Smoking-Cessation and Stimulant Treatment (S-CAST)

NCT ID: NCT01077024

Last Updated: 2021-09-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

538 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2012-08-31

Brief Summary

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The primary objective of this study is to evaluate the impact of substance-abuse treatment as usual plus smoking-cessation treatment (TAU+SCT), relative to substance-abuse treatment as usual (TAU), on drug-abuse outcomes. Specifically, this study will evaluate whether concurrent smoking-cessation treatment improves, worsens, or has no effect on stimulant-use outcomes in smokers who are in outpatient substance-abuse treatment for cocaine or methamphetamine dependence.

Detailed Description

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Conditions

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Cocaine Dependence Methamphetamine Dependence Nicotine Dependence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Smoking-cessation treatment + substance treatment as usual

Group Type EXPERIMENTAL

Smoking-cessation treatment

Intervention Type OTHER

Smoking cessation treatment includes four components: 1. brief weekly individual smoking-cessation counseling study weeks 1-10; 2. extended-release (XL) bupropion (300 mg/day)study weeks 1-10; 3. nicotine inhaler (6-16 cartridges per day ad libitum)during the post-quit treatment phase; 4. prize-based contingency management during the post-quit treatment phase.

Substance-treatment as usual

Treatment as usual is outpatient stimulant-dependence treatment as typically provided by the participating site.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Smoking-cessation treatment

Smoking cessation treatment includes four components: 1. brief weekly individual smoking-cessation counseling study weeks 1-10; 2. extended-release (XL) bupropion (300 mg/day)study weeks 1-10; 3. nicotine inhaler (6-16 cartridges per day ad libitum)during the post-quit treatment phase; 4. prize-based contingency management during the post-quit treatment phase.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of cocaine/methamphetamine dependence
* Smoked cigarettes for at least 3 months
* Currently smoking \> 6 cigarettes/day
* Have an interest in quitting smoking
* Enrolled in outpatient treatment at a participating site

Exclusion Criteria

* Clinical diagnosis of current alcohol or sedative dependence, bipolar disorder; or a life-time diagnosis of anorexia nervosa or bulimia
* Seeking/receiving treatment for opiate-agonist replacement therapy
* Medical conditions that could compromise participant safety
* Taking medications with known/potential interactions with bupropion
* Hypersensitivity to bupropion, nicotine, or menthol
* Pregnant or breastfeeding
* Abnormal ECG
* Recent smoking cessation treatment
* Use of tobacco products other than cigarettes in the past week
* Likely to enter residential/inpatient treatment within 10 weeks
* Have all stimulant-positive urine drug screens during screening/baseline
Minimum Eligible Age

18 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 Cincinnati

OTHER

Sponsor Role lead

Responsible Party

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Theresa Winhusen

Professor; Director, Center for Addiction Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Theresa Winhusen, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Cincinnati

Locations

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La Frontera

Tucson, Arizona, United States

Site Status

Matrix Institute on Addictions

Rancho Cucamonga, California, United States

Site Status

Tarzana Treatment Centers

Tarzana, California, United States

Site Status

Gateway

Jacksonville, Florida, United States

Site Status

Gibson Recovery Center, Inc.

Cape Girardeau, Missouri, United States

Site Status

Maryhaven

Columbus, Ohio, United States

Site Status

ADAPT

Roseburg, Oregon, United States

Site Status

Addiction Medicine Services

Pittsburgh, Pennsylvania, United States

Site Status

Lexington/Richland Alcohol and Drug Abuse Council

Columbia, South Carolina, United States

Site Status

Behavioral Health Services of Pickens County

Pickens, South Carolina, United States

Site Status

Dorchester

Summerville, South Carolina, United States

Site Status

Nexus Recovery Center

Dallas, Texas, United States

Site Status

Countries

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United States

References

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Winhusen TM, Theobald J, Lewis DF. Substance use outcomes in cocaine-dependent tobacco smokers: A mediation analysis exploring the role of sleep disturbance, craving, anxiety, and depression. J Subst Abuse Treat. 2019 Jan;96:53-57. doi: 10.1016/j.jsat.2018.10.011. Epub 2018 Oct 26.

Reference Type DERIVED
PMID: 30466549 (View on PubMed)

Winhusen TM, Brigham GS, Kropp F, Lindblad R, Gardin JG 2nd, Penn P, Hodgkins C, Kelly TM, Douaihy A, McCann M, Love LD, DeGravelles E, Bachrach K, Sonne SC, Hiott B, Haynes L, Sharma G, Lewis DF, VanVeldhuisen P, Theobald J, Ghitza U. A randomized trial of concurrent smoking-cessation and substance use disorder treatment in stimulant-dependent smokers. J Clin Psychiatry. 2014 Apr;75(4):336-43. doi: 10.4088/JCP.13m08449.

Reference Type DERIVED
PMID: 24345356 (View on PubMed)

Winhusen TM, Kropp F, Theobald J, Lewis DF. Achieving smoking abstinence is associated with decreased cocaine use in cocaine-dependent patients receiving smoking-cessation treatment. Drug Alcohol Depend. 2014 Jan 1;134:391-395. doi: 10.1016/j.drugalcdep.2013.09.019. Epub 2013 Sep 27.

Reference Type DERIVED
PMID: 24128381 (View on PubMed)

Winhusen TM, Adinoff B, Lewis DF, Brigham GS, Gardin JG 2nd, Sonne SC, Theobald J, Ghitza U. A tale of two stimulants: mentholated cigarettes may play a role in cocaine, but not methamphetamine, dependence. Drug Alcohol Depend. 2013 Dec 15;133(3):845-51. doi: 10.1016/j.drugalcdep.2013.09.002. Epub 2013 Sep 11.

Reference Type DERIVED
PMID: 24075226 (View on PubMed)

Related Links

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http://www.drugabuse.gov/CTN/

NIDA Clinical Trials Network

Other Identifiers

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5U10DA013732

Identifier Type: NIH

Identifier Source: secondary_id

View Link

3U10DA013732-10

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NIDA-CTN-0046

Identifier Type: -

Identifier Source: org_study_id

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