A five year non-residential multi-centre observational study conducted to track any changes in mouth level exposure and salivary and urinary biomarkers from healthy smokers smoking in their normal environment

ISRCTN ISRCTN95019245
DOI https://doi.org/10.1186/ISRCTN95019245
Secondary identifying numbers N/A
Submission date
22/04/2009
Registration date
05/05/2009
Last edited
16/06/2015
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Chris Proctor
Scientific

Chief Scientific Officer
British American Tobacco (Investments) Ltd
GR&D Centre
Regent's Park Road
Southampton
SO15 8TL
United Kingdom

Phone +44 (0)2380 588279
Email christopher_proctor@bat.com
Dr Stephan de la Motte
Scientific

Chief Medical Officer
Harrison Clinical Research Deutschland GmbH
Albrechtstr. 14
Muenchen
80636
Germany

Study information

Study designLongitudinal non-residential multi-centre observational study
Primary study designObservational
Secondary study designLongitudinal study
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use the contact details below to request a Subject Information Sheet
Scientific titleLongitudinal study on long-term smoking habits using biomarker-supported determination of exposure to smoke
Study objectivesIf subjects switch between factory made cigarettes with different International Organization for Standardization (ISO) tar yields, there should be a measurable difference in the levels of mouth level exposure, urinary / salivary biomarkers, and daily cigarette consumption.
Ethics approval(s)Ethics Committee of Bayerischen Landesaerztekammer, 04/07/2008, ref: 08036
Health condition(s) or problem(s) studiedSmoking behaviour
Intervention08/03/2013: Please note that this study was stopped in December 2012.

The five year longitudinal study is ongoing at ten sites. Approximately 1,000 smokers (100 per site) will be enrolled. All subjects will be screened to rule out medical problems. Healthy smokers may get enrolled in the study on the day of screening or as per their convenience.

Study subjects are instructed to perform the following activities during 12 days every 6 months:
Day 1 (Visit 1): Visit Investigator site for informed consent and undergo screening
Days 2-8: Collection of all their smoked cigarettes in their routine day-to-day environment
Day 9 (Visit 2): Visit test location to receive study supply including cigarettes, filter cutter, 2 L polyethylene bottles for urine collection. Smokers will be instructed about filter collection and 24 hour urine collection procedures. Smokers will continue collection of their smoked cigarettes. Accountability of smoked cigarettes collected from Days 2-8.
Day 10: Continue collection of smoked cigarettes. Receive telephonic instructions for activities to be performed on Day 11
Day 11: Smokers begin the collection of part filters from all cigarettes smoked as provided on Day 9. Smokers also begin collection of urine passed from the morning excluding the first void, into the urine bottles provided.
Day 12 (Visit 3): Completion of 24 hour urine collection including the first void of Day 12. Part filter collection is also completed which would be the last cigarette smoked prior to taking the first void of Day 12. Smokers will visit the Investigator site between 3.00-9.00 pm, for collection of spot saliva sample and questionnaire administration. Collection of part filters and urine from Day 11 and 12 and unsmoked cigarettes are returned. Accountability of smoked cigarettes collected from Days 9-10.

Telephone interview will be conducted to check the inclusion and exclusion criteria of all participants prior to study assessments.
Intervention typeOther
Primary outcome measureTo track the following every six months over a five year period:
1. Spontaneous switching from 10 mg ISO tar cigarette to other cigarettes with different ISO tar yields, assessed by telephone interviews
2. Mouth level exposure, assessed by part filter analysis
3. Smoking behaviour
4. Levels of biomarkers in urine (nicotine, cotinine, trans-3'-hydroxycotinine, nicotine-N-glucuronide, cotinine-N-glucuronide, trans-3'-hydroxycotinine-O-glucuronide) and saliva (cotinine and trans-3'-hydroxycotinine)
Secondary outcome measuresTo track the following every six months over a five year period:
1. Compensatory smoking behaviour, assessed by published formula
2. Levels of additional biomarkers/metabolites in urine when validated methods are available in future
Overall study start date09/03/2009
Completion date09/03/2014
Reason abandoned (if study stopped)Objectives no longer viable

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants1,000 smokers
Key inclusion criteria1. Healthy males and females aged between 21 and 64 years of age who currently smoke the same 10 mg ISO tar cigarettes. If female, subjects will be non-pregnant and non-lactating.
2. Smokers who have been smoking 10 mg ISO tar product for more than 6 months and regularly smoke >=8 cigarettes per day
3. Subjects will have given their written informed consent to participate in the study

Note: Study participants will independently purchase their cigarettes for personal use. The sponsor will only provide cigarettes for Days 9-11 as stated in the Interventions field.
Key exclusion criteria1. Subjects with an existing chronic disease
2. Participated in a different investigation on smoking behaviour within the last 6 months
3. Subjects who are currently trying to quit smoking
4. Subjects who as part of their jobs are involved in public relations or advertising for the tobacco industry, the sales or manufacture of tobacco goods, or their immediate family
Date of first enrolment09/03/2009
Date of final enrolment09/03/2014

Locations

Countries of recruitment

  • England
  • Germany
  • United Kingdom

Study participating centre

British American Tobacco (Investments) Ltd
Southampton
SO15 8TL
United Kingdom

Sponsor information

British American Tobacco (Investments) Ltd (UK)
Industry

GR&D Centre
Regent's Park Road
Southampton
SO15 8TL
United Kingdom

Phone +44 (0)2380 793715
Email christopher_proctor@bat.com
Website http://www.bat-science.com
ROR logo "ROR" https://ror.org/01znsh139

Funders

Funder type

Industry

British American Tobacco
Private sector organisation / For-profit companies (industry)
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 12/04/2014 Yes No