What is Vaping?
Vaping refers to inhaling and exhaling aerosolized particles from an e-cigarette. An e-cigarette is an electronic device filled with a nicotine-based liquid that is vaporized when the device is used.
Vaping was initially hailed as an important innovation. It was believed smokers could use e-cigarettes as an alternative to tobacco. This would reduce exposure to nicotine, tar, and other hazardous substances.
What’s more, many smokers considered vaping soothing, giving them “something to do with their hands” and a way to react in stressful situations where they would usually smoke. Some people succeeded in using vaping as a stepping stone to quit smoking.
With that said, the long term effects of vaping have not been fully studied. While many individuals view vaping as a step in the right direction to eliminate smoking, more research needs to be compiled on the effects it can have on individuals and society as a whole.
What Conditions is Vaping Associated With?
The unique condition associated with vaping is referred by the new medical acronym EVALI.
It stands for E-Cigarette or Vaping Associated Lung Injury.
As of October 22, 2019, 34 known deaths were associated with EVALI. The median age of victims was 45 and 59% of them were men.
In total, nearly 2,300 cases of EVALI were reported to the CDC by November 20, 2019. All 50 states have been affected except Alaska.
Samples of lung tissue taken from victims have tested positive for high amounts of vitamin E acetate, a toxin in some vaping products. Vitamin E acetate is believed to be safe when used in nutritional supplements or skincare products, but not when ingested.
Lung damage caused by EVALI can cause symptoms similar to pneumonia. Damage to the lungs makes it difficult for the body to take in oxygen and distribute it throughout the body.
EVALI is distinct from, but related to, bronchiolitis obliterans – also known as popcorn lung. This is an inflammatory condition that affects the tiniest airways within the lungs. Inflammation can lead to scarring that blocks airways, causing coughing and shortness of breath.
What Research Currently Exists Around Vaping?
The association between vaping and EVALI is already an established scientific fact. However, it is not yet clear exactly what risk factors contribute to the development of EVALI.
Current research focuses on finding a definitive answer for what chemicals or other factors may be responsible for EVALI. This will help the medical community understand why some e-cigarette enthusiasts are affected and others are not, paving the way for effective treatment.
Why Are Further Vaping Clinical Trials Important?
Vaping clinical trials will be essential to the long-term health and quality of life of those affected by EVALI or popcorn lung. Evidence of disease has been found in teens as well as elderly adults.
Unfortunately, there is no treatment capable of reversing the lung damage caused by EVALI. As with other pervasive lung disorders, such as COPD, therapies are likely to focus on preserving healthy lung function.
Current Vaping Clinical Trials
This is the current list of active vaping clinical trials on record with ClinicalTrials.gov.
Patients are advised to watch this space carefully, since new clinical resources for vaping health are being developed rapidly.
- Hippocampal Network Changes Following Mindfulness Training in Tobacco Vaping Adolescents in an Open-label, Pilot Studyon November 21, 2024 at 5:00 am
Conditions: Vaping Teens; Healthy Volunteers Interventions: Behavioral: Mindfulness-based Stress Reduction (MBSR) Program Sponsors: National Institute on Drug Abuse (NIDA) Recruiting
- Effect of Different E-cigarette Cooling Flavors on Adults' Sensory Experience TCORS 3.0on November 12, 2024 at 5:00 am
Conditions: E-Cig Use Interventions: Other: E-liquid coolant (WS-3, 0.05%); Other: E-liquid coolant (WS-3, 0.1%); Other: E-liquid coolant (WS-3, 0.5%); Other: E-liquid coolant (WS-3, 1.0%); Other: E-liquid coolant (WS-3, 2.0%); Other: E-liquid coolant (menthol, 0.05%); Other: E-liquid coolant (menthol, 0.1%); Other: E-liquid coolant (menthol, 0.5%); Other: E-liquid coolant (menthol, 1.0%); Other: E-liquid coolant (menthol, 2.0%); Other: E-liquid coolant (WS-23, 0.05%); Other: E-liquid coolant (WS-23, 0.1%); Other: E-liquid coolant (WS-23, 0.5%); Other: E-liquid coolant (WS-23, 1.0%); Other: E-liquid coolant (WS-23, 2.0%); Other: E-liquid coolant (WS-23, 4.0%) Sponsors: Yale University; National Institute on Drug Abuse (NIDA) Recruiting
- Evaluation of the Electronic Cigarette Withdrawal Syndromeon November 12, 2024 at 5:00 am
Conditions: E-cigarette Use; Withdrawal Interventions: Drug: Transdermal Nicotine Patch; Drug: Placebo Nicotine Patch Sponsors: Johns Hopkins University; National Institute on Drug Abuse (NIDA) Recruiting
- Assess the Influence of Nicotine Flux and Nicotine Form on Subjective Effects Related to Dependencyon November 6, 2024 at 5:00 am
Conditions: Nicotine Vaping; Nicotine Dependence; Nicotine Addiction Interventions: Combination Product: e-liquid 1; Combination Product: e-liquid 2; Combination Product: e-liquid 3; Combination Product: e-liquid 4; Combination Product: e-liquid 5 Sponsors: American University of Beirut Medical Center; National Institutes of Health (NIH); National Institute on Drug Abuse (NIDA) Recruiting
- Screening, Evaluation and Assessment (SEA) Protocol at the NIDA IRPon October 31, 2024 at 4:00 am
Conditions: Substance Use Disorder; Alcohol Use Disorder Sponsors: National Institute on Drug Abuse (NIDA) Recruiting
- The Role of Flavor in the Substitutability of E-cigarettes for Combustible Cigarettes Among Persistent Smokerson October 15, 2024 at 4:00 am
Conditions: Smoking; Tobacco Use; Cigarette Smoking; E-Cig Use Interventions: Other: E-cigarettes Sponsors: Abramson Cancer Center at Penn Medicine; National Cancer Institute (NCI); University of Pennsylvania Recruiting
- Alternative Nicotine Delivery Systems as Potential Harm Reduction Tools for Persistent Cigarette Smokerson October 10, 2024 at 4:00 am
Conditions: E-cigarette Use; Cigarette Smoking; Harm Reduction; Tobacco Use Interventions: Other: E-cigarettes; Other: Oral nicotine pouches Sponsors: Abramson Cancer Center at Penn Medicine; National Cancer Institute (NCI); University of Pennsylvania Recruiting
- Respiratory Effects of E-Cigarettes in Obese Youthon October 8, 2024 at 4:00 am
Conditions: E-Cig Use Interventions: Other: ECIG own; Other: ECIG Vuse Sponsors: Ohio State University Comprehensive Cancer Center Recruiting
- The Avenues Study: Dual Use Cessationon September 27, 2024 at 4:00 am
Conditions: Smoking Cessation; Electronic Cigarette Use Interventions: Drug: Varenicline; Drug: Nicotine patch; Behavioral: Dual Focused Cessation Counseling; Behavioral: Smoking Focused Cessation Counseling; Other: Counseling Intensity: 1 Session; Other: Counseling Intensity: 4 Sessions Sponsors: University of Wisconsin, Madison; National Cancer Institute (NCI) Recruiting
- Implementing an Adolescent and Young Adult (AYA) mHealth Vaping Cessation Program Into Oncology Clinicson September 19, 2024 at 4:00 am
Conditions: Vaping; Vaping Cessation Interventions: Device: Behavioral: Quitting Program (TIQ) Sponsors: St. Jude Children's Research Hospital Recruiting
- Point-of-Care Ultrasound (POCUS) Findings and Impact on Vapingon September 19, 2024 at 4:00 am
Conditions: Vaping Interventions: Behavioral: Discussion of point-of-care ultrasound lung findings Sponsors: Medical University of South Carolina Recruiting
- Adolescent Vaping Characterization and Parent Views on Adolescent Vaping Protocolon September 19, 2024 at 4:00 am
Conditions: Healthy Volunteers; Vaping Teens Sponsors: National Institute on Drug Abuse (NIDA) Recruiting
Conclusion
It is not yet known whether EVALI represents a widespread health risk that could affect millions of users or is isolated to certain products or practices. Whatever the case, thousands of people face severe health effects right now.
Today’s vaping clinical trials will be essential to the health of former and future e-cigarette users. Being aware of the potential risks of vaping – and making family and friends aware of those risks – is advisable as more information becomes available.
Sources
- https://www.centeronaddiction.org/e-cigarettes/recreational-vaping/what-vaping
- https://www.drugabuse.gov/publications/drugfacts/vaping-devices-electronic-cigarettes
- https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html
- https://www.cdc.gov/media/releases/2019/p1028-first-analysis-lung-injury-deaths.html
- https://rarediseases.info.nih.gov/diseases/9551/bronchiolitis-obliterans
- https://www.cdc.gov/mmwr/volumes/68/wr/mm6841e3.htm?s_cid=mm6841e3_w