A Comparative Effectiveness RCT of Optimized Cessation Treatments

NCT ID: NCT02301403

Last Updated: 2020-05-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

623 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2018-02-28

Brief Summary

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This study is a 2-arm randomized clinical trial (RCT). Participants motivated to quit smoking will be randomized to one of two treatments: 1) a Modern Usual Care (M-UC) vs. 2) Abstinence-Optimized Cessation Treatment (AOCT). The components for the optimized treatment have strong theoretical and empirical support from the investigators previous screening studies.

Detailed Description

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The ultimate goal of this research is to develop a chronic care treatment package for smokers that will address the challenges and opportunities of each phase of the cessation process - motivation, preparation, cessation, maintenance, and relapse recovery. That is, to develop treatments for smokers not yet ready to quit, those who are preparing to quit, those actively engaged in the quitting process and those who have tried to quit but relapsed. To achieve this goal, this research comprises three distinct research studies, each of which represent a phase in a comprehensive chronic care treatment model for clinical intervention with smokers in the primary care setting: the Motivation Study, the Cessation Study, and the Long-term Quitting Study. The goal of each study is to test and identify effective intervention components for distinct phases of the smoking cessation process. These components will then be combined for future research on the effectiveness of this chronic care treatment package

Conditions

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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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Modern Usual Care

Participants assigned to the M-UC will receive 8 weeks of nicotine patch, a single brief, in-person counseling session, a faxed referral to the Wisconsin Tobacco Quit Line (WTQL), and will be signed up for either the QUITNOW app or the Web Coach (both provided by Alere Wellbeing, the vendor that provides the WTQL services).

Group Type ACTIVE_COMPARATOR

Nicotine patch

Intervention Type DRUG

8 weeks of nicotine patch

in-person counseling and quitline counseling

Intervention Type BEHAVIORAL

a single brief, in-person counseling session plus a faxed referral to the Wisconsin Tobacco Quit Line (WTQL), for counseling, including the QUITNOW app and the Website

Abstinence-Optimized Cessation Treatment

There are 5 intervention components to include in the AOCT package: 1) Preparation Nicotine Mini-Lozenges; 2) 26-week postquit Combination NRT (nicotine patch + nicotine mini-lozenges); 3) Intensive In-Person Cessation Counseling; 4) Extended Maintenance Counseling Calls; and 5) Automated Adherence Calls.

Group Type EXPERIMENTAL

Preparation Nicotine Mini-Lozenges

Intervention Type DRUG

Nicotine lozenge prior to attempting to quit smoking

Combination NRT (nicotine patch + nicotine mini-lozenges)

Intervention Type DRUG

26 weeks of combination NRT as part of a quit smoking attempt

Intensive In-Person Cessation Counseling

Intervention Type BEHAVIORAL

three 20-min In-person Cessation Counseling sessions

Extended Maintenance Counseling Calls

Intervention Type BEHAVIORAL

8 Maintenance-phase smoking cessation counseling sessions

Automated Adherence Calls

Intervention Type BEHAVIORAL

11 brief, automated calls reminding them to use their medications properly

Interventions

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Nicotine patch

8 weeks of nicotine patch

Intervention Type DRUG

in-person counseling and quitline counseling

a single brief, in-person counseling session plus a faxed referral to the Wisconsin Tobacco Quit Line (WTQL), for counseling, including the QUITNOW app and the Website

Intervention Type BEHAVIORAL

Preparation Nicotine Mini-Lozenges

Nicotine lozenge prior to attempting to quit smoking

Intervention Type DRUG

Combination NRT (nicotine patch + nicotine mini-lozenges)

26 weeks of combination NRT as part of a quit smoking attempt

Intervention Type DRUG

Intensive In-Person Cessation Counseling

three 20-min In-person Cessation Counseling sessions

Intervention Type BEHAVIORAL

Extended Maintenance Counseling Calls

8 Maintenance-phase smoking cessation counseling sessions

Intervention Type BEHAVIORAL

Automated Adherence Calls

11 brief, automated calls reminding them to use their medications properly

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* age \>=18 years
* smoking \>4 cigarettes/day for the previous 6 months
* able to read, write, and speak English
* have reliable phone access and agree to respond to Interactive Voice Response (IVR) phone prompts
* and if currently using NRT, agreeing to use only study medication for the duration of the study
* we will not exclude participants based on their prior use of cessation medication or if they use multiple tobacco products in order to enhance real-world generalization (these will be statistically controlled in analyses)
* not currently attempting to quit smoking
* not intending to quit smoking (defined as no plans to quit in the next month)
* and planning to remain in the intervention catchment area for at least 12 months.

Exclusion Criteria

* currently taking bupropion or varenicline
* medical contraindications to using NRT including hospitalized (for at least one night) for a stroke, heart attack, congestive heart failure or diabetes in the last 30 days
* diagnosis of or treatment for schizophrenia, a psychotic disorder or bipolar disorder in the last 10 years
* and, if the participant is a woman of childbearing potential, being pregnant or intending to becoming pregnant or unwillingness to use an approved method of birth control during treatment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Penn State University

OTHER

Sponsor Role collaborator

University of Illinois at Chicago

OTHER

Sponsor Role collaborator

University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Megan Piper, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

Locations

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University of Wisconsin Center for Tobacco Research and Intervention, School of Medicine and Public Health

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Piper ME, Cook JW, Schlam TR, Jorenby DE, Smith SS, Collins LM, Mermelstein R, Fraser D, Fiore MC, Baker TB. A Randomized Controlled Trial of an Optimized Smoking Treatment Delivered in Primary Care. Ann Behav Med. 2018 Sep 13;52(10):854-864. doi: 10.1093/abm/kax059.

Reference Type RESULT
PMID: 30212849 (View on PubMed)

Theodoulou A, Fanshawe TR, Leavens E, Theodoulou E, Wu AD, Heath L, Stewart C, Nollen N, Ahluwalia JS, Butler AR, Hajizadeh A, Thomas J, Lindson N, Hartmann-Boyce J. Differences in the effectiveness of individual-level smoking cessation interventions by socioeconomic status. Cochrane Database Syst Rev. 2025 Jan 27;1(1):CD015120. doi: 10.1002/14651858.CD015120.pub2.

Reference Type DERIVED
PMID: 39868569 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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http://www.ctri.wisc.edu/

Description: University of Wisconsin Center for Tobacco Research and Intervention

Other Identifiers

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A534252

Identifier Type: OTHER

Identifier Source: secondary_id

SMPH\MEDICINE\TOBACCO RE

Identifier Type: OTHER

Identifier Source: secondary_id

2014-1041 Cessation

Identifier Type: -

Identifier Source: org_study_id

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