Detailed Description:
This is an open-label, single center study to characterize selected HPHCs and other aerosol analytes from ambient air in an enclosed room, following the use of Ploom HTPs and CCs by adults who smoke. The airborne constituents to be investigated during this study include compounds from the established U.S. FDA list of HPHCs, compounds from the WHO priority list of toxicants, constituents with relevance for air quality, and product-specific markers. The study will include healthy adult male and female, who smoke commercially available CC with at least 24 non-menthol (Group 1) cigarette smokers and 24 menthol (Group 2) cigarette smokers (every effort should be made to ensure no more than 60% of either gender for each group). Adult subjects will be between 22 and 65 years of age at screening, inclusive, and will self-report at least the previous year and current non-menthol (Group 1) or menthol (Group 2) factory manufactured CC smoking. Subjects must have a history of smoking 5 or more non-menthol (Group 1) or 5 or more menthol (Group 2) CCs daily for at least 12 months prior to Screening.
This study is designed to assess, in Group 1, the levels of selected HPHCs and other aerosol analytes in an environmental test chamber after use of the Ploom device with non-menthol tobacco sticks, relative to commercially available (UBCC) non-menthol combustible cigarettes; and, in Group 2, the levels of HPHCs and other aerosol analytes in an environmental test chamber after use of the Ploom device with menthol tobacco sticks, relative to commercially available (UBCC) menthol combustible cigarettes. The room air samples for Baseline (without study product use) and Test (with study product use) will be collected following a cohort of 4 subjects staying inside the smoking chamber for 20 minutes, with use or not use of study products. The cohort of 4 subjects will be randomly assigned at each chamber test session (CTS) visit from a pool of subjects.
The study will consist of 4 visits. These visits include a Screening Visit (Visit 1, Day -28 to Day -1), a Product Trial Visit (Visit 2, Day -7 to Day -1), and 2 Chamber Test Session (CTS) visits (Visit 3, Day 0 and Visit 4, Day 1 to Day 7). All subjects will follow this schedule.
Screening Visit (Visit 1):
Subjects will visit the site for screening. Each subject will read and sign the Informed Consent Form (ICF) to confirm their agreement to participate in the study. Data related to demography, medical history, tobacco use history and physical examination will be collected. In addition, the Investigator will provide information on tobacco cessation and QuitAssist® website at the screening and end of study (or early termination) visit.
Product Trial Visit (Visit 2):
Subjects who pass the screening will be assigned to Non-menthol (Group 1) or Menthol (Group 2) Study Groups based on their usual brand of combustible cigarette (UBCC).) At this visit, each subject will have a 2-hour product trial to try the Ploom HTP with non-menthol (Group 1) or menthol (Group 2) Ploom HTS.
Chamber Test Sessions (CTS) (Visits 3 - 4):
Following Product Trial, each subject will return to site and 4 subjects at each visit will participant in the product use session inside an environmental chamber (EC).
Each of the Study Groups will be divided into 3 Subgroups with 8 subjects each. At each CTS visit, a cohort of 4 subjects will be randomly assigned from one of the Subgroups and completes the 2 CTS sessions per visit consisting of Baseline (without study product use) and Test (with study product use).
Check in: A Subgroup of up to 8 subjects will check-in in the morning of each session day to the clinic to ensure that a cohort of 4 subjects will be available for each of the 2 CTS sessions.
CTS: Four subjects will enter and stay inside the environment chamber (EC) for 20 minutes two times, one for Baseline CTS in the morning and one for Test CTS in the afternoon:
1. Baseline CTS: subjects will remain in a static EC for 20 minutes without using any study product.
2. Test CTS: subjects will remain in a static EC for 20 minutes and use one unit of the assigned study product for 10 minutes.
All the 4 subjects should enter and exit the chamber at approximately the same time.
Subject Selection:
At each CTS Visit, a subgroup of approximately 8 subjects will check in to the clinic to ensure 4 subjects will be entering the chamber for that visit. Up to 2 alternate subjects will also be selected to replace anyone who failed to enter the chamber for any of the EC sessions. A tool (e.g., an excel spreadsheet) will be used to randomly select up to 6 subjects from the subgroup. Every effort should be made to select no more than 60% of subjects from each gender for each cohort.
On each CTS day, the continuous endpoints for air quality inside the EC will be monitored real-time and recorded including carbon dioxide, carbon monoxide, temperature, relative humidity, air exchange rate and total volatile organic compounds (TVOC). Air monitoring will be performed using sensors located inside the EC and start at a predetermined time prior to the subjects entering the chamber and end after the last Time- weighted average (TWA) sampling is complete. These will be visually monitored during chamber sessions days but will be recorded at a time starting immediately following the cohort has entered the chamber until TWA sampling is complete.
During the CTS the air samples for time-weighted-average endpoints for selected analytes inside the EC will be acquired using individual pumped samplers installed at one location inside the EC for 2 hours starting immediately (within 3 minutes) after subjects exit the chamber for the Baseline (without study product use) and Test (with study product use) CTSs, respectively. These analytes include: Respirable Suspended Particles (RSP (\<2.5µm)), Ultraviolet Particulate Matter (UVPM), Florescence Particulate Matter (FPM), Solanesol, Nicotine, 3-ethenylpyridine (3-EP), Ammonia, Formaldehyde, Acetaldehyde, Benzene, ortho-Cresol, meta- and para-Cresol, Ethylbenzene, Glycerol, Phenol, Pyridine, Pyrrole, Styrene, Toluene, ortho-Xylene, meta- and para-Xylene and TVOC-derived.
The total duration of the study from the first subject check-in through the last subject check-out will be approximately 6 weeks (approximately 42 days).