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Translational Research Center in Lung Cancer Disparities (TRACER) Project 2

Biological Pathways in Stress Reactivity and Nicotine Addiction Among African American and White Smokers

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05490251
Acronym
TRACER
Enrollment
95
Registered
2022-08-05
Start date
2024-01-31
Completion date
2025-08-31
Last updated
2026-06-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Smoking, Smoking Behaviors, Smoking Cessation, Stress Reaction

Brief summary

The purpose of this study is to examine racial differences in smoking behaviors and stress responses between African American and white male smokers.

Detailed description

Cigarette smoking is a leading cause of morbidity and mortality from lung cancer among adults in the US. Stress relief and smoking cessation is the best preventive strategy for reducing lung cancer risk and addressing racial disparities in outcomes. Despite this, racial differences are found among those that make quit attempts. Stress has been found to be related to smoking initiation, maintenance, and relapse. Yet, differences in stress responses have not been examined between African American and white smokers. Therefore, this study will examine racial differences in stress responses and smoking behaviors between African American and white male smokers

Interventions

None listed

Sponsors

Virginia Commonwealth University
Lead SponsorOTHER
City of Hope Medical Center
CollaboratorOTHER
Medical University of South Carolina
CollaboratorOTHER
National Cancer Institute (NCI)
CollaboratorNIH

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
MALE
Age
18 Years to 75 Years
Healthy volunteers
Yes

Inclusion criteria

* African American and white males * Between the ages of 18-75 years old * Smoke at least 5 to 10 cigarettes per day

Exclusion criteria

* Smokers who have a serious cognitive disorder * Have a personal history of lung cancer * Personal history of usage of illicit drug and alcohol abuse * Enrollment in a smoking cessation treatment program during the past 6 months * Current use of a nicotine replacement therapy * Have any positive responses on the Mini International Neuropsychiatric Interview (MINI) screener

Design outcomes

Primary

MeasureTime frameDescription
Examining racial differences in acute stress responsesWithin 1 month following baselineExamine racial differences in acute stress responses using a validated psychological stress challenge called the Trier Social Stress Test (TSST)
Examining changes in daily cortisol patterns according to raceBaseline, 4- and 8 weeks post Trier Social Stress Test laboratory visitExamine racial differences in daily diurnal cortisol slopes to evaluate hypothalamic-pituitary-adrenal-axis dysregulation and acute stress
Examine changes in stress responses and smoking behaviors as it relates to social determinant factorsBaseline, 4- and 8-weeks post Trier Social Stress Test laboratory visitPatients will be administered a survey using validated measures to examine socioeconomic, structural, and psychosocial stressors that impact daily stress and smoking behaviors

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORVanessa Sheppard, PhD

Virginia Commonwealth University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 4, 2026