Nicotine Replacement for Smoking Cessation During Pregnancy
Overview
- Phase
- Phase 4
- Intervention
- Placebo Inhaler
- Conditions
- Nicotine Dependence
- Sponsor
- UConn Health
- Enrollment
- 154
- Locations
- 2
- Primary Endpoint
- Number of Participants Who Self Report an Average of Zero Cigarettes Smoked Per Day in Preceding 7 Days
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This is a clinical trial to determine if the nicotine inhaler in combination with counseling will help pregnant women quit smoking, and whether it is safe when compared to placebo (an inactive inhaler).
Detailed Description
This project will examine the safety and efficacy of the nicotine inhaler as an aid to smoking cessation during pregnancy. The specific aims are: (1) To examine the efficacy of the nicotine inhaler compared to a matching placebo for smoking cessation during pregnancy; (2) To compare the nicotine inhaler with placebo on overall nicotine exposure (i.e., serum cotinine concentrations), and on birth outcomes (i.e., birth weight and gestational age); (3) To identify factors that determine which women benefit most from the use of the nicotine inhaler for smoking cessation during pregnancy; (4) To explore mechanisms by which the nicotine inhaler increases birth weight and gestational age. Subjects will be recruited from two prenatal clinics that serve primarily a low-income, minority population. Pregnant smokers (n=270) who smoke at least 5 cigarettes/ day will receive nurse-delivered behavioral counseling and be randomized to receive a 6-week course of treatment with either a nicotine inhaler or placebo, followed by a 6-week taper. Birth outcomes will be obtained on all participants
Investigators
Cheryl Oncken
Professor of Medicine
UConn Health
Eligibility Criteria
Inclusion Criteria
- •smoking at least 5 cigarettes per day for the preceding 7 days
- •previous attempt to quit smoking during pregnancy by self report
- •13-26 weeks gestation
- •at least 16 years of age
- •able to speak English or Spanish
- •intent to carry pregnancy to term
- •stable residence
Exclusion Criteria
- •current drug or alcohol abuse or dependence (other than methadone maintenance)
- •twins or other multiple gestation
- •unstable psychiatric disorder
- •unstable medical problems (e.g., pre-eclampsia, threatened abortion, hyperemesis gravidarum)
- •known congenital abnormality
Arms & Interventions
Placebo Inhaler
Placebo inhaler, 1-12 cartridges per day, for 6 weeks with a 6 week taper
Intervention: Placebo Inhaler
Nicotrol Inhaler
Nicotrol Inhaler, 1-12 cartridges per day, for 6 weeks with a 6 week taper.
Intervention: Nicotrol Inhaler
Outcomes
Primary Outcomes
Number of Participants Who Self Report an Average of Zero Cigarettes Smoked Per Day in Preceding 7 Days
Time Frame: 32-34 weeks gestation (Visit 6)
Number of participants who self report an average of zero cigarettes smoked per day in preceding 7 days
Secondary Outcomes
- Exhaled Carbon Monoxide(32-34 weeks gestation)
- Birth Weight(At delivery)
- Gestational Age(At delivery)