San Francisco Chronicle

Bigger vapor cloud carries more nicotine

- By Sheila Kaplan

Juul Labs has soared to the top of the U.S. e-cigarette market in just three years with its high-nicotine products that give off just a wisp of vapor.

Now, facing public backlash and overseas restrictio­ns, the company is working on a way to lower the nicotine in its pods — but still maintain a potent punch from the addictive chemical.

Juul is developing a pod that is higher in vapor, which, experts say, can enhance the rate at which nicotine is absorbed in the body.

Altria Group is in talks for a significan­t investment in Juul, said a person with knowledge of the matter who asked not to be identified because the discussion­s are private. That would give one of the world’s largest tobacco companies a minority stake in the San Francisco company, whose investors recently assigned it a $16 billion valuation.

People knowledgea­ble about the developmen­t of the higher-vapor pod say the company hopes it will appeal to cigarette smokers who are accustomed to a bigger cloud. And by reducing the nicotine level, even while magnifying the effect of the nicotine, Juul presumably would be able to meet stricter nicotine limits in many countries.

It is unclear what levels of nicotine would be in the new design, and a variety of models are under developmen­t for different markets. The new pods are being designed for sale overseas, where Juul wants to replicate the success it has had in the United States.

But in the European Union, where Juul plans to expand, and in the United Kingdom, where it is already on the market, the nicotine limit for e-cigarettes is 20 milligrams per milliliter of fluid — about a third of the amount in the most popular American Juul pod.

A lower-nicotine version is also on sale in the United States, but, at 23 milligrams of nicotine per milliliter of fluid, it still exceeds EU requiremen­ts.

Joshua Raffel, a Juul spokesman, declined to answer questions about the new pod. In an interview, he would only say: “We are always looking to create products that help adult smokers switch from combustibl­e cigarettes and limit appeal to youth.”

Juul has not ruled out marketing the product in the United States, but would need the Food and Drug Administra­tion’s approval to do so.

Some experts said the higher vapor could potentiall­y make the pods even more addictive, increasing the risk particular­ly to young people, whose developing brains are more susceptibl­e to the addictive qualities of nicotine.

Micah Berman, associate professor of public health and law at Ohio State University, said the amount of nicotine in a pod can be deceptive — what really matters is how much the body actually absorbs.

“One of the things with cigarette design over the years is that they have figured out how to maximize the impact of nicotine in cigarettes,” Berman said.

Of Juul’s plans, he said: “If it’s a change that reduces test levels of nicotine — the amount you would identify as being in the pod itself — but doesn’t actually change the biological level, then that’s certainly problemati­c. It’s more like cheating the test.”

But Neal Benowitz, a professor of medicine at UCSF, said that increasing the vapor might indeed make Juul more useful to smokers who want to quit.

“For smoking cessation, you need to have a satisfying delivery system with a good amount of nicotine with a small amount of aerosol,” Benowitz said. “But if you are vaping because you like the sensory aspects of it, then you want more aerosol. Right now, Juul is a good nicotine delivery device but the quality is not the same as a cigarette.”

The new pods are expected to be slightly longer than existing ones but are designed to fit the current Juul device.

Juul, which began selling its vaping device by the same name in 2015, has now captured more than 70 percent of the e-cigarette market share in the United States. Its success has been met with harsh public criticism over an epidemic of teenage vaping, and increasing government pressure to stop it.

This month, facing a deadline from the FDA, Juul announced major changes in its sales and marketing practices that are designed reduce youth access to its devices and popular flavored pods.

A sleek, electronic device that looks like an elongated flash drive, Juul works by heating a liquid flavor pod that contains nicotine and benzoic acid. When Juul users inhale, they get a very quick and powerful burst of nicotine.

The FDA’s biggest public health goal in this administra­tion has been getting smokers to quit, and reducing the 480,000 annual deaths in the United States from cigarette-related disease. To do so, Dr. Scott Gottlieb, the commission­er, has encouraged the developmen­t of alternativ­es like e-cigarettes.

But this strategy backfired when Juul and other e-cigarettes became immensely popular with teens, and the agency recently restricted sales of certain flavors that appeal to youths.

The other half of the FDA’s plan is to reduce nicotine to nonaddicti­ve levels in traditiona­l cigarettes. The agency has started that process, but the tobacco companies have made clear they will fight it. There has been no agency announceme­nt yet regarding limits on nicotine in e-cigarettes.

Experts in e-cigarette engineerin­g said there were a number of ways Juul could amp up the vapor, or aerosol, in its products. Dr. Edward Hensel, associate dean of engineerin­g at the Rochester Institute of Technology, said one way is by adjusting the heating coil inside the flavor pod.

“They can use the same battery and the same electronic­s, but by changing the coil you can have a different amount of power, and so aerosolize more product,” Hensel said.

Some public health advocates noted another consequenc­e of a more powerful pod.

“More vapor is more secondhand vapor,” said Chris Bostic, a deputy director at Action on Smoking & Health, a public health group working to eliminate tobacco use. “A bigger cloud of vapor sounds to me like a bigger problem for bystanders.” Bloomberg News and San Francisco Chronicle staff contribute­d to this report.

 ?? Joshua Bright / New York Times ?? Facing public backlash and overseas restrictio­ns, Juul is working on lowering the nicotine in its pods.
Joshua Bright / New York Times Facing public backlash and overseas restrictio­ns, Juul is working on lowering the nicotine in its pods.

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