Trial Outcomes & Findings for Combined Pharmaco/Behavior Therapy in Adolescent Smokers (NCT NCT00330187)

NCT ID: NCT00330187

Last Updated: 2018-10-02

Results Overview

Self-reported abstinence for the past 7 days, confirmed by urine cotinine ≤100 ng/mL

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

134 participants

Primary outcome timeframe

End of treatment (week 6)

Results posted on

2018-10-02

Participant Flow

Participant milestones

Participant milestones
Measure
Bupropion SR + Contingency Management
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence.
Placebo + Contingency Management
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Bupropion SR + No Contingency Management
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management is not provided in this arm. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment
Placebo + No Contingency Management
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management is not provided in this arm. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Overall Study
STARTED
37
36
29
32
Overall Study
COMPLETED
17
18
11
18
Overall Study
NOT COMPLETED
20
18
18
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Bupropion SR + Contingency Management
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence.
Placebo + Contingency Management
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Bupropion SR + No Contingency Management
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management is not provided in this arm. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment
Placebo + No Contingency Management
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management is not provided in this arm. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Overall Study
Lost to Follow-up
12
13
14
10
Overall Study
Withdrawal by Subject
8
5
4
4

Baseline Characteristics

Combined Pharmaco/Behavior Therapy in Adolescent Smokers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bupropion SR + Contingency Management
n=37 Participants
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence.
Placebo + Contingency Management
n=36 Participants
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Bupropion SR + No Contingency Management
n=29 Participants
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management is not provided in this arm. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment
Placebo + No Contingency Management
n=32 Participants
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management is not provided in this arm. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Total
n=134 Participants
Total of all reporting groups
Age, Categorical
<=18 years
17 Participants
n=93 Participants
16 Participants
n=4 Participants
14 Participants
n=27 Participants
15 Participants
n=483 Participants
62 Participants
n=36 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=93 Participants
20 Participants
n=4 Participants
15 Participants
n=27 Participants
17 Participants
n=483 Participants
72 Participants
n=36 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Age, Continuous
18.4 years
STANDARD_DEVIATION 1.9 • n=93 Participants
18.4 years
STANDARD_DEVIATION 1.9 • n=4 Participants
18.1 years
STANDARD_DEVIATION 1.9 • n=27 Participants
19 years
STANDARD_DEVIATION 1.8 • n=483 Participants
18.5 years
STANDARD_DEVIATION 1.9 • n=36 Participants
Sex: Female, Male
Female
16 Participants
n=93 Participants
14 Participants
n=4 Participants
11 Participants
n=27 Participants
15 Participants
n=483 Participants
56 Participants
n=36 Participants
Sex: Female, Male
Male
21 Participants
n=93 Participants
22 Participants
n=4 Participants
18 Participants
n=27 Participants
17 Participants
n=483 Participants
78 Participants
n=36 Participants

PRIMARY outcome

Timeframe: End of treatment (week 6)

Population: Intent-to-treat analysis

Self-reported abstinence for the past 7 days, confirmed by urine cotinine ≤100 ng/mL

Outcome measures

Outcome measures
Measure
Bupropion SR + Contingency Management
n=37 Participants
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence.
Placebo + Contingency Management
n=36 Participants
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Bupropion SR + No Contingency Management
n=29 Participants
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management is not provided in this arm. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment
Placebo + No Contingency Management
n=32 Participants
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management is not provided in this arm. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Biologically-verified 7-day Point Prevalence Smoking Abstinence
10 participants
3 participants
3 participants
3 participants

Adverse Events

Bupropion SR + Contingency Management

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Placebo + Contingency Management

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Bupropion SR + No Contingency Management

Serious events: 0 serious events
Other events: 25 other events
Deaths: 0 deaths

Placebo + No Contingency Management

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Bupropion SR + Contingency Management
n=37 participants at risk
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence.
Placebo + Contingency Management
n=36 participants at risk
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management, with escalating rewards for abstinence (and re-sets for non-abstinence) at twice-weekly visits. Contingency Management: Contingency Management provided at twice-weekly visits during the 6-week active treatment. Escalating schedule, with resets, reinforcing smoking abstinence. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Bupropion SR + No Contingency Management
n=29 participants at risk
Bupropion SR capsules, with goal dose of 300 mg/day, for 6 weeks of treatment. Contingency Management is not provided in this arm. Bupropion SR: Bupropion SR, with goal dose 300 mg/day, for 6 weeks of active treatment
Placebo + No Contingency Management
n=32 participants at risk
Placebo capsules, matched in appearance to Bupropion SR capsules, for 6 weeks of treatment. Contingency Management is not provided in this arm. Placebo: Placebo, matched in appearance to Bupropion SR, for 6 weeks of treatment
Nervous system disorders
Headache
32.4%
12/37 • Number of events 12 • Full study period (randomization through week 12 post-treatment follow-up visit)
13.9%
5/36 • Number of events 5 • Full study period (randomization through week 12 post-treatment follow-up visit)
20.7%
6/29 • Number of events 6 • Full study period (randomization through week 12 post-treatment follow-up visit)
15.6%
5/32 • Number of events 5 • Full study period (randomization through week 12 post-treatment follow-up visit)
Psychiatric disorders
Insomnia
5.4%
2/37 • Number of events 2 • Full study period (randomization through week 12 post-treatment follow-up visit)
0.00%
0/36 • Full study period (randomization through week 12 post-treatment follow-up visit)
31.0%
9/29 • Number of events 9 • Full study period (randomization through week 12 post-treatment follow-up visit)
15.6%
5/32 • Number of events 5 • Full study period (randomization through week 12 post-treatment follow-up visit)
Psychiatric disorders
Irritability
21.6%
8/37 • Number of events 8 • Full study period (randomization through week 12 post-treatment follow-up visit)
8.3%
3/36 • Number of events 3 • Full study period (randomization through week 12 post-treatment follow-up visit)
17.2%
5/29 • Number of events 5 • Full study period (randomization through week 12 post-treatment follow-up visit)
0.00%
0/32 • Full study period (randomization through week 12 post-treatment follow-up visit)
Psychiatric disorders
Vivid dreams
2.7%
1/37 • Number of events 1 • Full study period (randomization through week 12 post-treatment follow-up visit)
0.00%
0/36 • Full study period (randomization through week 12 post-treatment follow-up visit)
27.6%
8/29 • Number of events 8 • Full study period (randomization through week 12 post-treatment follow-up visit)
0.00%
0/32 • Full study period (randomization through week 12 post-treatment follow-up visit)
General disorders
Other
10.8%
4/37 • Number of events 4 • Full study period (randomization through week 12 post-treatment follow-up visit)
16.7%
6/36 • Number of events 6 • Full study period (randomization through week 12 post-treatment follow-up visit)
10.3%
3/29 • Number of events 3 • Full study period (randomization through week 12 post-treatment follow-up visit)
15.6%
5/32 • Number of events 5 • Full study period (randomization through week 12 post-treatment follow-up visit)

Additional Information

Kevin M. Gray, M.D.

Medical University of South Carolina

Phone: 843-792-6330

Results disclosure agreements

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