Trial Outcomes & Findings for Feasibility of Delivering a Quitline Based Smoking Cessation Intervention in Cancer Patients (NCT NCT01434342)

NCT ID: NCT01434342

Last Updated: 2021-09-28

Results Overview

The primary feasibility measures are retention and adherence. This outcome, retention, is the percentage of patient who remain in the study for 24 weeks.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

146 participants

Primary outcome timeframe

24 Weeks

Results posted on

2021-09-28

Participant Flow

Participants are recruited from NCI CCOP sites

Participant milestones

Participant milestones
Measure
Quitline
Participants receive a letter from their physician advising them to quit smoking, and undergo a 15-30-minute smoking-cessation counseling session by a trained research staff. The participants are educated and motivated about the importance of quitting smoking, and cancer-specific quitting issues. They will be called by Quitline in 2-3 days and receive a fact sheet about benefits of SC for cancer patients. Participants receive 8 weeks of nicotine replacement patches and up to 5 proactive telephone calls over a 12-week period. Participants also learn behavioral tips and coping skills. Nicotine Replacement Patch: Study participants will receive a baseline assessment after they consent to participate and before randomization. The intervention period will last 12 weeks (approximately 1 week for the in-office intervention and 12 weeks for all components of the Quitline intervention- telephone counseling and habitrol patches). Follow-up assessments will be administered at 3, 6, 12, \& 24 we
Usual Care
Participants receive a letter from their physician advising them to quit smoking, the importance of quitting smoking for cancer patients, and a copy of the National Cancer Institute's "Clearing the Air" smoking cessation booklet. Participants also receive standard of care from their oncology and other treatment providers which may or may not include nicotine replacement therapy.
Overall Study
STARTED
98
48
Overall Study
COMPLETED
50
31
Overall Study
NOT COMPLETED
48
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Feasibility of Delivering a Quitline Based Smoking Cessation Intervention in Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I - Quitline
n=98 Participants
Participants receive a letter from their physician advising them to quit smoking, and undergo a 15-30-minute smoking-cessation counseling session by a trained research staff. The participants are educated and motivated about the importance of quitting smoking, and cancer-specific quitting issues. They will be called by Quitline in 2-3 days and receive a fact sheet about benefits of SC for cancer patients. Participants receive 8 weeks of nicotine replacement patches and up to 5 proactive telephone calls over a 12-week period. Participants also learn behavioral tips and coping skills. Nicotine Replacement Patch: Study participants will receive a baseline assessment after they consent to participate and before randomization. The intervention period will last 12 weeks (approximately 1 week for the in-office intervention and 12 weeks for all components of the Quitline intervention- telephone counseling and habitrol patches). Follow-up assessments will be administered at 3, 6, 12, \& 24 we
Arm II
n=48 Participants
Participants receive a letter from their physician advising them to quit smoking, the importance of quitting smoking for cancer patients, and a copy of the National Cancer Institute's "Clearing the Air" smoking cessation booklet. Participants also receive standard of care from their oncology and other treatment providers which may or may not include nicotine replacement therapy.
Total
n=146 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
69 Participants
n=5 Participants
35 Participants
n=7 Participants
104 Participants
n=5 Participants
Age, Categorical
>=65 years
29 Participants
n=5 Participants
13 Participants
n=7 Participants
42 Participants
n=5 Participants
Age, Continuous
57 years
n=5 Participants
58 years
n=7 Participants
57 years
n=5 Participants
Sex: Female, Male
Female
73 Participants
n=5 Participants
36 Participants
n=7 Participants
109 Participants
n=5 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
12 Participants
n=7 Participants
37 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
96 Participants
n=5 Participants
48 Participants
n=7 Participants
144 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
19 Participants
n=5 Participants
8 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
White
77 Participants
n=5 Participants
40 Participants
n=7 Participants
117 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
98 participants
n=5 Participants
48 participants
n=7 Participants
146 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 Weeks

Population: All randomized participants

The primary feasibility measures are retention and adherence. This outcome, retention, is the percentage of patient who remain in the study for 24 weeks.

Outcome measures

Outcome measures
Measure
Arm I - Quitline
n=98 Participants
Participants receive a letter from their physician advising them to quit smoking, and undergo a 15-30-minute smoking-cessation counseling session by a trained research staff. The participants are educated and motivated about the importance of quitting smoking, and cancer-specific quitting issues. They will be called by Quitline in 2-3 days and receive a fact sheet about benefits of SC for cancer patients. Participants receive 8 weeks of nicotine replacement patches and up to 5 proactive telephone calls over a 12-week period. Participants also learn behavioral tips and coping skills.
Arm II - Usual Care
n=48 Participants
Participants receive a letter from their physician advising them to quit smoking, the importance of quitting smoking for cancer patients, and a copy of the National Cancer Institute's "Clearing the Air" smoking cessation booklet. Participants also receive standard of care from their oncology and other treatment providers which may or may not include nicotine replacement therapy.
Feasibility of a Smoking Cessation Intervention Among Cancer Patients
55 Participants
33 Participants

PRIMARY outcome

Timeframe: 24 weeks

Population: All randomized participants

Adherence is measured by the percentage of randomized participants who have a Quitline call. Note that this outcome is only defined for the Intervention arm

Outcome measures

Outcome measures
Measure
Arm I - Quitline
n=98 Participants
Participants receive a letter from their physician advising them to quit smoking, and undergo a 15-30-minute smoking-cessation counseling session by a trained research staff. The participants are educated and motivated about the importance of quitting smoking, and cancer-specific quitting issues. They will be called by Quitline in 2-3 days and receive a fact sheet about benefits of SC for cancer patients. Participants receive 8 weeks of nicotine replacement patches and up to 5 proactive telephone calls over a 12-week period. Participants also learn behavioral tips and coping skills.
Arm II - Usual Care
Participants receive a letter from their physician advising them to quit smoking, the importance of quitting smoking for cancer patients, and a copy of the National Cancer Institute's "Clearing the Air" smoking cessation booklet. Participants also receive standard of care from their oncology and other treatment providers which may or may not include nicotine replacement therapy.
Adherence
81 Participants

Adverse Events

Arm I - Quitline

Serious events: 14 serious events
Other events: 61 other events
Deaths: 0 deaths

Arm II - Usual Care

Serious events: 5 serious events
Other events: 33 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm I - Quitline
n=75 participants at risk
Participants receive a letter from their physician advising them to quit smoking, and undergo a 15-30-minute smoking-cessation counseling session by a trained research staff. The participants are educated and motivated about the importance of quitting smoking, and cancer-specific quitting issues. They will be called by Quitline in 2-3 days and receive a fact sheet about benefits of SC for cancer patients. Participants receive 8 weeks of nicotine replacement patches and up to 5 proactive telephone calls over a 12-week period. Participants also learn behavioral tips and coping skills. Nicotine Replacement Patch: Study participants will receive a baseline assessment after they consent to participate and before randomization. The intervention period will last 12 weeks (approximately 1 week for the in-office intervention and 12 weeks for all components of the Quitline intervention- telephone counseling and habitrol patches). Follow-up assessments will be administered at 3, 6, 12, \& 24 we
Arm II - Usual Care
n=37 participants at risk
Participants receive a letter from their physician advising them to quit smoking, the importance of quitting smoking for cancer patients, and a copy of the National Cancer Institute's "Clearing the Air" smoking cessation booklet. Participants also receive standard of care from their oncology and other treatment providers which may or may not include nicotine replacement therapy.
Blood and lymphatic system disorders
Anemia
4.0%
3/75 • Number of events 3 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Infections and infestations
Bladder Infection
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Cardiac disorders
Chest Pain
0.00%
0/75 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
2.7%
1/37 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Respiratory, thoracic and mediastinal disorders
Cough
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Gastrointestinal disorders
Diarrhea
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Gastrointestinal disorders
Dry Mouth
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.0%
3/75 • Number of events 3 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
5.4%
2/37 • Number of events 2 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
General disorders
Fatigue
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Blood and lymphatic system disorders
Febrile Neutropenia
0.00%
0/75 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
2.7%
1/37 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Nervous system disorders
Headache
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Psychiatric disorders
Insomnia
2.7%
2/75 • Number of events 2 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
2.7%
1/37 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Infections and infestations
Lung Infection
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Infections and infestations
Mucosal Infection
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Gastrointestinal disorders
Mucositis Oral
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder
1.3%
1/75 • Number of events 2 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Blood and lymphatic system disorders
Neutrophil Count
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
General disorders
Pain
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Nervous system disorders
Seizure
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Infections and infestations
Sepsis
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Blood and lymphatic system disorders
Thromboembolic event
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Infections and infestations
Urinary tract infection
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Infections and infestations
Wound infection
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data

Other adverse events

Other adverse events
Measure
Arm I - Quitline
n=75 participants at risk
Participants receive a letter from their physician advising them to quit smoking, and undergo a 15-30-minute smoking-cessation counseling session by a trained research staff. The participants are educated and motivated about the importance of quitting smoking, and cancer-specific quitting issues. They will be called by Quitline in 2-3 days and receive a fact sheet about benefits of SC for cancer patients. Participants receive 8 weeks of nicotine replacement patches and up to 5 proactive telephone calls over a 12-week period. Participants also learn behavioral tips and coping skills. Nicotine Replacement Patch: Study participants will receive a baseline assessment after they consent to participate and before randomization. The intervention period will last 12 weeks (approximately 1 week for the in-office intervention and 12 weeks for all components of the Quitline intervention- telephone counseling and habitrol patches). Follow-up assessments will be administered at 3, 6, 12, \& 24 we
Arm II - Usual Care
n=37 participants at risk
Participants receive a letter from their physician advising them to quit smoking, the importance of quitting smoking for cancer patients, and a copy of the National Cancer Institute's "Clearing the Air" smoking cessation booklet. Participants also receive standard of care from their oncology and other treatment providers which may or may not include nicotine replacement therapy.
Nervous system disorders
Nervous system disorder
1.3%
1/75 • Number of events 2 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
5.4%
2/37 • Number of events 2 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
General disorders
Pain
16.0%
12/75 • Number of events 16 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
10.8%
4/37 • Number of events 9 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Nervous system disorders
Peripheral sensory neuropathy
5.3%
4/75 • Number of events 4 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
8.1%
3/37 • Number of events 6 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Skin and subcutaneous tissue disorders
Pruritus
22.7%
17/75 • Number of events 17 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
10.8%
4/37 • Number of events 4 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Psychiatric disorders
Psychiatric disorder
5.3%
4/75 • Number of events 9 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
8.1%
3/37 • Number of events 5 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Skin and subcutaneous tissue disorders
Rash masculo-papular
9.3%
7/75 • Number of events 8 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
5.4%
2/37 • Number of events 2 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue
10.7%
8/75 • Number of events 8 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
5.4%
2/37 • Number of events 3 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Respiratory, thoracic and mediastinal disorders
Sore Throat
1.3%
1/75 • Number of events 1 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
5.4%
2/37 • Number of events 2 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Psychiatric disorders
Anorexia
4.0%
3/75 • Number of events 5 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
5.4%
2/37 • Number of events 3 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Psychiatric disorders
Anxiety
46.7%
35/75 • Number of events 74 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
40.5%
15/37 • Number of events 27 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Cardiac disorders
Chest pain cardiac
8.0%
6/75 • Number of events 9 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
8.1%
3/37 • Number of events 4 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Gastrointestinal disorders
Constipation
28.0%
21/75 • Number of events 41 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
24.3%
9/37 • Number of events 16 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Respiratory, thoracic and mediastinal disorders
Cough
13.3%
10/75 • Number of events 15 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
13.5%
5/37 • Number of events 9 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Psychiatric disorders
Depression
34.7%
26/75 • Number of events 56 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
37.8%
14/37 • Number of events 27 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Gastrointestinal disorders
Diarrhea
12.0%
9/75 • Number of events 18 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
8.1%
3/37 • Number of events 3 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Skin and subcutaneous tissue disorders
Dry Mouth
28.0%
21/75 • Number of events 34 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
24.3%
9/37 • Number of events 17 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Gastrointestinal disorders
Dyspepsia
20.0%
15/75 • Number of events 30 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
18.9%
7/37 • Number of events 10 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Respiratory, thoracic and mediastinal disorders
Dyspnea
52.0%
39/75 • Number of events 93 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
40.5%
15/37 • Number of events 27 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Metabolism and nutrition disorders
Fatigue
24.0%
18/75 • Number of events 30 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
18.9%
7/37 • Number of events 14 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Nervous system disorders
Headache
33.3%
25/75 • Number of events 41 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
16.2%
6/37 • Number of events 8 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
General disorders
Insomnia
37.3%
28/75 • Number of events 58 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
29.7%
11/37 • Number of events 19 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder
5.3%
4/75 • Number of events 8 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
0.00%
0/37 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Musculoskeletal and connective tissue disorders
Myalagia
29.3%
22/75 • Number of events 48 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
35.1%
13/37 • Number of events 28 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
Gastrointestinal disorders
Nausea
30.7%
23/75 • Number of events 41 • 24 weeks
Sample size is the number of participants with follow-up toxicity data
8.1%
3/37 • Number of events 5 • 24 weeks
Sample size is the number of participants with follow-up toxicity data

Additional Information

Dr. Doug Case

Wake Forest NCORP Research Base

Phone: (336) 716-1048

Results disclosure agreements

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