V+PSF-M for Tobacco Cessation in HIV Care in India

NCT ID: NCT05786547

Last Updated: 2025-06-15

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-02

Study Completion Date

2026-07-22

Brief Summary

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The goal of this research study is to test an intervention to help quit tobacco use in participants with Human Immunodeficiency Virus (HIV).

The study interventions used in this research study are:

* Positively Smoke Free - Mobile (PSF-M) (mobile behavioral program)
* Varenicline (or Chantix, apovarenicline, Champix or Nocrav)

Detailed Description

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Open-label, practice-based randomized trial of varenicline + Positively Smoke Free-Mobile (PSF-M) for people living with Human Immunodeficiency Virus (PWH) who smoke or use both smoked and smokeless tobacco compared with a group that receives standard care including brief advice and quitline referral.

Positively Smoke Free (PSF) is a behavioral intervention which has been tested in multiple formats including a mobile version. Varenicline is the single most-effective pharmacotherapy agent for quitting tobacco with demonstrated efficacy for cessation of cigarettes, smokeless tobacco, and cessation among smokers with comorbidities

In this study, participants will be randomized to either Group 1: Varenicline + Positively Smoke Free-Mobile adapted for Chennai versus Group 2: Standard care with brief tobacco cessation advice and referral to the national quitline.

Research procedures include screening for eligibility, in-clinic visits, and completion of surveys and questionnaires.

Participation in this study is expected to last about 24 weeks.

It is expected about 400 people will take part in this research study.

This study is funded by the National Cancer Institute of the National Institute of Health (NIH).

Conditions

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Human Immunodeficiency Virus Smoking Cessation Smoking, Tobacco

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Varenicline + Positively Smoke Free - Mobile

Offer of varenicline per package dosing with dose escalation over week 1: 0.5 mg once daily on days 1 - 3, 0.5 mg twice daily on days 4 -7, followed by 1.0 mg twice daily on days 8 to 84.

Offer of Positively Smoke Free Mobile delivered by mobile phone including 42 days of content, tailored to individual quit date.

Group Type EXPERIMENTAL

Varenicline

Intervention Type DRUG

Per package dosing, tablet taken orally

Positively Smoke Free Mobile (PSF-M)

Intervention Type BEHAVIORAL

Behavioral tobacco cessation intervention for people living with HIV, delivered via mobile phone

Standard Care

Brief advice to quit tobacco Offer of referral to the national tobacco quitline

Group Type ACTIVE_COMPARATOR

Standard Care

Intervention Type BEHAVIORAL

Brief cessation advice plus referral to local tobacco quitline

Interventions

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Varenicline

Per package dosing, tablet taken orally

Intervention Type DRUG

Positively Smoke Free Mobile (PSF-M)

Behavioral tobacco cessation intervention for people living with HIV, delivered via mobile phone

Intervention Type BEHAVIORAL

Standard Care

Brief cessation advice plus referral to local tobacco quitline

Intervention Type BEHAVIORAL

Other Intervention Names

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Champix, apovarenicline, Nocrav

Eligibility Criteria

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Inclusion Criteria

* Adults (≥18 years)
* Confirmed HIV diagnosis
* Self-reported current smoking or dual tobacco use verified either by exhaled carbon monoxide ≥7 ppm, or by positive qualitative cotinine point-of-care test
* Able to read at 6th grade level or greater and speak Tamil, Telugu or English
* Able to use varenicline safely based on evaluation by primary provider at VHS
* Women of childbearing potential who consent to use a medically approved method of contraception or abstain from intercourse while taking study medication and for one month after.
* Ready to quit or interested in quitting

Exclusion Criteria

* Pregnant or planning to become pregnant in the next 6 months
* Breastfeeding
* Myocardial infarction in past 30 days or unstable angina
* History of liver or kidney failure
* Alanine aminotransferase and Aspartate aminotransferase \> 2 times upper limit of normal or creatinine clearance \<50 in past 6 months
* History of suicide attempt
* Current suicidal ideation
* Untreated or unstable major depressive disorder
* History of psychosis or on anti-psychotic medications
* Cognitive impairment limiting ability to consent
* Allergy to varenicline
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gina Kruse, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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University of Colorado

Aurora, Colorado, United States

Site Status RECRUITING

VHS Infectious Disease Medical Centre, CART Clinical Research Site

Chennai, Tamil Nadu, India

Site Status RECRUITING

Countries

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United States India

Central Contacts

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Gina Kruse, MD

Role: CONTACT

303-724-4811

Yamila L Sierra, MPH

Role: CONTACT

(303) 724-4549

Facility Contacts

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Gina Kruse, MD

Role: primary

303-724-4811

Yamila L Sierra, MPH

Role: backup

303-724-4549

N Kumarasammy

Role: primary

09176912007

Poongulali Selvamuthu

Role: backup

09940560019

Other Identifiers

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1U01CA261614-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

23-1017

Identifier Type: -

Identifier Source: org_study_id

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