An electronic cigarette pod system delivering 6-methyl nicotine, a synthetic nicotine analog, marketed in the United States as "PMTA exempt"

  • medRxiv. 2023 Nov 22:2023.11.21.23298778. doi: 10.1101/2023.11.21.23298778.
Sven E Jordt  1  2  3 Sairam V Jabba  1  2  3 Peter Silinski  4 Micah L Berman  5  6  7
Affiliations
  • 1. Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina, USA.
  • 2. Cancer Prevention and Control, Duke Cancer Institute, Duke University School of Medicine, Durham, North Carolina, USA.
  • 3. Yale Tobacco Center of Regulatory Science, Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
  • 4. Department of Chemistry, Duke University, Durham, NC.
  • 5. College of Public Health, The Ohio State University, Columbus, Ohio, USA.
  • 6. Moritz College of Law, The Ohio State University, Columbus, Ohio, USA.
  • 7. Cancer Control Program, James Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA.
Abstract

As of April 14, 2022, the United States Food and Drug Administration (FDA) has been authorized to regulate tobacco products containing nicotine from any source, including synthetic, requiring manufacturers to submit a premarket tobacco product application (PMTA). A recent report by the World Health Organization (WHO) warned that non-nicotine tobacco Alkaloids or Other synthetic nicotine analogs could be used by manufacturers to bypass regulatory schemes focusing on nicotine alone. From October 2023 on, vape stores in the United States started selling a new electronic cigarette pod system, named Spree Bar, advertised as "PMTA exempt", with youth-appealing flavors and advertising. The products are marketed as containing "Metatine", a trademarked name for 6-methyl nicotine, a synthetic nicotine analog patented by a Chinese electronic cigarette manufacturer. Here we used liquid chromatography-mass spectrometry (LCMS) to confirm the presence of a chemical species with the molecular weight of 6-methyl nicotine in Spree Bar e-liquids. The FDA needs to determine whether, in its view, 6-methyl nicotine is a form of "nicotine" within the meaning of the Tobacco Control Act, or whether 6-methyl nicotine can be regulated as a drug under the Federal Food, Drug, and Cosmetic Act (FDCA).

Keywords
Addiction; Illegal Tobacco Products; Nicotine; Non-cigarette tobacco products; Tobacco industry.
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