PRecision Interventions for SMoking in the SCCS

NCT ID: NCT03521141

Last Updated: 2020-06-01

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-18

Study Completion Date

2019-04-25

Brief Summary

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Precision Care (PC) interventions, developed with guidance from a Community Advisory Board (CAB), will be piloted in a Randomized Clinical Trial (RCT) of approximately 100 eligible, consenting daily smokers in the Southern Community Cohort Study (SCCS) who are willing to make a quit attempt with medication and who reside in TN or MS. Participants will be randomized 1:1:1 to 1 of 3 groups; (1) group one informs selection of medication with information on nicotine metabolism; (2) group two offers a genetically-informed lung cancer risk score, and (3) group 3 is Guideline-Based Care (GBC). All groups will be followed for 6 months. All RCT participants will receive FDA-approved smoking cessation medication, be referred to the shared TN/MS state quitline, and be offered the NCI "Clearing the Air" standard intervention. The primary outcome is feasibility of delivering the precision interventions in the SCCS population, as evidenced by ability to recruit, engage, and retain participants through end of study. Secondary outcomes, for which the study is not powered, will include risk perceptions, use of quit aids, lung cancer screening among those who are eligible, and smoking cessation.

Detailed Description

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Cigarette smoking significantly increases the risk of cancer and improved cessation strategies are needed. Biologically-informed precision treatment could benefit smokers but is understudied.

Tennessee and Mississippi Smokers that responded to a previous survey indicating willingness to be contacted for a smoking cessation clinical trial will be assessed for eligibility via phone and, if eligible, provide verbal consent and administer a baseline survey. These participants will then mail in written consent, upon receipt of which their SCCS stored blood samples will be analyzed. During lab processing, a study tobacco counselor will call enrolled participants to assist with their quit plan and inform them of randomization status. Participants will complete telephone surveys at 1, 3, and 6 months. During the 6 month follow-up call, participants will also be given their previously-unreported lab results (i.e., information on nicotine metabolism or lung cancer risk). After receiving lab results, participants will complete a final brief questionnaire.

Conditions

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Tobacco Use Cessation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Assessing parallel precision care interventions (groups 1, 2) and control group.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Assessors will be blind to participant arm assignment until delivery of lab results at month 6.

Study Groups

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Guideline-Based Care (GBC)

GBC participants are 1) referred to the state quitline, 2) provided the NCI Clearing the Air smoking cessation program, and 3) asked to talk to their healthcare provider about potential lung cancer screening (LCS). Medication assignment is guided by standard guidelines and a conversation between the study tobacco counselor and the participant. Groups 1 and 2 also receive GBC counseling.

Group Type OTHER

Nicotine patch

Intervention Type DRUG

FDA-approved smoking cessation pharmacotherapy

Varenicline

Intervention Type DRUG

FDA-approved smoking cessation pharmacotherapy

NCI "Clearing the Air"

Intervention Type BEHAVIORAL

A booklet-led intervention designed by the NCI to support cessation at any stage of a quitter's journey, whether they are still thinking about quitting, have made the decision to quit, or have already taken steps to quit and just need help maintaining their new lifestyle.

Nicotine Metabolite Ratio (PC-NMR)

Group 1, nicotine metabolism. Medication is guided by nicotine metabolism.

Group Type ACTIVE_COMPARATOR

Nicotine patch

Intervention Type DRUG

FDA-approved smoking cessation pharmacotherapy

Varenicline

Intervention Type DRUG

FDA-approved smoking cessation pharmacotherapy

Nicotine metabolism

Intervention Type GENETIC

Information on nicotine metabolism will be used to inform selection of medication.

NCI "Clearing the Air"

Intervention Type BEHAVIORAL

A booklet-led intervention designed by the NCI to support cessation at any stage of a quitter's journey, whether they are still thinking about quitting, have made the decision to quit, or have already taken steps to quit and just need help maintaining their new lifestyle.

Respiragene (PC-Respiragene)

Group 2, genetically-informed lung cancer risk score. Medication assignment is guided by standard guidelines and a conversation between the study nurse and the participant.

Group Type ACTIVE_COMPARATOR

Nicotine patch

Intervention Type DRUG

FDA-approved smoking cessation pharmacotherapy

Varenicline

Intervention Type DRUG

FDA-approved smoking cessation pharmacotherapy

Genetically-informed lung cancer risk score

Intervention Type GENETIC

This intervention uses information from a person's genes and smoking and family medical histories to estimate lung cancer risk compared to current smokers.

NCI "Clearing the Air"

Intervention Type BEHAVIORAL

A booklet-led intervention designed by the NCI to support cessation at any stage of a quitter's journey, whether they are still thinking about quitting, have made the decision to quit, or have already taken steps to quit and just need help maintaining their new lifestyle.

Interventions

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Nicotine patch

FDA-approved smoking cessation pharmacotherapy

Intervention Type DRUG

Varenicline

FDA-approved smoking cessation pharmacotherapy

Intervention Type DRUG

Nicotine metabolism

Information on nicotine metabolism will be used to inform selection of medication.

Intervention Type GENETIC

Genetically-informed lung cancer risk score

This intervention uses information from a person's genes and smoking and family medical histories to estimate lung cancer risk compared to current smokers.

Intervention Type GENETIC

NCI "Clearing the Air"

A booklet-led intervention designed by the NCI to support cessation at any stage of a quitter's journey, whether they are still thinking about quitting, have made the decision to quit, or have already taken steps to quit and just need help maintaining their new lifestyle.

Intervention Type BEHAVIORAL

Other Intervention Names

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Nicotine Replacement Therapy Chantix

Eligibility Criteria

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Inclusion Criteria

* Daily smoker of ≥5 cigarettes per day (CPD)
* Enrolled participant of the Southern Community Cohort Study (SCCS) who completed a prior survey indicating they were willing to be contacted regarding a smoking cessation clinical trial
* Residence in Tennessee (TN) or Mississippi (MS)
* Has stored blood sample with the SCCS
* Has established primary care provider (PCP)
* Medically eligible and willing to take varenicline and NRT

Exclusion Criteria

* Currently taking medication to quit smoking
* enrolled, or planning to be enrolled, in another smoking cessation program
* Inability to give informed consent or participate due to cognitive disorder (e.g., dementia, severe intellectual disability)
* Unstable psychiatric illness (ER or hospitalized for psychiatric condition in past 6 months, change in psychiatric medications in past 3 months, or suicidal ideation in past 6 months)
* not able to send or receive mail
* no access to a telephone or inability to communicate by telephone
* unable to speak and read English
* history of seizures or Buerger's disease
* currently pregnant or breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meharry Medical College

OTHER

Sponsor Role collaborator

Tennessee State University

OTHER

Sponsor Role collaborator

Vanderbilt University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Hilary Tindle

Associate Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hilary A Tindle, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Maureen Sanderson, PhD, RD, MPH

Role: PRINCIPAL_INVESTIGATOR

Meharry Medical College

Rebecca Selove, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

Tennessee State University

William Blot, PhD

Role: PRINCIPAL_INVESTIGATOR

Southern Community Cohort Study, Vanderbilt University Medical Center

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Lee SS, Senft Everson N, Sanderson M, Selove R, Blot WJ, King S, Gilliam K, Kundu S, Steinwandel M, Sternlieb SJ, Cai Q, Warren Andersen S, Friedman DL, Connors Kelly E, Fadden MK, Freiberg MS, Wells QS, Canedo J, Tyndale RF, Young RP, Hopkins RJ, Tindle HA. Feasibility of precision smoking treatment in a low-income community setting: results of a pilot randomized controlled trial in The Southern Community Cohort Study. Addict Sci Clin Pract. 2024 Mar 15;19(1):16. doi: 10.1186/s13722-024-00441-1.

Reference Type DERIVED
PMID: 38491559 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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16-06-571

Identifier Type: OTHER

Identifier Source: secondary_id

HS2016-3815

Identifier Type: OTHER

Identifier Source: secondary_id

160331

Identifier Type: -

Identifier Source: org_study_id

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