Smoking Habits and Smoking Cessation in Young Adults
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Purpose
The purpose of this study is to assess the efficacy and effectiveness of varenicline and nicotine patch combined with motivational interview technique in smoking cessation of young adults over 12 months follow-up.
| Condition | Intervention | Phase |
|---|---|---|
|
Smoking Cessation Smoking Habits |
Drug: varenicline Drug: Nicotine cutaneous patch |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Prevention |
| Official Title: | Smoking Cessation in Young Adults in Northern Finland |
- The continuous abstinence rate as the primary end point [ Time Frame: 12 months follow-up ] [ Designated as safety issue: No ]
- The urine cotinine testing [ Time Frame: 1year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 300 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | December 2016 |
| Estimated Primary Completion Date: | December 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Varenicline
A varenicline treatment group (with motivational interview technique combined with varenicline and placebo transdermal patch).Participants are allowed to use 2mg or 4mg nicotine gum as needed, and the nicotine dependence is assessed by Heaviness of Smoking Index (HSI) with two questions during baseline visit. The participants use study medication during 12 weeks.
|
Drug: varenicline
days 1.-3 0,5mgx1/day, days 4.-7 0,5mgx2/day, day 8 to the 12weeks 1mgx2 /day
|
|
Placebo Comparator: Nicotine cutaneous patch
A control group (motivational interview and nicotine patch with placebo pill. Participants are allowed to use 2mg or 4mg nicotine gum as needed, and the nicotine dependence is assessed by Heaviness of Smoking Index (HSI) with two questions during baseline visit. The participants use study medication during 12 weeks.
|
Drug: Nicotine cutaneous patch
Nicotinell patches 21mg/24hours , 14mg/24hours or 7 mg/24 are chosen according to heaviness of nicotine addiction
|
Detailed Description:
Most teenage smokers are still smoking when they become adults confirming that stopping of smoking at young age is difficult although majority of young smokers want to quit. Young smokers experience many relapses partly due to the lack of appropriate and available cessation services. The discomfort experienced during cessation attempts is likely to be negatively associated with cessation success. Quitting of smoking is by the far most important procedure in preventing COPD progression. In Finland, 18-35% of young adults smoke, the variability being associated at least with socioeconomic background, education and geographical area. Our recent studies on male military draftees have shown that smoking is much more frequent in Northern than Southern Finland. However young men want to quit and accept new smoking restrictions. Very few studies are available on quitting attempts or counselling, pharmacotherapy and/or their combinations in young adults who want to quit.
Eligibility| Ages Eligible for Study: | 18 Years to 26 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- healthy daily smokers
- a daily smoker has smoked at least 1cig/day every day during last month and has smoked at least 100 cig ever
- a nonsmoker has smoked less than 50 cig ever,and has not smoked at all during last month
- motivated to quit smoking and ready to 12 months follow-up
- minor allergy or mild asthma without regular medication is allowed
Exclusion Criteria:
- any chronic disease with daily medication
- known allergy to study medications(varenicline, nicotine patch,nicotine gum)
- any substance and/or alcohol abuse
- drop-outs are counted as current smokers
Contacts and Locations| Contact: Tuula Toljamo, MD | +358 16 328 3201 | tuula.toljamo@lshp.fi |
| Finland | |
| Lapland Central Hospital, Lapland Hospital District | Recruiting |
| Rovaniemi, Finland, 96400 | |
| Principal Investigator: Tuula Toljamo, MD | |
| Principal Investigator: | Pentti Nieminen, PhD | Medical Informatics and Statistics Research Group, University of Oulu |
More Information
No publications provided
| Responsible Party: | Tuula Toljamo, Chief Chest Physician, Lapland Central Hospital,Rovaniemi,Finland, University of Oulu |
| ClinicalTrials.gov Identifier: | NCT01531049 History of Changes |
| Other Study ID Numbers: | EETTMK:99/2011 |
| Study First Received: | February 3, 2012 |
| Last Updated: | April 25, 2013 |
| Health Authority: | Finland: Finnish Medicines Agency |
Keywords provided by University of Oulu:
|
smoking cessation young adults motivational counselling |
smoking nicotine replacement therapy therapy |
Additional relevant MeSH terms:
|
Habits Smoking Nicotine Nicotine polacrilex Varenicline Ganglionic Stimulants Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs |
Pharmacologic Actions Nicotinic Agonists Cholinergic Agonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Central Nervous System Stimulants Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013