NCT00494728

Brief Summary

Objectives: Primary Aim: To conduct a preliminary randomized trial in smokers with current recurrent major depressive disorder (MDD), current MDD with a single episode of 2 years or more, and current dysthymia comparing combined cognitive behavioral analysis system of psychotherapy (CBASP) and standard smoking cessation treatment (ST) (CBASP/ST) to combined Health Education and ST treatment (HE/ST) to: 1\. Examine the effects of CBASP/ST on both short and long-term point prevalence abstinence Secondary Aims:

  1. 1.To test the hypothesis that depressed smokers in the CBASP/ST treatment will experience greater decreases in depressive symptoms from baseline to each of our follow-up assessment points, compared to depressed smokers in the HE/ST treatment, and;
  2. 2.That depressed smokers in the CBASP/ST treatment will experience greater improvements in psychosocial functioning from baseline to follow-up assessment points, compared to depressed smokers in the ST treatment.
  3. 3.To evaluate between subject neurophysiological predictors of abstinence at 3 and 6 months, and:
  4. 4.To evaluate within-subject changes in neurophysiological responses to emotional and smoking-related stimuli across treatment sessions, and the relation of these changes to abstinence and depressive symptoms at end of treatment, and 3- and 6-months.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
91

participants targeted

Target at P75+ for phase_1

Timeline
1mo left

Started Jun 2007

Longer than P75 for phase_1

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress99%
Jun 2007Jun 2026

First Submitted

Initial submission to the registry

June 28, 2007

Completed
Same day until next milestone

Study Start

First participant enrolled

June 28, 2007

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 2, 2007

Completed
19 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Last Updated

April 16, 2026

Status Verified

April 1, 2026

Enrollment Period

19 years

First QC Date

June 28, 2007

Last Update Submit

April 13, 2026

Conditions

Keywords

SmokingDepressionMajor Depressive DisorderCognitive Behavioral Analysis System of PsychotherapySmoking Cessation TreatmentNicotine Replacement TherapyNicotine PatchCBASPMDD

Outcome Measures

Primary Outcomes (1)

  • Abstinence Rates

    Approximately each 12 weeks following end of treatment (about 6 weeks)

Study Arms (2)

CBASP + ST

OTHER

Cognitive Behavioral Analysis System of Psychotherapy (CBASP) + Smoking Cessation Treatment (ST)

Behavioral: Smoking Cessation TreatmentDrug: Nicotine Replacement TherapyBehavioral: CBASP

ST

OTHER

Smoking Cessation Treatment (ST)

Behavioral: Smoking Cessation TreatmentDrug: Nicotine Replacement Therapy

Interventions

12 60-minute individual sessions of standard smoking cessation treatment.

CBASP + STST

21 mg patch for 4 weeks; 14 mg patch for 2 weeks; 7 mg patch for 2 weeks.

CBASP + STST
CBASPBEHAVIORAL

Individual counseling sessions where taught/develop interpersonal and behavioral coping skills to help decrease depression and negative moods, and to increase ability to quit smoking.

Also known as: Cognitive Behavioral Analysis System of Psychotherapy
CBASP + ST

Eligibility Criteria

Age16 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Currently meeting DSM-IV criteria for major depressive disorder, recurrent; or major depressive disorder, recurrent, in partial remission; or major depressive disorder, single episode with a duration of 2 years or more; or; dysthymic disorder.
  • Score greater than or equal to 8 on the PHQ at baseline
  • Age greater than or equal to 16
  • Smoking greater than or equal to 5 cigarettes per day
  • Willing to set a quit date within 6 weeks of baseline
  • English speaking and have a telephone
  • Willing to attend all sessions
  • Willing to provide informed consent and agree to all assessments and study procedures

You may not qualify if:

  • History of psychotic or bipolar disorder
  • Current psychotherapy
  • Current use of antidepressant
  • Current principal DSM-IV Axis I disorder other than unipolar depression or nicotine dependence
  • Involvement in any smoking cessation activities
  • Current use of nicotine replacement therapy
  • Known health or other complications that would adversely affect attendance
  • Severe levels of depressive symptoms, vegetative symptoms, and/or symptoms related to secondary psychiatric disorders that place participant at risk for harm or require immediate treatment
  • Currently at severe or extreme risk of suicide or moderate risk with resolved plans and preparation
  • Medical contraindications for use of nicotine patch, including uncontrolled heart disease, history of severe hypersensitivity to nicotine replacement products, or currently pregnant or lactating
  • \) History of current medical condition, or any other factor that, in the judgment of the principal investigator, would likely preclude completion of study requirements.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

MeSH Terms

Conditions

SmokingDepressionDepressive Disorder, Major

Interventions

Nicotine Replacement Therapy

Condition Hierarchy (Ancestors)

BehaviorBehavioral SymptomsDepressive DisorderMood DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Drug TherapyTherapeutics

Study Officials

  • Jan Blalock, PhD

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 28, 2007

First Posted

July 2, 2007

Study Start

June 28, 2007

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2026

Last Updated

April 16, 2026

Record last verified: 2026-04

Locations