NCT05766553

Brief Summary

Investigators seek to propose a non-drug therapeutic alternative, namely a mindfulness meditation protocol based on virtual reality training in order to induce progressive modifications of various indicators of craving. The study hypothesis is that the practice of mindfulness meditation in a virtual reality environment reduces the craving induced by cues and stress and therefore ultimately smoking relapse. The main objective of the protocol will be to demonstrate that mindfulness meditation can reduce long-term relapse (continuous cessation (\> 30 days) of smoking cessation). The participants will be randomized into two groups: the experimental group will perform six virtual reality sessions in a multisensory cabin at the rate of one session per week; the control group will be prescribed the gold standard treatment (nicotine patches and chewing gum). Participants will be seen again at three and six months to assess whether or not there has been a smoking relapse.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
8mo left

Started Jun 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress83%
Jun 2023Dec 2026

First Submitted

Initial submission to the registry

January 18, 2023

Completed
2 months until next milestone

First Posted

Study publicly available on registry

March 13, 2023

Completed
3 months until next milestone

Study Start

First participant enrolled

June 15, 2023

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 15, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2026

Last Updated

January 13, 2026

Status Verified

January 1, 2026

Enrollment Period

3.3 years

First QC Date

January 18, 2023

Last Update Submit

January 12, 2026

Conditions

Keywords

relapsecraving

Outcome Measures

Primary Outcomes (2)

  • Relapse at 3 months

    Relapse of patients by declaring their consumption at 3 months.

    3 months

  • Relapse at 6 months

    Relapse of patients by declaring their consumption at 6 months.

    6 months

Study Arms (2)

Interventional Group

EXPERIMENTAL

Patients in this arm will have 6 sessions of virtual reality in a pod (1 session per week). Patients will then have a visit at day 90 and day 180.

Other: Virtual reality pod

Control group

ACTIVE COMPARATOR

Patients in this arm will receive the gold standard of treatment for tobacco cessation (nicotine patches and chewing gum) from day 0 (inclusion visit) to day 90. Patients will then have a visit at day 90 and day 180.

Other: nicotine patches and chewing gum

Interventions

The first two sessions provide guided training in relaxation and mindfulness through immersion in a virtual forest environment for the first session, and in a virtual beach environment for the second. Sessions 3 and 4 present environments with addiction-related stimuli (Cues). The session 3 consists of a walk through the virtual street environment, buying a bottle of water from the store, and then ordering a coffee from a virtual bar. The session 4 takes place in a virtual party environment in an apartment: people smoke and drink alcohol in the living room, the session consists of sitting with them, then going to the kitchen to get a water bottle. Sessions 5 and 6 present stressful environments. Session 5 consists of a virtual parachute jump. The 6th session takes place in a virtual airplane environment, which will encounter turbulence.

Interventional Group

Participants in this group will be prescribed a Gold Standard smoking cessation treatment with nicotine patches adapted to their consumption and 4mg nicotine chewing gum for a period of 3 months.

Control group

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Any patient consuming 10 to 40 cigarettes per day
  • Woman or man aged 18 to 75 inclusive
  • Substance use disorder according to the DSM5 classification
  • Benefit from social security or benefit from it through a third party in accordance with French law on research involving the human person
  • Having signed the informed consent form after having received written information.

You may not qualify if:

  • Disabling cognitive disorders
  • Patient under 18 or over 75 years old.
  • Patient with a psychological disorder or a psychiatric pathology requiring specialized follow-up
  • Patient with addiction to another product.
  • Cardiological pathologies that could compromise the participation of patients, detected by an ECG (only for patients who will be randomized in the experimental group).
  • Advanced pulmonary, renal, and hepatic diseases, or any unstable and serious medical conditions that could compromise the patient's participation in the study, subject to the judgment of the doctor
  • Pregnant or breastfeeding woman
  • Simultaneous participation in another trial
  • Employee of the investigator or of the clinical trial site
  • Patients protected by law
  • Patients who do not speak the French language
  • People not covered by state health insurance
  • Patients who in the opinion of the investigator are unable to complete the questionnaires
  • Patient claustrophobic or anxious about using the cabin
  • Patient allergic to a molecule present in nicotine substitutes

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Cabinet Médical

Iteuil, France

RECRUITING

Cabinet médical des Couronneries

Poitiers, France

RECRUITING

Centre Hospitalier Henri Laborit

Poitiers, France

RECRUITING

MeSH Terms

Conditions

Tobacco Use DisorderRecurrence

Interventions

Tobacco Use Cessation DevicesChewing Gum

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental DisordersDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

TherapeuticsPlant GumsBiopolymersPolymersMacromolecular SubstancesPolysaccharidesCarbohydratesPlant ExudatesBiological ProductsComplex MixturesCandyFoodDiet, Food, and NutritionPhysiological PhenomenaFood and Beverages

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 18, 2023

First Posted

March 13, 2023

Study Start

June 15, 2023

Primary Completion (Estimated)

October 15, 2026

Study Completion (Estimated)

December 15, 2026

Last Updated

January 13, 2026

Record last verified: 2026-01

Locations