Tobacco Dependence
Conditions
Keywords
smoking cessation, smokeless tobacco, nicotine patch, nicotine buccal tablets, retreatment, adherence
Brief summary
To test if smokeless tobacco is more effective than nicotine buccal tablets in smoking cessation compared with a control group with low dose nicotine patches. Also retreatment will be tested with smokeless tobacco every 6 months in failures for 1½ year. Adherence to the program will be enhanced by assessment of cholesterol, blood pressure, lung function and body weight every 6 months for 2 years.
Detailed description
This is an open randomized controlled trial with 3 groups testing smokeless tobacco in smoking cessation: 200 smokers will get smokeless tobacco for 3 months, 200 will get nicotine buccal tablets for 3 months and 200 will get 7-mg nicotine patches for 3 months (control arm). After ½, 1 and 1½ a year failures will get smokeless tobacco in the first 2 groups, while only 7 mg nicotine patches in control group until 1½ year where failures in this group also will get smokeless tobacco. Every ½ year cholesterol, blood pressure, lung function and BMI will be assessed and used to enhance adherence of the participants in this trial.
Interventions
individual visits with counseling
individual visits
Sponsors
Study design
Eligibility
Inclusion criteria
* smokers (\>7 cig/day) * Healthy * Allowed: treated hypertension, diabetes treated with tablets, increased cholesterol,other mild diseases * mild asthma and COPD, * Motivated to quit smoking * Motivated to follow the protocol * Motivated to use medication in this trial
Exclusion criteria
* Severe diseases * Psychiatric diseases * Used NRT or Zyban the last 2 weeks * Stopped smoking \>2 days during last 3 months * More than 6 alcoholic drinks per day * Smokes other products than cigarettes * Pregnant of lactating
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Abstinence from smoking after ½ year (point and continuous abstinence) | 6 months from entry |
Secondary
| Measure | Time frame |
|---|---|
| Adverse events between 3 arms | Up to 6 months from entry |
| Biomarkers of inhalation between 3 arms (p-cotinine and p-thiocynate and u-NNAL) | 3 and 6 months from entry |
| Adherence to study | 6,12,24 months from entry |
| Effect of retreatment (abstinence after 1, 1½ and 2 years) | 12,18 and 24 months from entry |
| Changes in cholesterol, blood-pressure, lung function, body-weight across smoking status | 6,12,24 months from entry |
Countries
Denmark