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TerminatedNCT03840694NicWithUpdated May 20, 2021

Nicotine Withdrawal and Reward Processing: Connecting Neurobiology to Real-world Behavior

An interventional study of Smoking Abstinence and Ad Lib Smoking in Cigarette Smoking and Nicotine Withdrawal, sponsored by Duke University. Terminated at 1 site in United States. Open to participants aged 21 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-05-20.

Sponsored by Duke University · Not applicable, Interventional, and Basic science

Why this study was terminated
PI leaving for another institution.
Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
21 Years to 55 Years
Sex
All
01

Study summary

This study is designed to find out how smoking affects the way the brain responds to pleasure and how this impacts smokers' behavior. Participants will complete three sessions. The first session will be a screening and training visit to determine final eligibility. Eligible participants will work with a researcher to develop brief scripts about times when they smoke and do other activities. Next, participants will attend two magnetic resonance imaging (MRI) scans - one after abstaining from smoking for 24 hours and the other after smoking as usual. After the second MRI, participants will answer questions on their phone every day for two weeks.

02

Conditions studied

  • Cigarette Smoking
  • Nicotine Withdrawal
03

In context

Substance Withdrawal Syndrome

128 studies on the registry are indexed under Substance Withdrawal Syndrome; 8 are open to participants now.

This study's enrollment of 21 is below the median of 53 across 93 interventional studies indexed under Substance Withdrawal Syndrome.

Browse Substance Withdrawal Syndrome studies →

Lead sponsor

Duke University is the lead sponsor of 2,025 studies on the registry; 275 are open to participants now.

Of its 194 completed or terminated interventional studies of FDA-regulated products, 159 (82%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Generally healthy
  • Right-handed
  • Smoke >= 10 cigarettes per day
  • Smoking regularly for >= 1 year
  • Carbon Monoxide (CO) > 8 at screening (or urinary cotinine > 100)
  • Own a compatible smartphone
  • Able to read and understand English
  • Able to identify at least 4 pleasurable activities they do not do concurrently with smoking or associate with smoking

Exclusion criteria

Exclusion Criteria:

  • Regular use of "roll your own" cigarettes
  • Planning to quit smoking within the next 60 days
  • Current or planned smoking cessation treatment
  • Regular use of smokeless tobacco or other nicotine products
  • Expired CO > 80 parts per million
  • Breath alcohol > .000 at screening (re-attempts are allowed)
  • Positive toxicology screen for exclusionary drugs
  • Use of exclusionary medications
  • Significant medical problems
  • Currently breastfeeding, pregnant, or planning to become pregnant
  • Enrollment in another study utilizing Spectrum cigarettes within the last 3 months
  • Irregular slee-wake cycles (e.g. swing-shift work, unusual sleep patterns)
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
21 participants (actual)

Study arms

  • Other
    Smoking Abstinence

    Participants will abstain from smoking for 24 hours before one MRI scan. Smoking abstinence will be confirmed using exhaled carbon monoxide breath testing

    Other: Smoking Abstinence

  • Other
    Ad Lib Smoking

    Participants will continue smoking as usual (i.e. "ad lib") before one MRI scan and smoke one additional cigarette immediately prior to scanning. Continued smoking will be confirmed using exhaled carbon monoxide breath testing.

    Other: Ad Lib Smoking

Interventions

  • OtherSmoking Abstinence

    Participants will abstain from smoking for 24 hours.

  • OtherAd Lib Smoking

    Participants will continue smoking as usual (i.e. ad lib) and smoke one cigarette of their own brand immediately prior to scanning.

06

What researchers measure

Primary outcomes

  1. Blood Oxygen Level Dependent (BOLD) Activation

    BOLD activation in brain reward network regions

    Time frame: Approximately 1-3 weeks

  2. Ecological Momentary Assessment (EMA) Pleasure Ratings

    Anticipated and actual pleasure ratings acquired each day during EMA portion of study. Individual items are based on the 12-item Tripartite Pleasure Inventory (TPI). Participants rate their anticipated pleasure for activities they expect to engage in each day using a 0 (No pleasure) to 4 (Extreme pleasure) scale in the morning. They will then rate their actual experienced pleasure for activities they actually did engage in the evening using the same scale. Scores are summed across items for a theoretical range of 0-48.

    Time frame: 2-6 weeks

07

Study locations

1 site
  • Duke University School of Medicine
    Durham, North Carolina 27705, United States
08

References and documents

Individual participant data

Plan to share: Yes — Detailed protocols, datasets and additional information will be available from the Principal Investigator and research team upon request. In order to maintain compliance with the Health Insurance Portability and Accountability Act (HIPAA) requirements, as well as university data security policies, all data will be anonymized according to HIPAA guidelines prior to being shared. Individual participant scripts will not be made publicly available due to privacy concerns and because this could impact the nature of information participants were willing to provide for scripts. Data will be provided in widely accessible formats for both self-report and imaging data. We will work with the Office of Research Contracts to obtain guidance regarding any required Data Use Agreements as needed.

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03840694
Lead sponsor
Duke University
Collaborators
National Institutes of Health (NIH), National Institute on Drug Abuse (NIDA), Food and Drug Administration (FDA)
Responsible party
Sponsor
First posted
Feb 15, 2019
Start date
Sep 10, 2019
Primary completion
May 13, 2021
Completion
May 13, 2021
Last update
May 20, 2021

Study contacts

Jason A Oliver, PhD
principal investigator · Duke University

Oversight

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

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

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