Trial Outcomes & Findings for A Randomized Trial of Internet Access to Nicotine Patches (NCT NCT00534404)

NCT ID: NCT00534404

Last Updated: 2015-02-03

Results Overview

Participants complete the final study survey 9 months following enrollment in the program. They are asked to report when they had last smoked a cigarette, even a puff. Participants who report that they have not smoked in the past 6 months are counted as abstinent for the purposes of our study analysis.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2485 participants

Primary outcome timeframe

Measured at 9 Months post-randomization

Results posted on

2015-02-03

Participant Flow

Interested individuals completed a screening survey to determine eligibility. Following study consent, participants completed two emailed surveys over the next two days and a phone confirmation call before being randomized. These check-ins confirmed the participant had valid contact information and maintained their desire to quit smoking.

Participant milestones

Participant milestones
Measure
NRT Patch, Phone Counseling, Internet
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. Telephone counseling: Participants receiving telephone counseling will receive five phone calls over a 2-month period to discuss their personal smoking cessation plan. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Nicotine Patches and Internet
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Internet
Research participants in this arm will have free access to internet-assisted tobacco treatment (iQuit Smoking website). iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Overall Study
STARTED
827
830
828
Overall Study
Completed at Least 1 Online Session
781
813
658
Overall Study
Completed First NRT Order
765
821
0
Overall Study
Completed Second NRT Order
640
789
0
Overall Study
Completed at Least 1 Counseling Call
813
0
0
Overall Study
1-month Follow up Completed
742
781
626
Overall Study
3-month Follow up Completed
682
731
593
Overall Study
COMPLETED
647
687
586
Overall Study
NOT COMPLETED
180
143
242

Reasons for withdrawal

Reasons for withdrawal
Measure
NRT Patch, Phone Counseling, Internet
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. Telephone counseling: Participants receiving telephone counseling will receive five phone calls over a 2-month period to discuss their personal smoking cessation plan. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Nicotine Patches and Internet
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Internet
Research participants in this arm will have free access to internet-assisted tobacco treatment (iQuit Smoking website). iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Overall Study
Death
0
0
2
Overall Study
Withdrawal by Subject
8
2
38
Overall Study
Removed by study staff
2
3
1
Overall Study
Lost to Follow-up
170
138
201

Baseline Characteristics

A Randomized Trial of Internet Access to Nicotine Patches

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NRT Patch, Phone Counseling, Internet
n=827 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. Telephone counseling: Participants receiving telephone counseling will receive five phone calls over a 2-month period to discuss their personal smoking cessation plan. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Nicotine Patches and Internet
n=830 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Internet
n=828 Participants
Research participants in this arm will have free access to internet-assisted tobacco treatment (iQuit Smoking website). iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Total
n=2485 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
796 Participants
n=5 Participants
791 Participants
n=7 Participants
800 Participants
n=5 Participants
2387 Participants
n=4 Participants
Age, Categorical
>=65 years
31 Participants
n=5 Participants
39 Participants
n=7 Participants
28 Participants
n=5 Participants
98 Participants
n=4 Participants
Age, Continuous
44.27 Years
STANDARD_DEVIATION 12.03 • n=5 Participants
44.31 Years
STANDARD_DEVIATION 12.00 • n=7 Participants
44.20 Years
STANDARD_DEVIATION 11.64 • n=5 Participants
44.26 Years
STANDARD_DEVIATION 11.89 • n=4 Participants
Sex: Female, Male
Female
562 Participants
n=5 Participants
581 Participants
n=7 Participants
578 Participants
n=5 Participants
1721 Participants
n=4 Participants
Sex: Female, Male
Male
265 Participants
n=5 Participants
249 Participants
n=7 Participants
250 Participants
n=5 Participants
764 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
30 Participants
n=5 Participants
33 Participants
n=7 Participants
33 Participants
n=5 Participants
96 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
797 Participants
n=5 Participants
797 Participants
n=7 Participants
795 Participants
n=5 Participants
2389 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
5 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
16 Participants
n=4 Participants
Race (NIH/OMB)
Asian
7 Participants
n=5 Participants
8 Participants
n=7 Participants
6 Participants
n=5 Participants
21 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
56 Participants
n=5 Participants
56 Participants
n=7 Participants
64 Participants
n=5 Participants
176 Participants
n=4 Participants
Race (NIH/OMB)
White
714 Participants
n=5 Participants
725 Participants
n=7 Participants
712 Participants
n=5 Participants
2151 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
32 Participants
n=5 Participants
23 Participants
n=7 Participants
24 Participants
n=5 Participants
79 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
13 Participants
n=5 Participants
11 Participants
n=7 Participants
13 Participants
n=5 Participants
37 Participants
n=4 Participants
Region of Enrollment
United States
827 participants
n=5 Participants
830 participants
n=7 Participants
828 participants
n=5 Participants
2485 participants
n=4 Participants
Highest education level
High school or less
236 participants
n=5 Participants
206 participants
n=7 Participants
201 participants
n=5 Participants
643 participants
n=4 Participants
Highest education level
Some college
440 participants
n=5 Participants
463 participants
n=7 Participants
481 participants
n=5 Participants
1384 participants
n=4 Participants
Highest education level
College graduate
151 participants
n=5 Participants
161 participants
n=7 Participants
146 participants
n=5 Participants
458 participants
n=4 Participants

PRIMARY outcome

Timeframe: Measured at 9 Months post-randomization

Population: All currently enrolled participants were invited via email to complete an online follow-up survey. Participants who did not respond to the email received phone calls from study staff asking them to complete the survey online. Results to this outcome measure are from those subjects who completed the survey.

Participants complete the final study survey 9 months following enrollment in the program. They are asked to report when they had last smoked a cigarette, even a puff. Participants who report that they have not smoked in the past 6 months are counted as abstinent for the purposes of our study analysis.

Outcome measures

Outcome measures
Measure
NRT Patch, Phone Counseling, Internet
n=647 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. Telephone counseling: Participants receiving telephone counseling will receive five phone calls over a 2-month period to discuss their personal smoking cessation plan. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Nicotine Patches and Internet
n=687 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Internet
n=586 Participants
Research participants in this arm will have free access to internet-assisted tobacco treatment (iQuit Smoking website). iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Self-reported 6-month Prolonged Abstinence From Smoking
252 participants
194 participants
109 participants

SECONDARY outcome

Timeframe: 9 months post randomization

Outcome measures

Outcome measures
Measure
NRT Patch, Phone Counseling, Internet
n=647 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. Telephone counseling: Participants receiving telephone counseling will receive five phone calls over a 2-month period to discuss their personal smoking cessation plan. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Nicotine Patches and Internet
n=687 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Internet
n=586 Participants
Research participants in this arm will have free access to internet-assisted tobacco treatment (iQuit Smoking website). iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Self-reported 30-day Prolonged Abstinence at 9-month Follow up
310 participants
268 participants
176 participants

SECONDARY outcome

Timeframe: 3-months post randomization

Outcome measures

Outcome measures
Measure
NRT Patch, Phone Counseling, Internet
n=682 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. Telephone counseling: Participants receiving telephone counseling will receive five phone calls over a 2-month period to discuss their personal smoking cessation plan. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Nicotine Patches and Internet
n=731 Participants
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Internet
n=593 Participants
Research participants in this arm will have free access to internet-assisted tobacco treatment (iQuit Smoking website). iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Self-reported 30-day Prolonged Abstinence at 3-month Follow up
379 participants
299 participants
138 participants

Adverse Events

NRT Patch, Phone Counseling, Internet

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

Nicotine Patches and Internet

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

Internet

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

Serious adverse events

Serious adverse events
Measure
NRT Patch, Phone Counseling, Internet
n=827 participants at risk
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. Telephone counseling: Participants receiving telephone counseling will receive five phone calls over a 2-month period to discuss their personal smoking cessation plan. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Nicotine Patches and Internet
n=830 participants at risk
As adjuncts to internet-assisted tobacco treatment (iQuit Smoking website), research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks. Nicotine patches: Participants will wear nicotine patches. iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
Internet
n=828 participants at risk
Research participants in this arm will have free access to internet-assisted tobacco treatment (iQuit Smoking website). iQuit Smoking website: Participants will access the Project Quit (iQuit Smoking) website.
General disorders
Death
0.00%
0/827 • Adverse events were collected over a 3-year period, from March 2011-March 2014
0.00%
0/830 • Adverse events were collected over a 3-year period, from March 2011-March 2014
0.24%
2/828 • Number of events 2 • Adverse events were collected over a 3-year period, from March 2011-March 2014
Cardiac disorders
Hospitalization
0.24%
2/827 • Number of events 2 • Adverse events were collected over a 3-year period, from March 2011-March 2014
0.00%
0/830 • Adverse events were collected over a 3-year period, from March 2011-March 2014
0.00%
0/828 • Adverse events were collected over a 3-year period, from March 2011-March 2014
General disorders
Chest pain
0.12%
1/827 • Number of events 1 • Adverse events were collected over a 3-year period, from March 2011-March 2014
0.00%
0/830 • Adverse events were collected over a 3-year period, from March 2011-March 2014
0.00%
0/828 • Adverse events were collected over a 3-year period, from March 2011-March 2014

Other adverse events

Adverse event data not reported

Additional Information

Larry An, MD

University of Michigan

Phone: 734-763-6099

Results disclosure agreements

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