- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00751257
N-Acetylcysteine and Smoking Reduction
March 22, 2017 updated by: Medical University of South Carolina
A Randomized Controlled Trial of Oral N-acetylcysteine for Smoking Reduction: a Pilot Study
N-acetylcysteine is an inexpensive agent with a benign side effect profile with preliminary studies in humans suggesting efficacy for the treatment of cocaine dependence.
N-acetylcysteine has been used in clinical medicine for nearly three decades to treat chronic lung conditions, acetaminophen overdose, and experimentally to treat cocaine dependence.
It is generally safe and well tolerated.
The present pilot study seeks to explore safety and tolerability, ad lib smoking, visual cue reactivity, and smoking reduction rates in a group of nontreatment seeking, nicotine dependence smokers who are willing to undergo a brief trial with oral N-acetylcysteine 1200 mg twice daily.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
33
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Be smokers motivated to reduce their cigarette usage but not seeking treatment to quit smoking at the time of screening.
- Be Able to give written informed consent after being presented with an IRB-approved informed consent document
- Be male or female of any race, between eighteen and sixty five years of age.
- Be in stable physical and mental health as judged by interview
- Be smoking 10 or more cigarettes per day for one or more years
- Have an expired CO reading of ≥10 parts/million prior to beginning study
- Test non-pregnant and use adequate birth control (female only). All female subjects will have a urine pregnancy test performed prior to the first dose of study medication.
- Be able to comply with protocol requirements and be likely to complete all study treatments.
- Live within 50 miles of the study site
Exclusion Criteria:
- Have current dependence, defined by DSM IV criteria, on any psychoactive substance other than nicotine, alcohol, or marijuana or physiological dependence on alcohol requiring medical detoxification.
- Have a history of significant hepatic, renal, endocrine, cardiac (i.e., arrhythmia requiring medication, angina pectoris, myocardial infarction,), stroke, seizure, neurological, non-drug-related psychiatric, gastrointestinal, pulmonary, hematologic or metabolic disorders.
- Have a history of adverse reaction/hypersensitivity to N-acetylcysteine.
- Have any significant active medical or psychiatric illness (e.g. schizophrenia, suicidal/homicidal ideation within the past 30 days) which might inhibit their ability to complete the study or might be complicated by administration of NAC.
- Used carbamazepine or Nitroglycerin within the last 14 days or any other medication felt to be hazardous if taken with NAC
- Have a current or past history of asthma and/or the occasional or daily use of Albuterol or other beta-agonist inhalers.
- Females pregnant or breast-feeding
- Have any medical history or condition considered by the investigator(s) to place the subjects at increased risk.
- Not fail to actively meet the inclusion criteria at the time of screening.
- Have a history of childhood or adult seizures of any cause.
- Be currently taking any medications (i.e., beta-blockers, stimulant medications) that might affect heart rate or skin conductance
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1
2400mg N-acetylcysteine (1200mg b.i.d.) for 4 consecutive weeks
|
2400mg (1200mg b.i.d., 600mg capsules, p.o.)
|
Placebo Comparator: 2
Identically appearing placebo pills, packaged in an N-acetylcysteine "slurry" so that placebo will retain smell similar to active NAC capsules
|
Identically appearing placebo capsules, packaged in an N-acetylcysteine "slurry" so that placebo has similar odor as active NAC capsules
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Carbon Monoxide Levels
Time Frame: Weekly
|
Weekly
|
Smoking Level
Time Frame: Weekly
|
Weekly
|
Craving Levels (Questionnaire for Smoking Urges -- Brief)
Time Frame: Weekly
|
Weekly
|
Minnesota Nicotine Withdrawal Scale (MNWS)
Time Frame: Weekly
|
Weekly
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Smoking Level
Time Frame: Daily
|
Daily
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Steven LaRowe, PhD, Medical University of South Carolina
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2006
Primary Completion (Actual)
October 1, 2007
Study Completion (Actual)
October 1, 2007
Study Registration Dates
First Submitted
September 10, 2008
First Submitted That Met QC Criteria
September 10, 2008
First Posted (Estimate)
September 11, 2008
Study Record Updates
Last Update Posted (Actual)
March 23, 2017
Last Update Submitted That Met QC Criteria
March 22, 2017
Last Verified
September 1, 2008
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Chemically-Induced Disorders
- Substance-Related Disorders
- Tobacco Use Disorder
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Protective Agents
- Respiratory System Agents
- Antioxidants
- Antidotes
- Free Radical Scavengers
- Expectorants
- Acetylcysteine
- N-monoacetylcystine
Other Study ID Numbers
- P50DA015369 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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