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| Sponsor: | Department of Veterans Affairs |
|---|---|
| Information provided by: | Department of Veterans Affairs |
| ClinicalTrials.gov Identifier: | NCT00018161 |
Purpose
This protocol evaluates the efficacy of combining pharmacologic treatments for smoking cessation, entailing the use of the nicotine skin patch with the nicotinic antagonist mecamylamine, with a specific behavioral therapy designed to inhibit the smoking urge.
| Condition | Intervention | Phase |
|---|---|---|
|
Smoking |
Drug: Mecamylamine Drug: Nicotine Patch Behavioral: Cigarette brand switching |
Phase II |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Combined Pharmacologic/Behavioral Treatment for Smoking Cessation |
| Study Start Date: | January 1997 |
| Estimated Study Completion Date: | June 2001 |
Previous studies have found that nicotine/mecamylamine treatment more than doubles the long-term abstinence rates relative to nicotine replacement alone. Recent evidence supports the hypothesis that nicotine/mecamylamine treatment prior to smoking cessation partially blocks the rewarding effects of cigarette smoking and hence promotes extinction of the smoking habit, facilitating subsequent abstinence. The behavioral approach employed is also an extinction strategy and involves having smokers switch to de-nicotinized tobacco cigarettes for two weeks prior to quitting smoking. It is hypothesized that the use of de-nicotinized cigarettes might provide more complete extinction than provided by the partial pharmacologic blockade using nicotine/mecamylamine alone. The pharmacologic treatment was expected to increase compliance with the de-nicotinized cigarette smoking regimen, because subjects' usual brands of cigarettes will be less appealing than in the absence of nicotine/mecamylamine treatment. Together the brand-switching and nicotine/mecamylamine therapies were expected to reduce cravings and other withdrawal symptoms as well as increase long-term abstinence from smoking.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Contacts and Locations
More Information
| ClinicalTrials.gov Identifier: | NCT00018161 History of Changes |
| Other Study ID Numbers: | ADRD-008-97F |
| Study First Received: | July 3, 2001 |
| Last Updated: | January 20, 2009 |
| Health Authority: | United States: Federal Government |
|
Nicotine addiction cigarette smoking |
|
Smoking Habits Mecamylamine Nicotine Nicotine polacrilex Antihypertensive Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions Ganglionic Blockers Autonomic Agents Peripheral Nervous System Agents |
Physiological Effects of Drugs Nicotinic Antagonists Cholinergic Antagonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Ganglionic Stimulants Nicotinic Agonists Cholinergic Agonists Central Nervous System Stimulants Central Nervous System Agents |