COPD patients may breathe easier by switching to heated tobacco
NCT ID NCT07108166
First seen Jun 27, 2026 · Last updated Sep 01, 2026 · Updated 2 times
Summary
This study looks at whether people with COPD and chronic bronchitis who switch from regular cigarettes to a tobacco heating system feel better and breathe easier. About 290 adults aged 40 and older who have smoked for at least 10 years will take part. Researchers will measure cough frequency, lung function, and walking ability to see if the switch leads to real improvements.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 290 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2025
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult, both sexes, aged ≥ 40 years. * Patient has read, understood, and signed the written informed consent form (ICF), which has received IEC or IRB approval. * Patient with body mass index (BMI) 17.6-40.0 kg/m2 and body weight \> 50 kg (male) or \> 40 kg (female). Checked at V1 and V2. * Patient has a CIG smoking history ≥ 10 years. * Patient has been smoking ≥ 10 commercially available and/or roll-your-own CIG/day on average (no brand restriction) for at least the last year (based on self-reporting). Smoking status will be verified by Urine cotinine test (UCOT) ≥200 ng/mL. Intermittent CIG smoking abstinence, with or without Smoking Cessation Treatment during these attempts, not exceeding 10 days total within the past year will be allowed. Checked at V1 and V2. * Patient has been advised to quit smoking, informed of smoking risks and of cessation programs as per SoC at V2, and is not willing to quit CIG use for the study duration. Checked at V1 and V2. * Patient agrees to be randomized into one of the two study arms. Checked at V2. * Patient with confirmed COPD via spirometry performed at V1 (FEV1/FVC \<70%, post-bronchodilator (-BD)) and COPD severity classified by the Global Initiative for Chronic Obstructive Lung Diseases (GOLD) as GOLD 2 or 3 (30%≤ FEV1 \< 80% predicted, -BD) with presence of chronic bronchitis (cough and mucus most of the days for \> three months a year for the two consecutive years prior to the screening visit). Checked at V2. * Patient has cough frequency of ≥ 10 cough/hour during daytime from objective count sensor applied at V1, used to verify eligibility at V2. (Daytime is defined as occurring between 07:00:00 and 22:59:59, based on the local time zone of the site where the patient is assessed.) Exclusion Criteria: * Patient who self-report concomitant daily use of inhaled cannabis or any type of nicotine containing products other than CIG within the last year. * Patient with COPD (moderate or severe) exacerbation that has not resolved according to the GOLD standard (e.g., requirement of additional therapy) or investigator's discretion. Checked at V1 and V2. * Patient with currently active cancer or history of any cancer within the last 5 years prior to V1, except for those with basal cell carcinoma of the skin. * Patient with acute worsening symptoms of chronic bronchitis or other active respiratory or systemic infections that have not resolved. Checked at V1 and V2. * Patient with medical condition(s) that would jeopardize his(her) safety in the context of this study (e.g., safety laboratory parameters, abnormal ECG) or with a condition that would jeopardize study results (e.g., gastroesophageal reflux disease (GERD), heart failure, severe chronic lung emphysema, active symptomatic hay fever), as per Investigator's discretion. Checked at V1 and V2. * Patient is legally incompetent, physically, and/or mentally incapable of giving consent (e.g., emergency situation, under guardianship, in a social or sanitary establishment, prisoner or involuntarily incarcerated, unable to read). * Patient with a history of asthma. * Employee of the investigational site or any other party involved in the study, or their first-degree relatives (parent, child, spouse). * Current or former employee of the tobacco or e-cigarette industry or their 1st-degree relatives. * Patient with active or history of alcohol and/or drug abuse within the past year. * Patient with positive serological tests for human immunodeficiency virus (HIV) 1/2, hepatitis B or C (Hep B/C). * Patient with any concomitant issues (e.g., medical, psychiatric, and/or social reason) that, as per Investigator's discretion, would place the study patient at an unacceptable risk for participation in the study. * Patient who participated in any trial (for investigational medicine, or other type of intervention) that may have interfered with COPD disease progression and symptoms (including cough and dyspnea) within the last three months as per investigator's discretion. * Patient using any systemic (injectable or oral) corticosteroids (acute or chronic treatments) or oxygen therapy in the last 2 months excluding short term use for a COPD exacerbation. * Patient currently being treated with angiotensin-converting enzyme (ACE) inhibitors or opioids, or those who have used ACE inhibitors within 4 weeks or opioids within 1 week prior to screening. Checked at V1 and V2. * Patient treated with biologic therapies for COPD (e.g., Dupilumab) in the last 6 months. * Female patient is pregnant, breastfeeding or lactating, or anticipating becoming pregnant withing the duration of the study. Checked at V1 and V2. * Female of childbearing potential who is capable of getting pregnant, defined as a female patient who does not agree to use an acceptable method of effective contraception during the entire study, a female patient that is not surgically sterilized (e.g., hysterectomy, bilateral oophorectomy, or tubal ligation) for at least 6 months or postmenopausal (postmenopausal females must have no menstrual bleeding for at least 1 year). Checked at V1 and V2.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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4 Medical Clinical Solutions (4MCS)
London, IG1 4HP, United Kingdom
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4 Medical Clinical Solutions (4MCS)
Manchester, M27 8FF, United Kingdom
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AI Clinical Research
Sibiu, 550082, Romania
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Accurate Clinical Research, Inc.
Humble, Texas, 77338, United States
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Advanced Research Institute, Inc
New Port Richey, Florida, 34653, United States
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Advanced Research Institute, Inc
St. Petersburg, Florida, 33710, United States
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Akashi Medical Center
Hyōgo, 674-0063, Japan
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Alergia s. r. o.
Topoľčany, 955 01, Slovakia
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Alfa Medical Research
Davie, Florida, 33024, United States
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Ames Research Center
Bragadiru, 077025, Romania
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Ames Research Center
Calarasi, 910103, Romania
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BAG Peter Fried / Dr. med. Roman Rubin
Wiesbaden, 65183, Germany
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Ballenberger Freytag Wenisch - Institut für klinische Forschung GmbH
Neu-Isenburg, 63263, Germany
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BioResearch Group Sp. z.o.o
Kajetany, 05-830, Poland
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Biomed Research & Medical Center.Llc
Miami, Florida, 33156, United States
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CCR Ostrava s.r.o.
Ostrava, 702 00, Czechia
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CDC Research Institute
Port Saint Lucie, Florida, 34952, United States
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Central Florida Pulmonary Group, P.A.
Orlando, Florida, 32803, United States
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Centrum Medycyny Oddechowej Mroz Spolka jawna
Bialystok, 15-044, Poland
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Clinical Research Hospital Tokyo
Yotsuya, 160-0004, Japan
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Clinical Research of West Florida, Inc.
Clearwater, Florida, 33765, United States
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Clintrial Medical Centre SRL
Dobrosloveni, 237143, Romania
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Comprehensive Medical & Research Center
Plantation, Florida, 33317, United States
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D&H Doral Research Center
Doral, Florida, 33122, United States
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D&H National Research Center- Miami
Miami, Florida, 33155.0, United States
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D&H Pompano Research Center
Margate, Florida, 33063, United States
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D&H Tamarac Research Center
Tamarac, Florida, 33321, United States
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Dobrostan
Wroclaw, 53-301, Poland
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EMDA Clincal Research
Miami, Florida, 33126, United States
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El Paso Pulmonary Association
El Paso, Texas, 79902, United States
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Element Research Group
San Antonio, Texas, 78258, United States
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Facharzt für Innere Medizin und Pneumologie
Leipzig, 04157, Germany
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Felicidad Med Research
Hialeah, Florida, 33012, United States
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Florida International Medical Research
Coral Gables, Florida, 33134, United States
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Fukuwa Clinic
Tokyo, 104-0031, Japan
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FutureMeds Frankfurt
Offenbach, 63065, Germany
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FutureMeds Krakowskie Centrum Medyczne
Krakow, 31-501, Poland
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FutureMeds Liverpool
Metropolitan Borough of Wirral, CH62 6EE, United Kingdom
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FutureMeds Targówek
Warsaw, 03-291, Poland
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FutureMeds Warszawa Centrum
Warsaw, 00-215, Poland
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FutureMeds Wrocław
Wroclaw, 53-673, Poland
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FutureMeds Łódź
Lodz, 91-363, Poland
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Global Health Clinical Trials Corp.
Miami, Florida, 33165, United States
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Guardian Angel
Tampa, Florida, 33614, United States
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HDH Research Inc
Houston, Texas, 77022, United States
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Harmony Clinical Research
North Miami Beach, Florida, 33162, United States
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Houston Pulmonary Medicine Associates
Houston, Texas, 77089, United States
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Klifeck GmbH
Delitzsch, 4509, Germany
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Klinische Forschung Berlin Mitte /Pratia Germany
Berlin, 10117, Germany
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Klinische Forschung Hannover-Mitte GmbH /Pratia Germany
Hanover, 30159, Germany
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Klinische Forschung Karlsruhe GmbH / Pratio Germany
Karlsruhe, 76137, Germany
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Kouwa Clinic
Tokyo, 170-0003, Japan
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LinQ Research, LLC
Pearland, Texas, 77584, United States
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Lungenpraxis Witten
Witten, 58452, Germany
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MHAT Lyulin EAD
Sofia, 1336, Bulgaria
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MHAT Rahila Angelova
Pernik, 2300, Bulgaria
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MUDr. Otakar Hokynar - plicni ambulance
Kralupy nad Vltavou, 278 01, Czechia
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Maebashi North Hospital
Gunma, 371-0054, Japan
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Med-Care Research Corp
Miami, Florida, 33125, United States
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MedQuest Translational Sciences LLC
Miami Lakes, Florida, 33016.0, United States
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Medical Center Hera EOOD
Sofia, 1510, Bulgaria
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Medical Center Pulmovision Ltd
Sofia, 1756, Bulgaria
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Medicon a.s.
Prague, 140 00, Czechia
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Medrasa Clinical Research
Sherman, Texas, 75092, United States
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Melgar-Caro Medcenter and Community Research
Miami, Florida, 33145, United States
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Metroplex Pulmonary & Sleep Center
McKinney, Texas, 75069, United States
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Metropolitan Clinical Research Center
Tamarac, Florida, 33321, United States
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New Life Medical Research Center, Inc
Hialeah, Florida, 33012, United States
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Newgen Health Group
Miami, Florida, 33176, United States
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Omega Research Debary, LLC
DeBary, Florida, 32713, United States
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Optimum Clinical Trial Group
Tampa, Florida, 33612, United States
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Ordinace pro tbc a respirační nemoci s.r.o.
Olomouc, 779 00, Czechia
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PANACEUM s.r.o.
Košice, 040 01, Slovakia
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POIS Sachsen GmbH
Leipzig, 4509, Germany
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Panthera Biopartners
Enfield, EN3 4GS, United Kingdom
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Panthera Biopartners
Glasgow, G51 4TF, United Kingdom
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Panthera Biopartners
Preston, PR2 9QB, United Kingdom
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Panthera Biopartners
Rochdale, OL11 4AU, United Kingdom
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Panthera Biopartners
Sheffield, S2 5FX, United Kingdom
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Panthera Biopartners
York, YO24 4LJ, United Kingdom
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Pharma Medical Innovations
Miami Lakes, Florida, 33014, United States
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Pioneer Research Solutions Inc
Houston, Texas, 77099, United States
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Pivotal Research Solutions
Stonecrest, Georgia, 30038, United States
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Plucna ambulancia Hrebenar S.R.O.
Spišská Nová Ves, 5201, Slovakia
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Pneumologie Varnsdorf s.r.o.
Varnsdorf, 407 47, Czechia
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Praxis Reinfeld Mitte
Reinfeld, 23858, Germany
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Premier Pulmonary Critical Care and Sleep Medicine
Denison, Texas, 75020, United States
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Professional Research Center Inc
Miami, Florida, 33172, United States
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Prolato Research LLC.
Houston, Texas, 77054, United States
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Prvni plicni ambulance s.r.o.
Prague, 190 00, Czechia
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Pulmo s.r.o.,
Prešov, 080 01, Slovakia
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RCMed Oddział Sochaczew
Sochaczew, 96-500, Poland
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Research Center for Medical Studies
Berlin, 10717, Germany
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Reserka LLC
Miami, Florida, 33176, United States
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SHATPD Dr. Treyman
Veliko Tarnovo, 5003, Bulgaria
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SHATPPD Vratsa
Vratsa, 3000, Bulgaria
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San Marcus Research
Miami Lakes, Florida, 33015, United States
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Sana Medical Center
Bucharest, 11025, Romania
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Sanyuudo Hospital
Yamagata, 992-0045, Japan
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Sc. Centrul Medical Sana Srl
Brasov, 500440, Romania
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Siteworks - Prüfzentrum Schleswig | RespiRatio
Schleswig, 24837, Germany
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Soejima Clinic
Fukuoka, 812-0016, Japan
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Sones Medical Research
Miami, Florida, 33133, United States
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Spital de Pneumologie dr Lavinia Davidescu Oradea
Oradea, 410163, Romania
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Suncoast Research Group, LLC dba Flourish Research
Miami, Florida, 33135, United States
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The Medici Medical Research, LLC
Hollywood, Florida, 33021, United States
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Tokyo Medical University Hachioji Medical Center
Tokyo, 193-0998, Japan
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Treasure Coast Medical Research Group
Port Saint Lucie, Florida, 34986, United States
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Velocity Clinical Research Wiesbaden
Wiesbaden, 65189, Germany
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Velocity High Wycombe
High Wycombe, HP11 2QW, United Kingdom
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Vseobecna ambulancia pre dospelych
Košice, 040 01, Slovakia
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Yokohama Minoru Clinic
Yokohama, 232-0064, Japan
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Other studies related to the condition(s) this trial covers.
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