British American Tobacco, R&D Centre, Southampton, SO15 8TL, United Kingdom.
British American Tobacco, R&D Centre, Southampton, SO15 8TL, United Kingdom.
Regul Toxicol Pharmacol. 2018 Mar;93:92-104. doi: 10.1016/j.yrtph.2017.10.001. Epub 2017 Oct 25.
This series of nine papers described the operation and pre-clinical assessment of a tobacco heating product THP1.0. This last paper contextualises the pre-clinical assessment data on THP1.0 with data from other next generation products relative to cigarette smoke. The tobacco and nicotine risk continuum is a concept that ranks products according to their potential harm, with cigarettes at the highest risk extreme and Nicotine Replacement Therapy at the least risky extreme. Data generated in pre-clinical studies on THP1.0 and a range of Next Generation Products (NGPs) may provide some initial indication of potential ranking of these products, although importantly, data from such studies are limited and cannot take into consideration several important aspects for risk such as long term product use patterns. In each of the studies, the responses to the emissions from THP1.0 were substantially reduced relative to cigarette smoke. Additionally, responses from THP1.0 were very similar to those from the other NGP emissions. A comparison of the results clearly showed the emissions from all the NGPs were considerably lower than those from cigarettes and all in around the same emissions level. These results show that THP1.0 could have the potential to be a reduced risk product compared to cigarettes, though further studies assessing the exposure, individual and population risk reduction profile would be required to substantiate this potential.
本系列共九篇论文介绍了一款名为 THP1.0 的加热不燃烧烟草制品的操作和临床前评估。本文最后将 THP1.0 的临床前评估数据与其他新一代产品的香烟烟雾数据进行对比,以提供背景信息。烟草和尼古丁风险连续体是一个根据产品潜在危害程度对产品进行排序的概念,其中香烟处于风险最高的极端,尼古丁替代疗法处于风险最低的极端。THP1.0 和一系列新一代产品(NGP)的临床前研究中产生的数据可能为这些产品的潜在排名提供一些初步迹象,尽管重要的是,此类研究的数据有限,无法考虑到风险的几个重要方面,如长期产品使用模式。在每项研究中,THP1.0 排放物的反应明显低于香烟烟雾。此外,THP1.0 的反应与其他 NGP 排放物的反应非常相似。结果比较清楚地表明,所有 NGP 的排放物都明显低于香烟,而且排放水平大致相同。这些结果表明,与香烟相比,THP1.0 有可能成为一种降低风险的产品,但需要进一步评估暴露、个体和人群风险降低情况的研究来证实这一潜力。