Preloaded Combination Nicotine Replacement Therapy on Smoking Cessation of Adult Population in Kazakhstan

NCT ID: NCT05484505

Last Updated: 2023-03-24

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

UNKNOWN

Clinical Phase

EARLY_PHASE1

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-01

Study Completion Date

2024-12-31

Brief Summary

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Randomized, controlled, two-armed, single-blinded, superiority trial with 1:1 allocation ratio Nicotine Replacement Therapy(NRT)

Detailed Description

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The primary objective is to determine the effectiveness of preloaded combination nicotine replacement therapy (NRT) on smoking cessation of tobacco smokers. The secondary objectives are to determine the predictors of smoking cessation among the study participant's, to determine the change in health-related quality of life due to smoking cessation \& to determine the perception of treatment adherence among the study participants.

Conditions

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Smoking Cessation Smoking, Cigarette Smoking Behaviors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Nicotine replacement therapy (NRT) Preloading

1. Brief Advice (5 A's \& 5 R's)- 0-day, Month- 1, 3, 6, 9, 12
2. a. Nicotine Replacement Therapy for \> 20 cigarettes per day

Nicotine Patch: Preloading for 4 weeks + 12 weeks post quit date,21 mg: 4 weeks before and after quit date,14 mg: Next 4 weeks,7 mg: Last 4 weeks Nicotine chewing gums 4 mg for 12 weeks post quit date (12/day on week 1(Tapering dose weekly)1/day on week 12

2.b. Nicotine Replacement Therapy for \< 20 cigarettes per day Nicotine Patch: Preloading for 4 weeks + 12 weeks post quit date 21 mg: 4 weeks before and after quit date 14 mg: Next 4 weeks 7 mg: Last 4 weeks

Nicotine chewing gums 2 mg for 12 weeks post quit date (12/day on week

1(Tapering dose)1/day on week 12

Group Type EXPERIMENTAL

Nicotine patch, Nicotine gums

Intervention Type DRUG

Nicotine patch 21mg, 12 weeks post quit date and nicotine chewing gums 4mg for 12 weeks post quit date

* 14 mg: Next 4 weeks
* 7 mg: Last 4 weeks

Brief Advice (5 A's & 5 R's)

Intervention Type BEHAVIORAL

Brief Advice (5 A's \& 5 R's) at Day 0, 1 month, 3,6,9 \& 12 months

Nicotine Patch: Preloading for 4 weeks

Intervention Type DRUG

Nicotine Patch: Preloading for 4 weeks - 21 mg: 4 weeks before quit date

Nicotine replacement therapy (NRT)

1. Brief Advice (5 A's \& 5 R's)- 0-day, Month- 1, 3, 6, 9, 12
2. a. Nicotine Replacement Therapy for \> 20 cigarettes per day

Nicotine Patch: 12 weeks post quit date 21 mg: 4 weeks after quit date 14 mg: Next 4 weeks 7 mg: Last 4 weeks

Nicotine chewing gums 4 mg for 12 weeks post quit date (12/day on week 1(Tapering dose weekly)1/day on week 12

2.b. Nicotine Replacement Therapy for \< 20 cigarettes per day

Nicotine Patch: 12 weeks post quit date 21 mg: 4 weeks after quit date 14 mg: Next 4 weeks 7 mg: Last 4 weeks

Nicotine chewing gums 2 mg for 12 weeks post quit date (12/day on week 1(Tapering dose)1/day on week 12

Group Type ACTIVE_COMPARATOR

Nicotine patch, Nicotine gums

Intervention Type DRUG

Nicotine patch 21mg, 12 weeks post quit date and nicotine chewing gums 4mg for 12 weeks post quit date

* 14 mg: Next 4 weeks
* 7 mg: Last 4 weeks

Brief Advice (5 A's & 5 R's)

Intervention Type BEHAVIORAL

Brief Advice (5 A's \& 5 R's) at Day 0, 1 month, 3,6,9 \& 12 months

Interventions

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Nicotine patch, Nicotine gums

Nicotine patch 21mg, 12 weeks post quit date and nicotine chewing gums 4mg for 12 weeks post quit date

* 14 mg: Next 4 weeks
* 7 mg: Last 4 weeks

Intervention Type DRUG

Brief Advice (5 A's & 5 R's)

Brief Advice (5 A's \& 5 R's) at Day 0, 1 month, 3,6,9 \& 12 months

Intervention Type BEHAVIORAL

Nicotine Patch: Preloading for 4 weeks

Nicotine Patch: Preloading for 4 weeks - 21 mg: 4 weeks before quit date

Intervention Type DRUG

Other Intervention Names

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Nicotex

Eligibility Criteria

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Inclusion Criteria

* all current smokers aged 18 years and above with a motivation to quit

Exclusion Criteria

* smokeless tobacco users, smoking frequency of fewer than 10 cigarettes per day, pregnant women, lactating women, patients with a recent history of myocardial infarction of fewer than 3 months, and electronic cigarette users
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nazarbayev University

OTHER

Sponsor Role lead

Astana Medical University

OTHER

Sponsor Role collaborator

Responsible Party

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Chethan Purushothama

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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National Research Cardiac Surgery Center, Astana, Kazakhstan

Astana, , Kazakhstan

Site Status

Nazarbayev University School of Medicine

Astana, , Kazakhstan

Site Status

Countries

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Kazakhstan

Facility Contacts

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Chetan Purushothama

Role: primary

References

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Hays JT, Croghan IT, Baker CL, Cappelleri JC, Bushmakin AG. Changes in health-related quality of life with smoking cessation treatment. Eur J Public Health. 2012 Apr;22(2):224-9. doi: 10.1093/eurpub/ckq137. Epub 2010 Sep 30.

Reference Type RESULT
PMID: 20884658 (View on PubMed)

Wang Q, Mati K. Intention to Quit among Smokers in Kazakhstan: Data from 2014 Global Adult Tobacco Survey. J Epidemiol Glob Health. 2019 Mar;9(1):23-28. doi: 10.2991/jegh.k.190212.002.

Reference Type RESULT
PMID: 30932386 (View on PubMed)

Levy DT, Levy J, Mauer-Stender K. Potential impact of strong tobacco-control policies in 11 newly independent states. Cent Eur J Public Health. 2019 Jun;27(2):115-126. doi: 10.21101/cejph.a5506.

Reference Type RESULT
PMID: 31241286 (View on PubMed)

Giulietti F, Filipponi A, Rosettani G, Giordano P, Iacoacci C, Spannella F, Sarzani R. Pharmacological Approach to Smoking Cessation: An Updated Review for Daily Clinical Practice. High Blood Press Cardiovasc Prev. 2020 Oct;27(5):349-362. doi: 10.1007/s40292-020-00396-9. Epub 2020 Jun 23.

Reference Type RESULT
PMID: 32578165 (View on PubMed)

Llimargas M, Lawrence PA. Seven Wnt homologues in Drosophila: a case study of the developing tracheae. Proc Natl Acad Sci U S A. 2001 Dec 4;98(25):14487-92. doi: 10.1073/pnas.251304398. Epub 2001 Nov 20.

Reference Type RESULT
PMID: 11717401 (View on PubMed)

Prochaska JJ. Nicotine Replacement Therapy as a Maintenance Treatment. JAMA. 2015 Aug 18;314(7):718-9. doi: 10.1001/jama.2015.7460.

Reference Type RESULT
PMID: 26284723 (View on PubMed)

Chai W, Zou G, Shi J, Chen W, Gong X, Wei X, Ling L. Evaluation of the effectiveness of a WHO-5A model based comprehensive tobacco control program among migrant workers in Guangdong, China: a pilot study. BMC Public Health. 2018 Feb 27;18(1):296. doi: 10.1186/s12889-018-5182-6.

Reference Type RESULT
PMID: 29486753 (View on PubMed)

Dhavan P, Bassi S, Stigler MH, Arora M, Gupta VK, Perry CL, Ramakrishnan L, Reddy KS. Using salivary cotinine to validate self-reports of tobacco use by Indian youth living in low-income neighborhoods. Asian Pac J Cancer Prev. 2011;12(10):2551-4.

Reference Type RESULT
PMID: 22320954 (View on PubMed)

Rose JE, Behm FM, Westman EC. Nicotine-mecamylamine treatment for smoking cessation: the role of pre-cessation therapy. Exp Clin Psychopharmacol. 1998 Aug;6(3):331-43. doi: 10.1037//1064-1297.6.3.331.

Reference Type RESULT
PMID: 9725117 (View on PubMed)

Hymowitz N, Cummings KM, Hyland A, Lynn WR, Pechacek TF, Hartwell TD. Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tob Control. 1997;6 Suppl 2(Suppl 2):S57-62. doi: 10.1136/tc.6.suppl_2.s57.

Reference Type RESULT
PMID: 9583654 (View on PubMed)

Purushothama C, Crape BL, Stolyarov V, Jaxybayeva A, la Fleur P, Olickal JJ. Preloaded combination nicotine replacement therapy for smoking cessation in Kazakhstan: A randomized controlled trial study protocol. PLoS One. 2023 Nov 27;18(11):e0292490. doi: 10.1371/journal.pone.0292490. eCollection 2023.

Reference Type DERIVED
PMID: 38011129 (View on PubMed)

Related Links

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https://www.jioh.org/text.asp?2018/10/2/71/230862

Carbon monoxide breath analyzers and its role in tobacco cessation: A narrative review of literature.

Other Identifiers

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11022021CRP1514

Identifier Type: -

Identifier Source: org_study_id

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