Trial Outcomes & Findings for Comparison of Standard Versus Extended Nicotine Patch Therapy for Smoking Cessation (NCT NCT00364156)

NCT ID: NCT00364156

Last Updated: 2018-02-28

Results Overview

To evaluate the efficacy of standard (8-week) vs. extended (24-week) transdermal nicotine therapy.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

568 participants

Primary outcome timeframe

End of Treatment (week 24)

Results posted on

2018-02-28

Participant Flow

Participants were recruited using mass media advertising from the the Greater Philadelphia area from June 2004 to April 2008.

Once participants were enrolled and were eligible at the medical screening visit they were randomized to receiving either 8 weeks of 21 mg nicotine patch or 6 months of 21 mg nicotine patch treatment

Participant milestones

Participant milestones
Measure
Extended Patch Treatment
Participants in this treatment arm receive 24 weeks of 21 mg nicotine patch in addition to 8 smoking cessation counseling sessions.
Standard Patch Treatment
Participants receive 8 weeks of 21 mg nicotine patch followed by 16 weeks of placebo patch.
Overall Study
STARTED
282
286
Overall Study
COMPLETED
203
205
Overall Study
NOT COMPLETED
79
81

Reasons for withdrawal

Reasons for withdrawal
Measure
Extended Patch Treatment
Participants in this treatment arm receive 24 weeks of 21 mg nicotine patch in addition to 8 smoking cessation counseling sessions.
Standard Patch Treatment
Participants receive 8 weeks of 21 mg nicotine patch followed by 16 weeks of placebo patch.
Overall Study
Withdrawal by Subject
73
80
Overall Study
Protocol Violation
6
1

Baseline Characteristics

Comparison of Standard Versus Extended Nicotine Patch Therapy for Smoking Cessation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Extended Patch Treatment
n=282 Participants
Participants in this treatment arm receive 24 weeks of 21 mg nicotine patch in addition to 8 smoking cessation counseling sessions.
Standard Patch Treatment
n=286 Participants
Participants receive 8 weeks of 21 mg nicotine patch followed by 16 weeks of placebo patch.
Total
n=568 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
281 Participants
n=93 Participants
286 Participants
n=4 Participants
567 Participants
n=27 Participants
Age, Categorical
>=65 years
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Age, Continuous
44.8 years
STANDARD_DEVIATION 10.2 • n=93 Participants
44.9 years
STANDARD_DEVIATION 10.4 • n=4 Participants
44.8 years
STANDARD_DEVIATION 10.3 • n=27 Participants
Sex: Female, Male
Female
125 Participants
n=93 Participants
129 Participants
n=4 Participants
254 Participants
n=27 Participants
Sex: Female, Male
Male
157 Participants
n=93 Participants
157 Participants
n=4 Participants
314 Participants
n=27 Participants
Region of Enrollment
United States
282 participants
n=93 Participants
286 participants
n=4 Participants
568 participants
n=27 Participants

PRIMARY outcome

Timeframe: End of Treatment (week 24)

Population: Intention to Treat analysis (ITT)

To evaluate the efficacy of standard (8-week) vs. extended (24-week) transdermal nicotine therapy.

Outcome measures

Outcome measures
Measure
Extended Patch Treatment
n=282 Participants
Participants in this treatment arm receive 24 weeks of 21 mg nicotine patch in addition to 8 smoking cessation counseling sessions.
Standard Patch Treatment
n=286 Participants
Participants receive 8 weeks of 21 mg nicotine patch followed by 16 weeks of placebo patch.
Biochemically Verified 7-day Point Prevalence Abstinence
89 Participants
58 Participants

Adverse Events

Extended Patch Treatment

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Standard Patch Treatment

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

Serious adverse events

Serious adverse events
Measure
Extended Patch Treatment
n=282 participants at risk
Participants in this treatment arm receive 24 weeks of 21 mg nicotine patch in addition to 8 smoking cessation counseling sessions.
Standard Patch Treatment
n=286 participants at risk
Participants receive 8 weeks of 21 mg nicotine patch followed by 16 weeks of placebo patch.
Nervous system disorders
Stroke
0.00%
0/282 • 4 years
0.35%
1/286 • Number of events 1 • 4 years

Other adverse events

Other adverse events
Measure
Extended Patch Treatment
n=282 participants at risk
Participants in this treatment arm receive 24 weeks of 21 mg nicotine patch in addition to 8 smoking cessation counseling sessions.
Standard Patch Treatment
n=286 participants at risk
Participants receive 8 weeks of 21 mg nicotine patch followed by 16 weeks of placebo patch.
Psychiatric disorders
Agressive Thoughts
0.35%
1/282 • Number of events 1 • 4 years
0.00%
0/286 • 4 years
Nervous system disorders
Seizure during Blood Draw
0.35%
1/282 • Number of events 1 • 4 years
0.00%
0/286 • 4 years
Cardiac disorders
Hypertension
0.71%
2/282 • Number of events 2 • 4 years
0.00%
0/286 • 4 years

Additional Information

Dr. Caryn Lerman

University of Pennsylvania

Phone: 215-746-7141

Results disclosure agreements

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