MedPath

Varenicline for Long-term Nicotine Replacement Therapy (NRT) Users

Phase 2
Conditions
Tobacco Dependence
Interventions
Behavioral: support and visits
Drug: placebo
Registration Number
NCT00977249
Lead Sponsor
University Hospital, Gentofte, Copenhagen
Brief Summary

Primary aim: Will varenicline be better than placebo to get long-term users of NRT to stop?

Secondary aim: To assess in details some side effects of varenicline i.e. nausea and abnormal dreams.

Detailed Description

100-200 long-term users of NRT will be enrolled in a placebo, controlled, randomized trial with varenicline or placebo for 12 weeks to stop the use of NRT.

Assessments consist of carbon monoxide in expired air, p-cotinine, body-weight, questions about craving, nausea and dreams. Primary result is percent not using NRT and not smoking at 12 weeks (point prevalence last 7 days) and secondary result is not smoking and not using NRT at 12 months. Secondary aims, is a more detailed assessment of nausea and dreams; well-known side effects of varenicline and secondary results are a qualitative description of nausea and dreams.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Long-term, daily NRT users (except nicotine patch) (>11 months) ex-smokers that are willing to try to stop the use of NRT and adhere to this protocol.
  • More than 4 pieces of nicotine gum/ sublingual tablets/ lozenges/ per day, OR more than 3 inhaler cylinders per day, OR
  • more than 10 puffs of nasal spray per day.
Exclusion Criteria
  • Age < 18 years,
  • CO Smokers,
  • Pregnant and lactating women,
  • Used varenicline before,
  • Not able to cooperate,
  • Other significant diseases that might influence the trial (such as moderate -severe cardiac disease, lung cancer,) in expired air > 7 ppm.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
vareniclinesupport and visitsVarenicline for 12 weeks. The treatment schedule for varenicline is: Varenicline tablets, 0.5 mg x 1 daily, day 1-3 Varenicline 0.5 mg x 2, day 4-6 Varenicline 1 mg x 2, day 7 up to 12 weeks
placebosupport and visitsPlacebo for 12 weeks
placeboplaceboPlacebo for 12 weeks
vareniclinevareniclineVarenicline for 12 weeks. The treatment schedule for varenicline is: Varenicline tablets, 0.5 mg x 1 daily, day 1-3 Varenicline 0.5 mg x 2, day 4-6 Varenicline 1 mg x 2, day 7 up to 12 weeks
Primary Outcome Measures
NameTimeMethod
Primary result is percent not using NRT and not smoking at 12 weeks (point prevalence last 7 days) verified by self-declaration combined with a CO < 8 ppm and a p-cotinine < 15 ng/ml12 weeks +/- 1 week
Secondary Outcome Measures
NameTimeMethod
is not smoking and not using NRT at 12 months (point prevalence last 7 days) verified by self-declaration combined with a CO < 8 ppm and a p-cotinine < 15 ng/ml12 months +/- 3 weeks

Trial Locations

Locations (1)

Gentofte Hospital

🇩🇰

Copenhagen, Hellerup, Denmark

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