Trial Outcomes & Findings for Cognition and Smoking Relapse (HCS) (NCT NCT03169101)

NCT ID: NCT03169101

Last Updated: 2024-05-10

Results Overview

Cognitive function will be assessed at the Lab session 1 and lab session 2 visits as well as End of Treatment. Participants will complete measures of executive function, verbal learning and memory and response inhibition. The primary outcome is the change in cognitive function lab session 1, lab session 2, and End of Treatment measured by a composite score (calculated by averaging individual z-scores). Z-scores were calculated using the Stroop interference score (executive function; measured in milliseconds), the delayed recall score from the Hopkins Verbal Learning Test (verbal learning and memory), and the Stop signal reaction time from the Stop Signal Task (response inhibition, measured in milliseconds). A composite score will be created by computed standardized z-scores for each measure (where the mean is 0 and the standard deviation is 1) and then averaging the z-scores. Measures of response time were reverse coded such that higher z-scores indicate better cognitive performance.

Recruitment status

COMPLETED

Target enrollment

274 participants

Primary outcome timeframe

Lab session 1 (week 1), lab session 2 (week 2), End of treatment (week 12)

Results posted on

2024-05-10

Participant Flow

Participant milestones

Participant milestones
Measure
HIV+, Smoking Lab Session First, Abstinence Lab Session Second, Then Treatment
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Participants were randomized to complete a smoking-as-usual lab session first followed by a 24-hour abstinence lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV-, Smoking Lab Session First, Abstinence Lab Session Second, Then Treatment
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Participants were randomized to complete a smoking-as-usual lab session first followed by a 24-hour abstinence lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV+, Abstinence Lab Session First, Smoking-as-usual Second, Then Treatment
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Participants were randomized to complete a 24-hour abstinence lab session first, followed by a smoking-as-usual lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV-, Abstinence Lab Session First, Smoking-as-usual Second, Then Treatment
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Participants were randomized to complete a 24-hour abstinence lab session first, followed by a smoking-as-usual lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
Lab Session 1 (Week 1)
STARTED
41
77
43
80
Lab Session 1 (Week 1)
COMPLETED
41
77
43
76
Lab Session 1 (Week 1)
NOT COMPLETED
0
0
0
4
Lab Session 2 (Week 2)
STARTED
41
77
43
76
Lab Session 2 (Week 2)
COMPLETED
39
60
41
70
Lab Session 2 (Week 2)
NOT COMPLETED
2
17
2
6
Treatment Phase (Weeks 3-12)
STARTED
39
59
41
68
Treatment Phase (Weeks 3-12)
COMPLETED
38
48
37
63
Treatment Phase (Weeks 3-12)
NOT COMPLETED
1
11
4
5

Reasons for withdrawal

Reasons for withdrawal
Measure
HIV+, Smoking Lab Session First, Abstinence Lab Session Second, Then Treatment
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Participants were randomized to complete a smoking-as-usual lab session first followed by a 24-hour abstinence lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV-, Smoking Lab Session First, Abstinence Lab Session Second, Then Treatment
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Participants were randomized to complete a smoking-as-usual lab session first followed by a 24-hour abstinence lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV+, Abstinence Lab Session First, Smoking-as-usual Second, Then Treatment
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Participants were randomized to complete a 24-hour abstinence lab session first, followed by a smoking-as-usual lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV-, Abstinence Lab Session First, Smoking-as-usual Second, Then Treatment
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Participants were randomized to complete a 24-hour abstinence lab session first, followed by a smoking-as-usual lab session second. All participants then received treatment. Treatment: Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
Lab Session 1 (Week 1)
Protocol Violation
0
0
0
4

Baseline Characteristics

Cognition and Smoking Relapse (HCS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HIV+
n=93 Participants
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV-
n=181 Participants
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
Total
n=274 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
88 Participants
n=5 Participants
166 Participants
n=7 Participants
254 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
15 Participants
n=7 Participants
20 Participants
n=5 Participants
Age, Continuous
52.4 years
STANDARD_DEVIATION 9.4 • n=5 Participants
51.6 years
STANDARD_DEVIATION 11.4 • n=7 Participants
51.9 years
STANDARD_DEVIATION 10.7 • n=5 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
80 Participants
n=7 Participants
109 Participants
n=5 Participants
Sex: Female, Male
Male
64 Participants
n=5 Participants
101 Participants
n=7 Participants
165 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
87 Participants
n=5 Participants
174 Participants
n=7 Participants
261 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
84 Participants
n=5 Participants
125 Participants
n=7 Participants
209 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
39 Participants
n=7 Participants
42 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
12 Participants
n=7 Participants
15 Participants
n=5 Participants
Region of Enrollment
United States
93 participants
n=5 Participants
181 participants
n=7 Participants
274 participants
n=5 Participants
Cigarettes per day
11.6 cigarettes per day
STANDARD_DEVIATION 5.4 • n=5 Participants
13.3 cigarettes per day
STANDARD_DEVIATION 6.2 • n=7 Participants
12.7 cigarettes per day
STANDARD_DEVIATION 6.0 • n=5 Participants

PRIMARY outcome

Timeframe: Lab session 1 (week 1), lab session 2 (week 2), End of treatment (week 12)

Population: Numbers are different due to attrition between enrollment and lab session 1. Some cognitive data were excluded due to outliers.

Cognitive function will be assessed at the Lab session 1 and lab session 2 visits as well as End of Treatment. Participants will complete measures of executive function, verbal learning and memory and response inhibition. The primary outcome is the change in cognitive function lab session 1, lab session 2, and End of Treatment measured by a composite score (calculated by averaging individual z-scores). Z-scores were calculated using the Stroop interference score (executive function; measured in milliseconds), the delayed recall score from the Hopkins Verbal Learning Test (verbal learning and memory), and the Stop signal reaction time from the Stop Signal Task (response inhibition, measured in milliseconds). A composite score will be created by computed standardized z-scores for each measure (where the mean is 0 and the standard deviation is 1) and then averaging the z-scores. Measures of response time were reverse coded such that higher z-scores indicate better cognitive performance.

Outcome measures

Outcome measures
Measure
HIV+ Smoking Lab Session First
n=41 Participants
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Randomized to complete smoking-as-usual lab session first and 24-h abstinent lab session second Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV- Smoking Lab Session First
n=77 Participants
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Randomized to complete smoking-as-usual lab session first and 24-h abstinent lab session second Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV+ Abstinent Lab Session First
n=43 Participants
Same as HIV+ Smoking lab session first except Randomized to complete 24-h abstinent lab session first and smoking-as-usual lab session second
HIV- Abstinent Lab Session First
n=75 Participants
Same as HIV- Smoking lab session first except Randomized to complete 24-h abstinent lab session first and smoking-as-usual lab session second
Cognitive Function
Lab session 1 (week 1)
0.125 z-score
Standard Deviation 0.489
-.093 z-score
Standard Deviation 0.441
-.059 z-score
Standard Deviation .452
-.008 z-score
Standard Deviation .553
Cognitive Function
Lab session 2 (week 2)
.043 z-score
Standard Deviation .498
-.012 z-score
Standard Deviation .441
-.106 z-score
Standard Deviation .488
.014 z-score
Standard Deviation .546
Cognitive Function
End of treatment (week 12)
0.149 z-score
Standard Deviation .416
-.082 z-score
Standard Deviation .465
-.091 z-score
Standard Deviation .440
.001 z-score
Standard Deviation .559

SECONDARY outcome

Timeframe: End of Treatment (week 12)

Population: Only subjects who entered treatment following the two lab sessions were considered intent to treat and included in this analysis.

Smoking abstinence (primary outcome) will be assessed and biochemically verified at the End of Treatment Visit (week 12). The primary smoking outcome variable will be 7-day point prevalence abstinence (no smoking, not even a puff, for at least 7 days prior to the assessment) biochemically verified by carbon monoxide \< 5 ppm.

Outcome measures

Outcome measures
Measure
HIV+ Smoking Lab Session First
n=80 Participants
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Randomized to complete smoking-as-usual lab session first and 24-h abstinent lab session second Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV- Smoking Lab Session First
n=127 Participants
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Randomized to complete smoking-as-usual lab session first and 24-h abstinent lab session second Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV+ Abstinent Lab Session First
Same as HIV+ Smoking lab session first except Randomized to complete 24-h abstinent lab session first and smoking-as-usual lab session second
HIV- Abstinent Lab Session First
Same as HIV- Smoking lab session first except Randomized to complete 24-h abstinent lab session first and smoking-as-usual lab session second
7-day Point Prevalence Abstinence
22 Participants
33 Participants

Adverse Events

HIV+

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

HIV-

Serious events: 2 serious events
Other events: 36 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
HIV+
n=80 participants at risk
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV-
n=127 participants at risk
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
Cardiac disorders
Stroke
0.00%
0/80 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
0.79%
1/127 • Number of events 1 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
Nervous system disorders
Sciatica
0.00%
0/80 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
0.79%
1/127 • Number of events 1 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.

Other adverse events

Other adverse events
Measure
HIV+
n=80 participants at risk
HIV-infected smokers: diagnosed with HIV infection and exhibiting viral load of less than or equal to 1000 copies/mL and CD4+ counts of greater than or equal to 200 cells/mm3 within 6 months prior to enrollment Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
HIV-
n=127 participants at risk
HIV-uninfected smokers: negative HIV status will be confirmed by an on-site rapid HIV blood test Nicotine patch: All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks. Behavioral counseling: Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).
Respiratory, thoracic and mediastinal disorders
Difficulty breathing
12.5%
10/80 • Number of events 24 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
4.7%
6/127 • Number of events 31 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
Skin and subcutaneous tissue disorders
Itching, burning or tingling at patch site
7.5%
6/80 • Number of events 12 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
5.5%
7/127 • Number of events 8 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
Skin and subcutaneous tissue disorders
Skin redness
11.2%
9/80 • Number of events 16 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
1.6%
2/127 • Number of events 3 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
General disorders
Sleep disturbances
16.2%
13/80 • Number of events 32 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
18.9%
24/127 • Number of events 48 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
General disorders
Vivid dreams
11.2%
9/80 • Number of events 13 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
10.2%
13/127 • Number of events 25 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
General disorders
Weakness
7.5%
6/80 • Number of events 7 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.
6.3%
8/127 • Number of events 8 • 12 weeks: From the start of treatment through end of treatment
Adverse event reporting was completed using a symptom checklist, listing all expected side effects for the study drug. It was administered once treatment was initiated after both lab sessions were completed. Participants were also given an open-ended item. Groups do not distinguish by "lab session order" because the lab sessions were completed prior to the initiation of any treatment, so they are combined into HIV+ and HIV- only.

Additional Information

Rebecca Ashare, PhD

University of Pennsylvania

Phone: 7168296273

Results disclosure agreements

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