Adjustment of DOses of NIcotine in Smoking Cessation (ADONIS)
Maneno muhimu
Kikemikali
Maelezo
Smokers currently smoking at least 10 cigarettes per day with smoking related diseases are included. They are randomized either to receive standard nicotine replacement therapy (24 h nicotine patch 21, 14, 7 mg/day for one month each, respectively), control arm, or nicotine dose adjustment according their saliva cotinine: dose adaptation arm. In the control arm, at the discretion of the investigators, buccal forms of nicotine replacement therapies are allowed. In both arms, saliva cotinine determinations are performed every 2 weeks for 2 months. In the control arm saliva cotinine results are not communicated to the investigators. In the dose adaptation arm investigators receive saliva cotinine results and should adapt the nicotine doses (mg of nicotine/day) according to baseline (when smoking) saliva cotinine to obtain 100 % substitution. Smokers are assessed at weekly visits after the predetermined quit day for 3 months. Follow up at 6 months. Main outcome measure: sustained abstinence (self reported no smoking and expired air carbon monoxide concentration equal or less than 8 ppm during the last (3rd) month of the treatment phase.
Tarehe
| Imethibitishwa Mwisho: | 02/28/2007 |
| Iliyowasilishwa Kwanza: | 10/05/2005 |
| Uandikishaji uliokadiriwa Uliwasilishwa: | 10/05/2005 |
| Iliyotumwa Kwanza: | 10/09/2005 |
| Sasisho la Mwisho Liliwasilishwa: | 03/27/2008 |
| Sasisho la Mwisho Lilichapishwa: | 03/31/2008 |
| Tarehe halisi ya kuanza kwa masomo: | 09/30/2005 |
| Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 10/31/2007 |
| Tarehe ya Kukamilisha Utafiti: | 10/31/2007 |
Hali au ugonjwa
Uingiliaji / matibabu
Procedure: 1
Drug: 2
Awamu
Vikundi vya Arm
| Mkono | Uingiliaji / matibabu |
|---|---|
| Experimental: 1 adaptation of the nicotine patch with salivary cotinine | Procedure: 1 Dose adjustment of nicotine replacement therapies |
| Other: 2 normal following with a nicotine patch | Drug: 2 normal following with a nicotine patch |
Vigezo vya Kustahiki
| Zama zinazostahiki Kujifunza | 18 Years Kwa 18 Years |
| Jinsia Inastahiki Kujifunza | All |
| Hupokea Wajitolea wa Afya | Ndio |
| Vigezo | Inclusion Criteria: - Age ≥18 years Smoking ≥ 10 cigarettes per day Patients with disease conditions known to be related to smoking: e.g.coronary heart diseases, COPD, lower extremity arterial disease, etc Exclusion Criteria: - Smokers whose follow-up during the duration of the study, in a predictable way, cannot be assured. - smokers having been treated by bupropion ( Zyban) during two months preceding the inclusion - persons under TSN, neuroleptic, substitute treatments in OPINOIDES, under anticoagulants-non-equilibrating, - encircled woman - breast-feeding woman - Contraindication usual of the TSN |
Matokeo
Hatua za Matokeo ya Msingi
1. sustained smoking abstinence [during the study]
Hatua za Matokeo ya Sekondari
1. point prevalence abstinence,craving for tobacco,symptoms of nicotine withdrawal,weight,saliva cotinine concentration,genetic polymorphisms as predictors of therapeutic response and in interaction with nicotine replacement therapies [during the study]
