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NCT02351167: GISC

Genetically Informed Smoking Cessation Trial

Completed Phase 4 Results posted Last updated 22 September 2020
What this trial tests

Phase 4 trial testing Combination NRT (Nicotine patch, Nicotine lozenge) in Smoking Cessation in 822 participants. Completed in 31 August 2019.

Timeline
20 May 2015
Primary endpoint
26 December 2018
31 August 2019

Quick facts

Lead sponsorWashington University School of Medicine
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment822
Start date20 May 2015
Primary completion26 December 2018
Estimated completion31 August 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Washington University School of Medicine

Who can join

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 Rate Primary · 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.

GroupValue95% CI
Combination NRT and Counseling55
Varenicline (Chantix) and Counseling70
Placebo Medicine and Counseling24
Continuous Abstinence Secondary · 12 weeks (with first 1 week initial grace period)

The definition of this measure requires: Not taking even 1 cigarette puff from target quit date to end of treatment.

GroupValue95% CI
Combination NRT and Counseling43
Varenicline (Chantix) and Counseling46
Placebo Medicine and Counseling21
7-day Point Prevalence Quit Rate Secondary · 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.

GroupValue95% CI
Combination NRT and Counseling37
Varenicline (Chantix) and Counseling56
Placebo Medicine and Counseling25
Number of Days to Lapse Secondary · 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

GroupValue95% CI
Combination NRT and Counseling16.78± 2.48
Varenicline (Chantix) and Counseling20.47± 3.22
Placebo Medicine and Counseling11.85± 2.07
3 Arms Combined16.33± 1.52
Number of Days to Relapse Secondary · 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

GroupValue95% CI
Combination NRT and Counseling44.83± 4.25
Varenicline (Chantix) and Counseling45.01± 5.04
Placebo Medicine and Counseling28.87± 3.75
3 Arms Combined39.22± 2.53
Initial Cessation Secondary · 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.

GroupValue95% CI
Combination NRT and Counseling217
Varenicline (Chantix) and Counseling186
Placebo Medicine and Counseling172
Longitudinal Models of Abstinence Outcomes Across Multiple Time Points Secondary · 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
GroupValue95% CI
Combination NRT and Counseling5
Varenicline (Chantix) and Counseling3
Placebo Medicine and Counseling0
3 Arms Combined8
1 week - Abstinence
GroupValue95% CI
Combination NRT and Counseling91
Varenicline (Chantix) and Counseling94
Placebo Medicine and Counseling70
3 Arms Combined255
2 week - Abstinence
GroupValue95% CI
Combination NRT and Counseling119
Varenicline (Chantix) and Counseling105
Placebo Medicine and Counseling70
3 Arms Combined294
4 week - Abstinence
GroupValue95% CI
Combination NRT and Counseling112
Varenicline (Chantix) and Counseling114
Placebo Medicine and Counseling74
3 Arms Combined300
12 week - Abstinence
GroupValue95% CI
Combination NRT and Counseling81
Varenicline (Chantix) and Counseling88
Placebo Medicine and Counseling49
3 Arms Combined218
26 week - Abstinence
GroupValue95% CI
Combination NRT and Counseling75
Varenicline (Chantix) and Counseling82
Placebo Medicine and Counseling49
3 Arms Combined206
52 week - Abstinence
GroupValue95% CI
Combination NRT and Counseling68
Varenicline (Chantix) and Counseling77
Placebo Medicine and Counseling43
3 Arms Combined188
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
GroupValue95% CI
Combination NRT and Counseling2.50± 0.38
Varenicline (Chantix) and Counseling2.95± 0.32
Placebo Medicine and Counseling3.74± 0.38
3 Arms Combined3.06± 0.21
1 week
GroupValue95% CI
Combination NRT and Counseling3.06± 0.40
Varenicline (Chantix) and Counseling3.18± 0.34
Placebo Medicine and Counseling4.46± 0.37
3 Arms Combined3.56± 0.22
2 week
GroupValue95% CI
Combination NRT and Counseling3.43± 0.39
Varenicline (Chantix) and Counseling3.08± 0.35
Placebo Medicine and Counseling5.00± 0.41
3 Arms Combined3.83± 0.22
4 week
GroupValue95% CI
Combination NRT and Counseling4.08± 0.43
Varenicline (Chantix) and Counseling3.63± 0.41
Placebo Medicine and Counseling5.79± 0.43
3 Arms Combined4.49± 0.25
12 week
GroupValue95% CI
Combination NRT and Counseling6.38± 0.53
Varenicline (Chantix) and Counseling5.75± 0.50
Placebo Medicine and Counseling8.33± 0.52
3 Arms Combined3.50± 0.30
26 week
GroupValue95% CI
Combination NRT and Counseling7.68± 0.58
Varenicline (Chantix) and Counseling7.09± 0.53
Placebo Medicine and Counseling9.38± 0.57
3 Arms Combined8.03± 0.32
52 week
GroupValue95% CI
Combination NRT and Counseling7.67± 0.59
Varenicline (Chantix) and Counseling7.76± 0.57
Placebo Medicine and Counseling8.98± 0.55
3 Arms Combined8.12± 0.33
Medication Adherence Secondary · 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
GroupValue95% CI
Combination NRT and Counseling0.65± 0.34
Placebo Medicine and Counseling0.57± 0.36
Lozenge
GroupValue95% CI
Combination NRT and Counseling0.57± 0.39
Placebo Medicine and Counseling0.57± 0.38
Varenicline (Chantix)
GroupValue95% CI
Varenicline (Chantix) and Counseling0.67± 0.32
Placebo Medicine and Counseling0.70± 0.35
Side Effects Secondary · 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
GroupValue95% CI
Combination NRT and Counseling53
Varenicline (Chantix) and Counseling92
Placebo Medicine and Counseling59
Vomiting
GroupValue95% CI
Combination NRT and Counseling28
Varenicline (Chantix) and Counseling36
Placebo Medicine and Counseling27
Racing Heart
GroupValue95% CI
Combination NRT and Counseling27
Varenicline (Chantix) and Counseling24
Placebo Medicine and Counseling17
Headache
GroupValue95% CI
Combination NRT and Counseling81
Varenicline (Chantix) and Counseling81
Placebo Medicine and Counseling71
Sleep Disturbance
GroupValue95% CI
Combination NRT and Counseling49
Varenicline (Chantix) and Counseling55
Placebo Medicine and Counseling42
Withdrawal Secondary · 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
GroupValue95% CI
Combination NRT and Counseling1.33± 0.75
Varenicline (Chantix) and Counseling1.49± 0.81
Placebo Medicine and Counseling1.47± .79
Anxiety
GroupValue95% CI
Combination NRT and Counseling1.69± 0.79
Varenicline (Chantix) and Counseling1.81± 0.90
Placebo Medicine and Counseling1.82± 0.83
Concentration
GroupValue95% CI
Combination NRT and Counseling1.28± 0.64
Varenicline (Chantix) and Counseling1.48± 0.76
Placebo Medicine and Counseling1.42± 0.76
Craving
GroupValue95% CI
Combination NRT and Counseling2.29± 0.85
Varenicline (Chantix) and Counseling2.20± 0.86
Placebo Medicine and Counseling2.50± 0.83
Hunger
GroupValue95% CI
Combination NRT and Counseling2.11± 0.84
Varenicline (Chantix) and Counseling2.28± 0.80
Placebo Medicine and Counseling2.17± 0.79
Sadness
GroupValue95% CI
Combination NRT and Counseling1.01± 0.63
Varenicline (Chantix) and Counseling1.11± 0.69
Placebo Medicine and Counseling1.11± 0.61
Sleep
GroupValue95% CI
Combination NRT and Counseling1.49± 0.82
Varenicline (Chantix) and Counseling1.70± 0.89
Placebo Medicine and Counseling1.54± 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)

ReactionSystemCombination NRT and Counse…Varenicline (Chantix) and …Placebo Medicine and Couns…
COPDRespiratory, thoracic and mediastinal disorders
DiverticulosisGastrointestinal disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Hip replacement surgerySurgical and medical procedures
Coronary artery diseaseCardiac disorders
Death due to cardiorespiratory arrestCardiac disorders
Death due to congestive heart failureCardiac disorders
Heart failureCardiac disorders
Left bundle branch blockCardiac disorders
Death due to diabetic comaEndocrine disorders
Diabetic ketoacidosisEndocrine disorders
HyperthyroidismEndocrine disorders
Type 2 DiabetesEndocrine disorders
Crohn's diseaseGastrointestinal disorders
HemorrhoidGastrointestinal disorders
PancreatitisGastrointestinal disorders
Death, unknownGeneral disorders
Death due to natural causesGeneral disorders
Ammonia poisoning of liverHepatobiliary disorders
Antibiotic spacer for MRSA infection in kneeInfections and infestations
Cellulitis, right handInfections and infestations
Ear infectionInfections and infestations
Surgical incision site infection (post-surgery)Infections and infestations
Infection of second toe on left footInfections and infestations
InfluenzaInfections and infestations
Other adverse events (23 terms — click to expand)

ReactionSystemCombination NRT and Counse…Varenicline (Chantix) and …Placebo Medicine and Couns…
Vivid dreamsPsychiatric disorders
NauseaGastrointestinal disorders
HeadacheNervous system disorders
Feeling worried, nervous, scared, or anxiousPsychiatric disorders
Feeling significantly down, depressed, or hopelessPsychiatric disorders
Feeling agitated and restlessPsychiatric disorders
InsomniaPsychiatric disorders
DizzinessNervous system disorders
IndigestionGastrointestinal disorders
SweatingSkin and subcutaneous tissue disorders
HiccupsRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
Itching/hivesSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
WeaknessGeneral disorders
Feeling hostile or angry towards othersPsychiatric disorders
Rapid, slow, pounding, or irregular heartbeatCardiac disorders
Chest tightnessCardiac disorders
Feeling panicky or having panic attacksPsychiatric disorders
Trouble breathingRespiratory, thoracic and mediastinal disorders
Mouth problems (e.g. pain or sore)Gastrointestinal disorders
Swelling or tingling in mouth or throatImmune system disorders
Swelling in face or handsImmune system disorders

Most-reported serious reactions: COPD, Diverticulosis, Pneumonia, Hip replacement surgery, Coronary artery disease, Death due to cardiorespiratory arrest, Death due to congestive heart failure, Heart failure.

Data from ClinicalTrials.gov NCT02351167 adverse events section.

Sponsor's own description

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):

  1. Nicotine receptor partial agonists for smoking cessation.
    Cahill K, Lindson-Hawley N, Thomas KH, Fanshawe TR, et al · · 2016 · cited 228× · PMID 27158893 · DOI 10.1002/14651858.cd006103.pub7
  2. Genetic Variant in CHRNA5 and Response to Varenicline and Combination Nicotine Replacement in a Randomized Placebo-Controlled Trial.
    Chen LS, Baker TB, Miller JP, Bray M, et al · · 2020 · cited 26× · PMID 32602170 · DOI 10.1002/cpt.1971
  3. Biomedical risk assessment as an aid for smoking cessation.
    Clair C, Mueller Y, Livingstone-Banks J, Burnand B, et al · · 2019 · cited 20× · PMID 30912847 · DOI 10.1002/14651858.cd004705.pub5
  4. Most Current Smokers Desire Genetic Susceptibility Testing and Genetically-Efficacious Medication.
    Chiu A, Hartz S, Smock N, Chen J, et al · · 2018 · cited 13× · PMID 30370503 · DOI 10.1007/s11481-018-9818-1
  5. Racial disparities in intensity of smoke exposure and nicotine intake among low-dependence smokers.
    Ho JTK, Tyndale RF, Baker TB, Amos CI, et al · · 2021 · cited 5× · PMID 33652379 · DOI 10.1016/j.drugalcdep.2021.108641

Verify or expand the search:

Other recruiting trials for Smoking Cessation

Currently open trials in the same condition.

Other Washington University School of Medicine trials

Trials by the same sponsor.

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Data sources for this page

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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing