CClinicalTrials.gg
CompletedNCT03822416Updated May 25, 2021Results posted

Treating Smokers With Mental Illness

A Phase 2 interventional study of Nicotine patch and Nicotine lozenge in Smoking Cessation, Cigarette Smoking and Schizophrenia, sponsored by University of Minnesota. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-05-25.

Sponsored by University of Minnesota · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a smoking cessation study that will enroll smokers who have been diagnosed with a severe mental illness. The study will use a combination of intensive tobacco treatment counseling and nicotine replacement therapy to assist smokers in cutting back on and quitting smoking over the course of six months.

Read the detailed description

At the baseline measurement visit, participants will be asked to complete a survey and an interview. They will be randomly assigned to either the intervention or control group. Both groups will receive a smoking cessation manual and list of resources. The intervention group will also receive smoking cessation counseling and nicotine replacement therapy. Both groups will be seen for in-person assessments again at 8 weeks and 6 months post baseline.

02

Conditions studied

  • Smoking Cessation
  • Cigarette Smoking
  • Schizophrenia
  • Psychotic Disorders
  • Major Depressive Disorder
  • Bipolar Disorder I
  • Bipolar II Disorder
  • Mental Illness

Keywords

  • mental illness
  • tobacco treatment
03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 38 is below the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,184 studies on the registry; 195 are open to participants now.

Of its 132 completed or terminated interventional studies of FDA-regulated products, 91 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • have a severe mental illness diagnosis
  • be a daily smoker
  • be willing to reduce the number of cigarettes smoked per day leading to a quit attempt
  • want to try to quit smoking
  • be willing to use nicotine replacement therapy
  • be able to communicate in English

Exclusion criteria

Exclusion Criteria:

  • anyone who has had an active psychotic episode or been hospitalized due to suicidal ideation in the last six months
  • pregnancy
  • taking Chantix or Clozapine
  • having a terminal illness
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Intervention

    Intervention group will receive counseling and nicotine replacement therapy including the nicotine patch and/or nicotine lozenges.

    Drug: Nicotine patch · Drug: Nicotine lozenge · Behavioral: Therapy · Other: Information

  • Other
    Control

    Control group will receive information about mental illness and smoking cessation and a listing of community resources available for assistance with smoking cessation.

    Other: Information

Interventions

  • DrugNicotine patch

    Nicotine patch (dose based on number of cigarettes per day) (4-week, 8-week, or 12-week supply) depending on participant preference and how much they are smoking based on FDA guidelines for use

  • DrugNicotine lozenge

    Nicotine lozenge (2 or 4 mg if less or greater than 30 minutes to first cigarette in the morning respectively) (4-week, 8-week, or 12-week supply) depending on participant preference and how much they are smoking based on FDA guidelines for use

  • BehavioralTherapy

    In-person meeting at baseline, 6 phone counseling sessions with participants over 8 weeks after initial in-person meeting, possible additional phone counseling (3 phone calls) from 8 weeks to 6 months after initial in-person meeting, and possible text messages when agreed to by participants during the 8 week to 6 month phase

  • OtherInformation

    Information about smoking and mental illness and referrals to both the QUITPLAN helpline and additional resources in the community

06

What researchers measure

Primary outcomes

  1. 7-Day Point Prevalence Abstinence

    To determine the number of patients in the intervention and control conditions who achieve 7-day point prevalence abstinence at 8 weeks and 6 months after enrollment.

    Time frame: 8 weeks and 6 months post baseline

Secondary outcomes

  1. Quit Attempts

    To determine the number of patients in the intervention and control condition who achieve self-reported minimum 24 hour quit attempts.

    Time frame: 8 weeks and 6 months post baseline

  2. Smoking Reduction

    To determine the mean reduction in cigarettes per day in the intervention and control conditions.

    Time frame: 8 weeks and 6 months post baseline

07

Results

Posted May 25, 2021

Participant flow

Participant flow — Overall Study
MilestoneInterventionControl
Started1919
Completed1818
Not completed11
Withdrew: Lost to follow-up10
Withdrew: Withdrawal by subject01

Outcome measures

Primary7-Day Point Prevalence Abstinence

To determine the number of patients in the intervention and control conditions who achieve 7-day point prevalence abstinence at 8 weeks and 6 months after enrollment.

Time frame:
8 weeks and 6 months post baseline
Reported as:
Count of participants · Participants
7-Day Point Prevalence Abstinence
ParticipantsInterventionControl
8 Weeks53
6 Months45
SecondaryQuit Attempts

To determine the number of patients in the intervention and control condition who achieve self-reported minimum 24 hour quit attempts.

Time frame:
8 weeks and 6 months post baseline
Reported as:
Count of participants · Participants
Quit Attempts
ParticipantsInterventionControl
8 Weeks137
6 Months1810
SecondarySmoking Reduction

To determine the mean reduction in cigarettes per day in the intervention and control conditions.

Time frame:
8 weeks and 6 months post baseline
Reported as:
Mean · cigarettes per day
Smoking Reduction
cigarettes per dayInterventionControl
8 Weeks5.6 ± 7.0411.59 ± 4.15
6 Months4.84 ± 4.568.03 ± 3.23

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention0/19 (0%)0/19 (0%)1/19 (5.3%)
Control0/19 (0%)0/19 (0%)0/19 (0%)
Most frequent other events
Most frequent other events
EventInterventionControl
increased coughing following smoking cessationRespiratory, thoracic and mediastinal disorders1/190/19

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)InterventionControlTotal
<=18 years000
Between 18 and 65 years181937
>=65 years101
Sex/Gender, Customized
Sex/Gender, Customized(Participants)InterventionControlTotal
Female61218
Male11718
Other202
Race (NIH/OMB)
Race (NIH/OMB)(Participants)InterventionControlTotal
American Indian or Alaska Native101
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American8311
White81018
More than one race167
Unknown or Not Reported101
Region of Enrollment
Region of Enrollment(participants)InterventionControlTotal
United States191938
08

Study locations

1 site
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
09

References and documents

Publications

  • Busch AM, Nederhoff DM, Dunsiger SI, Japuntich SJ, Chrastek M, Adkins-Hempel M, Rinehart LM, Lando H. Chronic care treatment for smoking cessation in patients with serious mental illness: a pilot randomized trial. BMC Psychiatry. 2021 Feb 17;21(1):104. doi: 10.1186/s12888-021-03113-5. PubMed 33593332 ↗

Study documents

  • Protocol and statistical analysis plan · Jul 16, 2019
  • Informed consent form · Jul 15, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 25, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03822416
Lead sponsor
University of Minnesota
Collaborators
Hennepin County Medical Center, Minneapolis, Brown University
Responsible party
Sponsor
First posted
Jan 30, 2019
Start date
Mar 1, 2019
Primary completion
May 4, 2020
Completion
May 4, 2020
Results posted
May 25, 2021
Last update
May 25, 2021

Study contacts

Harry Lando, PhD
principal investigator · University of Minnesota

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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