PMID- 29248487 OWN - NLM STAT- MEDLINE DCOM- 20180814 LR - 20231213 IS - 1096-0295 (Electronic) IS - 0273-2300 (Linking) VI - 92 DP - 2018 Feb TI - Evaluation of the safety profile of an electronic vapour product used for two years by smokers in a real-life setting. PG - 226-238 LID - S0273-2300(17)30397-5 [pii] LID - 10.1016/j.yrtph.2017.12.010 [doi] AB - The safety profile of Puritane, a closed system electronic vapour product (EVP), was evaluated when used by smokers of conventional cigarettes (CCs) for 24 months in a real-life setting. The study was a two-centre ambulatory clinical study with 209 healthy volunteers. Outcome measures included adverse events (AEs), vital signs, electrocardiogram, lung function tests, exposure to nicotine and selected smoke constituents, nicotine withdrawal effects and smoking desire. No serious AEs related to EVP use were observed. The most frequently reported AEs were headache, nasopharyngitis, sore throat and cough, reported by 28.7%, 28.7%, 19.6% and 16.7% of subjects, respectively, which dissipated over time. Small decreases in lung function were not considered clinically relevant. No clinically relevant findings were observed in the other safety parameters. From Month 2, nicotine withdrawal symptoms decreased. Smoking desire and CC consumption steadily decreased over time in all subjects. EVP use was associated with reduced exposure to cigarette smoke constituents, whereas urinary nicotine levels remained close to baseline. Body weight did not increase in CC subjects switching to the EVP. In conclusion, the aerosol of the EVP at study was well tolerated and not associated with any clinically relevant health concerns after usage for up to 24 months. CI - Copyright (c) 2017 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Walele, Tanvir AU - Walele T AD - Fontem Ventures, Barbara Strozzilaan 101, 1083 HN Amsterdam, The Netherlands. Electronic address: tanvir.walele@fontemventures.com. FAU - Bush, Jim AU - Bush J AD - Covance Clinical Research Unit, Hyde Street, Leeds, LS2 9LH, UK. FAU - Koch, Annelize AU - Koch A AD - Simbec Research, Merthyr Tydfil, CF48 4DR, UK. FAU - Savioz, Rebecca AU - Savioz R AD - Clinopsis S.A., Jardins 6, 1426 Concise, Switzerland. FAU - Martin, Claire AU - Martin C AD - Clinopsis S.A., Jardins 6, 1426 Concise, Switzerland. FAU - O'Connell, Grant AU - O'Connell G AD - Fontem Ventures, Barbara Strozzilaan 101, 1083 HN Amsterdam, The Netherlands. LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study DEP - 20171214 PL - Netherlands TA - Regul Toxicol Pharmacol JT - Regulatory toxicology and pharmacology : RTP JID - 8214983 RN - 0 (Smoke) RN - 6M3C89ZY6R (Nicotine) SB - IM MH - Adult MH - Electronic Nicotine Delivery Systems/*methods MH - Female MH - Humans MH - Male MH - Nicotine/adverse effects MH - Smoke/*adverse effects MH - Smokers MH - Smoking/*adverse effects MH - Smoking Cessation/methods MH - Smoking Prevention/methods MH - Substance Withdrawal Syndrome/*physiopathology MH - Nicotiana/adverse effects MH - Tobacco Products/adverse effects MH - Tobacco Use Disorder/*physiopathology OTO - NOTNLM OT - Adverse events OT - Biomarkers of exposure OT - Clinical study OT - Electronic cigarette OT - Electronic vapour product OT - Safety OT - Subjective effects EDAT- 2017/12/19 06:00 MHDA- 2018/08/15 06:00 CRDT- 2017/12/18 06:00 PHST- 2017/09/18 00:00 [received] PHST- 2017/12/12 00:00 [revised] PHST- 2017/12/14 00:00 [accepted] PHST- 2017/12/19 06:00 [pubmed] PHST- 2018/08/15 06:00 [medline] PHST- 2017/12/18 06:00 [entrez] AID - S0273-2300(17)30397-5 [pii] AID - 10.1016/j.yrtph.2017.12.010 [doi] PST - ppublish SO - Regul Toxicol Pharmacol. 2018 Feb;92:226-238. doi: 10.1016/j.yrtph.2017.12.010. Epub 2017 Dec 14.