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Varenicline for Light Smokers (ChanLight)

25. januar 2018 oppdatert av: Jon Ebbert, Mayo Clinic
The purpose of this study is to determine if varenicline is effective in treating tobacco dependence in adults who smoke 5-10 cigarettes per day.

Studieoversikt

Status

Fullført

Forhold

Detaljert beskrivelse

Nearly 50% of U.S. cigarette smokers smoke ≤ 10 cigarettes per day (CPD) and are considered "light smokers." Most light smokers will either maintain a chronic light smoking habit or increase their level of smoking during their lifetime. Importantly, light smokers are at risk for adverse health consequences and increased all-cause mortality. While multiple factors such as reinforcement behavior, diminished autonomy, economic constraints and tobacco control policies influence light smoking, nicotine dependence appears particularly important in 5 to 10 CPD smokers. Despite the high prevalence of light smoking and its increased healthcare burden, few studies have evaluated the efficacy of pharmacotherapy for this group of smokers. Varenicline, which targets symptoms of nicotine dependence, has been shown to increase smoking abstinence rates in moderate to heavy smokers (≥ 10 cigarettes per day). However, varenicline has not been evaluated in subjects who smoke < 10 CPD. In the current proposal we will investigate the efficacy of varenicline for smoking cessation in 5 to 10 CPD light smokers who wish to quit. This study will be conducted as a double-blind, placebo-controlled, randomized clinical trial at the Mayo Clinic, enrolling 224 eligible participants who smoke 5 to 10 CPD. Participants will receive behavior therapy and either varenicline or placebo for 12 weeks with follow up through 26 weeks. We will determine if varenicline increases smoking abstinence in light smokers at end-of-treatment and 26 weeks as compared to placebo.

Studietype

Intervensjonell

Registrering (Faktiske)

93

Fase

  • Fase 4

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Minnesota
      • Rochester, Minnesota, Forente stater, 55905
        • Mayo Clinic

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  1. Subjects must be ≥ 18 years of age;
  2. smokes 5 to 10 CPD for at least 6 months;
  3. express interest in quitting smoking;
  4. indicate ability to complete all study visits; and
  5. provide written informed consent to participate in the study.
  6. Subject is a female subject of non-childbearing potential or a female subject of childbearing potential - who is using contraceptives and has a negative pregnancy test result;
  7. Subject is in good health as determined by the investigator;
  8. Subject has the ability to participate fully in all aspects of the study and keep scheduled appointments.

Exclusion Criteria:

  1. An active medical condition such as unstable angina, myocardial infarction, or coronary angioplasty within the past 3 months or an untreated cardiac dysrhythmia;
  2. History of renal failure;
  3. Cancer [excluding non-melanoma skin cancer] not in remission;
  4. Psychosis or bipolar disorder;
  5. Current unstable or untreated moderate or severe depression as assessed by the CES-D;
  6. have, as defined by the C-SSRS (Columbia-Suicide Severity Rating Scale), current non-specific suicidal thoughts, or have a lifetime history of a suicidal attempt (defined as "potentially self-injurious act committed with at least some wish to die, as a result of act.");
  7. Substance dependence other than nicotine, defined as:

    a. Patient has a recent history (past month) of heavy alcohol consumption as defined by NIAAA: i. Men: More than 4 drinks on any day or 14 per week ii. Women: More than 3 drinks on any day or 7 per week. b. Use of cocaine, heroin, club drugs (i.e., MDMA/"ecstasy"), methamphetamine, or hallucinogens (e.g., LSD) at any time during the past month.

    c. Use of marijuana on a weekly basis for the past month

  8. An allergy to varenicline;
  9. Current use of a behavioral or pharmacologic tobacco dependence treatment and unwilling or unable to discontinue use;
  10. Another member of their household already participating in this study; and
  11. Current treatment with another investigational drug (within 30 days of study entry).
  12. Has an unstable medical condition;
  13. Subject has untreated hypertension or baseline systolic blood pressure > 180 or diastolic > 100;
  14. Women of child-bearing potential, or who are pregnant, lactating or likely to become pregnant during the trial and are unwilling to use an acceptable form of contraception during the medication phase will also be excluded. All female subjects of childbearing potential must have a negative pregnancy test and must agree to use approved contraception during participation in the study.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Varenicline
1 mg of varenicline twice per day for 12 weeks.
1 mg of varenicline twice per day for 12 weeks and brief behavioral counseling
Andre navn:
  • chantix
Placebo komparator: placebo
1 placebo tablet twice a day for 12 weeks
1 placebo tablet twice per day for 12 weeks and brief behavioral counseling
Andre navn:
  • sukkerpille

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Point Prevalence Smoking Outcome at 12 Weeks (End of Treatment)
Tidsramme: 12 weeks
To determine the efficacy of 12 weeks of varenicline therapy in achieving increased smoking abstinence rates in light smokers. Point prevalence is defined as no smoking in the past 7 days.
12 weeks
Prolonged Smoking Outcome at 12 Weeks (End of Treatment)
Tidsramme: 12 weeks
To determine the efficacy of 12 weeks of varenicline therapy in achieving increased smoking abstinence rates in light smokers. Prolonged abstinence is defined as no smoking since 2 weeks after the target quit date.
12 weeks

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Point Prevalence Smoking Outcome at 24 Weeks (End of Study)
Tidsramme: 24 weeks
To determine the efficacy of 12 weeks of varenicline therapy in achieving increased smoking abstinence rates at 6 months in light smokers. Point prevalence is defined as no smoking in the past 7 days.
24 weeks
Prolonged Smoking Outcome at 24 Weeks (End of Study)
Tidsramme: 24 weeks
To determine the efficacy of 12 weeks of varenicline therapy in achieving increased smoking abstinence rates at 6 months in light smokers. Prolonged abstinence is defined as no smoking since 2 weeks after the target quit date.
24 weeks

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Samarbeidspartnere

Etterforskere

  • Hovedetterforsker: Ivana T. Croghan, PhD, Mayo Clinic
  • Hovedetterforsker: Jon O. Ebbert, MD, Mayo Clinic

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. januar 2013

Primær fullføring (Faktiske)

1. desember 2015

Studiet fullført (Faktiske)

1. juni 2016

Datoer for studieregistrering

Først innsendt

10. juli 2012

Først innsendt som oppfylte QC-kriteriene

10. juli 2012

Først lagt ut (Anslag)

12. juli 2012

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

22. februar 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

25. januar 2018

Sist bekreftet

1. januar 2018

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • 12-005652
  • WS2293926 (Annet stipend/finansieringsnummer: Pfizer Inc)

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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