Maintaining Nonsmoking

NCT ID: NCT01162239

Last Updated: 2020-11-12

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2016-06-30

Brief Summary

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The research is based on a chronic disorder model of cigarette smoking which suggests that long-term treatment targeted to prevent relapse may be useful. Based on this model, the investigators have developed a relapse prevention treatment to intervene on five areas important in relapse prevention, including fluctuating motivation, depression, withdrawal, weight gain, and social support. This treatment protocol has produced high long-term abstinence rates when implemented in a clinical research setting. The current study will evaluate the treatment model when implemented in a medical outpatient setting.

Detailed Description

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This study will test a series of hypotheses comparing the efficacy of the relapse prevention treatment to other extended treatments. All participants will be assessed at baseline on demographics, smoking behaviors, nicotine dependence, depression, alcohol and other drug history and problems, mood disturbance, treatment support, stress, health status, and motivation for change. Participants will be randomly assigned to one of four treatment conditions. All participants will receive 12 weeks of combined pharmacological treatment (varenicline) and behavioral treatment (five individual counseling sessions). Following this brief treatment, participants will be randomly assigned to one of four treatment protocols

1. Monthly Brief Contact or
2. Extended Non-Specific Behavioral Treatment or
3. Extended Relapse Prevention Treatment or
4. Extended Relapse Prevention Treatment + availability of varenicline treatment.

Each extended treatment protocol is 40 weeks in duration following the initial 12 weeks of treatment.

All participants will be assessed at weeks 12, 24, 52, 64, and 104, on smoking as well as other psychometric measures.

Conditions

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Nicotine Dependence

Keywords

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Smoking Tobacco Nicotine Smoking cessation

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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Extended Brief Contact

Following standard brief treatment, participants have monthly meetings with medical staff.

Group Type EXPERIMENTAL

Varenicline

Intervention Type DRUG

All participants will receive 12 weeks of varenicline treatment at standard dosage of 1 mg bid. Participants in the Extended Relapse Prevention plus varenicline will receive varenicline for up to 40 additional weeks.

Initial Individual counseling

Intervention Type BEHAVIORAL

Five 90 minute individual counseling sessions to occur during the first 12 weeks of initial treatment.

Check-ins with medical staff

Intervention Type BEHAVIORAL

Monthly brief (10-15 minutes) meetings with medical staff.

Extended Health Education

Following standard treatment, participants receive monthly counseling with content based on a health education model.

Group Type EXPERIMENTAL

Varenicline

Intervention Type DRUG

All participants will receive 12 weeks of varenicline treatment at standard dosage of 1 mg bid. Participants in the Extended Relapse Prevention plus varenicline will receive varenicline for up to 40 additional weeks.

Initial Individual counseling

Intervention Type BEHAVIORAL

Five 90 minute individual counseling sessions to occur during the first 12 weeks of initial treatment.

Extended Individual Counseling - Health Model

Intervention Type BEHAVIORAL

Monthly counseling sessions across a nine month period with content based on a health education model. Each session is 30-45 minutes in duration.

Extended Relapse Prevention plus varenicline

Following standard treatment, participants receive monthly counseling with content based on a relapse prevention model plus access to ongoing medication treatment with varenicline.

Group Type EXPERIMENTAL

Varenicline

Intervention Type DRUG

All participants will receive 12 weeks of varenicline treatment at standard dosage of 1 mg bid. Participants in the Extended Relapse Prevention plus varenicline will receive varenicline for up to 40 additional weeks.

Initial Individual counseling

Intervention Type BEHAVIORAL

Five 90 minute individual counseling sessions to occur during the first 12 weeks of initial treatment.

Extended Individual Counseling - Relapse Prevention Model

Intervention Type BEHAVIORAL

Eleven individual counseling sessions across a nine month period with content based on a relapse prevention model. Each session is 30-45 minutes in duration.

Extended Relapse Prevention

Following standard treatment, participants receive monthly counseling with content based on a relapse prevention model.

Group Type EXPERIMENTAL

Varenicline

Intervention Type DRUG

All participants will receive 12 weeks of varenicline treatment at standard dosage of 1 mg bid. Participants in the Extended Relapse Prevention plus varenicline will receive varenicline for up to 40 additional weeks.

Initial Individual counseling

Intervention Type BEHAVIORAL

Five 90 minute individual counseling sessions to occur during the first 12 weeks of initial treatment.

Extended Individual Counseling - Relapse Prevention Model

Intervention Type BEHAVIORAL

Eleven individual counseling sessions across a nine month period with content based on a relapse prevention model. Each session is 30-45 minutes in duration.

Interventions

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Varenicline

All participants will receive 12 weeks of varenicline treatment at standard dosage of 1 mg bid. Participants in the Extended Relapse Prevention plus varenicline will receive varenicline for up to 40 additional weeks.

Intervention Type DRUG

Initial Individual counseling

Five 90 minute individual counseling sessions to occur during the first 12 weeks of initial treatment.

Intervention Type BEHAVIORAL

Check-ins with medical staff

Monthly brief (10-15 minutes) meetings with medical staff.

Intervention Type BEHAVIORAL

Extended Individual Counseling - Health Model

Monthly counseling sessions across a nine month period with content based on a health education model. Each session is 30-45 minutes in duration.

Intervention Type BEHAVIORAL

Extended Individual Counseling - Relapse Prevention Model

Eleven individual counseling sessions across a nine month period with content based on a relapse prevention model. Each session is 30-45 minutes in duration.

Intervention Type BEHAVIORAL

Other Intervention Names

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Chantix

Eligibility Criteria

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Inclusion Criteria

* At least 18 years of age
* Must be smoking 5 or more cigarettes per day

Exclusion Criteria

* Previous history of bipolar/manic-depressive disorder
* Current diagnosis of schizophrenia
* Acute life threatening diseases
* Evidence of alcohol or other drug abuse so severe that the patient is judged to be potentially unable to comply with the protocol
* Pregnancy or lactation
* Individuals with out of normal range blood pressure, active angina, valve disease, valve replacement, active cardiomyopathies, myocardial infarction or Coronary artery bypass grafting (CABG) within one year, and Congestive heart failure (CHF)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gary Humfleet, Ph. D.

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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University of California San Francisco

San Francisco, California, United States

Site Status

Countries

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United States

References

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Livingstone-Banks J, Fanshawe TR, Thomas KH, Theodoulou A, Hajizadeh A, Hartman L, Lindson N. Nicotine receptor partial agonists for smoking cessation. Cochrane Database Syst Rev. 2023 May 5;5(5):CD006103. doi: 10.1002/14651858.CD006103.pub8.

Reference Type DERIVED
PMID: 37142273 (View on PubMed)

Other Identifiers

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2R01DA002538

Identifier Type: NIH

Identifier Source: secondary_id

View Link

11633

Identifier Type: OTHER

Identifier Source: secondary_id

DA002538

Identifier Type: -

Identifier Source: org_study_id