Grant Details
| Grant Number: | 5R01CA135884-05 Interpret this number |
| Primary Investigator: | Hatsukami, Dorothy |
| Organization: | University Of Minnesota |
| Project Title: | Evaluation of Oral Tobacco as a Harm Reduction Method for Smokers |
| Fiscal Year: | 2012 |
Abstract
DESCRIPTION (provided by applicant): Oral non-combusted tobacco products have the greatest likelihood of leading to harm reduction compared to other potential reduced exposure products (Gray et al., 2005; Hatsukami & Hecht, 2005). Tobacco companies have been developing and marketing oral tobacco products that appeal to cigarette smokers as a "substitute" for cigarettes. Some public health researchers believe that switching smokers to oral tobacco would lead to a significant reduction in mortality and morbidity and point to data showing significantly less health risk with smokeless tobacco use compared to cigarette smoking. However, very little research has examined if smokers in the US will find oral tobacco products palatable as a cessation aid, the toxicity of these products compared to cigarettes as assessed by biomarkers of exposure and toxicity in humans, and whether or not use of these products will result in significant smoking cessation rates, particularly compared to FDA approved cessation products, such as medicinal nicotine. This proposal describes two studies which will be the first systematic effort to address these questions. The first study will determine the palatability and preference of various oral non-combusted tobacco products in cigarette smokers, which will inform the product to be tested in Study 2. Smokers will be presented with four brands of oral tobacco that are all low in tobacco specific nitrosamine levels but vary in nicotine content and product type. Subjects will sequentially, and in randomized order, sample each of these products and at the end of the sampling period, choose which product that they would like to use during a subsequent 4-week abstinence from smoking. The main outcome measure will be determining the product that is most preferred, which will then be used in the subsequent clinical trial. Other outcome measures include pattern of product use, subjective and physiological responses to the product, withdrawal symptoms from the product and biomarkers of exposure and toxicity. The second study will be a randomized clinical trial comparing the efficacy of an oral tobacco product compared to a medicinal nicotine product for smokers wishing to quit. Subjects will be randomized to either the most preferred oral tobacco product determined in Study 1 or nicotine gum for a period of 12 weeks. Follow-up will occur at 26 and 52 weeks. The primary outcome variables are abstinence rates across the two products, extent of cigarette reduction in non-abstainers and continued product use after the end of treatment. Other outcome variables are similar to the first study. A cost analysis will be conducted if the oral tobacco product is similar to or exceeds the cessation rates of medicinal nicotine. The results from these studies will help determine the effects and feasibility of using oral tobacco products as both a cessation aid and a method to reduce individual health risk in cigarette smokers.
Publications
Subjective Responses to Oral Tobacco Products: Scale Validation.
Authors: Hatsukami DK, Zhang Y, O'Connor RJ, Severson HH
Source: Nicotine Tob Res, 2012 Dec 13;null, p. null.
EPub date: 2012 Dec 13.
PMID: 23239843
Related Citations
Grant Numbers:
| NCI NIH HHS - R01 CA135884 | NCI NIH HHS - U19 CA157345 |
Flavored and nonflavored smokeless tobacco products: rate, pattern of use, and effects.
Authors: Oliver AJ, Jensen JA, Vogel RI, Anderson AJ, Hatsukami DK
Source: Nicotine Tob Res, 2013 Jan;15(1), p. 88-92.
EPub date: 2012 Apr 22.
PMID: 22529222
Related Citations
Grant Numbers:
| NIDA NIH HHS - 5R01DA014404 | NIDA NIH HHS - R01 DA014404 | NCI NIH HHS - R01 CA135884 |
| NCI NIH HHS - R01CA141531 | NCI NIH HHS - P50CA13333 | NCI NIH HHS - R01 CA141531 |
| NCI NIH HHS - 5R01CA135884 | NIDA NIH HHS - P50 DA013333 |
Increased pouch sizes and resulting changes in the amounts of nicotine and tobacco-specific N-nitrosamines in single pouches of Camel Snus and Marlboro Snus.
Authors: Stepanov I, Jensen J, Biener L, Bliss RL, Hecht SS, Hatsukami DK
Source: Nicotine Tob Res, 2012 Oct;14(10), p. 1241-5.
EPub date: 2012 Jan 17.
PMID: 22259150
Related Citations
Grant Numbers:
| NCI NIH HHS - R01-CA135884 | NCI NIH HHS - CA-81301 | NCI NIH HHS - R01 CA141531 |
| NIDA NIH HHS - DA-013333 |
Monitoring tobacco-specific N-nitrosamines and nicotine in novel Marlboro and Camel smokeless tobacco products: findings from Round 1 of the New Product Watch.
Authors: Stepanov I, Biener L, Knezevich A, Nyman AL, Bliss R, Jensen J, Hecht SS, Hatsukami DK
Source: Nicotine Tob Res, 2012 Mar;14(3), p. 274-81.
EPub date: 2011 Oct 29.
PMID: 22039075
Related Citations
Grant Numbers:
| NCI NIH HHS - R01-CA135884 | NCI NIH HHS - CA-81301 | NCI NIH HHS - R01-CA141631 |
| PHS HHS - HHSN261201000544P | NCI NIH HHS - R01 CA141531 |
MeSH Terms:
| United States | Nitrosamines | Nicotine |
| Tobacco, Smokeless |
Oral tobacco products: preference and effects among smokers.
Authors: Hatsukami DK, Jensen J, Anderson A, Broadbent B, Allen S, Zhang Y, Severson H
Source: Drug Alcohol Depend, 2011 Nov 1;118(2-3), p. 230-6.
EPub date: 2011 Apr 23.
PMID: 21515003
Related Citations
Grant Numbers:
| NCI NIH HHS - R01-CA135884 | NCI NIH HHS - R01 CA135884-02 | NCI NIH HHS - R01 CA135884-05 |
MeSH Terms:
| Smoking | Questionnaires | Nicotine |
| Humans | Smoking Cessation | Adult |
| Male | Female | Tobacco, Smokeless |
