Personalized Intervention Program: Tobacco Treatment for Patients at Risk for Lung Cancer (PIP)

NCT ID: NCT02658032

Last Updated: 2023-04-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

276 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2020-10-31

Brief Summary

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The purpose of this study is to test the efficacy of two separate, sequential interventions to promote tobacco cessation/reduction in patients who are screened for lung cancer or are eligible for lung cancer screening. Each intervention will be compared to standard of care. The first intervention will be a personalized message intervention, the second intervention will consist of a biofeedback-based intervention.

Detailed Description

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The primary aims of this study are to test the efficacy two types of smoking cessation methods (compared to standard care).

The aim of the first intervention is to evaluate the efficacy of a personalized message intervention in improving tobacco quit rates above and beyond standard care smoking cessation treatment in patients at risk for lung cancer. Messages will be designed specifically for patients at risk for lung cancer, personalized and presented in a gain-framed manner, taking into account demographics and smoking history.

The aim of the second intervention is to evaluate the efficacy of a novel, biofeedback-based intervention that provides personalized individual-level feedback on biomarkers of lung cancer risk and how they improve in response to cessation, delivered in a gain-framed way. The biomarkers include skin carotenoid status, spirometry, and plasma bilirubin, all of which improve with cessation. The study team will examine whether the biofeedback prevents relapse in those who quit and leads to reductions in smoking in lung nodule patients who failed to quit.

Additionally, this study will attempt to evaluate the impact of smoking cessation on miRNA profiles in human serum, especially miRNAs in the let-7 family, which are known to have tumor suppressor function, and which we hypothesize increase in response to cessation.

Conditions

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Smoking Cessation Biofeedback

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Standard Care/No Bio Feedback

This arm will consist of those first randomized to be enrolled in the standard care arm and then those enrolled in the non bio feedback arm.

Group Type OTHER

standard care

Intervention Type OTHER

Standard Care/ Bio Feedback

This arm will consist of those first randomized to be enrolled in the standard care arm and then those enrolled in the bio feedback arm.

Group Type OTHER

bio feedback

Intervention Type BEHAVIORAL

Individuals randomized to this group will be provided with a personalized graph of their biomarker data from baseline, 6 and 8 weeks at the 8-week and 3-month study visits.

standard care

Intervention Type OTHER

Personalized Care/ No Bio Feedback

This arm will consist of those first randomized to be enrolled in the personalized care arm and then those enrolled in the non bio feedback arm.

Group Type OTHER

personalized cessation care

Intervention Type BEHAVIORAL

Individuals randomized to this condition will receive standard care (i.e., 5 counseling sessions and nicotine patch(NRT)) and 4 personalized videos with 5 packages of personalized print materials

standard care

Intervention Type OTHER

Personalized Care/ Bio Feedback

This arm will consist of those first randomized to be enrolled in the personalized care arm and then those enrolled in the bio feedback arm.

Group Type EXPERIMENTAL

personalized cessation care

Intervention Type BEHAVIORAL

Individuals randomized to this condition will receive standard care (i.e., 5 counseling sessions and nicotine patch(NRT)) and 4 personalized videos with 5 packages of personalized print materials

bio feedback

Intervention Type BEHAVIORAL

Individuals randomized to this group will be provided with a personalized graph of their biomarker data from baseline, 6 and 8 weeks at the 8-week and 3-month study visits.

Interventions

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personalized cessation care

Individuals randomized to this condition will receive standard care (i.e., 5 counseling sessions and nicotine patch(NRT)) and 4 personalized videos with 5 packages of personalized print materials

Intervention Type BEHAVIORAL

bio feedback

Individuals randomized to this group will be provided with a personalized graph of their biomarker data from baseline, 6 and 8 weeks at the 8-week and 3-month study visits.

Intervention Type BEHAVIORAL

standard care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Current Smoker.
* 20 pack per year smoking history.
* Eligible for the Smilow treatment program.
* Willing to enroll in smoking cessation program.
* Willing to be randomized in smoking cessation study.
* English speaking.

Exclusion Criteria

* Dementia or current serious psychiatric or unstable medical illness.
* Pregnancy or breast feeding.
* Known fat malabsorption diseases that may affect skin carotenoid status.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brenda Cartmel, PhD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Locations

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Yale University

New Haven, Connecticut, United States

Site Status

Medical University of South Carolina: Hollings Cancer Center

Charleston, South Carolina, United States

Site Status

Countries

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United States

References

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Cartmel B, Fucito LM, Bold KW, Neveu S, Li F, Rojewski AM, Gueorguieva R, O'Malley SS, Herbst RS, Toll BA. Effect of a Personalized Tobacco Treatment Intervention on Smoking Abstinence in Individuals Eligible for Lung Cancer Screening. J Thorac Oncol. 2024 Apr;19(4):643-649. doi: 10.1016/j.jtho.2023.11.012. Epub 2023 Nov 15.

Reference Type DERIVED
PMID: 37977486 (View on PubMed)

Other Identifiers

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1P50CA196530-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

1505015965

Identifier Type: -

Identifier Source: org_study_id

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