Combination of Nicotine Replacement Therapy (NRT) and Varenicline to Increase Cessation of Tobacco (CONVICT Study)
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Purpose
Varenicline and nicotine replacement therapy (NRT) are both effective smoking cessation treatments. Anecdotally smokers who are finding their quit attempt difficult have reported benefiting from adding NRT to varenicline. This proof-of-principle placebo-controlled double-blind study will examine whether combining NRT and varenicline provides better withdrawal and craving relief than varenicline alone. A total of 120 smokers would be randomised to receive varenicline +15mg/16hr patch or varenicline + placebo patch. All participants will receive standard NHS Stop Smoking Service support. The primary outcome would be ratings of craving and withdrawal discomfort 24 hours and one week after the target quit date.
| Condition | Intervention | Phase |
|---|---|---|
|
Tobacco Dependence Smoking Cessation |
Drug: Nicotine Patch Drug: Placebo Drug: Varenicline |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effects of a Combination of Varenicline and Transdermal Nicotine Patch on Post-quitting Urges to Smoke |
- Rating of urges to smoke one week after the target quit date assessed by Mood and Physical Symptoms Scale [ Time Frame: 1 week ] [ Designated as safety issue: No ]Rating of urges to smoke will be assessed using the Mood and Physical Symptoms Scale
- Validated abstinence rates over weeks 1-12 post target quit date [ Time Frame: 12 weeks post target quit date ] [ Designated as safety issue: No ]
- Rating of withdrawal symptoms up to 4-weeks post quitting assessed by Mood and Physical Symptoms Scale [ Time Frame: 4-weeks post quitting ] [ Designated as safety issue: No ]
- Profile of all adverse effects reported up to 12-weeks post quitting [ Time Frame: Up to 12-weeks post quitting ] [ Designated as safety issue: Yes ]
- Ratings of urges to smoke 24 hours after the target quit date [ Time Frame: 24 hours ] [ Designated as safety issue: No ]Urges to smoke at 24 hours after the target quit date will be assessed using the Mood & Physical Symptoms Scale
| Enrollment: | 117 |
| Study Start Date: | April 2011 |
| Study Completion Date: | October 2011 |
| Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Varenicline + Active Patch
Participants will use varenicline (1mg BD) + an active, 15mg/16hr Nicotine Patch
|
Drug: Nicotine Patch
Varenicline + nicotine patch
Other Names:
Drug: Varenicline
All participants will receive a standard dose of varenicline (12 weeks).
Other Names:
|
|
Placebo Comparator: Varenicline + Placebo Patch
Participants will use varenicline (1mg BD) + a Placebo Nicotine Patch
|
Drug: Placebo
Varenicline + placebo patch
Other Names:
Drug: Varenicline
All participants will receive a standard dose of varenicline (12 weeks).
Other Names:
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Smokers seeking treatment
- Aged 18 and over
- Consenting to take part in the trial
Exclusion Criteria:
- Pregnant or breastfeeding
- End-stage renal disease
- Unable to fill in questionnaires in English
- Previous allergy to Varenicline
- Previous allergy to Nicotine Patches Previous allergy to varenicline
Contacts and Locations| United Kingdom | |
| Tobacco Dependence Research and Treatment Unit | |
| London, United Kingdom, E1 2JH | |
| Tobacco Dependence Research Unit | |
| London, United Kingdom, E1 2JH | |
| Principal Investigator: | Al-Rehan A A Dhanji, MB BS BSc MRCS | Queen Mary University of London |
More Information
No publications provided
| Responsible Party: | Professor Peter Hajek, Professor of Clinical Psychology, Queen Mary University of London |
| ClinicalTrials.gov Identifier: | NCT01184664 History of Changes |
| Other Study ID Numbers: | qmul250510, 2010-022334-92 |
| Study First Received: | August 17, 2010 |
| Last Updated: | October 10, 2012 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency United Kingdom: Research Ethics Committee |
Keywords provided by Queen Mary University of London:
|
Smoking cessation Tobacco dependence Varenicline Nicotine Replacement Therapy Combination therapy |
Additional relevant MeSH terms:
|
Smoking Tobacco Use Disorder Habits Substance-Related Disorders Mental Disorders 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