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CompletedNCT05306158Updated Mar 27, 2025

Dual Use Approach Bias Training for Nicotine Addiction

An interventional study of CC+ECIG Condition and CC Condition in Tobacco Smoking, Electronic Cigarette Use and Substance Use, sponsored by University of Houston. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-27.

Sponsored by University of Houston · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
107
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The present project will evaluate the initial efficacy of approach bias retraining among dual combustible cigarette (CC) and electronic cigarette (ECIG) users. The study employs a randomized controlled design to follow 90 experienced dual CC/ECIG users motivated to quit nicotine as they engage in a self-guided quit attempt following approach bias retraining.

Read the detailed description

The study employs a randomized controlled design to follow 90 experienced dual CC/ECIG users motivated to quit nicotine as they engage in a self-guided quit attempt following approach bias retraining. Participants will be randomized to one of three approach bias retraining conditions: (1) CC+ECIG; (2) CC only; or (3) sham (control). Participants will complete a phone pre-screener, baseline (week 1 of study participation), 4 approach bias retraining sessions in laboratory (with quit day scheduled for the 4th session; weeks 2-5 of study participation), and follow-up assessments at 4- and 6-weeks post-intervention (i.e., weeks 9 and 11 of study participation, respectfully). Participants also will complete ecological momentary assessments (EMA) of CC smoking, ECIG use, and CC and ECIG urges/cravings for 14 days post-intervention (i.e., weeks 5-7 of study participation) on Internet capable smartphones. The only time data will be collected is when participants complete EMA assessments or follow up surveys using the REDCap app on the smartphone.

02

Conditions studied

  • Tobacco Smoking
  • Electronic Cigarette Use
  • Substance Use
03

In context

Substance-Related Disorders

2,124 studies on the registry are indexed under Substance-Related Disorders; 393 are open to participants now.

This study's enrollment of 107 is close to the median of 108 across 1,727 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

University of Houston is the lead sponsor of 101 studies on the registry; 17 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 3 (33%) 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
Yes

Inclusion criteria

  • At least 18 years of age
  • At least 15 days of CC use for the previous month
  • ECIG use with nicotine at least 15 days for the previous month
  • Motivation to quit nicotine (BOTH CC and ECIG; ≥ 5 on a 0-10 scale)
  • Ability to speak and read English fluently
  • Not have decreased number of cigarettes by more than half in the past month
  • Own an android smartphone (for EMA).

Exclusion criteria

Exclusion Criteria:

  • Current psychotherapy or pharmacotherapy for mental illness or addiction
  • Current use of nicotine replacement therapy, Zyban, or Chantix
  • Limited mental capacity or inability to provide informed consent
  • Insufficient command of the English language (>6th grade English literacy level required)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
107 participants (actual)

Study arms

  • Experimental
    CC+ECIG Condition

    Combustible Cigarette (CC) and Electronic Cigarette (ECIG) users will be trained to avoid CC and ECIG-related images and approach positive images.

    Other: CC+ECIG Condition

  • Active comparator
    CC Only Condition

    Participants in this arm will be trained to avoid only combustible cigarette images, not electronic cigarettes images.

    Other: CC Condition

  • Sham comparator
    Sham Condition

    Participants will pull and push all pictures of CC and ECIG images equally with no preference towards one or the other.

    Other: Sham Condition

Interventions

  • OtherCC+ECIG Condition

    Participants will push CC- and ECIG-related pictures.

  • OtherCC Condition

    Participants will push CC-related images and push and pull ECIG-related pictures equally often.

  • OtherSham Condition

    Participants will pull and push CC- and ECIG-related pictures equally often.

    Also known as: Control

06

What researchers measure

Primary outcomes

  1. Biochemically-Verified Point Prevalence Abstinence

    Biochemically-verified (urine and/or expired carbon monoxide reading) and self-reported 7-day abstinence prior to follow up (CC and/or ECIG)

    Time frame: Week 9 of participation

  2. Prolonged Abstinence

    Smoking on fewer than 7 consecutive days or smoking fewer than once each week over 2 consecutive weeks (CC and/or ECIG)

    Time frame: Week 9 of participation

  3. Lapse

    Time to first use (CC and/or ECIG)

    Time frame: Week 9 of participation

  4. Nicotine Relapse

    7th day on which CC or ECIG occurs

    Time frame: Week 9 of participation

Secondary outcomes

  1. Questionnaire of Smoking Urges-Brief (QSU-Brief)

    The Brief Questionnaire of Smoking Urges (QSU-Brief) consists of 10 statements about the respondent's feelings and thoughts about his or her desire to smoke cigarettes as he or she is completing the questionnaire (i.e., right now).

    Time frame: Week 1-7, 9, and 11 of participation

  2. Questionnaire of Vaping Craving

    The Questionnaire of Vaping Craving is a modified measure of the QSU and consists of 10 statements about the respondent's feelings and thoughts about his or her desire to vape as he or she is completing the questionnaire (i.e., right now).

    Time frame: Week 1-7, 9, and 11 of participation

  3. Approach Bias

    The approach-avoidance task (AAT) is a 15-minute computerized task instructs participants to use a joystick to either pull toward themselves or push away from themselves images presented on the screen that vary in content (i.e., substance-related, neutral, positive) and format (e.g., right- or left-tilted).

    Time frame: Weeks 2-5 of participation

  4. Biochemically-Verified Point Prevalence Abstinence

    Biochemically-verified (urine and/or expired carbon monoxide reading) and self-reported 7-day abstinence prior to follow up (CC and/or ECIG)

    Time frame: Week 11 of participation

  5. Prolonged Abstinence

    Smoking on fewer than 7 consecutive days or smoking fewer than once each week over 2 consecutive weeks (CC and/or ECIG)

    Time frame: Week 11 of participation

  6. Lapse

    Time to first use (CC and/or ECIG)

    Time frame: Week 11 of participation

  7. Nicotine Relapse

    7th day on which CC or ECIG occurs

    Time frame: Week 11 of participation

07

Study locations

1 site
  • RESTORE Laboratory
    Houston, Texas 77204, United States
08

References and documents

Individual participant data

Plan to share: Yes — We will provide de-identified data from this project to interested individuals one year following achievement of the aims of the project (i.e., publication of the main outcome paper). These data will be provided in digital format (i.e., disk) with clear labels for all variables. Data will be released directly by the investigators providing evidence of their institution's IRB approval for planned analyses of the data. Our team will be available to address queries.

Supporting information: Study protocol, Sap

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 Mar 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05306158
Lead sponsor
University of Houston
Responsible party
Lorra Garey (Assistant Research Professor, University of Houston) — Principal investigator
First posted
Mar 31, 2022
Start date
Oct 3, 2022
Primary completion
Sep 30, 2024
Completion
Nov 30, 2024
Last update
Mar 27, 2025

Study contacts

Lorra Garey, Ph.D
principal investigator · Assistant Research Professor

Oversight

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

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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