Next Generation Products Sandra Costigan, Marianna Gaca, ChuanLiu, Kevin McAdam, James J. Murphyand Christopher Proctor British American Tobacco 21

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Next Generation Products Sandra Costigan, Marianna Gaca, ChuanLiu, Kevin McAdam, James J. Murphyand Christopher Proctor British American Tobacco 21 st October 2015

Contents Evolution of products across the risk spectrum Science and standards Substantiating the risk reduction potential of next generation products

Consumer landscape WHO current global estimates 1.4 Bnadult smokers E-cigarette use growing annually Smokeless tobacco widely used in Nordics and US Tobacco Heating Products are coming back on radar

BAT s risk spectrum

Tobacco Heating Products: The journey Premier & Eclipse are products of the RJ Reynolds company; Accord, Heatbarand iqosare products of the Philip Morris (International) company; Ploomand PloomPaxare products of the Japan Tobacco International company

Snus the Swedish experience Tobacco usage in Sweden 1 SNUS demonstrating potential for harm reduction 2 1 http://www.estoc.org/key-topics/the-swedish-experience, (Accessed 12 th Oct 2015) 2 International agency for research on cancer

E-cigarettes: evolution of a consumer driven category Time 1 st gen 2 nd gen 3 rd gen 4 th gen Devices E-liquids Tobacco Menthol Fruits Beverage Other Mixology Customisation Bluetooth RFID Charging packs Power control Puff counter

E-cigarettes: Motivations for vaping* *Research Funded by Nicoventures, the Next Generation Products business of the British American Tobacco group of companies

Number of Vapers increasing.. should there be more? * E-cigarette use among British smokers, 2010-14* "There has been an overall shift towards the inaccurate perception of EC being as harmful as cigarettes over the last year in contrast to the current expert estimate that using EC is around 95% safer than smoking." E-cigs have seen exponential growth but the consumer needs better information through an aligned coalition of science *Action on Smoking on health, UK

Product standards that protect the consumer and enable business growth Liquid purity Marketing freedoms Charging safety Differentiation Aerosol chemistry Component verification Aligned with BSI, Afnor etc. Innovation Fiscal policy

Safety science via Product Stewardship Stewardship Science 3) In vitro toxicology 2) Chemical and physical characterisation 1) Product stability PUBLICATIONS AND MEDIA EpiAirwayaerosol methodology in Toxicology In Vitro 2015 Press release 52,000 downloads Bat-science news story viewed >1000 times Twitter reaction story has reached hundreds of thousands of vapers

Science to substantiate risk reduction

Reduced exposure to toxicants: THPs and E-cigarettes* Chemical characterisation *Tests performed on a BAT products (prototype Tobacco Heating Product and a commercial e-cigarette)

In Vitro Models

Chemistry reductions driving reduced responses in vitro In vitro toxicology Mutagenicity (Particulate matter) Mutagenicity (Whole aerosol) Cytotoxicity (Whole aerosol) % Cell viability No observed mutagenicity for prototype tobacco heating product or e-cigarette under these test conditions Significant reductions in cytotoxicity for THP and E-cigarette versus reference cigarette under these test conditions

Promising preliminary results In vitro models of disease Oxidative stress DNA damage Cell transformation THP and e-cigarettes showed: greatly reduced reductions in oxidative stress versus reference cigarette no genotoxic responses under these test conditions significant reduction in tumor promotion observed with e-cigarette and THP versus reference cigarette under these test conditions

Risk reduction potential of next generation products* Harm reduction= Reduced risk x Number who switch Dependent on a substantiated reduction in toxicity of the product through a range of integrated studies Dependent on the number of people who switch from cigarettes *Clive Bates (former director of Action on Smoking & Health, UK), E-cig summit, 2013

Take home messages Evolution of consumer relevant, potentially reduced risk tobacco and nicotine products Preliminary data shows that these products have the potential to reduce risk versus cigarettes Series of integrated studies over time required to substantiate reduced risk Common product standards and agreed testing platforms required