At a glance
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Developing Precision Smoking Treatment in the Southern Community Cohort Study
In Brief
A Phase 3 clinical trial evaluating Nicotine patch, Varenicline, and 3 other interventions for Tobacco Use Cessation. Completed, enrolled 67 participants across 1 site.
Detailed Summary
Precision Care (PC) interventions, developed with guidance from a Community Advisory Board (CAB), will be piloted in a Randomized Clinical Trial (RCT) of approximately 100 eligible, consenting daily smokers in the Southern Community Cohort Study (SCCS) who are willing to make a quit attempt with medication and who reside in TN or MS. Participants will be randomized 1:1:1 to 1 of 3 groups; (1) group one informs selection of medication with information on nicotine metabolism; (2) group two offers a genetically-informed lung cancer risk score, and (3) group 3 is Guideline-Based Care (GBC). All groups will be followed for 6 months. All RCT participants will receive FDA-approved smoking cessation medication, be referred to the shared TN/MS state quitline, and be offered the NCI "Clearing the Air" standard intervention. The primary outcome is feasibility of delivering the precision interventions in the SCCS population, as evidenced by ability to recruit, engage, and retain participants through end of study. Secondary outcomes, for which the study is not powered, will include risk perceptions, use of quit aids, lung cancer screening among those who are eligible, and smoking cessation.
Study Details
Timeline
Interventions
FDA-approved smoking cessation pharmacotherapy
FDA-approved smoking cessation pharmacotherapy
Information on nicotine metabolism will be used to inform selection of medication.
This intervention uses information from a person's genes and smoking and family medical histories to estimate lung cancer risk compared to current smokers.
A booklet-led intervention designed by the NCI to support cessation at any stage of a quitter's journey, whether they are still thinking about quitting, have made the decision to quit, or have already taken steps to quit and just need help maintaining their new lifestyle.