Assessing the Integration of Tobacco Cessation Treatment Into Lung Cancer Screening (LCS)

NCT ID: NCT03611881

Last Updated: 2024-10-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

642 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-01

Study Completion Date

2024-01-31

Brief Summary

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This randomized controlled trial seeks to evaluate the effectiveness of alternative strategies to integrate smoking cessation interventions into the delivery of low-dose CT (LDCT) lung cancer screening. Using a factorial design, current smokers who enroll will be randomly assigned to receive these interventions: (1) smoking cessation counseling support by telephone or videoconferencing (short duration vs. long duration); (2) nicotine patch treatment (NRT) (short vs.long duration); (3) counselor-facilitated referral (vs. no referral) to an online resource to connect smokers to a community-based social service resources.

Detailed Description

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Evidence-based tobacco dependence treatment consists of behavioral counseling and pharmacotherapy. Nicotine patch is an FDA-approved cessation aid. The optimal duration of counseling and pharmacotherapy for patients undergoing low-dose CT (LDCT) lung screening is not clear. In addition, helping smokers to address other social and psychological barriers might help them succeed in quitting smoking. This randomized controlled trial will test, in a factorial design, two options for delivering each of 3 interventions to help current smokers stop smoking in the context of having routine CT lung cancer screening. Patients will receive 4 or 8 weeks of behavioral counseling (with their choice of video conferencing or regular telephone calls), 2 or 8 weeks of nicotine patch, and will receive referral (vs. no referral) to an online resource to connect smokers to community-based social service resources. Outcome measures for smoking cessation will be assessed by a survey administered by phone at 3,and 6 months.

Conditions

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Smoking, Tobacco

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Short, Short, Present

4 weeks of counseling (by phone or videoconferencing) + 2 weeks of nicotine patch + referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Community Resource

Intervention Type BEHAVIORAL

Counselor-facilitated referral to a community-based program to address social needs.

Short, Long, Present

4 weeks of counseling (by phone or videoconferencing) + 8 weeks of nicotine patch + referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Community Resource

Intervention Type BEHAVIORAL

Counselor-facilitated referral to a community-based program to address social needs.

Long, Short, Present

8 weeks of counseling (by phone or videoconferencing) + 2 weeks of nicotine patch + referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Community Resource

Intervention Type BEHAVIORAL

Counselor-facilitated referral to a community-based program to address social needs.

Long, Long, Present

8 weeks of counseling (by phone or videoconferencing) + 8 weeks of nicotine patch + referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Community Resource

Intervention Type BEHAVIORAL

Counselor-facilitated referral to a community-based program to address social needs.

Short, Short, Absent

4 weeks of counseling (by phone or videoconferencing) + 2 weeks of nicotine patch + no referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Short, Long, Absent

4 weeks of counseling (by phone or videoconferencing) + 8 weeks of nicotine patch + no referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Long, Short, Absent

8 weeks of counseling (by phone or videoconferencing) + 2 weeks of nicotine patch + no referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Long, Long, Absent

8 weeks of counseling (by phone or videoconferencing) + 8 weeks of nicotine patch + no referral to community resource.

Group Type EXPERIMENTAL

Counseling

Intervention Type BEHAVIORAL

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Nicotine patch

Intervention Type DRUG

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Interventions

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Counseling

4 or 8 weeks of behavioral counseling support to promote smoking cessation.

Intervention Type BEHAVIORAL

Nicotine patch

2 or 8 weeks of nicotine patch given in a tapering dose of 21 mg, 14 mg, 7 mg.

Intervention Type DRUG

Community Resource

Counselor-facilitated referral to a community-based program to address social needs.

Intervention Type BEHAVIORAL

Other Intervention Names

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NRT

Eligibility Criteria

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Inclusion Criteria

* Scheduled to undergo LDCT-LCS at a participating Mass General Brigham Health Care System LCS site
* Speak English or Spanish.
* Current smokers: smoked a cigarette, even a puff, in the last 30 days.
* Medicare coverage requirement (age 50-80 years, 20+ pack/years).
* Residing within the USA.

Exclusion Criteria

* Undergoing lung CT as part of a diagnostic or abnormal follow-up evaluation.
* Unable to give informed consent due to psychiatric or cognitive impairment as determined in consultation with study PI or treating clinician.
* No access to a telephone or cannot communicate by telephone.
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Elyse Park, PhD

Associate Professor of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elyse R Park, PhD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Nancy A Rigotti, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Jennifer Haas, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham & Women's Hospital

Boston, Massachusetts, United States

Site Status

Brigham & Women's Faulkner Hospital

Boston, Massachusetts, United States

Site Status

Newton-Wellesley Hospital

Newton, Massachusetts, United States

Site Status

Martha's Vineyard Hospital

Oak Bluffs, Massachusetts, United States

Site Status

Salem Hospital

Salem, Massachusetts, United States

Site Status

Countries

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United States

References

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Park ER, Haas JS, Rigotti NA, Neil JM, Marotta CJ, Wint AJ, Gonzalez I, McGovern SE, Chang Y, Levy DE, Flores EJ, Merker VL, Noonan E, Bliss CC. Integrating Tobacco Treatment Into Lung Cancer Screening: The Screen Assist Factorial Randomized Clinical Trial. JAMA Intern Med. 2025 May 1;185(5):531-539. doi: 10.1001/jamainternmed.2024.8399.

Reference Type DERIVED
PMID: 40029643 (View on PubMed)

Park ER, Neil JM, Noonan E, Howard SE, Gonzalez I, Marotta C, Wint AJ, Levy DE, Chang Y, Rigotti NA, Haas JS. Leveraging the Clinical Timepoints in Lung Cancer Screening to Engage Individuals in Tobacco Treatment. JNCI Cancer Spectr. 2022 Nov 1;6(6):pkac073. doi: 10.1093/jncics/pkac073.

Reference Type DERIVED
PMID: 36350049 (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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2018P000539/PHS

Identifier Type: -

Identifier Source: org_study_id

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