Nicotine Withdrawal and Reward Processing

NCT ID: NCT05041959

Last Updated: 2024-05-08

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

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-02

Study Completion Date

2024-04-15

Brief Summary

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This study is designed to find out how smoking affects the way the brain responds to pleasure and how this impacts smokers' behavior. Participants will complete three sessions. The first session will be a screening and training visit to determine final eligibility. Eligible participants will work with a researcher to develop brief scripts about times when they smoke and do other activities. Next, participants will attend two magnetic resonance imaging (MRI) scans - one after abstaining from smoking for 24 hours and the other after smoking as usual. After the second MRI, participants will answer questions on their phone every day for two weeks.

Detailed Description

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Conditions

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Cigarette Smoking Nicotine Dependence Nicotine Withdrawal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Participants will abstain from smoking for 24 hours before one MRI scan and continue smoking as usual before the other
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

This is a smoking abstinence manipulation. No masking is possible.

Study Groups

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Smoking Abstinence

Participants will abstain from smoking for 24 hours before one MRI scan. Smoking abstinence will be confirmed using exhaled carbon monoxide breath testing

Group Type OTHER

Smoking Abstinence

Intervention Type OTHER

Participants will abstain from smoking for 24 hours

Ad Lib Smoking

Participants will continue smoking as usual (i.e. "ad lib") before one MRI scan and smoke one additional cigarette immediately prior to scanning. Continued smoking will be confirmed using exhaled carbon monoxide breath testing.

Group Type OTHER

Ad Lib Smoking

Intervention Type OTHER

Participants will continue smoking as usual (i.e. ad lib) in the day leading up to the scan and smoke one cigarette of their own brand immediately prior to scanning.

Interventions

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Smoking Abstinence

Participants will abstain from smoking for 24 hours

Intervention Type OTHER

Ad Lib Smoking

Participants will continue smoking as usual (i.e. ad lib) in the day leading up to the scan and smoke one cigarette of their own brand immediately prior to scanning.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Generally healthy
2. Age 21-55
3. Right-handed using a three-item scale
4. Daily smoker of ≥ 6 cigarettes/day
5. Smoking regularly for ≥ 1 year
6. Have a smartphone capable of running the MetricWire application
7. Able to read and understand English
8. Able to identify at least 6 pleasurable activities they do not do concurrently with smoking or associate with smoking.
9. Able to identify at least 6 unique locations/scenarios they do associate with smoking

Exclusion Criteria

1. Planning to quit smoking within the next 60 days
2. Currently seeking or receiving treatment for smoking cessation
3. Use of smokeless tobacco, nicotine replacement products or electronic cigarettes more than 5 days in the past month.
4. Breath alcohol level ≥.001. Participants may be allowed one reschedule at the discretion of the PI or other study staff.
5. Positive toxicology screen for illicit drugs

1. Marijuana will be tested for but will not be exclusionary
2. Participants failing the toxicology screen may be allowed one re-screening attempt at the PI's discretion
3. Participants with valid prescriptions who report using the medication as directed and meet all other eligibility criteria may be allowed to participate at the PI's discretion
6. Current use of antipsychotic or stimulant medications.
7. Significant health problems or those that would impact scientific goals of the project, including (but not limited to):

1. Cancer, Bronchitis, Emphysema, COPD
2. Asthma or Breathing Problems
3. Insulin-Dependent Diabetes
4. Heart disease, angina, heart failure, serious arrhythmia or heart attack within the past 6 months
5. Systolic Blood Pressure \> 160, Diastolic Blood Pressure \> 100, HR \> 115 bpm (one re-screen allowed).
6. Glaucoma, color blindness or an uncorrected vision problem
7. Significant hearing loss requiring the use of hearing aids or other hearing problems that would impact
8. History of stroke, brain tumor, seizure disorder, or traumatic brain injury
9. Metal implants (e.g. pacemaker, surgical pins, certain dental repairs), dental braces, or metal fragment injuries.
10. Claustrophobia
11. Weight \> 350 pounds or unable to fit in the MRI scanner bore
12. Current psychotic disorder, alcohol use disorder or drug use disorder for drugs other than cannabis (moderate or severe only, mild is allowable at PI's discretion). AUD and DUD in remission are also allowable at PI's discretion.
13. Pregnant, breastfeeding or planning to become pregnant during the course of the study (females)
8. Current enrollment in another smoking research study or having participated in a study involving daily use of Spectrum cigarettes or other reduced nicotine products within the past three months
9. Irregular sleep-wake cycles (e.g. swing-shift work, unusual sleep pattern)
Minimum Eligible Age

21 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Oklahoma State University

OTHER

Sponsor Role collaborator

National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

University of Oklahoma

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hardesty Center for Clinical Research and Neuroscience

Tulsa, Oklahoma, United States

Site Status

Countries

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United States

Other Identifiers

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K23DA042898

Identifier Type: NIH

Identifier Source: secondary_id

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K23DA042898

Identifier Type: NIH

Identifier Source: org_study_id

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