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Quit Smoking



Quit Smoking

For Condition: Smoking
Status: Recruiting
Sponsor(s): Department of Veterans Affairs Medical Research Service ,
Synopsis: This protocol evaluates the efficacy of combining pharmacologic treatments for smoking cessation, entailing the use of the nicotine skin patch with the nicotinic antagonist mecamylamine, with a specific behavioral therapy designed to inhibit the smoking urge.
Details: Previous studies have found that nicotine/mecamylamine treatment more than doubles the long-term abstinence rates relative to nicotine replacement alone. Recent evidence supports the hypothesis that nicotine/mecamylamine treatment prior to smoking cessation partially blocks the rewarding effects of cigarette smoking and hence promotes extinction of the smoking habit, facilitating subsequent abstinence. The behavioral approach employed is also an extinction strategy and involves having smokers switch to de-nicotinized tobacco cigarettes for two weeks prior to quitting smoking. It is hypothesized that the use of de-nicotinized cigarettes might provide more complete extinction than provided by the partial pharmacologic blockade using nicotine/mecamylamine alone. The pharmacologic treatment was expected to increase compliance with the de-nicotinized cigarette smoking regimen, because subjects' usual brands of cigarettes will be less appealing than in the absence of nicotine/mecamylamine treatment. Together the brand-switching and nicotine/mecamylamine therapies were expected to reduce cravings and other withdrawal symptoms as well as increase long-term abstinence from smoking.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 18 Years/65 Years
Genders: Both
Protocol Entry Criteria: - Smokers, - Ages 18-65, wanted to quit smoking. - Must be in good health - Exclude cardiac disease, hypotensive or hypertensive, skin allergy, glaucoma, prostatic hypertrophy, pregnant women, drug or alcohol abuse, kidney disease.
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
EricWestman,  , 

Veterans Affairs Medical Center *Recruiting*
Durham,  North Carolina,  27705
United States
Recruiting Jed  Rose 919-416-1515


Additional Information:
Study ID Numbers:
  ADRD-008-97F; 
Study Start Date: January 1997
Record last reviewed: June 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00018161

Other Smoking Studies:
1. Ultrasound and motivational enhancement for prenatal smoking cessation

2. Pharmacologic Relapse Prevention for Alcoholic Smokers

3. Timing of Smoking Intervention in Alcohol Treatment (nicotine patch)

4. Bupropion as a Smoking Cessation Aid in Alcoholics

5. Fluoxetine as a Quit Smoking Aid for Depression-Prone Smokers

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