarettes you are currently smoking: are lower in nicotine"). The Cigarette Risk Beliefs questionnaire will be administered at Session 1 (Day 0) before the lab cigarette (18-item baseline version), Session 2 (Day 5) before lab cigarette 1 and 2, Session 5 (Day 20) before the lab cigarette, and Session 8 (Day 35) before the lab cigarette.
measure: Cigarette Craving (Questionnaire on Smoking Urges [QSU])
time frame: Days 0, 5, 10, 20 and 35
description: Participants will report cigarette craving at the onset of each in-person session. Craving will be assessed using a summary score and two factor subscales (i.e., desire to smoke and craving due to anticipation of negative affect relief) from a 32-item Questionnaire on Smoking Urges (QSU). Participants will respond to each item along a 7-point scale (1=Strongly disagree; 7=Strongly agree).
measure: Cigarette Withdrawal (Withdrawal Symptom Checklist [WSC])
time frame: : Days 0, 5, 10, 20 and 35
description: Participants will report cigarette withdrawal at the onset of each in-person session. Withdrawal will be assessed using a summary score from the 20-item (21 items at Session 1 [Day 0]) revised version of the Withdrawal Symptom Checklist with a one-week frame of reference (WSC-W). Specifically, participants will respond regarding to how they felt in regards to each potential withdrawal symptom along a 4-point scale (0=Not Present; 3=Severe).
measure: Total Puff Count
time frame: Day 0 through Day 35
description: Participants will be video recorded while smoking each lab cigarette in order to collect smoking topography data. During remote sessions, participants will be asked to record a video of their smoking to collect smoking topography data. We have previously used a procedure where we score digital files (video recorded) smoking sessions that has good reliability and consistency (ICCs >.55) for number of puffs taken, interpuff interval, total time lit, and amount smoked (by mass and length), and propose to quantify cigarette smoking behavior using the same procedures.
measure: Puff Duration
time frame: Day 0 through Day 35
description: Participants will be video recorded while smoking each lab cigarette in order to collect smoking topography data. During remote sessions, participants will be asked to record a video of their smoking to collect smoking topography data. We have previously used a procedure where we score digital files (video recorded) smoking sessions that has good reliability and consistency (ICCs >.55) for number of puffs taken, interpuff interval, total time lit, and amount smoked (by mass and length), and propose to quantify cigarette smoking behavior using the same procedures.
arm group label: Own Brand
arm group type: Experimental
description: After completing a 5-day baseline period of smoking their own brand, participants will complete a 30-day experimental period when they will continue to receive their own preferred brand of cigarettes (i.e., control group).
arm group label: LNC Cigarettes + Gray Packaging
arm group type: Experimental
description: After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in standard investigational packaging (gray).
arm group label: LNC Cigarettes + Red Packaging
arm group type: Experimental
description: After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in red packaging.
arm group label: LNC Cigarettes + Blue Packaging
arm group type: Experimental
description: After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in blue packaging.
arm group label: LNC Cigarettes + Plain Packaging
arm group type: Experimental
description: After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in plain packaging.
intervention type: Other
intervention name: LNC Cigarettes + Colored Packaging
description: After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive low nicotine content cigarettes in one of four types of packaging: gray, red, blue, or plain.
arm group label: LNC Cigarettes + Blue Packaging
arm group label: LNC Cigarettes + Gray Packaging
arm group label: LNC Cigarettes + Plain Packaging
arm group label: LNC Cigarettes + Red Packaging
intervention type: Other
intervention name: Own Brand
description: After completing a 5-day baseline period of smoking their own brand, participants will be randomized to a 30-day experimental period when they will receive their own preferred brand of cigarette (i.e., control).
arm group label: Own Brand
criteria: 
gender: All
minimum age: 21 Years
maximum age: 65 Years
healthy volunteers: No
last name: Andrew Strasser, Ph.D.
role: Principal Investigator
affiliation: University of Pennsylvania
last name: Catherine Kreider
phone: 215-746-2631
email: cathk@pennmedicine.upenn.edu
last name: Valentina Souprountchouk
phone: 215-746-3602
email: vsoup@pennmedicine.upenn.edu
facility: 
status: Recruiting
contact: 
country: United States
responsible party type: Sponsor-Investigator
investigator affiliation: University of Pennsylvania
investigator full name: Andrew Strasser
investigator title: Associate Professor