Trial Outcomes & Findings for Varenicline Light Smoking Pilot (NCT NCT04089982)

NCT ID: NCT04089982

Last Updated: 2021-05-11

Results Overview

Participants were asked to self-report craving level to smoke on a scale of 1-10 with 1 corresponding to no craving and 10 corresponding to intense craving. Self-reported craving level was requested following presentation of multiple images on a screen over a 20 minute period. Four types of images were presented - neutral affect, negative affect, smoking and social images.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

11 participants

Primary outcome timeframe

Baseline, Visit 4 (week 6)

Results posted on

2021-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
Varenicline
Varenicline BID Varenicline: Chantix
Placebo
Placebo oral tablet: Placebo
Overall Study
STARTED
6
5
Overall Study
COMPLETED
6
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Varenicline Light Smoking Pilot

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Varenicline
n=6 Participants
Varenicline BID Varenicline: Chantix
Placebo
n=5 Participants
Placebo oral tablet: Placebo
Total
n=11 Participants
Total of all reporting groups
Age, Continuous
34.8 years
STANDARD_DEVIATION 7.1 • n=5 Participants
42.6 years
STANDARD_DEVIATION 12.7 • n=7 Participants
38.4 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 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
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
5 participants
n=7 Participants
11 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Visit 4 (week 6)

Participants were asked to self-report craving level to smoke on a scale of 1-10 with 1 corresponding to no craving and 10 corresponding to intense craving. Self-reported craving level was requested following presentation of multiple images on a screen over a 20 minute period. Four types of images were presented - neutral affect, negative affect, smoking and social images.

Outcome measures

Outcome measures
Measure
Varenicline
n=6 Participants
Varenicline BID Varenicline: Chantix
Placebo
n=5 Participants
Placebo oral tablet: Placebo
Change in Self-Reported Craving Level Via Lab-Based Cue Reactivity
Baseline
6.31 score on a scale
Standard Deviation 2.80
4.2 score on a scale
Standard Deviation 1.8
Change in Self-Reported Craving Level Via Lab-Based Cue Reactivity
Week 6
2.56 score on a scale
Standard Deviation 2.11
2.4 score on a scale
Standard Deviation 1.3

SECONDARY outcome

Timeframe: Baseline, Visit 4 (week 6)

Craving level in "real world" situations was assessed through electronic momentary assessment (EMA). Participants were instructed to send a text to the study team each time they experienced craving to smoke a cigarette. Self-report craving level to smoke was reported on a scale of 1-10 with 1 corresponding to no craving and 10 corresponding to intense craving.

Outcome measures

Outcome measures
Measure
Varenicline
n=6 Participants
Varenicline BID Varenicline: Chantix
Placebo
n=5 Participants
Placebo oral tablet: Placebo
Change in Self-Reported Craving Level Via Real-World Cue Reactivity
Baseline
7.15 score on a scale
Standard Deviation 1.1
6.7 score on a scale
Standard Deviation 1.8
Change in Self-Reported Craving Level Via Real-World Cue Reactivity
Week 6
5.5 score on a scale
Standard Deviation 0.5
8 score on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: Screening visit, Visit 4 (week 6)

7-day point prevalence smoking abstinence. This will be measured through self-reported daily smoking diaries and daily text messaging.

Outcome measures

Outcome measures
Measure
Varenicline
n=6 Participants
Varenicline BID Varenicline: Chantix
Placebo
n=5 Participants
Placebo oral tablet: Placebo
Changes in Smoking
Baseline
3.6 cigarettes per day
Standard Deviation 3.4
5.2 cigarettes per day
Standard Deviation 2.3
Changes in Smoking
Week 6
0.5 cigarettes per day
Standard Deviation 0.8
2.6 cigarettes per day
Standard Deviation 3.2

SECONDARY outcome

Timeframe: Screening visit, Visit 4 (week 6)

Medication adherence is measured by composite self-reported diaries and daily text messaging responses.

Outcome measures

Outcome measures
Measure
Varenicline
n=6 Participants
Varenicline BID Varenicline: Chantix
Placebo
n=5 Participants
Placebo oral tablet: Placebo
Medication Adherence
91.6 Percent medication adherence
Standard Deviation 0.08
90.3 Percent medication adherence
Standard Deviation 0.13

SECONDARY outcome

Timeframe: Up to 12 weeks

Self-reported side effects (open ended survey questions) with a ranking scale of 1-2 (mild), 3-5 (moderate), and 6-7 (severe). Any side effect 3 or greater will be reviewed by a study medical provider.

Outcome measures

Outcome measures
Measure
Varenicline
n=6 Participants
Varenicline BID Varenicline: Chantix
Placebo
n=5 Participants
Placebo oral tablet: Placebo
Medication Tolerance by Self-Reported Side Effects
Abnormal/Vivid Dreams
1 Participants
2 Participants
Medication Tolerance by Self-Reported Side Effects
Nausea/Vomiting
1 Participants
1 Participants
Medication Tolerance by Self-Reported Side Effects
Constipation
1 Participants
0 Participants
Medication Tolerance by Self-Reported Side Effects
Dizziness/Lightheadedness
1 Participants
0 Participants
Medication Tolerance by Self-Reported Side Effects
Dry Mouth
1 Participants
0 Participants
Medication Tolerance by Self-Reported Side Effects
Fatigue
0 Participants
2 Participants
Medication Tolerance by Self-Reported Side Effects
Insomnia/Trouble Sleeping
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Screening visit, Visit 4 (week 6)

7-day point prevalence smoking abstinence confirmed by CO \<7ppm. This will be measured through biochemical confirmation (CO breath test).

Outcome measures

Outcome measures
Measure
Varenicline
n=6 Participants
Varenicline BID Varenicline: Chantix
Placebo
n=5 Participants
Placebo oral tablet: Placebo
Changes in Smoking Abstinence
Baseline
9.5 ppm
Standard Deviation 11.1
10.2 ppm
Standard Deviation 3.7
Changes in Smoking Abstinence
Week 6
2.6 ppm
Standard Deviation 1.5
7.8 ppm
Standard Deviation 5.5

Adverse Events

Varenicline

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Varenicline
n=6 participants at risk
Varenicline BID Varenicline: Chantix
Placebo
n=5 participants at risk
Placebo oral tablet: Placebo
Respiratory, thoracic and mediastinal disorders
Asthma flare
16.7%
1/6 • Up to 12 weeks
0.00%
0/5 • Up to 12 weeks

Other adverse events

Other adverse events
Measure
Varenicline
n=6 participants at risk
Varenicline BID Varenicline: Chantix
Placebo
n=5 participants at risk
Placebo oral tablet: Placebo
Psychiatric disorders
Abnormal/Vivid Dreams
16.7%
1/6 • Up to 12 weeks
40.0%
2/5 • Up to 12 weeks
Gastrointestinal disorders
Nausea/Vomiting
16.7%
1/6 • Up to 12 weeks
20.0%
1/5 • Up to 12 weeks
Gastrointestinal disorders
Constipation
16.7%
1/6 • Up to 12 weeks
0.00%
0/5 • Up to 12 weeks
General disorders
Dizziness/Lightheadedness
16.7%
1/6 • Up to 12 weeks
0.00%
0/5 • Up to 12 weeks
Gastrointestinal disorders
Dry Mouth
16.7%
1/6 • Up to 12 weeks
0.00%
0/5 • Up to 12 weeks
General disorders
Fatigue
0.00%
0/6 • Up to 12 weeks
40.0%
2/5 • Up to 12 weeks
General disorders
Insomnia/Trouble Sleeping
0.00%
0/6 • Up to 12 weeks
20.0%
1/5 • Up to 12 weeks

Additional Information

James M. Davis, MD

Duke University

Phone: 919-668-5055

Results disclosure agreements

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