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CompletedNCT04135937MESHUpdated Jul 27, 2023Results posted

Mobile Evidence-Based Smoking Cessation for Veterans Living With HIV (MESH)

A Phase 4 interventional study of Bupropion and Varenicline in Human Immunodeficiency Virus and Smoking, sponsored by VA Office of Research and Development. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-27.

Sponsored by VA Office of Research and Development · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Smoking is a significant cause of damage to health and quality of life specifically for Veterans with human immunodeficiency virus (HIV). Smoking cessation interventions for this population are lacking. The primary aim of this project is to explore smoking cessation treatment preferences among Veteran smokers living with HIV. The study team will refine the design and content of a smoking cessation treatment for Veteran smokers living with HIV. The intervention uses mobile health and telehealth technology to personalize smoking cessation counseling and medications and provide relapse prevention text messaging.

Read the detailed description

Although smoking is a significant cause of damage to health and quality of life specifically for Veterans with human immunodeficiency virus (HIV), smoking cessation interventions for this population are lacking. The primary aim of this project is to qualitatively explore smoking cessation treatment preferences among Veteran smokers living with HIV. The study team will refine the design and content of an intervention that uses mobile health and telehealth technology to a)individually personalize smoking cessation counseling and pharmacotherapy, and b) provide relapse prevention messaging support. It is a personalized, tailored, multi-component intervention for smoking cessation specifically designed for Veteran smokers living with HIV.

This project is highly significant given that: 1) smoking is prevalent among and particularly harmful for HIV-positive Veterans; 2) there is a dearth of research on smoking cessation for Veterans with HIV; 3) current approaches to smoking cessation in this population are not effective; 4) as the largest US provider of HIV health services, VHA is an ideal setting; and 5) the proposed intervention follows the VA Blueprint for Excellence, which prioritizes mobile health and treatment personalization to increase reach/efficacy.

02

Conditions studied

  • Human Immunodeficiency Virus
  • Smoking

Keywords

  • Human Immunodeficiency Virus
  • Smoking
  • Veterans
03

In context

Acquired Immunodeficiency Syndrome

2,040 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 272 are open to participants now.

This study's enrollment of 12 is below the median of 105 across 1,543 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

VA Office of Research and Development is the lead sponsor of 1,733 studies on the registry; 396 are open to participants now.

Of its 206 completed or terminated interventional studies of FDA-regulated products, 180 (87%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • VHA patient
  • HIV positive serostatus
  • currently smoking 7 cigarettes per week
  • willing to complete study procedures. Exclusion criteria are:

Exclusion criteria

Exclusion Criteria:

  • current hospitalization
  • acute risk for suicide documented in the medical record
  • inability to complete study procedures.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    MESH

    Mobile Evidence-Based Smoking Cessation for Veterans Living with HIV is an intervention that is tailored for participants. It can include cognitive behavioral therapy, relapse-prevention text messaging, and/or pharmacotherapy with nicotine replacement therapy, bupropion, or varenicline.

    Drug: Bupropion · Drug: Varenicline · Behavioral: Cognitive Behavioral Therapy · Drug: Nicotine Replacement Therapy · Behavioral: Relapse Prevention Text Messaging

Interventions

  • DrugBupropion

    Smoking cessation pharmacotherapy prescribed in accordance with package insert.

    Also known as: Wellbutrin, Zyban

  • DrugVarenicline

    Smoking cessation pharmacotherapy prescribed in accordance with package insert.

    Also known as: Chantix

  • BehavioralCognitive Behavioral Therapy

    Behavioral intervention; modules include identifying reasons for quitting, setting a quit date, breathing relaxation technique, identifying smoking triggers, identifying social support, and education about relapse prevention

    Also known as: CBT

  • DrugNicotine Replacement Therapy

    Participants may be prescribed single-formulation NRT (i.e., nicotine patch) or dual NRT (patch + rescue method such as nicotine gum, inhaler, or lozenges).

    Also known as: NRT; nicotine patch; nicotine rescue method

  • BehavioralRelapse Prevention Text Messaging

    Participants will be invited to utilize SmokefreeVET, a mobile text messaging service for military Veterans trying to quit smoking. The 6- to 8-week program provides 24/7 encouragement, advice, and tips to help smokers quit smoking and stay quit.

    Also known as: SmokefreeVET

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Participate in the Post-treatment Interview

    Study primary outcomes are qualitative in nature. Participants will be asked to participate in a qualitative interview in which they will be interviewed regarding things they would change about the proposed treatment intervention. These results will be used to inform the treatment development for a randomized controlled trial.

    Time frame: Post-treatment follow-up visit (week 5)

07

Results

Posted Feb 16, 2022

Participant flow

Participant flow — Overall Study
MilestoneMESH
Started12
Completed9
Not completed3
Withdrew: Lost to follow-up2
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryNumber of Participants Who Participate in the Post-treatment Interview

Study primary outcomes are qualitative in nature. Participants will be asked to participate in a qualitative interview in which they will be interviewed regarding things they would change about the proposed treatment intervention. These results will be used to inform the treatment development for a randomized controlled trial.

Time frame:
Post-treatment follow-up visit (week 5)
Reported as:
Count of participants · Participants
Number of Participants Who Participate in the Post-treatment Interview
ParticipantsMESH
Number of Participants Who Participate in the Post-treatment Interview9

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
MESH0/12 (0%)0/12 (0%)1/12 (8.3%)
Most frequent other events
Most frequent other events
EventMESH
irritabilityPsychiatric disorders1/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)MESH
<=18 years0
Between 18 and 65 years9
>=65 years3
Age, Continuous
Age, Continuous(years)MESH
Mean58.08 ± 9.62
Sex: Female, Male
Sex: Female, Male(Participants)MESH
Female0
Male12
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)MESH
Hispanic or Latino0
Not Hispanic or Latino12
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)MESH
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American8
White4
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)MESH
United States12
08

Study locations

1 site
  • Durham VA Medical Center, Durham, NC
    Durham, North Carolina 27705-3875, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Dec 18, 2020
  • Informed consent form · Mar 31, 2021

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 Jul 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04135937
Lead sponsor
VA Office of Research and Development
Responsible party
Sponsor
First posted
Oct 23, 2019
Start date
Nov 18, 2019
Primary completion
Jul 15, 2021
Completion
Nov 10, 2021
Results posted
Feb 16, 2022
Last update
Jul 27, 2023

Study contacts

Sarah M. Wilson, PhD
principal investigator · Durham VA Medical Center, Durham, NC

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 Jul 2023. You cannot join it, but the record below documents what was studied.

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