Tobacco Treatment Comparison for Cancer Care

NCT ID: NCT06218823

Last Updated: 2025-10-27

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-01

Study Completion Date

2025-08-04

Brief Summary

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This pilot comparative effectiveness trial will compare two active smoking cessation treatments in terms of effectiveness, equity across patient subpopulations, and efficiency among adult patients diagnosed with cancer within the past 3 years. An enhanced treatment comprising 12 weeks of varenicline treatment and 7 smoking cessation coaching calls with a cancer focus will be compared against an active comparator modeled after standard quitline treatments (2 weeks of nicotine patch therapy with 3 phone coaching calls). Approximately 50 participants will be recruited to generate estimates of the effects, acceptability, costs, and equity of enhanced treatment (vs. standard treatment), with the primary outcome being abstinence from smoking 26 weeks after trying to quit.

Detailed Description

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Primary Aim

1\. To generate estimates of the size of the comparative effects of enhanced, cancer-specific smoking cessation treatment versus a generic standard care package similar to quitline care in terms of biochemically confirmed 7-day point prevalence abstinence (no smoking in the past 7 days) 26 weeks after a target quit date.

Exploratory Aims

1. To estimate differences in CET arms in exploratory outcomes including patient acceptability, completion, adherence, costs, and cost-effectiveness.
2. To estimate the extent to which treatment effects on abstinence and exploratory outcomes differ across patient subpopulations based on demographics (age, race, sex, ethnicity, socioeconomic disadvantage); nicotine dependence; and cancer site, stage, and treatment phase.

Conditions

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Smoking Cessation Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Low-Intensity Standard Smoking Cessation Treatment

2 weeks of nicotine patch therapy, 3 telephone counseling sessions, and information about quitline and National Cancer Institute text messaging support services (SmokefreeTXT)

Group Type ACTIVE_COMPARATOR

Transdermal Nicotine Patch

Intervention Type DRUG

a stop smoking aid, 21 milligrams(mg), 14mg, or 7mg of nicotine delivered over 24 hours

Standard Telephone Counseling

Intervention Type BEHAVIORAL

3 brief telephone-based smoking cessation counseling sessions

Mailed Information about Standard Care Resources

Intervention Type OTHER

Publicly funded treatment resources including the SmokefreeTXT program sponsored by the National Cancer Institute and the Wisconsin Tobacco Quit Line.

High-Intensity, Cancer-Targeted Smoking Cessation Treatment

12 weeks of varenicline therapy, 7 counseling sessions targeted to cancer patients, and information about quitline and SmokefreeTXT services

Group Type EXPERIMENTAL

Varenicline

Intervention Type DRUG

12 weeks of an oral smoking cessation medication

Cancer-Targeted Telephone Counseling

Intervention Type BEHAVIORAL

7 telephone-based smoking cessation counseling sessions adapted for cancer patients

Mailed Information about Standard Care Resources

Intervention Type OTHER

Publicly funded treatment resources including the SmokefreeTXT program sponsored by the National Cancer Institute and the Wisconsin Tobacco Quit Line.

Interventions

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Transdermal Nicotine Patch

a stop smoking aid, 21 milligrams(mg), 14mg, or 7mg of nicotine delivered over 24 hours

Intervention Type DRUG

Standard Telephone Counseling

3 brief telephone-based smoking cessation counseling sessions

Intervention Type BEHAVIORAL

Varenicline

12 weeks of an oral smoking cessation medication

Intervention Type DRUG

Cancer-Targeted Telephone Counseling

7 telephone-based smoking cessation counseling sessions adapted for cancer patients

Intervention Type BEHAVIORAL

Mailed Information about Standard Care Resources

Publicly funded treatment resources including the SmokefreeTXT program sponsored by the National Cancer Institute and the Wisconsin Tobacco Quit Line.

Intervention Type OTHER

Other Intervention Names

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Nicotine Patch NicoDerm CQ apovarenicline

Eligibility Criteria

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Inclusion Criteria

* Alive (per medical record)
* Diagnosed with cancer in the past 3 years
* Received care from a participating oncology clinic in the past year
* Has a current tobacco use status
* Does not have a preferred language other than English (missing language preference will be included).
* Valid address that is not a correctional facility or residential treatment/care facility.
* No flag for patient cognitive impairment, activated health care power of attorney, or other health care agent (e.g., legally authorized representative) in the EHR.


* Smoked combustible cigarettes in the past month.
* Able to speak and understand English.
* Willing to set a date to quit smoking in the next 60 days.
* Willing to receive smoking treatment information.
* Willing to complete study activities.

Exclusion Criteria

* No current suicidal ideation.
* Suicide attempt in the past year.
* Currently receiving treatment for bipolar disorder, schizophrenia, schizoaffective disorder, or psychotic disorder.
* Incarceration.
* Unable to provide informed consent to treatment (i.e., cannot answer questions about study procedures or risks after hearing about the study).
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 Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Danielle E McCarthy, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

Locations

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UW Carbone Cancer Center

Madison, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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https://ctri.wisc.edu/

UW Center for Tobacco Research and Intervention

Other Identifiers

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Protocol Version 2/13/2024

Identifier Type: OTHER

Identifier Source: secondary_id

SMPH/MEDICINE/GEN INT MD

Identifier Type: OTHER

Identifier Source: secondary_id

2P01CA180945-06

Identifier Type: NIH

Identifier Source: secondary_id

View Link

UW23091

Identifier Type: OTHER

Identifier Source: secondary_id

2023-1025

Identifier Type: -

Identifier Source: org_study_id

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