Tobacco Use Disorder Clinical Trial
Official title:
Maintenance Treatment for Prevention of Smoking Relapse
The purpose of this study is to determine the efficacy and cost-effectiveness of long-term pharmacotherapy (using Zyban and/or nicotine replacement) for reducing the relapse rate associated with stopping smoking.
The goal of this study was to assess relapse prevention outcomes among individuals able to
stop smoking when pharmacotherapy is extended beyond the standard duration of treatment. We
hypothesized that maintenance treatment with prolonged bupropion use and/or "as needed" use
of nicotine gum will reduce relapse to smoking. Participants were recruited through
advertisements on radio, television, newspapers, the Internet, and various community
outlets. Respondents were pre-screened by telephone using a standard interview. The first
participant entered the OLT phase in February 2001; the final NTFU visit took place in
October 2005.
The study was multi-phased consisting of: 1) eight-week open-label treatment (OLT) with
bupropion and nicotine patch; 2) randomized double-blind assignment of OLT successes to 16
weeks of placebo-controlled maintenance treatment (MT); and 3) 24 weeks of non-treatment
follow-up (NTFU). Participants received $25 compensation for completing the NTFU visits at
Weeks 36 and 48. The Institutional Review Board of the New York State Psychiatric Institute
approved the study. The study was performed at the Columbia University Medical Center
Smoking Cessation Clinic in New York City.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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