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CompletedNCT06801860Updated Dec 1, 2025

Chewing Gum for Smoking Cessation

An interventional study of Very brief smoking cessation advice and Chewing gum in Smoking Cessation, sponsored by The University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-01.

Sponsored by The University of Hong Kong · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this trial is to assess the feasibility, acceptability, and preliminary effectiveness of chewing gum to reduce cigarette consumption and promote smoking cessation. The main questions it aims to answer are: Do participants in the intervention group report a higher reduction in cigarette consumption, improved smoking cessation outcomes, and healthier oral health than the control group?

Researchers will compare chewing gum intervention to unassisted quitting to see if chewing gum works to cigarette reduction and smoking cessation.

Participants will:

  1. Receive very brief smoking cessation advice and booklet at baseline.
  2. Take chewing gum or unassisted quitting for 1 week.
02

Conditions studied

  • Smoking Cessation

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Keywords

  • Chewing gum
  • Behavioral intervention
  • Smoking cessation
03

In context

Smoking Cessation

304 studies on the registry are indexed under Smoking Cessation; 139 are open to participants now.

This study's enrollment of 80 is below the median of 154 across 285 interventional studies indexed under Smoking Cessation.

Browse Smoking Cessation studies →

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,262 studies on the registry; 340 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) 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

  1. Residents of Hong Kong aged 18 or above
  2. Smoking at least 1 cigarette per day over the past 3 months
  3. Have the habit of chewing gum or are willing to use chewing gum
  4. Participants who can communicate in Cantonese (including reading Chinese)
  5. Expressing an intention to quit or reduce smoking
  6. Capable of using instant messaging tools (e.g., WhatsApp, WeChat) for communication

Exclusion criteria

Exclusion Criteria:

  1. Having communication barriers (either physical or cognitive)
  2. Currently participating in other smoking cessation programs or services
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Chewing gum

    Participants in the intervention group will receive 1-2 packs of chewing gum over a 1-week intervention period. They will also receive a leaflet of usage tips for chewing gum, including 1) the potential benefits of chewing gum, 2) suitable usage time and dosage, and 3) the proper disposal of used gum.Additionally, participants in the intervention group will receive 2-week reminder message to boost gum usage.

    Behavioral: Very brief smoking cessation advice · Behavioral: Chewing gum · Behavioral: Chewing gum usage leaflet · Behavioral: 2-week reminder message

  • Active comparator
    Unassisted quitting

    Participants in the unassisted quitting group (control group) will receive very brief smoking cessation advice (30 seconds) and a smoking cessation information booklet at baseline.

    Behavioral: Very brief smoking cessation advice

Interventions

  • BehavioralVery brief smoking cessation advice

    All participants will receive very brief smoking cessation advice (guided by the AWARD model, assess, warning, refer, and do-it-again) with a smoking cessation information booklet onsite at baseline.

  • BehavioralChewing gum

    Participants in the intervention group will receive 1-2 packs of chewing gum over a 1-week intervention period.

  • BehavioralChewing gum usage leaflet

    A leaflet of usage tips for chewing gum, including 1) the potential benefits of chewing gum, 2) suitable usage time and dosage, and 3) the proper disposal of used gum.

  • Behavioral2-week reminder message

    A 2-week reminder message guided by the Love and Care approach will be delivered to participants twice a week (a total of four).

06

What researchers measure

Primary outcomes

  1. Validated abstinence

    Biochemically validated smoking abstinence will be measured by saliva cotinine level (exhaled carbon monoxide \<4 ppm and salivary cotinine \<30 ng/ml)

    Time frame: 6-month follow-up

Secondary outcomes

  1. Number of pieces used

    The number of pieces used will be measured by a self-designed question: "On average, how many pieces of gum do you use every day?"

    Time frame: 2-week, 3-month, and 6-month follow-ups

  2. Frequency of use

    The frequency of use will be measured by a self-designed question: "In the past seven days, how many days have you used chewing gum?"

    Time frame: 2-week, 3-month, and 6-month follow-ups

  3. Duration of use

    Duration of use will be measured by a self-designed question: "How long do you typically use it at a time?"

    Time frame: 2-week, 3-month, and 6-month follow-ups

  4. Health effect

    Health effect will be measured by a self-designed question: "Have you noticed any changes in your oral health after using chewing gum?"

    Time frame: 2-week, 3-month, and 6-month follow-ups

  5. The biochemically validated smoking abstinence

    Smoking abstinence is defined by exhaled CO \<4 ppm and salivary cotinine \<30ng/ml

    Time frame: 6-month follow-up

  6. Self-reported 7-day point-prevalence abstinence

    Smokers who did not smoke even a puff in the 7 days preceding the follow-up.

    Time frame: 2-week, 3-month, and 6-month

  7. Self-reported smoking change

    Self-reported change in number of cigarettes smoked daily of at least less 50% of the baseline number

    Time frame: 2-week, 3-month, and 6-month follow-ups

  8. Self-reported self-efficacy of quitting

    Self-reported self-efficacy of quitting includes the perception of quitting importance, difficulty, and confidence, assessing by an item scaled with 0-10, respectively. The score of zero refers to very unimportant, very easy, or very unconfident. The score of 10 refers to very important, very difficult, or very confident, respectively. Higher score refers to higher perception of quitting importance, difficulty, and confidence.

    Time frame: 2-week, 3-month, and 6-month follow-ups

  9. Self-reported quit attempt

    Self-reported quit attempt in the past 7 days.

    Time frame: 2-week, 3-month, and 6-month follow-ups

  10. Nicotine dependence level

    The nicotine dependence level will be measured by the Fagerstrom Test for Nicotine Dependence (FTND). The score ranges from 0 to 10, with higher scores indicating greater nicotine dependence.

    Time frame: 2-week, 3-month, and 6-month follow-ups

  11. Smoking cessation services use

    Using the smoking cessation service from hospitals or the government in Hong Kong

    Time frame: 2-week, 3-month, and 6-month follow-ups

  12. Self-reported intention to quit

    Self-reported intention to quit in the next days

    Time frame: 2-week, 3-month, and 6-month follow-ups

07

Study locations

1 site
  • School of Nursing, The University of Hong Kong
    Hong Kong, Pokfulam 999077, Hong Kong
08

References and documents

Individual participant data

Plan to share: No

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 Dec 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06801860
Lead sponsor
The University of Hong Kong
Responsible party
Prof. Wang Man-Ping (Professor, The University of Hong Kong) — Principal investigator
First posted
Jan 30, 2025
Start date
Feb 11, 2025
Primary completion
Sep 26, 2025
Completion
Oct 30, 2025
Last update
Dec 1, 2025

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 Jan 2025. You cannot join it, but the record below documents what was studied.

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