Nicotine Dependence Clinical Trial
Official title:
Testing the Effectiveness of Low Dose Naltrexone for Smoking Cessation and Minimization of Post-cessation Weight Gain
Weight gain after quitting smoking is an important barrier to treatment for many smokers. This study will test a drug called naltrexone with weight-concerned smokers to investigate whether or not this drug both improves smoking cessation quit rates and minimizes post quit weight gain.
This is a 6-month randomized, double-blind, placebo controlled trial of 25 mg naltrexone for
smoking cessation in a sample of 270 male and female weight-concerned smokers. Participants
also receive transdermal nicotine replacement therapy during the first 8 weeks of the study,
which they begin on their quit date. Naltrexone study medication will be started a week
before their quit date and continued through the six-month period. Brief behavioral
counseling and research assessments are provided for two sessions prior to the quit date and
then weekly for two weeks, bi-weekly for a month and every four weeks thereafter. A
follow-up appointment is completed at 12 months after participants' quit date.
The primary outcomes are six-month point prevalence abstinence and post-cessation weight
gain for those who are continuously abstinent (not even a puff).
Secondary outcomes include an examination of alcohol consumption, evaluation of urges, other
measures of smoking cessation success, point prevalence abstinence at 12 months, and food
preferences. A number of tertiary measures will be obtained for examining predictors of
smoking cessation, weight gain, and naltrexone response.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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