Evidence map›Paper›PMID 40579065›Full record

ArticleJACC. Advances2025

The Effect of 12-Week e-Cigarette Use on Smoking Abstinence at 1 Year: The E3 Trial.

Kristian B Filion, Tetiana Zolotarova, Andréa Hébert-Losier, Sarah B Windle, Pauline Reynier, Todd Greenspoon, Tim Brandys, Tamàs Fülöp, Thang Nguyen, Stéphane Elkouri and 6 more

Abstract read
In one paragraph

Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Kristian B FilionDepartments of Medicine and of Epidemiology, Biostatistics and Occupational Health, McGill University, Quebec, Canada; Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada. Electronic address: kristian.filion@mcgill.ca.
Tetiana ZolotarovaCentre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada.
Andréa Hébert-LosierCentre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada.
Sarah B WindleCentre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada.
Pauline ReynierCentre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada.
Todd GreenspoonFamily Medicine, McMaster University, Hamilton, Ontario, Canada.
Tim BrandysDivision of Vascular and Endovascular Surgery, Ottawa Hospital/University of Ottawa, Ottawa, Ontario, Canada.
Tamàs FülöpGeriatric Division, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Thang NguyenDepartment of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Stéphane ElkouriDivision of Vascular Surgery, Centre hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Igor WildermanWilderman Medical Clinic, Thornhill, Ontario, Canada.
Olivier F BertrandInstitut Universitaire de Cardiologie et de Pneumologie de Québec (IUCPQ), Québec City, Quebec, Canada.
Joanna Alexis BostwickDepartment of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Yves LacasseMultidisciplinary Department of Pulmonology and Thoracic Surgery, Institut universitaire de cardiologie et de pneumologie de Québec, Laval University, Montreal, Quebec, Canada.
Smita PakhaleOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Mark J EisenbergDepartments of Medicine and of Epidemiology, Biostatistics and Occupational Health, McGill University, Quebec, Canada; Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada; Division of Cardiology, Jewish General Hospital/McGill University, Montreal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current evidence regarding the long-term efficacy of electronic cigarettes (e-cigarettes) for smoking cessation is unclear.

objectivesThe purpose of this study was to assess the efficacy, safety, and tolerability of nicotine and non-nicotine e-cigarettes for smoking cessation in the general population.

methodsWe randomized 376 adults who smoked ≥10 cigarettes/day and were motivated to quit at 17 Canadian sites to 12 weeks of nicotine (15 mg/mL) e-cigarettes (n = 128), non-nicotine e-cigarettes (n = 127), or no e-cigarettes (n = 121). All groups received individual counseling. The primary endpoint was point prevalence abstinence (7-day recall, biochemically validated using expired carbon monoxide) at 12 weeks. The 52-week follow-up results are reported here.

resultsParticipants (mean age 52 ± 13 years; 47% female) smoked a mean of 21 ± 11 cigarettes/day at baseline. Compared to individual counseling alone, participants randomized to nicotine e-cigarettes plus counseling had higher rates of point prevalence (23.6% vs 9.9%; difference: 13.7%; 95% CI: 4.6%-22.8%) and continuous abstinence (3.1% vs 0.0%; difference: 3.1%; 95% CI: 0.1%-6.2%) and greater reductions in the number of cigarettes smoked (-9.5 ± 10.5 vs -5.6 ± 9.5; difference: -3.9; 95% CI: -6.5 to -1.4) at 52 weeks. Benefits were also observed among participants randomized to non-nicotine e-cigarettes plus counseling vs counseling alone. No differences in abstinence or reduction were found between nicotine and non-nicotine e-cigarettes.

conclusionsCompared to individual counseling alone, short-term use of standardized nicotine and non-nicotine e-cigarettes plus counseling is efficacious at increasing smoking abstinence at 52 weeks.

Indexed as

behavioral supporte-cigarettesrandomized controlled trialsmoking cessationtobacco harm reduction

Identifiers

PMID40579065
PMCPMC12277599

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.