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Summary

Philip Morris International has developed a heat-not-burn tobacco heating system (THS 2.2) that produces an aerosol without combustion. Adult smokers are anticipated to use the product with differing behaviors, such as puffing volume or puffing frequency, therefore it was important to find an easy way to study how users are exposed to the aerosol constituents. Thus, the intended outcome of this study was to propose and assess a simple approach for the estimation of THS users’ exposure to harmful and potentially harmful constituents (HPHCs).

THS operates using tobacco sticks (HeatSticks) that include a mouthpiece and a tobacco plug which, when heated, generates an aerosol. The analysis of nicotine retained in the mouthpiece of the HeatSticks during use was identified as a potential approach to estimate users’ mouth level exposure (MLE) to HPHCs. Consequently, the following study was conducted with the objectives 1.) to assess the correlation between the quantity of retained nicotine in the mouthpiece (Nicotine MP) of the HeatSticks and the nicotine delivered in the aerosol of machine-smoked products, 2.) to verify the practical range for Nicotine MP based on the analysis of used HeatSticks left by THS users, and 3.) to develop models describing the relationship between Nicotine MP and specific aerosol constituents measured in the aerosol of machine-smoked products.

The regular non-mentholated HeatSticks variant was machine-smoked under various smoking regimens to cover the range of anticipated human puffing behaviors. The suitability of this practical range of machine-smoking conditions was verified by collecting used HeatSticks from two different trials conducted with THS users. The determined Nicotine MP distribution indicated that the machine-smoked regimens encompassed the range observed for users.

Multiple Linear Regression (MLR) combined with a stepwise approach was used for selecting models describing the relationship between Nicotine MP and specific aerosol constituents. The stepwise approach interactively explores which amongst various tested predictors provides a good fit. The developed models showed good adjusted coefficients of determination (i.e., R2 adj. ≥ 0.75) for 28 out of the 43 investigated HPHCs.

Previously published studies showed that actual MLE can be estimated from cigarette filter analysis. This study demonstrated that the analysis of nicotine in THS mouthpiece (filter section) corresponded to an estimation of the upper limits of MLE, in line with maximum possible usage conditions.

Summary

In the absence of standards specific for testing the reduction robustness of the levels of harmful and potentially harmful constituents (HPHCs), the aerosol from the THS 2.2, a heated tobacco product, was compared with the mainstream smoke of the 3R4F reference cigarette over a broad range of machine-smoking regimes. The average reduction and the introduced concept of threshold limits of robust reduction were derived from HPHC concentrations, in mass per tobacco-stick normalized per total puff volume, to propose an alternative for the assessment of products where nicotine-adjusted yields would be inappropriate. In addition, this study explores the influence of 3R4F reference cigarette filter ventilation, and discusses the roles of temperature and precursors in the present context of robustness of HPHC reduction. Fifty-four HPHCs were analyzed under multiple regimes in THS 2.2 aerosol and 3R4F cigarette smoke. The average reduction of HPHC concentrations compared across all regimes characterized the robustness. Threshold limits of reduction of individual HPHCs were statistically determined across all regimes. The results observed under Health Canada Intense (HCI) and more intense regimes indicated that on average the reductions in HPHCs levels investigated in THS 2.2 aerosol were more than 90% and that the majority of the 54 HPHCs investigated in THS 2.2 aerosol showed more than 90% reduction. The robustness of THS 2.2 in maintaining the levels of reduction of representative HPHCs, whatever the puffing regime, can be quantified. The mass of HPHC per tobacco-stick normalized per total puff volume is a valuable approach to compare the robustness of the performance of a product over a large range of puffing conditions. Our findings will greatly complement the assessment for robustness of current and future similar products where classical approaches would present limitations.