Methods Project 4: Clinical Trial - Amended

Sampling period (1 week): Subjects will be randomized to an alternative nicotine product
(E-cigarette, Nicotine Gum or Lozenge) or assigned to continue smoking their usual brand
cigarettes. Subjects will complete screening assessments, asked to sample the assigned
product and start recording their cigarette or other tobacco intake on a daily basis using an
interactive voice response system (IVR). Smokers assigned to the control condition (smoking
usual brand cigarettes) will be asked to choose the product that they would like to sample.

Baseline smoking period: After sampling, subjects who meet specific criteria will continue
with the experimental intervention phase. These subjects will be required to attend 2
baseline clinic visits where baseline assessments will be captured. Records of their
cigarette or other tobacco intake on a daily basis will continue using the interactive voice
response system (IVR).

Experimental Period: After the baseline assessment, subjects will be instructed to either
partially or completely substitute their cigarette smoking with their assigned product. They
will assigned to one of six experimental conditions:

1. smoking usual brand cigarette controls, who after 8-weeks will be offered any of the
other nicotine products to use as they choose for 8 weeks;

2. complete substitution (i.e., no smoking) with an E-cigarette;

3. partial substitution with an E-cigarette;

4. complete substitution (i.e., no smoking) with nicotine gum or nicotine lozenge.

The assigned product, E-cigarette, Nic Gum or Lozenge, but not usual brand cigarettes, will
be provided to subjects at the clinic visits. Subjects will attend clinic visits over the
next 8 weeks where tobacco use patterns and biomarker data will be collected.

Inclusion Criteria:

- Male or female subjects who are at least 18 years of age;

- Daily smoker;

- Generally good health;

- Subject has provided written informed consent to participate in the study (adolescents
under the age of 18 will be excluded because this project involves continued use of
tobacco products and new tobacco products);

Exclusion Criteria:

- Unstable health;

- Pregnant or breastfeeding (due to toxic effects from tobacco products);

- Unable to read for comprehension or completion of study documents.