NCT07425119

Brief Summary

This study aims to test the feasibility and acceptability of a remotely delivered cue-based treatment intervention to promote smoking cessation among people who smoke lightly or non-daily. Secondary objectives include assessing preliminary efficacy on cessation and examining cue reactivity. Participants will be randomized to CBT only or CBT + cue-based treatment, with assessments at baseline, end-of-treatment, 6 months, and 12 months.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
24mo left

Started May 2026

Typical duration for not_applicable

Status
not yet 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 Progress3%
May 2026Jun 2028

First Submitted

Initial submission to the registry

February 13, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 20, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2026

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2028

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2028

Last Updated

February 20, 2026

Status Verified

February 1, 2026

Enrollment Period

1.7 years

First QC Date

February 13, 2026

Last Update Submit

February 13, 2026

Conditions

Keywords

Smoking cessationCue-based treatmentCognitive Behavioral Therapy

Outcome Measures

Primary Outcomes (8)

  • Feasibility as measured by the number of participants who are recruited and randomized

    During the recruitment period (up to 9 months)

  • Feasibility as measured by the number of participants who respond to pre-quit real-time data collection

    End of treatment (up to 12 months)

  • Feasibility as measured by the number of participants who take pictures of smoking/craving situations

    End of treatment (up to 12 months)

  • Feasibility as measured by the number of participants who complete all CBT (cognitive behavioral therapy) sessions

    End of treatment (up to 12 months)

  • Feasibility as measured by the number of participants who complete all cue-based treatment sessions

    End of treatment (up to 12 months)

  • Feasibility as measured by the number of participants who respond to EMA text based assessments

    End of treatment (up to 12 months)

  • Feasibility as measured by the number of participants who proactively text to report cravings

    End of treatment (up to 12 months)

  • Acceptability of CBT + cue-based treatment intervention compared to CBT only

    We will assess acceptability quantitatively and qualitatively. We will assess message helpfulness (1=Not at all helpful to 5=extremely helpful) and whether participants would recommend the program to a friend (1=definitely would not recommend to 5=definitely would recommend). We will also assess participant fidelity to the intervention protocol (e.g., experienced cues and texted to report when experiencing a cue). Qualitative data will be used to describe barriers and facilitators to intervention uptake among participants in the CBT + cue-based treatment arm.

    End of treatment (up to 12 months)

Secondary Outcomes (6)

  • Number of participants reporting the presence of smoking cues

    7 days after end of each CBT session (4 sessions total)

  • Craving level

    7 days after end of each CBT session (4 sessions total)

  • Stress level

    7 days after end of each CBT session (4 sessions total)

  • Current mood

    7 days after end of each CBT session (4 sessions total)

  • Number of participants who reported 30-day point prevalence abstinence

    End of Treatment, 6 months

  • +1 more secondary outcomes

Study Arms (2)

CBT only

ACTIVE COMPARATOR

CBT delivered via telehealth sessions and supportive text messages.

Behavioral: Cognitive Behavioral Therapy (CBT)

CBT + Cue-based treatment

EXPERIMENTAL

CBT plus cue-based treatment includes exposure to smoking-related cues and coping strategies.

Behavioral: Cognitive Behavioral Therapy (CBT)Behavioral: Cue-based treatment intervention

Interventions

CBT delivered via telehealth sessions and supportive text messages.

CBT + Cue-based treatmentCBT only

Cue-based treatment includes exposure to smoking-related cues and coping strategies.

CBT + Cue-based treatment

Eligibility Criteria

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

You may qualify if:

  • Age ≥18
  • Able to read and understand English or Spanish
  • Smoke 1-10 cigarettes/day on at least 4 days of the past two weeks for the last year
  • Willing to try quitting in next 30 days
  • Access to cell phone with texting capabilities

You may not qualify if:

  • Current participation in another smoking cessation study
  • Unable to provide consent
  • Refusal to abstain from e-cigarettes or other tobacco products
  • Use of medications affecting smoking cessation (e.g., Chantix, Wellbutrin)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Tobacco Use DisorderSmoking Cessation

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental DisordersHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

Behavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Laura Fish

    Duke University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Laura Fish, PhD

CONTACT

Lauren Hart, MSW, MPH

CONTACT

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

February 13, 2026

First Posted

February 20, 2026

Study Start

May 1, 2026

Primary Completion (Estimated)

January 1, 2028

Study Completion (Estimated)

June 1, 2028

Last Updated

February 20, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share