At a glance
ClinicalIndex Comparison Record- ✓Age ≥18 years and smoking ≥5 cigarettes per day (menthol and non-menthol)
- ✓HIV-infected participants: viral load ≤1000 copies/mL and CD4+ ≥200 cells/mm³ within 12 months prior to enrollment
- ✓HIV-uninfected status confirmed by on-site rapid HIV blood test
- ✓Able to use transdermal nicotine safely based on medical evaluation
- ✕Current enrollment or plans to enroll in another smoking cessation program within 4 months
- ✕Regular (daily) use of electronic cigarettes, chewing tobacco, snuff, snus, cigars, cigarillos, or pipes
- ✕Current use or plans to use nicotine substitutes or smoking cessation treatments within 4 months
- ✕Current untreated and unstable substance dependence or abuse (unless past use with ≥30 days stable treatment)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Understanding the Role of Cognitive Dysfunction in the Treatment of Nicotine Dependence Among HIV-infected Smokers
In Brief
An observational study evaluating Nicotine patch and Behavioral counseling for Smoking Cessation. Completed, enrolled 274 participants across 1 site.
Detailed Summary
This study tests whether withdrawal-related cognitive deficits increase smoking relapse among HIV-infected (HIV+) vs. HIV-uninfected smokers (HIV-). Adult smokers (N=300; 150 HIV+, 150 HIV-) will complete 2 sessions to assess cognition (24h abstinence vs. smoking-as-usual; order counterbalanced; weeks 0-2). Subjects will then receive smoking cessation counseling and open label transdermal nicotine (weeks 3-12). Outcomes are: 1) cognition; and 2) abstinence rates at the end-of-treatment.
Study Details
Timeline
Interventions
All participants will receive nicotine patches to aid in quitting smoking. TN is available over the counter and is very well tolerated. Participants will use "the patch" in a tapering fashion as recommended by the manufacturer. Participants who smoke 10 or more cigarettes per day will adhere to the following dosing guidelines: 21 mg for 4 weeks; 14 mg for 2 weeks and 7 mg for 2 weeks. Individuals who smoke between 5 and 9 cigarettes per day will follow a modified dosing regimen: 14 mg for 6 weeks and 7 mg for 2 weeks.
Participants will attend 6 counseling sessions and receive standard smoking cessation counseling (SC).