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Cigarette SmokingRIBESCNCT02432729

A Smoking Cessation Study to Understand the Biological and Functional Changes After One Year of Smoking Cessation

An observational study of Cigarette Smoking, run by Philip Morris Products S.A. at 5 sites in 5 countries.

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

The purpose of this study was to understand the biological and functional changes after one year of smoking cessation and to collect data on a broad range of biomarkers of exposure (BoExp) and biomarkers of effect (BoE). Read more about this study

Who is it for?
Ages 30 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Cigarette Smoking
How many people
1,184 participants
Where
5 sitesin 5 countries
Study dates
5 May 2015to 27 Apr 2018
Phase
Observational
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 30 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Adult, smoking subjects willing to quit smoking with no restriction on race and ethnicities will be enrolled in this study.

Who may be able to join

  • Current healthy smoker as judged by the Principal Investigator(s) or designee(s).
  • Subject is aged from 30 to 65 years old (inclusive).
  • Subject has smoked for at least the last 10 years.
  • Subject smoked more than 10 cigarettes/day on average over the last year.
  • Subject is willing to quit smoking within the next 30 days.

Who cannot join

  • Subject has clinically relevant medical conditions that in the opinion of the Investigators would jeopardize the safety of the participant or affect the validity of the study results.
  • Subject has Forced Expiratory Volume in 1 second/Forced Vital Capacity(FEV1/FVC) < 0.7 and FEV1 < 80% predicted value at post-bronchodilator spirometry.
  • Subject with FEV1/FVC < 0.75 (post-bronchodilator) and reversibility in FEV1 that is both > 12% and > 200 ml from pre- to post-bronchodilator values.
  • Subject who took or is taking concomitant medication which may have an impact on the biomarkers of effect.
  • Female subject is pregnant or is a breast-feeding.

Trial locations and contacts

5 sites in 5 countries.

5 sites in 5 countries

United States1 site
  • Rose Research Center

    Charlotte, North Carolina, 28262

Other trials in United States

Germany1 site
  • Synexus Clinical Research GmbH

    Frankfurt am Main, Hesse, 60596

Other trials in Germany

Japan1 site
  • Clinical Research Tokyo Hospital

    Tokyo, 162-0053

Other trials in Japan

Poland1 site
  • BioVirtus Research Site Sp. z o.o.

    Kajetany, 05-830

Other trials in Poland

United Kingdom1 site
  • Synexus, Merseyside Clinical Research Centre

    Liverpool, L22 0LG

Other trials in United Kingdom

About this study

Official title: A Multi-center, Multi-region Smoking Cessation Study to Understand the Biological and Functional Changes Related to Smoking Cessation in Healthy Smokers Who Are Continuously Abstinent From Smoking for One Year

The purpose of this study was to understand the biological and functional changes after one year of smoking cessation and to collect data on a broad range of biomarkers of exposure (BoExp) and biomarkers of effect (BoE).

Read the detailed description

This was a 12 month, multi-region, multi-center, ambulatory study conducted in the US, Japan and Europe. Smokers who were willing to quit smoking within the next 30 days at the Screening Visit were enrolled to reach approximately 950 subjects continuously abstinent from smoking from Actual Quit Date (AQD) onwards at week 2, in order to achieve at least 190 successful quitters expected to complete the study. Once approximately 950 subjects reached week 2, screening and enrollment were stopped.

Compliance with smoking abstinence was verified by self-reporting, CO breath tests, and urine cotinine tests. Smokers who were not continuously abstinent from smoking [i.e., free from tobacco product use (e.g., CC, pipes, cigars, snus) or any nicotine-containing product (including electronic cigarettes) other than nicotine replacement therapy (NRT)] from their AQD onwards were discontinued from the study. At the end of the study, 358 subjects were verified as continuously abstinent from their AQD.

Keywords
smoking cessation, smoking abstinence, clinical, biological and functional changes, one year, healthy smokers, quit smoking
Medical subject headings
Cigarette Smoking, Smoking Cessation

What participants receive

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

Study groups in NCT02432729
Study groupRoleWhat they receive
Study populationAdult smokers who are willing to quit smoking within the next 30 days at the Screening Visit will be asked to continuously quit smoking for 1 year. Smokers who are not continuously abstinent from smoking or any nicotine/tobacco containing product from the actual quit date will be discontinued from the study.

What is being measured

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

  1. High Density Lipoprotein C (HDL-C).

    Concentrations of HDL-C measured in serum. Mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  2. Low-density Lipoprotein Cholesterol (LDL-C)

    Concentrations of LDL-C measured in serum. Mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  3. Apo A1

    Concentrations of Apolipoprotein A1 measured in serum. Mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  4. Apo B

    Concentrations of Apolipoprotein B measured in serum. Mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  5. White Blood Cells (WBC).

    Concentrations of WBC measured in blood. Mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  6. Hs-CRP

    Concentrations of high sensitivity C-reactive protein (hs-CRP) measured in serum. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  7. Homocysteine

    Concentrations of Homocysteine measured in plasma. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  8. Fibrinogen

    Concentrations of Fibrinogen measured in plasma. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  9. Platelets

    Concentrations of Platelets measured in plasma. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  10. 11-dehydrothromboxane B2 (11-DTXB2).

    Concentrations measured in urine and expressed as concentration adjusted for creatinine. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  11. 8-epi-prostaglandin F2α (8-epi-PGF2α).

    Concentrations of 8-epi-PGF2α measured in urine and expressed as concentration adjusted for creatinine. Geometric Means are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  12. MPO

    Concentrations of Myeloperoxidase measured in serum. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  13. Soluble Intercellular Adhesion Molecule 1 (sICAM-1).

    Concentrations of sICAM-1 measured in serum. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  14. Albumin

    Concentrations of Albumin measured in urine and expressed as concentration adjusted for creatinine. Geometric mean values are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  15. Carboxyhemoglobin (COHb).

    Carboxyhemoglobin (COHb) is assayed from whole blood. Expressed as % of saturation of hemoglobin. Geometric means are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  16. HbA1c

    Glycosylated hemoglobin (HbA1c) is assayed from whole blood. Geometric means are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

  17. Forced Expiratory Volume in 1 Second (FEV1), Pre-bronchodilator and Expressed as Percentage Predicted (FEV1 %Pred).

    FEV1 pre-bronchodilator and expressed as percentage predicted (FEV1 %pred).

    Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The primary signal measured in spirometry may be volume or flow. The forced expiratory volume (FEV) in one second is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration.

    Measured: Baseline; 6 month; 12 month

  18. FEV1 Post-bronchodilator and Expressed as Percentage Predicted (FEV1 %Pred).

    FEV1 post-bronchodilator and expressed as percentage predicted (FEV1 %pred). Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The primary signal measured in spirometry may be volume or flow. The forced expiratory volume (FEV) in one second is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration.

    Measured: Baseline; 6 month; 12 month

  19. Forced Vital Capacity (FVC) Pre-bronchodilator, Expressed as Percentage Predicted (FVC %Pred).

    Pre-bronchodilator Forced Vital Capacity, expressed as percentage predicted (FVC %pred). Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The primary signal measured in spirometry may be volume or flow. The forced vital capacity (FVC) is the maximal volume of air exhaled with maximally forced effort from a maximal inspiration.

    Measured: Baseline; 6 month; 12 month

  20. FVC Post-bronchodilator, Expressed as Percentage Predicted (FVC %Pred).

    Post-bronchodilator Forced Vital Capacity, expressed as percentage predicted (FVC %pred). Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The primary signal measured in spirometry may be volume or flow. The forced vital capacity (FVC) is the maximal volume of air exhaled with maximally forced effort from a maximal inspiration.

    Measured: Baseline; 6 month; 12 month

  21. FEV1/FVC Pre-bronchodilator Expressed as a Ratio

    Pre-bronchodilator FEV1/FVC expressed as a ratio. Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The primary signal measured in spirometry may be volume or flow. The forced vital capacity (FVC) is the maximal volume of air exhaled with maximally forced effort from a maximal inspiration, and the forced expiratory volume (FEV) in one second is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration.

    Measured: Baseline; 6 month; 12 month

  22. FEV1/FVC Post-bronchodilator Expressed as a Ratio

    Post-bronchodilator FEV1/FVC expressed as a ratio. Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The primary signal measured in spirometry may be volume or flow. The forced vital capacity (FVC) is the maximal volume of air exhaled with maximally forced effort from a maximal inspiration, and the forced expiratory volume (FEV) in one second is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration.

    Measured: Baseline; 6 month; 12 month

  23. FEF 25-75 Forced Expiratory Flow, Pre-bronchodilator, Expressed as Percentage Predicted (FEF 25-75 %Pred)

    Pre-bronchodilator FEF 25-75, expressed as percentage predicted (FEF 25-75 %pred). Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The forced expiratory flow between 25% and 75% of the FVC (FEF25-75%) is defined as the forced expiratory flow during the middle half of the FVC; the average flow from the point at which 25% of the FVC has been exhaled to the point at which 75% of the FVC has been exhaled.

    Measured: Baseline; 6 month; 12 month

  24. FEF 25-75 Forced Expiratory Flow, Post-bronchodilator, Expressed as Percentage Predicted (FEF 25-75 %Pred)

    Post-bronchodilator FEF 25-75, expressed as percentage predicted (FEF 25-75 %pred). Mean values are provided as descriptive statistics.

    Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. The forced expiratory flow between 25% and 75% of the FVC (FEF25-75%) is defined as the forced expiratory flow during the middle half of the FVC; the average flow from the point at which 25% of the FVC has been exhaled to the point at which 75% of the FVC has been exhaled.

    Measured: Baseline; 6 month; 12 month

  25. Total 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (Total NNAL).

    Concentrations of Total NNAL measured in urine and expressed as concentration adjusted for creatinine. Geometric means are provided as descriptive statistics.

    Measured: Baseline; 6 month; 12 month

Timeline

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

  1. First posted4 May 2015 (estimated)
  2. Study start5 May 2015
  3. Primary completion31 May 2017
  4. Study completion27 Apr 2018

Resources

More details

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

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
1,184 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02432729
Sponsor's protocol ID
SA-SCR-01
Other IDs
SA-SCR-01
Acronym
RIBESC
Status last verified
Jan 2023
First submitted
14 Apr 2015
Last updated
30 Jan 2023
Data monitoring committee
No
Individual data sharing
No

Publications

  • Tran CT, Felber Medlin L, Lama N, Taranu B, Ng W, Haziza C, Picavet P, Baker G, Ludicke F. Biological and Functional Changes in Healthy Adult Smokers Who Are Continuously Abstinent From Smoking for One Year: Protocol for a Prospective, Observational, Multicenter Cohort Study. JMIR Res Protoc. 2019 Jun 7;8(6):e12138. doi: 10.2196/12138.

    PubMed 31199335
  • Pouly, S., Haziza, C., Peck, M. J., & Peitsch, M. C. (2021). Clinical Assessment of ENDPs. In Toxicological Evaluation of Electronic Nicotine Delivery Products (pp. 385-459). Academic Press.

Questions about this trial

What is this clinical trial studying?

An observational study of Cigarette Smoking, run by Philip Morris Products S.A. at 5 sites in 5 countries.

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 5 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 30 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States, Germany, Japan, Poland, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

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 26 Aug 2019). 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?

High Density Lipoprotein C (HDL-C). (time frame: Baseline; 6 month; 12 month). The study lists 25 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 NCT02432729, which also lists 2 linked publications.

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 30 Jan 2023.

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