Trial Outcomes & Findings for Nicotine Replacement Therapy in the Intensive Care Unit (NCT NCT01362959)

NCT ID: NCT01362959

Last Updated: 2018-10-10

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

47 participants

Primary outcome timeframe

30 days

Results posted on

2018-10-10

Participant Flow

Participant milestones

Participant milestones
Measure
Nicotine Patch
Transdermal nicotine patch: The test product is a transdermal nicotine patch. The dose of the test product depends on the amount of cigarettes used by a specific patient (21 or more or less than 21) delivering 21 or 14 mg nicotine/24 hrs. During the study period of thirty (30) days a patch will be applied daily.
Control Patch
The control product is a look-alike cutaneous patch comparable to the test product, containing no nicotine or other active substances. During the study period of thirty (30) days, the control product will be applied daily.
Overall Study
STARTED
21
26
Overall Study
COMPLETED
21
26
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nicotine Replacement Therapy in the Intensive Care Unit

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nicotine Patch
n=21 Participants
Transdermal nicotine patch: The test product is a transdermal nicotine patch. The dosage of the test product depends on the amount of cigarettes used by a specific patient (21 or more or less than 21) delivering 21 or 14 mg nicotine/24 hrs. During the study period of thirty (30) days a patch will be applied daily.
Control Patch
n=26 Participants
The control product is a look-alike cutaneous patch comparable to the test product, containing no nicotine or other active substances. During the study period of thirty (30) days, the control product will be applied daily.
Total
n=47 Participants
Total of all reporting groups
Age, Continuous
60.1 years
STANDARD_DEVIATION 10.55 • n=5 Participants
65.2 years
STANDARD_DEVIATION 9.13 • n=7 Participants
62.9 years
STANDARD_DEVIATION 10.0 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
16 Participants
n=7 Participants
28 Participants
n=5 Participants
Region of Enrollment
Netherlands
21 participants
n=5 Participants
26 participants
n=7 Participants
47 participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 days

Outcome measures

Outcome measures
Measure
Nicotine Replacement
n=21 Participants
Control
n=26 Participants
30-day Mortality
9.5 percentage of patients
7.7 percentage of patients

PRIMARY outcome

Timeframe: On day 30

In the ICU or hospital at day 30

Outcome measures

Outcome measures
Measure
Nicotine Replacement
n=21 Participants
Control
n=26 Participants
Patient Location Day 30
1 Participants
11 Participants

SECONDARY outcome

Timeframe: Day 90 followup

Mortality at day 90 after enrollment

Outcome measures

Outcome measures
Measure
Nicotine Replacement
n=21 Participants
Control
n=26 Participants
90-day Mortality
14.3 percentage of patients
19.2 percentage of patients

POST_HOC outcome

Timeframe: 20 days

Time spent alive without delirium and without sedation or coma

Outcome measures

Outcome measures
Measure
Nicotine Replacement
n=21 Participants
Control
n=26 Participants
Time in Normal Brain Function D20
400 hours
Interval 316.0 to 448.0
304 hours
Interval 110.0 to 432.0

POST_HOC outcome

Timeframe: 10 days

Time alive without delirium and without sedation or coma

Outcome measures

Outcome measures
Measure
Nicotine Replacement
n=21 Participants
Control
n=26 Participants
Time in Normal Brain Function D10
160 hours
Interval 96.0 to 216.0
88 hours
Interval 20.0 to 210.0

Adverse Events

Nicotine Replacement

Serious events: 4 serious events
Other events: 21 other events
Deaths: 2 deaths

Control

Serious events: 11 serious events
Other events: 26 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Nicotine Replacement
n=21 participants at risk
Control
n=26 participants at risk
Respiratory, thoracic and mediastinal disorders
Death due to respiratory failure
4.8%
1/21 • Number of events 1 • 30 days
7.7%
2/26 • Number of events 2 • 30 days
Respiratory, thoracic and mediastinal disorders
Death due to hypercapnic coma
4.8%
1/21 • Number of events 1 • 30 days
0.00%
0/26 • 30 days
Respiratory, thoracic and mediastinal disorders
Hemothorax
4.8%
1/21 • Number of events 1 • 30 days
0.00%
0/26 • 30 days
Respiratory, thoracic and mediastinal disorders
Reintubation
4.8%
1/21 • Number of events 1 • 30 days
7.7%
2/26 • Number of events 2 • 30 days
Infections and infestations
Death due to septic shock
0.00%
0/21 • 30 days
3.8%
1/26 • Number of events 1 • 30 days
Vascular disorders
haemorrhagic shock
0.00%
0/21 • 30 days
3.8%
1/26 • Number of events 1 • 30 days
Gastrointestinal disorders
Stoma necrosis
0.00%
0/21 • 30 days
3.8%
1/26 • Number of events 1 • 30 days
Gastrointestinal disorders
Duodenal perforation
0.00%
0/21 • 30 days
3.8%
1/26 • Number of events 1 • 30 days
Gastrointestinal disorders
Ischaemic colitis
0.00%
0/21 • 30 days
7.7%
2/26 • Number of events 2 • 30 days
Cardiac disorders
Asystole
0.00%
0/21 • 30 days
3.8%
1/26 • Number of events 1 • 30 days

Other adverse events

Other adverse events
Measure
Nicotine Replacement
n=21 participants at risk
Control
n=26 participants at risk
Investigations
Electrolyte disturbance
100.0%
21/21 • Number of events 36 • 30 days
100.0%
26/26 • Number of events 49 • 30 days
Gastrointestinal disorders
Gastrointestinal event
100.0%
21/21 • Number of events 27 • 30 days
100.0%
26/26 • Number of events 40 • 30 days
Cardiac disorders
Cardiovascular
76.2%
16/21 • Number of events 16 • 30 days
100.0%
26/26 • Number of events 43 • 30 days
Respiratory, thoracic and mediastinal disorders
Pulmonary
23.8%
5/21 • Number of events 5 • 30 days
30.8%
8/26 • Number of events 8 • 30 days
Renal and urinary disorders
Renal
4.8%
1/21 • Number of events 1 • 30 days
23.1%
6/26 • Number of events 6 • 30 days
General disorders
Other adverse events
81.0%
17/21 • Number of events 17 • 30 days
100.0%
26/26 • Number of events 31 • 30 days

Additional Information

Dr. Huub van den Oever

Department of Intensive care, Deventer Hospital

Phone: +31 570 535346

Results disclosure agreements

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