Trial Outcomes & Findings for Comparing Smoking Treatment Programs for Lighter Smokers - 1 (NCT NCT00086411)

NCT ID: NCT00086411

Last Updated: 2019-08-06

Results Overview

Completion of Treatment and Smoking Cessation by Two Different Types of Medications and Counseling Types at 12, 26, and 52 Weeks Post-treatment Initiation. The counseling types were Medication Management (MM) and Mayo counseling models. MM counseling was a 4 session lower intensity counseling model and Mayo counseling was a 10 session higher intensity model. A twofold definition of treatment completion included both medication and counseling session adherence. Treatment completion was defined as consistently taking the active medication as prescribed (80%) of the time during the medication period and attending at least 7 of the 10 required High C sessions or 3 of the 4 Low C sessions. Participants had to meet both requirements to be designated as full treatment completers. Seven-day point prevalence abstinence was the primary measure of abstinence at follow-up Weeks 12, 24, and 52. Abstinence was confirmed by biochemical testing.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

260 participants

Primary outcome timeframe

52 weeks

Results posted on

2019-08-06

Participant Flow

The sample consists of 260 self-referred lighter smokers to an urban university setting. The first participant was enrolled in February 2005, and the last follow-up was completed in March 2008. A total of 302 met confirmatory screening criteria, and 260 were enrolled.

An in-person confirmatory screening interview consisted of a medical examination, structured psychological interview (Mini International Neuropsychiatric Interview; Sheenan et al., 1997), and biochemical testing (i.e., carbon monoxide reading of expired air \[CO\], blood alcohol concentration,and urine drug test).

Participant milestones

Participant milestones
Measure
1 Bup+MM
bupropion and MM with placebo patch
2 Bup+Mayo
bupropion and Mayo counseling with placebo patch.
3 Patch+MM
patch and MM with placebo pills
4 Patch+Mayo
patch and Mayo counseling with placebo patch
Overall Study
STARTED
70
63
62
65
Overall Study
COMPLETED
59
52
49
53
Overall Study
NOT COMPLETED
11
11
13
12

Reasons for withdrawal

Reasons for withdrawal
Measure
1 Bup+MM
bupropion and MM with placebo patch
2 Bup+Mayo
bupropion and Mayo counseling with placebo patch.
3 Patch+MM
patch and MM with placebo pills
4 Patch+Mayo
patch and Mayo counseling with placebo patch
Overall Study
Lost to Follow-up
11
11
13
12

Baseline Characteristics

Comparing Smoking Treatment Programs for Lighter Smokers - 1

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1: Bup+MM
n=70 Participants
bupropion and MM with placebo patch
2 Bup+Mayo
n=63 Participants
bupropion and Mayo counseling with placebo patch.
3 Patch+MM
n=62 Participants
patch and MM with placebo pills
4 Patch+Mayo
n=65 Participants
patch and Mayo counseling with placebo patch
Total
n=260 Participants
Total of all reporting groups
Age, Continuous
43.3 years
STANDARD_DEVIATION 12.5 • n=5 Participants
42.4 years
STANDARD_DEVIATION 12.6 • n=7 Participants
45.8 years
STANDARD_DEVIATION 12.6 • n=5 Participants
43.1 years
STANDARD_DEVIATION 11.3 • n=4 Participants
43.3 years
STANDARD_DEVIATION 12.2 • n=21 Participants
Sex: Female, Male
Female
44 Participants
n=5 Participants
31 Participants
n=7 Participants
35 Participants
n=5 Participants
38 Participants
n=4 Participants
148 Participants
n=21 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
32 Participants
n=7 Participants
27 Participants
n=5 Participants
27 Participants
n=4 Participants
112 Participants
n=21 Participants
Region of Enrollment
United States
70 participants
n=5 Participants
63 participants
n=7 Participants
62 participants
n=5 Participants
65 participants
n=4 Participants
260 participants
n=21 Participants

PRIMARY outcome

Timeframe: 52 weeks

Completion of Treatment and Smoking Cessation by Two Different Types of Medications and Counseling Types at 12, 26, and 52 Weeks Post-treatment Initiation. The counseling types were Medication Management (MM) and Mayo counseling models. MM counseling was a 4 session lower intensity counseling model and Mayo counseling was a 10 session higher intensity model. A twofold definition of treatment completion included both medication and counseling session adherence. Treatment completion was defined as consistently taking the active medication as prescribed (80%) of the time during the medication period and attending at least 7 of the 10 required High C sessions or 3 of the 4 Low C sessions. Participants had to meet both requirements to be designated as full treatment completers. Seven-day point prevalence abstinence was the primary measure of abstinence at follow-up Weeks 12, 24, and 52. Abstinence was confirmed by biochemical testing.

Outcome measures

Outcome measures
Measure
1: Bup+MM
n=70 Participants
bupropion and MM with placebo patch
2 Bup+Mayo
n=63 Participants
bupropion and Mayo counseling with placebo patch.
3 Patch+mm
n=62 Participants
patch and MM with placebo pills
4 Patch+Mayo
n=65 Participants
patch and Mayo counseling with placebo patch
Percent Treatment Sessions Attended
77.9 Percentage of attended tx. sessions
Standard Error .05
85.9 Percentage of attended tx. sessions
Standard Error .04
66.8 Percentage of attended tx. sessions
Standard Error .06
66.6 Percentage of attended tx. sessions
Standard Error .06

SECONDARY outcome

Timeframe: 52 weeks

Population: PI is no longer with institution. All efforts have been exhausted to locate this data, but no data is available to be reported

Outcome measures

Outcome data not reported

Adverse Events

1: Bup+MM

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

2 Bup+Mayo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

3 Patch+mm

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

4 Patch+Mayo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1: Bup+MM
n=70 participants at risk
bupropion and MM with placebo patch
2 Bup+Mayo
n=63 participants at risk
bupropion and Mayo counseling with placebo patch.
3 Patch+mm
n=62 participants at risk
patch and MM with placebo pills
4 Patch+Mayo
n=65 participants at risk
patch and Mayo counseling with placebo patch
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Death
1.4%
1/70 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
0.00%
0/63 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
0.00%
0/62 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
0.00%
0/65 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
General disorders
Death
0.00%
0/70 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
0.00%
0/63 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
1.6%
1/62 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
0.00%
0/65 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).

Other adverse events

Other adverse events
Measure
1: Bup+MM
n=70 participants at risk
bupropion and MM with placebo patch
2 Bup+Mayo
n=63 participants at risk
bupropion and Mayo counseling with placebo patch.
3 Patch+mm
n=62 participants at risk
patch and MM with placebo pills
4 Patch+Mayo
n=65 participants at risk
patch and Mayo counseling with placebo patch
General disorders
Medication stopped due to reported side effects.
1.4%
1/70 • Number of events 1 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
4.8%
3/63 • Number of events 3 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
0.00%
0/62 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).
3.1%
2/65 • Number of events 2 • The reported time frame for study related serious adverse events was 1 year. Two participants died prior to the week 52 follow-up of non-study related problems. The reported time frame for adverse events is the first 12 weeks (3 weeks post medication).

Additional Information

Peter Gariti, Ph.D.

University of Pennsylvania

Phone: 215-222-3200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place