21 and older, any sex, with Smoking Cessation. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
7-day Point Prevalence Quit RatePrimary· Week 12
The definition of this measure requires: (a) no self-reported smoking (not even a puff of a cigarette) for at least the 7 days prior to the assessment, and (b) biochemical verification of abstinence.
The definition of this measure requires: Not taking even 1 cigarette puff from target quit date to end of treatment.
Group
Value
95% CI
Combination NRT and Counseling
43
Varenicline (Chantix) and Counseling
46
Placebo Medicine and Counseling
21
7-day Point Prevalence Quit RateSecondary· Week 24
The definition of this measure requires: (a) no self-reported smoking (not even a puff of a cigarette) for at least the 7 days prior to the assessment, and (b) biochemical verification of abstinence.
Group
Value
95% CI
Combination NRT and Counseling
37
Varenicline (Chantix) and Counseling
56
Placebo Medicine and Counseling
25
Number of Days to LapseSecondary· Assessed from the target quit day through 52 weeks
* The number of days to lapse is defined as the number of days from the target quit date until the participant reports smoking (even a single puff).
* Participants who did not lapse by the end of the 52 weeks and participants who had missing information on lapse are not included in the overall number of participants analyzed
Group
Value
95% CI
Combination NRT and Counseling
16.78
± 2.48
Varenicline (Chantix) and Counseling
20.47
± 3.22
Placebo Medicine and Counseling
11.85
± 2.07
3 Arms Combined
16.33
± 1.52
Number of Days to RelapseSecondary· Assessed from the target quit day through 52 weeks
* The number of days to relapse is defined as the number of days from the target quit day until the first of seven consecutive days of smoking.
* Participants who did not relapse by the end of the 52 weeks and participants who had missing information on relapse are not included in the overall number of participants analyzed
Group
Value
95% CI
Combination NRT and Counseling
44.83
± 4.25
Varenicline (Chantix) and Counseling
45.01
± 5.04
Placebo Medicine and Counseling
28.87
± 3.75
3 Arms Combined
39.22
± 2.53
Initial CessationSecondary· Assessed for the first seven days after the target quit date
Defined as at least 1 day of abstinence during the first 7 days after the target quit day.
Group
Value
95% CI
Combination NRT and Counseling
217
Varenicline (Chantix) and Counseling
186
Placebo Medicine and Counseling
172
Longitudinal Models of Abstinence Outcomes Across Multiple Time PointsSecondary· 0-52 Weeks
-The definition of this measure requires; no self-reported smoking (not even a puff of a cigarette) for at least 7 days prior to the assessment.
0 weeks - Abstinence
Group
Value
95% CI
Combination NRT and Counseling
5
Varenicline (Chantix) and Counseling
3
Placebo Medicine and Counseling
0
3 Arms Combined
8
1 week - Abstinence
Group
Value
95% CI
Combination NRT and Counseling
91
Varenicline (Chantix) and Counseling
94
Placebo Medicine and Counseling
70
3 Arms Combined
255
2 week - Abstinence
Group
Value
95% CI
Combination NRT and Counseling
119
Varenicline (Chantix) and Counseling
105
Placebo Medicine and Counseling
70
3 Arms Combined
294
4 week - Abstinence
Group
Value
95% CI
Combination NRT and Counseling
112
Varenicline (Chantix) and Counseling
114
Placebo Medicine and Counseling
74
3 Arms Combined
300
12 week - Abstinence
Group
Value
95% CI
Combination NRT and Counseling
81
Varenicline (Chantix) and Counseling
88
Placebo Medicine and Counseling
49
3 Arms Combined
218
26 week - Abstinence
Group
Value
95% CI
Combination NRT and Counseling
75
Varenicline (Chantix) and Counseling
82
Placebo Medicine and Counseling
49
3 Arms Combined
206
52 week - Abstinence
Group
Value
95% CI
Combination NRT and Counseling
68
Varenicline (Chantix) and Counseling
77
Placebo Medicine and Counseling
43
3 Arms Combined
188
Longitudinal Models of Smoking Quantity in Cigarettes Per Day Outcomes Across Multiple Time Points.Secondary· 0-52 Weeks
The definition of this measure requires self-reported cigarettes per day.
0 week
Group
Value
95% CI
Combination NRT and Counseling
2.50
± 0.38
Varenicline (Chantix) and Counseling
2.95
± 0.32
Placebo Medicine and Counseling
3.74
± 0.38
3 Arms Combined
3.06
± 0.21
1 week
Group
Value
95% CI
Combination NRT and Counseling
3.06
± 0.40
Varenicline (Chantix) and Counseling
3.18
± 0.34
Placebo Medicine and Counseling
4.46
± 0.37
3 Arms Combined
3.56
± 0.22
2 week
Group
Value
95% CI
Combination NRT and Counseling
3.43
± 0.39
Varenicline (Chantix) and Counseling
3.08
± 0.35
Placebo Medicine and Counseling
5.00
± 0.41
3 Arms Combined
3.83
± 0.22
4 week
Group
Value
95% CI
Combination NRT and Counseling
4.08
± 0.43
Varenicline (Chantix) and Counseling
3.63
± 0.41
Placebo Medicine and Counseling
5.79
± 0.43
3 Arms Combined
4.49
± 0.25
12 week
Group
Value
95% CI
Combination NRT and Counseling
6.38
± 0.53
Varenicline (Chantix) and Counseling
5.75
± 0.50
Placebo Medicine and Counseling
8.33
± 0.52
3 Arms Combined
3.50
± 0.30
26 week
Group
Value
95% CI
Combination NRT and Counseling
7.68
± 0.58
Varenicline (Chantix) and Counseling
7.09
± 0.53
Placebo Medicine and Counseling
9.38
± 0.57
3 Arms Combined
8.03
± 0.32
52 week
Group
Value
95% CI
Combination NRT and Counseling
7.67
± 0.59
Varenicline (Chantix) and Counseling
7.76
± 0.57
Placebo Medicine and Counseling
8.98
± 0.55
3 Arms Combined
8.12
± 0.33
Medication AdherenceSecondary· Pre-quit week to Week 12
Adherence is the proportion of expected medication (varenicline, patch, lozenge) taken as advised during pre-quit week to week 12
Patch
Group
Value
95% CI
Combination NRT and Counseling
0.65
± 0.34
Placebo Medicine and Counseling
0.57
± 0.36
Lozenge
Group
Value
95% CI
Combination NRT and Counseling
0.57
± 0.39
Placebo Medicine and Counseling
0.57
± 0.38
Varenicline (Chantix)
Group
Value
95% CI
Varenicline (Chantix) and Counseling
0.67
± 0.32
Placebo Medicine and Counseling
0.70
± 0.35
Side EffectsSecondary· Pre-quit week to Week 12
All reported side effects (occurring\>4%) will be summarized and presented for the study. In addition, the investigators will further identify a pre-specified set of key side effects as being related to drug agonist effects (e.g., nausea, vomiting, racing heart, headache, and sleep disturbance). These will be analyzed as rate of occurrence during the period of medication use.
Nausea
Group
Value
95% CI
Combination NRT and Counseling
53
Varenicline (Chantix) and Counseling
92
Placebo Medicine and Counseling
59
Vomiting
Group
Value
95% CI
Combination NRT and Counseling
28
Varenicline (Chantix) and Counseling
36
Placebo Medicine and Counseling
27
Racing Heart
Group
Value
95% CI
Combination NRT and Counseling
27
Varenicline (Chantix) and Counseling
24
Placebo Medicine and Counseling
17
Headache
Group
Value
95% CI
Combination NRT and Counseling
81
Varenicline (Chantix) and Counseling
81
Placebo Medicine and Counseling
71
Sleep Disturbance
Group
Value
95% CI
Combination NRT and Counseling
49
Varenicline (Chantix) and Counseling
55
Placebo Medicine and Counseling
42
WithdrawalSecondary· Pre-quit, quit, week 1, week 2, and week 4
* Withdrawal severity is assessed by Wisconsin Smoking Withdrawal Scale (WSWS), there are 28 items.
* Participants rate each item on a scale of 0-4 (0=Strongly disagree, 1=Disagree, 2=Feel neutral, 3=Agree, 4=Strongly agree). The subscale to each item is determined on how high they agree on the scale. For some items, the subscale is determined on how low they agreed. Each score is determined by the mean of each item that applies. Higher means indicate greater withdrawal.
* The scores were calculated by averaging a mean score of each item for each participant with data from time point pre-quit,
Anger
Group
Value
95% CI
Combination NRT and Counseling
1.33
± 0.75
Varenicline (Chantix) and Counseling
1.49
± 0.81
Placebo Medicine and Counseling
1.47
± .79
Anxiety
Group
Value
95% CI
Combination NRT and Counseling
1.69
± 0.79
Varenicline (Chantix) and Counseling
1.81
± 0.90
Placebo Medicine and Counseling
1.82
± 0.83
Concentration
Group
Value
95% CI
Combination NRT and Counseling
1.28
± 0.64
Varenicline (Chantix) and Counseling
1.48
± 0.76
Placebo Medicine and Counseling
1.42
± 0.76
Craving
Group
Value
95% CI
Combination NRT and Counseling
2.29
± 0.85
Varenicline (Chantix) and Counseling
2.20
± 0.86
Placebo Medicine and Counseling
2.50
± 0.83
Hunger
Group
Value
95% CI
Combination NRT and Counseling
2.11
± 0.84
Varenicline (Chantix) and Counseling
2.28
± 0.80
Placebo Medicine and Counseling
2.17
± 0.79
Sadness
Group
Value
95% CI
Combination NRT and Counseling
1.01
± 0.63
Varenicline (Chantix) and Counseling
1.11
± 0.69
Placebo Medicine and Counseling
1.11
± 0.61
Sleep
Group
Value
95% CI
Combination NRT and Counseling
1.49
± 0.82
Varenicline (Chantix) and Counseling
1.70
± 0.89
Placebo Medicine and Counseling
1.54
± 0.92
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse events were collected until from enrollment until 1 year post target quit date. Post-study adverse events will be recorded when the subject volunteers to report such events to the investigator team..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Combination NRT and Counseling
Serious: 23/275 (8%)
Deaths: 3/275
Varenicline (Chantix) and Counseling
Serious: 17/274 (6%)
Deaths: 2/274
Placebo Medicine and Counseling
Serious: 27/273 (10%)
Deaths: 4/273
Serious adverse events (80 terms)
Reaction
System
Combination NRT and Counse…
Varenicline (Chantix) and …
Placebo Medicine and Couns…
COPD
Respiratory, thoracic and mediastinal disorders
—
—
—
Diverticulosis
Gastrointestinal disorders
—
—
—
Pneumonia
Respiratory, thoracic and mediastinal disorders
—
—
—
Hip replacement surgery
Surgical and medical procedures
—
—
—
Coronary artery disease
Cardiac disorders
—
—
—
Death due to cardiorespiratory arrest
Cardiac disorders
—
—
—
Death due to congestive heart failure
Cardiac disorders
—
—
—
Heart failure
Cardiac disorders
—
—
—
Left bundle branch block
Cardiac disorders
—
—
—
Death due to diabetic coma
Endocrine disorders
—
—
—
Diabetic ketoacidosis
Endocrine disorders
—
—
—
Hyperthyroidism
Endocrine disorders
—
—
—
Type 2 Diabetes
Endocrine disorders
—
—
—
Crohn's disease
Gastrointestinal disorders
—
—
—
Hemorrhoid
Gastrointestinal disorders
—
—
—
Pancreatitis
Gastrointestinal disorders
—
—
—
Death, unknown
General disorders
—
—
—
Death due to natural causes
General disorders
—
—
—
Ammonia poisoning of liver
Hepatobiliary disorders
—
—
—
Antibiotic spacer for MRSA infection in knee
Infections and infestations
—
—
—
Cellulitis, right hand
Infections and infestations
—
—
—
Ear infection
Infections and infestations
—
—
—
Surgical incision site infection (post-surgery)
Infections and infestations
—
—
—
Infection of second toe on left foot
Infections and infestations
—
—
—
Influenza
Infections and infestations
—
—
—
Other adverse events (23 terms — click to expand)
Reaction
System
Combination NRT and Counse…
Varenicline (Chantix) and …
Placebo Medicine and Couns…
Vivid dreams
Psychiatric disorders
—
—
—
Nausea
Gastrointestinal disorders
—
—
—
Headache
Nervous system disorders
—
—
—
Feeling worried, nervous, scared, or anxious
Psychiatric disorders
—
—
—
Feeling significantly down, depressed, or hopeless
The investigators' goal is to identify the most appropriate smoking cessation treatments for smokers based on genetic information. Smokers try to quit smoking but relapses are common.
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Washington University School of Medicine
Last refreshed: 22 September 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02351167.