Overview
This study will compare the efficacy of menthol-flavored versus tobacco-flavored 4th generation nicotine salt-based pod-system e-cigarettes in facilitating a switch from combustible cigarettes to e-cigarettes in adult menthol smokers.
Description
Menthol smokers (n=800), stratified by race, will be randomized 1:1 into a 12-week open label, non-inferiority trial comparing a 4th generation nicotine salt-based pod-system e-cigarette in menthol- versus tobacco-flavored e-liquid. Follow-up will continue through week 26. The primary outcome is rate of switching from combustible cigarettes to e-cigarettes at week 12.
Eligibility
Inclusion Criteria:
- ≥ 21 years of age
- Smoke ≥ 5 cigarettes per day (CPD)
- Smoke menthol cigarettes for ≥ 6 months
- Verified smoker (CO >5ppm)
- Functioning telephone
- Interested in switching to E-cigarettes
Exclusion Criteria:
- Interested in quitting smoking
- Use of other tobacco products in past 30 days (i.e. cigarillos, cigars, hookah, smokeless tobacco, pipes)
- E-cigarette use on ≥ 4 of the past 30 days
- Uncontrolled hypertension: BP ≥ 180(systolic) or ≥ 105 (diastolic)
- Use of smoking cessation pharmacotherapy in the month prior to enrollment
- Pregnant, contemplating getting pregnant, or breastfeeding
- Plans to move from Kansas City during the treatment and follow-up phase
- Another household member enrolled in the study