- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06088862
Evaluate Harm Reduction Products as a Second Line Intervention for Adult Smokers Who Do Not Quit With NRT
February 15, 2024 updated by: Rose Research Center, LLC
A Randomized Study to Evaluate Harm Reduction Products as a Second Line Intervention for Adult Smokers Who Do Not Quit With Nicotine Replacement Therapy (NRT)
This study will determine whether a range of products along the reduced-risk continuum can reduce smoke exposure for individuals who fail to quit smoking using current medically approved nicotine replacement therapy (NRT) products.
The strategy will be to offer 325 smokers four weeks of NRT of their choice (gum, lozenge, or nicotine patch) and assess them for quit-smoking status at the end of the period.
Seven-day point abstinence will be used to determine responder status at the end of the four-week period (CO of <6 ppm at both CO collection points during that seven-day period and self-report of no smoking during that seven-day period).
Those who have not quit, and who therefore have a very low chance of later success (a consistent finding in prior studies and to be verified in the proposed study), will be randomly assigned to either receive a potential "rescue" product (nicotine pouch or ENDS (electronic nicotine delivery system), or remain on NRT (control group).
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
325
Phase
- Phase 3
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
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28262
- Rose Research Center
-
Raleigh, North Carolina, United States, 27617
- Rose Research Center
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Has signed the Informed Consent From (ICF) and is able to read and understand the information provided in the ICF.
- Is 22 to 65 years of age (inclusive) at screening.
- Smokes an average of at least 10 commercially available cigarettes per day and has done so for the last 12 months.
- Expired air CO reading of at least 10 ppm as assessed at the screening session.
- Interested in switching to an electronic cigarette or nicotine pouch.
- Willing and able to comply with the requirements of the study.
- Owns a smart phone with text message and data capabilities compatible with necessary surveys.
Exclusion Criteria:
- Any participant who has a medical or physical condition that, in the opinion of the investigator (or designee), may adversely affect participant safety, the safety of others, or data validity.
- Planned use of an FDA-approved smoking cessation product during the study, not provided as part of this protocol.
- Coronary heart disease, structural cardiac disease (including, but not limited to valvular heart disease or cardiac murmurs), cardiac dysrhythmias, syncope, cardiac chest pain, or history of heart attack or heart failure.
- Taking psychoactive medications (e.g., antipsychotics, benzodiazepines, or mood stabilizers).
- Frequent users (monthly) of smokeless tobacco (chewing tobacco, snuff), cigars (not cigarillos), pipes, hookahs or other non-commercially available combustible or heated tobacco products.
- Use of nicotine replacement therapy or other smoking cessation treatments within 14 days of screening.
- Pregnant or nursing (by self-report) or positive pregnancy test.
- Heterosexually active participant of Childbearing Potential (not sterilized by tubal ligation, oophorectomy, hysterectomy, or other surgical methods, or post-menopausal) that do not agree to practice medically appropriate methods of birth control (or remain abstinent) during the course of the trial. Medically acceptable methods of birth control include: successful vasectomy of male partner, vaginal diaphragm with spermicide, intrauterine device, hormonal birth control (oral, injected, or implanted), condom with spermicide, or sponge with spermicide.
- Participants who were enrolled in a clinical trial within 30 days of screening.
- Enrollment numbers met (in sub-group or entire study).
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: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group I - NRT Responder
Participants that were successful in quitting smoking using NRT in the first four weeks of the study will have the option of remaining on their current NRT or switching to one of the other two options for the next five weeks.
|
21mg nicotine patch daily; maximum usage 9 weeks
Other Names:
4mg Nicorette gum (flavors - cinnamon surge, fruit chill, and mint); as needed maximum usage 9 weeks
Other Names:
4mg Nicorette mint lozenge; as needed maximum usage 9 weeks
Other Names:
|
Experimental: Group IIa NRT Non-Responder - Pouch Preferrers
Participants that were unsuccessful in quitting smoking using NRT in the first four weeks and reported a preference to try a nicotine pouch.
Randomized to be switched to nicotine pouch for the next five weeks.
|
21mg nicotine patch daily; maximum usage 9 weeks
Other Names:
4mg Nicorette gum (flavors - cinnamon surge, fruit chill, and mint); as needed maximum usage 9 weeks
Other Names:
4mg Nicorette mint lozenge; as needed maximum usage 9 weeks
Other Names:
4mg on!
Nicotine Pouch (flavors - Berry, Mint, and Original); as needed for maximum usage 5 weeks
Other Names:
|
Experimental: Group IIb NRT Non-Responder - Pouch Preferrers Control
Participants that were unsuccessful in quitting smoking using NRT in the first four weeks and reported a preference to try a nicotine pouch.
Randomized to be remain on NRT for the next five weeks.
|
21mg nicotine patch daily; maximum usage 9 weeks
Other Names:
4mg Nicorette gum (flavors - cinnamon surge, fruit chill, and mint); as needed maximum usage 9 weeks
Other Names:
4mg Nicorette mint lozenge; as needed maximum usage 9 weeks
Other Names:
|
Experimental: Group IIIa NRT Non-Responder - ENDS Preferrers
Participants that were unsuccessful in quitting smoking using NRT in the first four weeks and reported a preference to try ENDS.
Randomized to be switched to ENDS for the next five weeks.
|
21mg nicotine patch daily; maximum usage 9 weeks
Other Names:
4mg Nicorette gum (flavors - cinnamon surge, fruit chill, and mint); as needed maximum usage 9 weeks
Other Names:
4mg Nicorette mint lozenge; as needed maximum usage 9 weeks
Other Names:
BIDI e-cigarette (flavors - Classic, Arctic, and Solar); as needed for maximum of 5 weeks
|
Experimental: Group IIIb NRT Non-Responder - ENDS Preferrers Control
Participants that were unsuccessful in quitting smoking using NRT in the first four weeks and reported a preference to try ENDS.
Randomized to be remain on NRT for the next five weeks.
|
21mg nicotine patch daily; maximum usage 9 weeks
Other Names:
4mg Nicorette gum (flavors - cinnamon surge, fruit chill, and mint); as needed maximum usage 9 weeks
Other Names:
4mg Nicorette mint lozenge; as needed maximum usage 9 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in smoke exposure for NRT non-responders
Time Frame: After 10 weeks
|
Change in expired air CO at week 10 compared to baseline
|
After 10 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Smoking abstinence rates for NRT non-responders
Time Frame: Week 7 - Week 10
|
Complete smoking abstinence defined by a self-report of no cigarette smoking (not even a puff).
|
Week 7 - Week 10
|
Smoking abstinence rates for NRT non-responders
Time Frame: Week 7 - Week 10
|
Complete smoking abstinence defined by expired air CO<6 ppm.
|
Week 7 - Week 10
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
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 (Actual)
December 27, 2023
Primary Completion (Estimated)
August 31, 2024
Study Completion (Estimated)
December 31, 2024
Study Registration Dates
First Submitted
October 12, 2023
First Submitted That Met QC Criteria
October 12, 2023
First Posted (Actual)
October 18, 2023
Study Record Updates
Last Update Posted (Actual)
February 16, 2024
Last Update Submitted That Met QC Criteria
February 15, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Adaptive
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
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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