Trial Outcomes & Findings for Effects of Smoking Environments on Craving and Smoking (CameraCue2.0) (NCT NCT02551692)

NCT ID: NCT02551692

Last Updated: 2020-01-18

Results Overview

Scores range from 0 (no craving) to 100 (extreme craving).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

125 participants

Primary outcome timeframe

Cue Exposure 1 (beginning of week 3) to Cue Exposure 2 (end of week 3)

Results posted on

2020-01-18

Participant Flow

37 participants were withdrawn from the study prior to treatment assignment due to either loss of interest, lost to contact, or inability to complete baseline procedures per protocol.

Participant milestones

Participant milestones
Measure
Placebo (PLAC)
Placebo Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt, continue to wear the 21mg patches for 6 weeks, then step down to 14mg patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the PLAC group, participants will receive placebo patches and placebo capsules for 14 days prior to quitting smoking. They will then switch to wearing a nicotine patch the morning of their quit day in order to provide them with the minimum standard of care. During days 8-14, participants will undergo 2 cue-exposure sessions.
Transdermal Nicotine Patch (NRT)
Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt continue to wear the 21mg/d patches for 6 weeks, then step down to 14mg/d patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the NRT group, participants will take a placebo capsule while wearing nicotine patches.
Varenicline (VAR)
Varenicline: Varenicline (VAR) will be administered by titrating to steady state levels over a 7 day induction period (.5 mg once daily in Days 1-3; .5 mg twice daily on Days 4-7 and 1 mg twice daily on Days 8-14). Participants will continue on 1mg twice daily until the end of treatment (days 15-84). Participants will also wear a placebo patch. During days 8-14, participants will undergo 2 cue-exposure sessions. In the VAR group, participants will wear a placebo patch while taking varenicline.
Overall Study
STARTED
31
27
30
Overall Study
COMPLETED
30
26
25
Overall Study
NOT COMPLETED
1
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo (PLAC)
Placebo Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt, continue to wear the 21mg patches for 6 weeks, then step down to 14mg patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the PLAC group, participants will receive placebo patches and placebo capsules for 14 days prior to quitting smoking. They will then switch to wearing a nicotine patch the morning of their quit day in order to provide them with the minimum standard of care. During days 8-14, participants will undergo 2 cue-exposure sessions.
Transdermal Nicotine Patch (NRT)
Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt continue to wear the 21mg/d patches for 6 weeks, then step down to 14mg/d patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the NRT group, participants will take a placebo capsule while wearing nicotine patches.
Varenicline (VAR)
Varenicline: Varenicline (VAR) will be administered by titrating to steady state levels over a 7 day induction period (.5 mg once daily in Days 1-3; .5 mg twice daily on Days 4-7 and 1 mg twice daily on Days 8-14). Participants will continue on 1mg twice daily until the end of treatment (days 15-84). Participants will also wear a placebo patch. During days 8-14, participants will undergo 2 cue-exposure sessions. In the VAR group, participants will wear a placebo patch while taking varenicline.
Overall Study
Lost to Follow-up
0
1
4
Overall Study
Withdrawal by Subject
1
0
1

Baseline Characteristics

Effects of Smoking Environments on Craving and Smoking (CameraCue2.0)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo (PLAC)
n=31 Participants
Placebo Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt, continue to wear the 21mg patches for 6 weeks, then step down to 14mg patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the PLAC group, participants will receive placebo patches and placebo capsules for 14 days prior to quitting smoking. They will then switch to wearing a nicotine patch the morning of their quit day in order to provide them with the minimum standard of care. During days 8-14, participants will undergo 2 cue-exposure sessions.
Transdermal Nicotine Patch (NRT)
n=27 Participants
Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt continue to wear the 21mg/d patches for 6 weeks, then step down to 14mg/d patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the NRT group, participants will take a placebo capsule while wearing nicotine patches.
Varenicline (VAR)
n=30 Participants
Varenicline: Varenicline (VAR) will be administered by titrating to steady state levels over a 7 day induction period (.5 mg once daily in Days 1-3; .5 mg twice daily on Days 4-7 and 1 mg twice daily on Days 8-14). Participants will continue on 1mg twice daily until the end of treatment (days 15-84). Participants will also wear a placebo patch. During days 8-14, participants will undergo 2 cue-exposure sessions. In the VAR group, participants will wear a placebo patch while taking varenicline.
Total
n=88 Participants
Total of all reporting groups
Age, Continuous
46.6 years
STANDARD_DEVIATION 11.6 • n=5 Participants
47.4 years
STANDARD_DEVIATION 11.8 • n=7 Participants
41.2 years
STANDARD_DEVIATION 11.9 • n=5 Participants
44.4 years
STANDARD_DEVIATION 12.3 • n=4 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
12 Participants
n=7 Participants
15 Participants
n=5 Participants
44 Participants
n=4 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
44 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
28 Participants
n=5 Participants
29 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=5 Participants
25 Participants
n=7 Participants
2 Participants
n=5 Participants
57 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=5 Participants
17 Participants
n=7 Participants
14 Participants
n=5 Participants
45 Participants
n=4 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
9 Participants
n=7 Participants
14 Participants
n=5 Participants
39 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Region of Enrollment
United States
31 Participants
n=5 Participants
27 Participants
n=7 Participants
30 Participants
n=5 Participants
88 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Cue Exposure 1 (beginning of week 3) to Cue Exposure 2 (end of week 3)

Population: Subjects who completed the study.

Scores range from 0 (no craving) to 100 (extreme craving).

Outcome measures

Outcome measures
Measure
Placebo (PLAC)
n=30 Participants
Placebo Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt, continue to wear the 21mg patches for 6 weeks, then step down to 14mg patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the PLAC group, participants will receive placebo patches and placebo capsules for 14 days prior to quitting smoking. They will then switch to wearing a nicotine patch the morning of their quit day in order to provide them with the minimum standard of care. During days 8-14, participants will undergo 2 cue-exposure sessions.
Transdermal Nicotine Patch (NRT)
n=26 Participants
Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt continue to wear the 21mg/d patches for 6 weeks, then step down to 14mg/d patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the NRT group, participants will take a placebo capsule while wearing nicotine patches.
Varenicline (VAR)
n=25 Participants
Varenicline: Varenicline (VAR) will be administered by titrating to steady state levels over a 7 day induction period (.5 mg once daily in Days 1-3; .5 mg twice daily on Days 4-7 and 1 mg twice daily on Days 8-14). Participants will continue on 1mg twice daily until the end of treatment (days 15-84). Participants will also wear a placebo patch. During days 8-14, participants will undergo 2 cue-exposure sessions. In the VAR group, participants will wear a placebo patch while taking varenicline.
Change in Craving Score During Cue Exposure Task
-11.17 score on a scale
Standard Deviation 24.93
-8.84 score on a scale
Standard Deviation 28.3
-14.29 score on a scale
Standard Deviation 25.09

PRIMARY outcome

Timeframe: Cue Exposure 1 (beginning of week 3) to Cue Exposure 2 (end of week 3)

Population: Subjects who completed the study.

The latency is the interval between smoking one cigarette and wanting, craving, or needing another.

Outcome measures

Outcome measures
Measure
Placebo (PLAC)
n=30 Participants
Placebo Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt, continue to wear the 21mg patches for 6 weeks, then step down to 14mg patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the PLAC group, participants will receive placebo patches and placebo capsules for 14 days prior to quitting smoking. They will then switch to wearing a nicotine patch the morning of their quit day in order to provide them with the minimum standard of care. During days 8-14, participants will undergo 2 cue-exposure sessions.
Transdermal Nicotine Patch (NRT)
n=26 Participants
Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt continue to wear the 21mg/d patches for 6 weeks, then step down to 14mg/d patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the NRT group, participants will take a placebo capsule while wearing nicotine patches.
Varenicline (VAR)
n=25 Participants
Varenicline: Varenicline (VAR) will be administered by titrating to steady state levels over a 7 day induction period (.5 mg once daily in Days 1-3; .5 mg twice daily on Days 4-7 and 1 mg twice daily on Days 8-14). Participants will continue on 1mg twice daily until the end of treatment (days 15-84). Participants will also wear a placebo patch. During days 8-14, participants will undergo 2 cue-exposure sessions. In the VAR group, participants will wear a placebo patch while taking varenicline.
Change in Latency to Smoke During Cue Exposure Task
30.22 seconds
Standard Deviation 71.58
48.04 seconds
Standard Deviation 95.79
65.15 seconds
Standard Deviation 133.12

PRIMARY outcome

Timeframe: Cue Exposure 1 (beginning of week 3) to Cue Exposure 2 (end of week 3)

Population: Subjects who completed the study.

Measured by number of puffs.

Outcome measures

Outcome measures
Measure
Placebo (PLAC)
n=30 Participants
Placebo Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt, continue to wear the 21mg patches for 6 weeks, then step down to 14mg patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the PLAC group, participants will receive placebo patches and placebo capsules for 14 days prior to quitting smoking. They will then switch to wearing a nicotine patch the morning of their quit day in order to provide them with the minimum standard of care. During days 8-14, participants will undergo 2 cue-exposure sessions.
Transdermal Nicotine Patch (NRT)
n=26 Participants
Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt continue to wear the 21mg/d patches for 6 weeks, then step down to 14mg/d patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the NRT group, participants will take a placebo capsule while wearing nicotine patches.
Varenicline (VAR)
n=25 Participants
Varenicline: Varenicline (VAR) will be administered by titrating to steady state levels over a 7 day induction period (.5 mg once daily in Days 1-3; .5 mg twice daily on Days 4-7 and 1 mg twice daily on Days 8-14). Participants will continue on 1mg twice daily until the end of treatment (days 15-84). Participants will also wear a placebo patch. During days 8-14, participants will undergo 2 cue-exposure sessions. In the VAR group, participants will wear a placebo patch while taking varenicline.
Change in Smoke Intake During Cue Exposure Task
14.42 puffs
Standard Deviation 6.35
12.21 puffs
Standard Deviation 4.42
12.98 puffs
Standard Deviation 7.90

Adverse Events

Placebo (PLAC)

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Transdermal Nicotine Patch (NRT)

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

Varenicline (VAR)

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

Serious adverse events

Serious adverse events
Measure
Placebo (PLAC)
n=31 participants at risk
Placebo Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt, continue to wear the 21mg patches for 6 weeks, then step down to 14mg patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the PLAC group, participants will receive placebo patches and placebo capsules for 14 days prior to quitting smoking. They will then switch to wearing a nicotine patch the morning of their quit day in order to provide them with the minimum standard of care. During days 8-14, participants will undergo 2 cue-exposure sessions.
Transdermal Nicotine Patch (NRT)
n=27 participants at risk
Nicotine Patch: Participants will wear 21mg/day patches for days 1-14. After day 14, participants will make a quit attempt continue to wear the 21mg/d patches for 6 weeks, then step down to 14mg/d patches for 2 weeks and finally step down 7mg/d for the last 2 weeks of treatment. Participants will also take a placebo capsule. During days 8-14, participants will undergo 2 cue-exposure sessions. In the NRT group, participants will take a placebo capsule while wearing nicotine patches.
Varenicline (VAR)
n=30 participants at risk
Varenicline: Varenicline (VAR) will be administered by titrating to steady state levels over a 7 day induction period (.5 mg once daily in Days 1-3; .5 mg twice daily on Days 4-7 and 1 mg twice daily on Days 8-14). Participants will continue on 1mg twice daily until the end of treatment (days 15-84). Participants will also wear a placebo patch. During days 8-14, participants will undergo 2 cue-exposure sessions. In the VAR group, participants will wear a placebo patch while taking varenicline.
Infections and infestations
Bacterial blood infection
3.2%
1/31 • 3 weeks
0.00%
0/27 • 3 weeks
0.00%
0/30 • 3 weeks
Renal and urinary disorders
Blood in urine
3.2%
1/31 • 3 weeks
0.00%
0/27 • 3 weeks
0.00%
0/30 • 3 weeks
General disorders
Dehydration
3.2%
1/31 • 3 weeks
0.00%
0/27 • 3 weeks
0.00%
0/30 • 3 weeks
Infections and infestations
Kidney infection
3.2%
1/31 • 3 weeks
0.00%
0/27 • 3 weeks
0.00%
0/30 • 3 weeks

Other adverse events

Adverse event data not reported

Additional Information

Anthony DeVito, MD

Duke University

Phone: 919-684-1377

Results disclosure agreements

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