AzTrials
AzTrials

Tobacco Use CessationPhase 1/2NCT02596711

Project Impact 2: A Culturally Tailored Smoking Cessation Intervention for Latino Smokers

A Phase 1/2 study testing Nicotine Patch, Questionnaires and Carbon Monoxide (CO) Test in people with Tobacco Use Cessation and Cancer Prevention, run by M.D. Anderson Cancer Center at 1 site in United States.

Completed

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

Official record
Search all trials

Trial summary

The goal of this research study is to learn how 3 different kinds of counseling treatments may help individuals to quit smoking. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Tobacco Use Cessation, Cancer Prevention
What is being tested?
Nicotine Patch, Questionnaires and Carbon Monoxide (CO) Test
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
1 siteUnited States
Study dates
2 Nov 2015to 22 Aug 2017
Phase
Phase 1/2
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adults at least 18 years of age
  • Current smoker (>5 cigarettes per day for the past 3 months)
  • Able to speak and read English or Spanish
  • Agree to participate in the study and be available for 6 weeks of treatment and 6 months of follow-up
  • Willing to set a quit date within 2 weeks of enrollment date
  • Identify as being of Latino heritage, ethnicity, or ancestry

Who cannot join

  • Individuals suffering from any unstable medical condition precluding the use of NRT (Identified using the Medical History Questionnaire given at baseline)
  • Currently using smokeless tobacco, electronic nicotine delivery systems (ENDS), nicotine replacement therapy, or other smoking cessation treatment
  • Pregnant or nursing
  • Suffering from a severe psychiatric disorder (assessed using self-reporting history of psychiatric diagnosis during the phone screening) that would interfere with participation
  • Diagnosis of substance dependence other than nicotine (screened using DSM IV TR criteria) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition
  • Individuals that do not have access to a working telephone

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

The goal of this research study is to learn how 3 different kinds of counseling treatments may help individuals to quit smoking.

Read the detailed description

Baseline Visit:

If you agree to take part in this study, the following tests and procedures will be performed at the beginning of the study:

  • You will complete 10 questionnaires about your demographics (age, race, sex, and so on), medical history, smoking status, alcohol use, religion, how "in control" you feel of your own life, and cultural background. These should take about 1½ hours to complete.
  • You will complete a carbon monoxide (CO) test to measure the level of carbon monoxide in your body. This test involves blowing your breath through a hand-held device.
  • You will learn how to keep a diary about your progress in your attempts to quit smoking. °You must bring this diary with you to every visit.
  • You will be asked if you have smoked any non-tobacco substances in the last 2 days. If you have, you will provide an additional CO sample 2 days after the last time you smoked the substance.
  • If you can become pregnant, you will have a urine pregnancy test. To take part in this study, you must not be pregnant.3
  • The total length of the baseline visit will be approximately 2.5 hours.

Study Groups:

You will be randomly assigned (as in the roll of dice) into 1 of 3 study groups. You will have an equal chance of being in each group. This is done because no one knows if one study group is better, the same, or worse than the other group.

Counseling Sessions:

The study group that you are in will determine the way that health information is presented to you in one-on-one counseling sessions.

  • If you are in Group 1, you will receive general health education. The counselor will discuss a health topic (such as sleep, nutrition, and exercise) and how it relates to you and your smoking. The counselor will also give you handouts about the health topic.
  • If you are in Group 2, you and the counselor will discuss how your smoking and your culture may relate to each other. The counselor will also provide you with reading materials that highlight how aspects of your culture relate to health, smoking and quitting.
  • If you are in Group 3, you will receive the same cultural counseling and handouts that Group 2 received. Also, you will have additional talks about the use of drugs to help you stop smoking and some common feelings that Latinos may experience with being unsuccessful when trying to quit. The counselor will also offer you a plan for using medication successfully.

All participants will attend 3 counseling sessions during the study. Each of these counseling sessions will be audio recorded. Your first counseling session will be at baseline. The other two counseling sessions will be at your Week 2 and Week 6 visits (described below).

All participants will be given a 12 week supply of nicotine patches and information about how to use the nicotine patch. At each study visit, you will be given the amount of patches that you need to last you to your next visit, plus a few extra in the event that a patch falls off or is damaged.

During your first counseling session, you will be asked to choose a quit date. This is simply a date that you would like to begin using the patch and make an attempt to not smoke.

Week 2 and Week 6 Study Visits:

At each of these study visits, all participants will have the following procedures:

  • You will complete a brief interview about your progress and any side effects you may be having. This should take about 10 minutes to complete.
  • You will complete 2 questionnaires about your tobacco use and satisfaction with the study. These should take about 10 minutes to complete.
  • You will complete a CO test.
  • You will be asked if you have smoked any other substances, such as marijuana, in the last 2 days. If you have, you will provide an additional CO sample 2 days after the last time you smoked the substance.

Follow-Up Visits:

About 3 months and 6 months after baseline, you will have a follow-up visit. At each of these visits, the following tests and procedures will be performed:

  • You will complete the same set of questionnaires about your tobacco and alcohol use, culture, religion, and sense of control that you did at your baseline visit.
  • You will complete a CO test.
  • You will be asked if you have smoked any non-tobacco substances in the last 2 days. If you have, you will provide an additional CO sample 2 days after the last time you smoked the substance.

Length of Study:

Your study participation will be over after you complete the 6-month follow-up visit.

This is an investigational study. Up to 36 people will be enrolled in this study. All will take part at MD Anderson.

Being tested
Nicotine Patch, Questionnaires, Carbon Monoxide (CO) Test, Health Education and Handouts, Culturally Tailored Reading Materials
Keywords
Cancer Prevention, Tobacco Use Cessation, Nicotine Patch, NRT, Questionnaires, Surveys, Carbon Monoxide Test, CO, Health Education, Handouts, Pamphlets, Counseling sessions
Medical subject headings
Tobacco Use Cessation, Health Education

What participants receive

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

  • Nicotine PatchDrug

    Also called NRT

    Participants receive 4 weeks of 21 mg, 4 weeks of 14 mg, and 4 weeks of 7 mg patches.

  • QuestionnairesBehavioural

    Also called Surveys

    Questionnaires regarding tobacco and alcohol use, culture, religion, and sense of control completed at baseline, at weeks 2 and 6, and at 3 and 6 months after baseline.

  • Carbon Monoxide (CO) TestOther

    Carbon monoxide (CO) test given at baseline, at weeks 2 and 6, and at 3 and 6 months after baseline.

  • Health Education and HandoutsBehavioural

    Also called Pamphlets

    Participants receive general health education and handouts.

  • Culturally Tailored Reading MaterialsBehavioural

    Also called Pamphlets

    Participants given reading materials that highlight how aspects of their culture relate to health, smoking and quitting.

  • Counseling SessionsBehavioural

    Participants attend 3 counseling sessions during the study.

Study groups in NCT02596711
Study groupRoleWhat they receive
Health Education (HE) GroupExperimentalParticipants receive general health education and handouts. Participants attend 3 counseling sessions during the study. Each of these counseling sessions are audio recorded. Counselor discusses a health topic (such as sleep, nutrition, and exercise) and how it relates to participant and their smoking. Participants receive 12 weeks of Nicotine Replacement Therapy (NRT).
Receives: Drug: Nicotine Patch; Behavioral: Questionnaires; Other: Carbon Monoxide (CO) Test; Behavioral: Health Education and Handouts; Behavioral: Counseling Sessions
Culturally Tailored Smoking Cessation (CTSC) GroupExperimentalParticipants given reading materials that highlight how aspects of their culture relate to health, smoking and quitting. Participants attend 3 counseling sessions during the study. Each of these counseling sessions are audio recorded. Participant and counselor discuss how smoking and their culture may relate to each other. Participants receive 12 weeks of Nicotine Replacement Therapy (NRT).
Receives: Drug: Nicotine Patch; Behavioral: Questionnaires; Other: Carbon Monoxide (CO) Test; Behavioral: Culturally Tailored Reading Materials; Behavioral: Counseling Sessions
Culturally Tailored Smoking + Adherence Enhancement (AE) GroupExperimentalParticipants given reading materials that highlight how aspects of their culture relate to health, smoking and quitting. Participants attend 3 counseling sessions during the study. Each of these counseling sessions are audio recorded. Participants receive additional talks related to smoking cessation tailored to their culture. Participants receive 12 weeks of Nicotine Replacement Therapy (NRT).
Receives: Drug: Nicotine Patch; Behavioral: Questionnaires; Other: Carbon Monoxide (CO) Test; Behavioral: Culturally Tailored Reading Materials; Behavioral: Counseling Sessions

What is being measured

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

  1. Intervention Feasibility & Acceptability

    The central aim of this pilot study was to evaluate the feasibility and acceptability of our treatment interventions. As such, we examined between-group differences on session satisfaction. After completing each session, participants anonymously rated their level of satisfaction with the counseling session. This investigator created scale (Session Satisfaction Scale) used a 5-point Likert scale (from 1 = "Extremely Unsatisfied" to 5 = "Extremely Satisfied"). Mean satisfaction scores were computed for each participant as the average of all session satisfaction scores. Higher scores indicating greater levels of satisfaction. Treatment group session satisfaction group means were tabulated by group (calculated as the average for all participants in each treatment group) and used as a proxy measure of overall intervention acceptability and feasibility.

    Measured: Averaged across 3 study visits (Week 0 to Week 12)

  2. Patch Adherence: Percentage of Days With Patch

    Adherence to NRT patch (days of NRT patch use) collected with the Timeline followback interview procedure.

    Measured: This outcome was collected at each study timepoint and measured the 12 weeks of NRT patch treatment.

  3. Number of Abstinent Participants

    Rates of biochemically verified 7-day point prevalence smoking abstinence. Collected with the Timeline Follow-back interview procedure and verified with a expired carbon monoxide testing with a Bedfont Smokelyzer monitor.

    Measured: Collected at the 3- and 6-month follow-up visits

Timeline

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

  1. First posted4 Nov 2015 (estimated)
  2. Study start2 Nov 2015
  3. Primary completion22 Aug 2017
  4. Study completion22 Aug 2017

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02596711
Sponsor's protocol ID
2015-0585
Other IDs
K01CA160670, NCI-2016-00193
Status last verified
Mar 2020
First submitted
2 Nov 2015
Last updated
10 Mar 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • de Dios MA, Cano MA, Vaughan EL, Childress SD, McNeel MM, Harvey LM, Niaura RS. A pilot randomized trial examining the feasibility and acceptability of a culturally tailored and adherence-enhancing intervention for Latino smokers in the U.S. PLoS One. 2019 Jan 11;14(1):e0210323. doi: 10.1371/journal.pone.0210323. eCollection 2019.

    PubMed 30633744

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Nicotine Patch, Questionnaires and Carbon Monoxide (CO) Test in people with Tobacco Use Cessation and Cancer Prevention, run by M.D. Anderson Cancer Center at 1 site in United States.

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 6 inclusion and 6 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 10 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Mar 2020). 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?

Intervention Feasibility & Acceptability (time frame: Averaged across 3 study visits (Week 0 to Week 12)). The study lists 3 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 NCT02596711, 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 10 Mar 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in