Send to

Choose Destination
Regul Toxicol Pharmacol. 2018 Feb;92:226-238. doi: 10.1016/j.yrtph.2017.12.010. Epub 2017 Dec 14.

Evaluation of the safety profile of an electronic vapour product used for two years by smokers in a real-life setting.

Author information

Fontem Ventures, Barbara Strozzilaan 101, 1083 HN Amsterdam, The Netherlands. Electronic address:
Covance Clinical Research Unit, Hyde Street, Leeds, LS2 9LH, UK.
Simbec Research, Merthyr Tydfil, CF48 4DR, UK.
Clinopsis S.A., Jardins 6, 1426 Concise, Switzerland.
Fontem Ventures, Barbara Strozzilaan 101, 1083 HN Amsterdam, The Netherlands.


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.


Adverse events; Biomarkers of exposure; Clinical study; Electronic cigarette; Electronic vapour product; Safety; Subjective effects

[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center