NCT01928719

Brief Summary

The overall goal of this study is to address the question of whether progressively lowering nicotine content in cigarettes can reduce or eliminate nicotine dependence in smokers of low socioeconomic status

Trial Health

87
On Track

Trial Health Score

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

Enrollment
280

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2015

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

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

First Submitted

Initial submission to the registry

August 21, 2013

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 27, 2013

Completed
2 years until next milestone

Study Start

First participant enrolled

September 9, 2015

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 5, 2018

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 23, 2018

Completed
1 year until next milestone

Results Posted

Study results publicly available

March 12, 2019

Completed
Last Updated

May 1, 2019

Status Verified

April 1, 2019

Enrollment Period

2.3 years

First QC Date

August 21, 2013

Results QC Date

January 4, 2019

Last Update Submit

April 16, 2019

Conditions

Keywords

SmokingNicotine

Outcome Measures

Primary Outcomes (1)

  • Number of Participants Who Dropped Out of Study as a Measure of Adherence

    Adherence to the regimen was assessed via dropout (due to withdrawal or lost-to-follow up) during the randomized intervention trial phase of the study. Dropout was analyzed as a time-to-event outcome during the 18 weeks after randomization.

    18 weeks

Secondary Outcomes (6)

  • Predictors of Participant Dropout

    18 weeks

  • Cigarettes Per Day

    18 weeks

  • Nicotine Exposure

    18 weeks

  • Smoke Exposure

    18 weeks

  • Perceived Stress

    18 weeks

  • +1 more secondary outcomes

Study Arms (2)

Reduced Nicotine Content Cigarettes

EXPERIMENTAL

the experimental group will smoke cigarettes with Gradually Reduced Nicotine Content (RNC) (11.6, 7.4, 3.3, 1.4, 0.7, and 0.2 mg per cigarette) cigarettes, each smoked for 3 weeks, except for the last period which will last 6 weeks to evaluate a longer-term adherence to the lowest nicotine content cigarette.

Drug: Reduced Nicotine Content Cigarettes

Same Nicotine Content Cigarettes

PLACEBO COMPARATOR

The Same Nicotine Control Group (SNC) will continue to smoke research cigarettes with a usual nicotine content (about 11.6 mg per cigarette)

Drug: Same Nicotine Content Cigarettes

Interventions

Cigarettes contain 11.6, 7.4, 3.3, 1.4, 0.7, and 0.2 mg nicotine per cigarette

Also known as: Nicotine
Reduced Nicotine Content Cigarettes

about 11.6 mg nicotine per cigarette

Also known as: Nicotine
Same Nicotine Content Cigarettes

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-65
  • Less than 16 years of education
  • Able to understand, and sign consent
  • Smoke \>4 cigarettes/day for at least a year
  • No quit attempt in prior 1 month and not planning to quit smoking within next 6 months
  • Plan to live in local area for next 8 months
  • Able to read and write in English
  • Women not pregnant and taking steps to avoid pregnancy

You may not qualify if:

  • College graduate
  • Use of psychotropic drugs
  • Significant medical condition, or immune system disorders, respiratory diseases, kidney or liver diseases or any other medical disorders that may affect biomarker data
  • Use of any non-cigarette nicotine delivery product in the past week or smoking cessation medicine in prior 3 months
  • Currently pregnant or nursing
  • Uncontrolled serious psychotic illness or substance abuse
  • History of difficulties providing blood samples-fainting, poor veins, anxiety

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

George Washington University School of Public Health

Washington D.C., District of Columbia, 20052, United States

Location

Penn State College of Medicine

Hershey, Pennsylvania, 17033, United States

Location

Related Publications (1)

  • Krebs NM, Allen SI, Veldheer S, Martinez DJ, Horn K, Livelsberger C, Modesto J, Kuprewicz R, Wilhelm A, Hrabovsky S, Kazi A, Fazzi A, Liao J, Zhu J, Wasserman E, Reilly SM, Reinhart L, Trushin N, Moyer RE, Bascom R, Foulds J, Richie JP Jr, Muscat JE. Reduced nicotine content cigarettes in smokers of low socioeconomic status: study protocol for a randomized control trial. Trials. 2017 Jul 3;18(1):300. doi: 10.1186/s13063-017-2038-9.

MeSH Terms

Conditions

Tobacco Use DisorderSmoking

Interventions

Nicotine

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental DisordersBehavior

Intervention Hierarchy (Ancestors)

Solanaceous AlkaloidsAlkaloidsHeterocyclic CompoundsPyridinesHeterocyclic Compounds, 1-Ring

Limitations and Caveats

The sample size was not reached due to a shortage of study cigarette inventory.

Results Point of Contact

Title
Nicolle Krebs
Organization
Penn State College of Medicine

Study Officials

  • Joshua Muscat, PhD

    Penn State College of Medicine

    PRINCIPAL INVESTIGATOR
  • Kimberly Horn, PhD

    George Washington University School of Public Health

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 21, 2013

First Posted

August 27, 2013

Study Start

September 9, 2015

Primary Completion

January 5, 2018

Study Completion

February 23, 2018

Last Updated

May 1, 2019

Results First Posted

March 12, 2019

Record last verified: 2019-04

Data Sharing

IPD Sharing
Will not share

Locations