Treatment of Smoking Among Individuals With PTSD

NCT ID: NCT00937235

Last Updated: 2017-11-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

142 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2015-12-31

Brief Summary

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This study will examine the effect of combining prolonged exposure, a cognitive-behavioral treatment program for post-traumatic stress disorder (PTSD) with medication (varenicline) and counseling treatments for smoking cessation. Subjects will be randomly assigned to a 3-month treatment of either: 1) varenicline and smoking cessation counseling alone, or 2) prolonged exposure, varenicline, and smoking cessation counseling. Assessments will be completed at the end of treatment and 6-month follow-up.

We hypothesize that, at the end of treatment and at follow-up, abstinence rates and decrease in cigarettes smoked will be greater among participants who receive the combined treatment for both PTSD and smoking.

Detailed Description

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Conditions

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Cigarette Smoking Nicotine Dependence Post-traumatic Stress Disorder Tobacco Use Disorder

Keywords

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Smoking Cessation Anxiety Behavior Therapy Varenicline

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Integrated Treatment

Prolonged Exposure + Varenicline + Medication Management Counseling

Group Type EXPERIMENTAL

Varenicline

Intervention Type DRUG

1 mg tablets, orally, twice daily x 12 weeks

Medication Management Counseling

Intervention Type BEHAVIORAL

15-minutes weekly counseling x 12 weeks, focused on medication adherence and smoking cessation

Prolonged Exposure

Intervention Type BEHAVIORAL

75-90 minute weekly psychotherapy sessions x 12 weeks, focused on gradually confronting distressing trauma-related memories and reminders

Varenicline

Varenicline + Medication Management Counseling

Group Type ACTIVE_COMPARATOR

Varenicline

Intervention Type DRUG

1 mg tablets, orally, twice daily x 12 weeks

Medication Management Counseling

Intervention Type BEHAVIORAL

15-minutes weekly counseling x 12 weeks, focused on medication adherence and smoking cessation

Interventions

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Varenicline

1 mg tablets, orally, twice daily x 12 weeks

Intervention Type DRUG

Medication Management Counseling

15-minutes weekly counseling x 12 weeks, focused on medication adherence and smoking cessation

Intervention Type BEHAVIORAL

Prolonged Exposure

75-90 minute weekly psychotherapy sessions x 12 weeks, focused on gradually confronting distressing trauma-related memories and reminders

Intervention Type BEHAVIORAL

Other Intervention Names

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Chantix Cognitive-Behavioral Therapy

Eligibility Criteria

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Inclusion Criteria

* Male or female treatment-seeking cigarette smokers between 18-75 years old who smoke an average of ≥10 cigarettes/day during past year;
* Current diagnosis of chronic PTSD (symptom duration \> 3 months) with clinically significant trauma-related symptoms (PSS-I \>= 20)
* Live a commutable distance to the University of Pennsylvania and agree to follow-up visits;
* Agree not to use other forms of smoking cessation treatment or treatment for PTSD during the study period;
* If taking SRIs or other medications at intake, have been on stable medication and dose regimen for past 3 months and agree to maintain current regimen if possible;
* Demonstrate the capacity to provide informed consent;
* Speak and read English.

Exclusion Criteria

* History of drug or alcohol abuse or dependence in past 3 months or any unwillingness to not smoke marijuana during the first 13 weeks of the study;
* Current and continuing intimate relationship with a physically or sexually abusive partner;
* Current suicidal ideation with intent and/or plan that, in the judgment of the investigator, should be the focus of treatment;
* Prior serious suicide attempt, as judged by the evaluator to have a high degree of lethality;
* Current or past history of psychosis (bipolar disorder or schizophrenia);
* History of significant cardiovascular disease or uncontrolled hypertension in past 6 months;
* Women who are pregnant, likely to become pregnant (i.e., sexually active and not using contraception), or nursing.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Edna B Foa, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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University of Pennsylvania School of Medicine, Dept of Psychiatry, Center for Treatment and Study of Anxiety

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Related Links

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http://www.med.upenn.edu/ctsa/

Center for the Treatment and Study of Anxiety

Other Identifiers

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R01DA023507

Identifier Type: NIH

Identifier Source: secondary_id

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R01DA023507

Identifier Type: NIH

Identifier Source: org_study_id

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