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SmokingNCT00706979

A Novel Treatment to Boost Quit Attempts and Cessation Among Unmotivated Smokers

A study testing Practice Quit Attempt plus nicotine lozenge and Practice Quit Attempt only in people with Smoking and Smoking Cessation, run by Medical University of South Carolina.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A sample of smokers who have no current plans to quit will be recruited for this study and randomized to one of two intervention conditions: 1. Practice Quit Attempt (PQA) aided by brief advice and self-help materials, or 2. PQA aided by advice and self-help materials plus nicotine replacement therapy (NRT). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Smoking, Smoking Cessation
What is being tested?
Practice Quit Attempt plus nicotine lozenge and Practice Quit Attempt only
Could I receive a placebo?
No, everyone receives an active treatment
How many people
849 participants
Where
No sites listed yet
Study dates
Sep 2008to Oct 2010
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Current cigarette smoker of at least 10 cigarettes per day
  • Interested in quitting at some time
  • Not currently interested in quitting smoking
  • Access to telephone (home or work) for 6 month study period

Who cannot join

  • Monthly cigar, pipe, or smokeless tobacco use
  • Current pregnancy or breastfeeding
  • Recent cardiovascular distress
  • Phenylketonuria (PKU)
  • Previous use of nicotine replacement therapy (gum, patch, lozenge, inhaler, or nasal spray)

About this study

A sample of smokers who have no current plans to quit will be recruited for this study and randomized to one of two intervention conditions:

  1. Practice Quit Attempt (PQA) aided by brief advice and self-help materials, or
  2. PQA aided by advice and self-help materials plus nicotine replacement therapy (NRT).
Read more

This study will test whether adding free nicotine replacement therapy to brief advice to undertake a practice quit attempt will motivate more smokers to make a serious attempt to stop smoking than brief advice without NRT. All treatments and assessments will be delivered via telephone and mailing. The primary outcome of interest is the incidence of a serious attempt to permanently stop smoking made over a six-month study period.

Our specific hypotheses are as follows:

Hypothesis 1: Helping smokers to make a practice quit attempt aided by NRT will result in a higher incidence of making a serious effort to quit smoking permanently, compared to an aided practice quit attempt without NRT. We also expect provision of NRT will increase point prevalence abstinence at 6 month follow-up.

Hypothesis 2: This relationship between NRT-aided practice quit attempts and quit behaviors will be mediated by a) increased smoking related self efficacy, b) increased belief in the efficacy of NRT, c) fewer concerns about adverse events of NRT, d) increased social support for not smoking, and e) less withdrawal distress and craving during the practice quit attempt.

Being tested
Practice Quit Attempt plus nicotine lozenge, Practice Quit Attempt only
Keywords
smoking, smoking cessation, nicotine replacement therapy
Medical subject headings
Smoking, Smoking Cessation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Practice Quit Attempt plus nicotine lozengeOther

    Also called Nicotine lozenge, Nicotine Replacement Therapy (NRT)

    nicotine lozenge, 2 mg or 4 mg

  • Practice Quit Attempt onlyBehavioural

    Practice Quit Attempts (PQA) message aided by brief advice and self-help materials

Study groups in NCT00706979
Study groupRoleWhat they receive
1ExperimentalPractice Quit Attempt plus Nicotine Replacement Therapy
Receives: Other: Practice Quit Attempt plus nicotine lozenge
2Active comparatorPractice Quit Attempt only
Receives: Behavioral: Practice Quit Attempt only

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. A Serious Quit Attempt in Which the Participant Intends to Permanently Stop Smoking

    The primary outcome was an attempt to quit smoking for good. To distinguish from a PQA, we specifically asked participants if they tried to quit smoking with the intent of quitting for good. Quit attempts were defined as any self-defined attempt to quit for good.

    Measured: From study enrollment through six month follow-up

  2. A 24 Hour Serious Quit Attempt in Which the Participant Intends to Permanently Stop Smoking

    Serious quit attempt of >=24hrs, which fits the CDC's definition of a quit attempt.

    Measured: From study enrollment through six month follow-up

Secondary outcomes (2)
  1. Abstinence From Cigarette Smoking, Where Abstinence is Defined as Self-report of Not Smoking at All for 7 Consecutive Days

    Measured: At any point during the study

  2. Abstinence From Cigarette Smoking, Where Abstinence is Defined as Self-report of Not Smoking at All for 7 Consecutive Days

    Measured: At 6-month follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jun 2008 (estimated)
  2. Study startSep 2008
  3. Primary completionOct 2010
  4. Study completionOct 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
849 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00706979
Sponsor's protocol ID
1R01DA021619-01A1
Other IDs
1R01DA021619-01A1
Status last verified
Oct 2010
First submitted
26 Jun 2008
Last updated
9 Dec 2011
Data monitoring committee
No

Publications

  • Carpenter MJ, Hughes JR, Gray KM, Wahlquist AE, Saladin ME, Alberg AJ. Nicotine therapy sampling to induce quit attempts among smokers unmotivated to quit: a randomized clinical trial. Arch Intern Med. 2011 Nov 28;171(21):1901-7. doi: 10.1001/archinternmed.2011.492.

    PubMed 22123796

Questions about this trial

What is this clinical trial studying?

A study testing Practice Quit Attempt plus nicotine lozenge and Practice Quit Attempt only in people with Smoking and Smoking Cessation, run by Medical University of South Carolina.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Dec 2011. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Dec 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

A Serious Quit Attempt in Which the Participant Intends to Permanently Stop Smoking (time frame: From study enrollment through six month follow-up). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00706979, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2011.

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