- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT01517022
Intensive Smoking-cessation Intervention Versus Smoking-cessation Advice in Smear-positive Patients With Pulmonary Tuberculosis
Impact of a Package of Intensive Smoking-cessation Interventions Versus Smoking-cessation Advice on Outcomes in Smear-positive Patients With Pulmonary Tuberculosis; a Randomised Controlled Trial (STB_RCT).
The aim of the study is to determine the impact of a package of smoking-cessation interventions on a composite measure of Tuberculosis (TB) treatment-related outcomes.
Given the lack of objective clinical data/evidence about the impact of smoking-cessation on TB-related outcomes, yet subjective expert opinion that smoking cessation is highly likely to be beneficial particularly in patients with TB, this study proposes to determine the impact of an intensive package of smoking-cessation interventions aimed to promote smoking-cessation (counseling plus nicotine replacement therapy, NRT), on patient response to anti-tuberculosis therapy. This is to be compared with the structured counselling for smoking-cessation that is recommended to be routinely provided by health care workers to all patients who are smokers. If the results prove that such a smoking-cessation PI indeed improves outcomes in TB patients, such information would strongly motivate for the institution of more intensive smoking-cessation interventions in TB clinics than is currently being employed for TB patients
연구 개요
상세 설명
연구 유형
등록 (실제)
단계
- 3단계
연락처 및 위치
연구 장소
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New Delhi, 인도, 110029
- All India Institute of Medical Sciences, Ansari Nagar
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- any adult (> 18 years)
- Recently diagnosed (primary TB/Relapse TB) smear-positive TB patient who self-reports to smoke at least 10 whole cigarettes or bidis (rolled tobacco leaf) per day, every day
Exclusion Criteria:
patients will be excluded from recruitment to the study if they fall into any one or more of these exclusion categories:
- Inability to give consent or < 18 years
- Patients who self-report to smoke less than 10 whole cigarettes/bidis per day
- TB patients who have already started anti-tuberculosis therapy for more than 1 week.
- Patients with known multidrug-resistant TB (or XDR) (information provided by patient or the information is available in the clinic folder).
- Known HIV-positive patients
- Contra-indications to NRT (patients with a history of severe cardiovascular disease including arrhythmias, recent myocardial infarction (within the last 6 months), recent cerebrovascular incident (6 months), and/ or history of peripheral vascular disease, phaeochromocytoma, poorly controlled diabetes mellitus, hyperthyroidism, renal/hepatic impairment or gastritis/peptic ulcers). Patients with asthma or depression will also be excluded, as quitting may have an effect on medications used for these conditions. Patients with severe skin disorders (such as psoriasis or eczema) will also be excluded.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
간섭 없음: Control arm
Control arm patients will receive pre designed pamphlets and structured conselling for smoking cessation by trained counsellors along with routine DOTS treatment
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활성 비교기: Intervention arm
Cessation arm patients will receive pre designed pamphlets and structured conselling for smoking cessation by trained counsellors along and nicotine replacement therapy(NRT) and routine DOTS treatment
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nicotine replacement therapy 2mg for patients cessation arm for period of 6 weeks
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
1. Change in TB Score at second month and sixth month
기간: Measured at baseline, second month and sixth month.
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Composite score for objective and subjective improvement measured at baseline, second month and sixth month
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Measured at baseline, second month and sixth month.
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Sputum culture conversion
기간: Measured at baseline and second month
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Sputum culture conversion at second month using solid/liquid culture technique
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Measured at baseline and second month
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Sputum smear conversion
기간: Measured at baseline, second week, fourth week, second month and sixth months
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Protocol was amended to access sputum conversion weekly up to second month
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Measured at baseline, second week, fourth week, second month and sixth months
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Mortality at sixth month
기간: Sixth month
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To determine number of mortality at the end of follow-up
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Sixth month
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More than 10% weight gain at six months
기간: Sixth month
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To determine rate of weight gain after completion of treatment
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Sixth month
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Proportion of subjects in each group that have quit smoking at second month
기간: Sixth month
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To determine the rate of smoking cessation in the cohort
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Sixth month
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Treatment completion
기간: Six months for new cases and eight months for re-treatment cases following regimen 2
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Six months for new cases and eight months for re-treatment cases following regimen 2
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Cure, failure and default rate
기간: At sixth month
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To determine cure, failure and default rate in the cohort
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At sixth month
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공동 작업자 및 조사자
수사관
- 수석 연구원: Surendra K Sharma, MD, Ph.D., AIIMS, New Delhi
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- SKS/Med/NI1161
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