Nicotine Substitute Prescribed at Hourly Intake or ad Libitum for Heavy Smokers Willing to Quit

NCT ID: NCT00861276

Last Updated: 2009-03-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-06-30

Study Completion Date

2001-12-31

Brief Summary

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Objective: To assess the impact of instructional guidance in the regular use of use nicotine nasal spray (NNS) on the true use of NNS during the first three weeks of smoking cessation for heavy smokers who are willing to quit.

Methods: This randomized, open, controlled trial included 50 patients who were heavy smokers, were willing to quit, and attending an academic outpatient clinic in Western Switzerland. Patients were randomised to instruction on NNS use as "ad libitum" (administration whenever cravings appear; control group) or to use NNS at least every hour when awake (intervention group). Intakes were monitored using an electronic device fixed in the spray unit (MDILogTM) during the first three weeks of use. Self reported abstinence from smoking at six months was confirmed by expired-air carbon monoxide. Using intention-to-treat analysis, random-effect GLS regression was used to calculate the mean difference of daily doses between groups controlling for lack of independence between measures from the same individual.

Detailed Description

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Conditions

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Smoking Cessation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Arm instructed to use spray at least once an hour when awake.

Group Type EXPERIMENTAL

Nasal Spray Nicotine Substitute (Experimental)

Intervention Type DRUG

During the first month, subjects in the intervention group received instruction from the physician to use NNS regularly (at least 2 puffs/hour, for an average of 1 mg nicotine/hour when awake).

2

Ad libitum: patients were instructed to use NNS when craving appears.

Group Type ACTIVE_COMPARATOR

Nasal Spray Nicotine Substitute (ad libitum)

Intervention Type DRUG

In the control group, participants were instructed to use NNS as needed to suppress withdrawal symptoms when cravings appeared.

Interventions

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Nasal Spray Nicotine Substitute (Experimental)

During the first month, subjects in the intervention group received instruction from the physician to use NNS regularly (at least 2 puffs/hour, for an average of 1 mg nicotine/hour when awake).

Intervention Type DRUG

Nasal Spray Nicotine Substitute (ad libitum)

In the control group, participants were instructed to use NNS as needed to suppress withdrawal symptoms when cravings appeared.

Intervention Type DRUG

Other Intervention Names

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Nicorette(R) nasal spray Nicorette(R) Nasal Spray

Eligibility Criteria

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Inclusion Criteria

* Highly dependent smokers in the stage of preparation according to Prochaska and Di Clemente's stages of change model

Exclusion Criteria

* History of myocardial infarction in the preceding 3 months
* Pregnancy or breast-feeding
* Use of any form of smokeless tobacco or other nicotine replacement therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pharmacia

INDUSTRY

Sponsor Role collaborator

University of Lausanne

OTHER

Sponsor Role lead

Responsible Party

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Department of Ambulatory Care and Community Medicine, University of Lausanne

Principal Investigators

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Jean-Pierre Zellweger, MD

Role: STUDY_DIRECTOR

Department of Ambulatory Care and Community Medicine, University of Lausanne

Locations

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Department of Ambulatory Care and Community Medicine

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

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Switzerland

References

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Theodoulou A, Chepkin SC, Ye W, Fanshawe TR, Bullen C, Hartmann-Boyce J, Livingstone-Banks J, Hajizadeh A, Lindson N. Different doses, durations and modes of delivery of nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev. 2023 Jun 19;6(6):CD013308. doi: 10.1002/14651858.CD013308.pub2.

Reference Type DERIVED
PMID: 37335995 (View on PubMed)

Rey L, Vaucher P, Secretan F, Zellweger JP, Bodenmann P. Use of nicotine substitute prescribed at hourly plus ab libitum intake or ad libitum for heavy smokers willing to quit: a randomized controlled trial. Subst Abuse Treat Prev Policy. 2009 Jun 2;4:12. doi: 10.1186/1747-597X-4-12.

Reference Type DERIVED
PMID: 19490626 (View on PubMed)

Other Identifiers

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Prot 29/99

Identifier Type: -

Identifier Source: org_study_id

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