Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...

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Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
Can innovation in vapour products
bring more satisfaction with lower
toxicant levels?

Dr Chris Proctor
Group Head of Potentially Reduced Risk Product Science
British American Tobacco, Scientific R&D, Southampton, UK
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
AGENDA

• Foundations of tobacco harm reduction

• The science of Vype e-pen

• Evolving coil and wick

• The science of i-switch
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
TOBACCO HARM REDUCTION
• BAT’s Transforming Tobacco strategy and approach is underpinned by the concept of Tobacco Harm Reduction

    TOBACCO HARM                            REDUCED                         NUMBER
      REDUCTION                               RISK                         WHO SWITCH

                                              NO                                QUALITY
                                           COMBUSTION                          PRODUCTS
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
Scientific publications on VYPE e-cigarettes

 The world’s largest published dataset
 on a single vapour product
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
What has this science programme told us so far?
▪ Chemical studies show that the aerosols from our vapour products are much simpler, and with
  fewer toxicants and far lower levels of toxicants, than tobacco smoke

▪ Indoor air quality studies have shown very little impact of the use of vapour products on indoor
  air, in sharp contrast to cigarette smoking

▪ In vitro biological studies have shown that the consequence of lower toxicants is much reduced
  biological response to the aerosols (such as no mutagenicity, no genotoxicity) compared to
  cigarette smoke (which is highly mutagenic and genotoxic)

▪ Human clinical studies have shown rapid reductions in biomarkers of exposure to toxicants
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
COMPARISON OF THE CHEMICAL COMPOSITION OF
  CIGARETTE SMOKE AND THE VAPOUR FROM VYPE e-pen2*

                                                                                                  *Margham et al (2016)
                                                                                                  Chem Res Tox, 29: 1662–1678

                                                                                                    = level in vapour is
                                                                                                    greater than 95%
                                                                                                    reduced compared
                                                                                                    to smoke
*These results do not necessarily mean this product is less harmful than other tobacco products
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
Vype e-pen 2 has reduced toxicity relative to cigarettes
      OECD TG 471: Bacterial Reverse Mutation Test, S. typhimurium TA98

                                                                                                             E-cigarettes gave no response even at 900 puffs

      Exposure to reference cigarette smoke caused mutations in a dose                                       E-cigarettes gave no response even after 900 puffs
      dependent manner; e-cigarettes gave no response

                                                                                                                                                                         Thorne D et al (2016) Mutation Research 812: 29-38
These qualities do not necessarily mean this product produces less adverse health effects than tobacco products                                 Thorne D et al (2018) Mutation Research DOI : 10.1016/j.mrgentox.2018.01.008
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
Switching to Vype e-pen 2 following 2 weeks 3R4F exposure reversed biological
effects in vitro.
Inflammatory cytokine expression was greatly reduced compared to 4 week 3R4F exposure.

 These qualities do not necessarily mean this product produces less adverse health effects than other tobacco products

biological                                                                                                 D a y 2 8 - 3 R 4 F /A ir v s 3 R 4 F /3 R 4 F                                                                                      D a y 2 8 - A ir /A ir v s 3 R 4 F /A ir

                                                                                                  4                                                                                                                                   4

responses                                                                                         3                      Eo ta x in - 3           IL - 7
                                                                                                                                                                   G M-CS F
                                                                                                                                                                      IL - 6                                                          3

                                                                       - L o g 1 0 p - v a lu e

                                                                                                                                                                                                           - L o g 1 0 p - v a lu e
                                                                                                                                                       TNF-                                                                                                                          Eo ta x in - 3

                                                                                                  2                                                                                                                                   2
                                                                                                                                                    IL - 1 5
                                                                                                                                                    M C P- 1
                                                                                                                                                  IL - 1 2 p 7 0
                                                                                                                                                  TIL
                                                                                                                                                    N -F8- ß
                                                                                                  1
                                                                                                                                                                                                                                      1

                                                                                                  0
                                                                                                                                                                                                                                      0
                                                                                                      -5     -4   -3   -2      -1         0   1       2            3     4     5
                                                                                                                                                                                                                                          -5   -4   -3   -2     -1     0      1      2        3        4   5
                                                                                                                       L o g 1 .5 F o ld - c h a n g e
                                                                                                                                                                                                                                                         L o g 1 .5 F o ld - c h a n g e

                                                                                                                   continued                                                                  switch to                                                         switch to
                                                                                                                   exposure to                                                                Vype                                                              air
                                                                                                                   smoke

                                week 2                  week 4                                                                                                                     week 2   week 4        week 2                                              week 4

                                                                                                                                                                                                                                      IOM (2012) Scientific standards for studies on MRTPs.
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
iSwitch with PureTech blade technology gives improved consumer satisfaction with
 less nicotine, more aerosol and with much lower toxicants

           ePen2                                                             ePen3                          iSwitch
           Gen1 nicotine salt                                                + Gen2 nicotine salt           + Tailored nicotine salt
           Core flavours                                                     + Improved wicking             + Increased particle size = high flavour
                                                                             + Optimised power management     impact with 18mg nicotine,
                                                                                                              satisfaction with 3mg liquid
                                                                                                            + PureTech atomizer

           95% less toxicants 1                                            99% less toxicants 1              99.8% less toxicants 1
  1 When compared to a reference cigarette and measuring WHO TobReg9 toxicants

Substantially reduced toxicants is not sufficient alone to determine reduced risk
Can innovation in vapour products bring more satisfaction with lower toxicant levels? - Dr Chris Proctor Group Head of Potentially Reduced Risk ...
A revolutionary advance from coil-and-wick to proprietary new-to-
world PureTech blade technology
         EXISTING COIL-AND-WICK TECHNOLOGY                                PURETECH Blade

›   Absorbent wick                                  › 10x larger surface area vs. best-in-class cotton
›   Electrical heating coil                             wick (ePen3)
›   Small surface area                              ›   Large aerosol particle size range
›   Risks of dry out                                ›   Advanced temperature control
›   Variable particle size                          ›   Dynamic wicking
                                                    ›   Improved sensory performance
GEN1 glass fibre       GEN2 cotton   GEN3 ceramic   ›   Improved consumer satisfaction
                                                    ›   Less e-liquid nicotine required
                                                                          Steel matrix x200
                                                                          magnification
Emissions chemistry
Analyte                    Reference   E-pen 2   E-pen 3   i=Switch
                           cigarette
Acetaldehyde (µg/puff)     208         0.12      0.07      NQ
Acrolein (µg/puff)         14.9        0.15      0.02      BDL
Formaldehyde (µg/puff)     5.11        0.39      0.06      0.04
Benzo(a)pyrene (ng/puff)   1.26        NQ        NQ        BDL
Carbon Monoxide            2.99        BDL       BDL       BDL
(mg/puff)
NNK (ng/puff)              26.6        BDL       BDL       BDL
NNN (ng/puff)              24.8        BDL       BDL       BDL
1,3-butadiene (µg/puff)    11.1        BDL       BDL       BDL
Benzene (µg/puff)          8.08        BDL       BDL       BDL
iSwitch - Unprecedented reductions in biological activity seen to date
  in our laboratory tests of vapour products

                                                                     Number of                                                           iSwitch
                                                                                                                                         ePen 3.0
                                                                    lung-disease-                                                        ePen 2.0
                      Comparisons                                                                                                        1R6F
                                                                   relevant genes
                                                                      perturbed

    Air vs Reference Cigarette* (24 hrs)                               5603

    Air vs iSwitch (24 hrs)                                              0

        Vapour from iSwitch had no impact on lung-disease-                          In extremis in vitro testing for cytotoxicity shows all Vype
      relevant gene perturbations in a 3D cellular system using                      products are much less toxic than cigarette smoke, with
                   human airway epithelial cells                                                       iSwitch the least toxic
*Reference cigarette used - 1R6F

These results are not sufficient alone to determine reduced risk
First clinical study on iSwitch confirms large reduction in toxicant
             exposures
                                                                                                                                            AVERAGE % REDUCTIONS FROM BASELINE

           › 14 BoEs for cigarette smoke
                 toxicants measured
           › All BoEs significantly reduced
                 for subjects switching to

                                                                                      % Change
                 iSwitch*
           › In most cases BoEs reduced to
                 levels similar to cessation

                                                                                                 *o-Toluidine significant after one inexplicably high value removed from cessation arm (sensitivity test)

                                                                                                                Gaça, M & Proctor, C. Application of in vitro processes for the assessment of next generation tobacco and nicotine products: a
These substantially reduced toxicant exposures are not sufficient alone to determine reduced risk               tobacco company perspective. Oral presentation at Society of Toxicology, 13 March 2019. www.bat-science.com/library/invitro
Nicotine salts help drive satisfaction through increased nicotine delivery
closer to that of a cigarette

                                                18
                                                         Vype ePen3
                                                                                        Cigarette ad libitum
   Mean plasma nicotine concentration (ng/mL)

                                                16

                                                                                        Vype ePen 3 (30 mg/mL; protonated) ad libitum
                                                14
                                                                                        Vype ePen 3 (18 mg/mL; protonated) ad libitum
                                                12
                                                                                        Vype ePen 3 (18 mg/mL; unprotonated) ad libitum
                                                10
                                                                                        Vype ePen 2 (18 mg/mL; unprotonated) ad libitum
                                                8

                                                6

                                                4

                                                2

                                                0
                                                     0   20           40       60               80                      100               120
                                                                           Time (min)

Ebajemito, JK et al., unpublished data.
SUMMARY
• Vaping products continue to evolve

• All vaping products are likely to generate
  much lower levels of toxicants than found
  in cigarette smoke

• The latest technologies that improve
  wicking and manage aerosol generation
  can provide both better satisfaction and
  even lower toxicant levels in emissions
THANK YOU
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