Developing a Smoking Cessation Intervention for Methadone Maintained Smokers

Sponsor
Rutgers, The State University of New Jersey (Other)
Overall Status
Completed
CT.gov ID
NCT01393392
Collaborator
National Institute on Drug Abuse (NIDA) (NIH)
87
1
2
31
2.8

Study Details

Study Description

Brief Summary

The purpose of this study is to pilot and evaluate, in a randomized controlled trial, the immediate and long-term effects of a newly developed, tailored, intensive smoking cessation intervention among methadone maintained smokers and compared to a control condition (facilitated referral to the NJ Quitline). The newly developed intervention is evidence based, addresses the unique needs of methadone maintained smokers, is intensive, can be tailored to the individual, and builds on the strengths as well as addresses the gaps in previous treatments for methadone maintained smokers.

The investigators hypothesize that: (1) three months and six months after beginning treatment, those in the tailored intervention condition will be more likely to be abstinent from smoking than those in the control intervention condition (primary outcome); (2) there will be a greater relapse rate in the control intervention condition between the three and six month follow-up points than in the tailored intervention condition; (3) three and six months after beginning treatment, those in the tailored intervention condition will have better secondary smoking related outcomes (smoked fewer cigarettes per day in the past week, be more ready to quit, have greater self-efficacy for quitting, experience less nicotine dependence, and be more likely to have made a quit attempt) than those in the control intervention condition; (4) three and six months after beginning treatment, those in the tailored intervention condition will have better utilization of and adherence to smoking cessation pharmacotherapy, better mental and physical health, less perceived stress, greater social support, less drug and alcohol use, and greater involvement in drug and alcohol treatment than those in the control intervention condition; and (5) the newly created tailored intervention will be feasible and acceptable. .

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Intensive, tailored intervention
  • Behavioral: NJ Quitline Referral
Phase 1

Detailed Description

Most individuals in methadone maintenance treatment are tobacco smokers. Also, people in methadone treatment are more likely to experience the health issues related to smoking than the general population. Yet, research has found that smokers receiving methadone treatment are interested in quitting and receiving tobacco cessation treatment, and people in drug treatment who quit smoking are less likely to use drugs.

To better help methadone maintained smokers quit smoking and prevent them from starting smoking again, we want to evaluate the effects of a new smoking cessation counseling intervention, designed for methadone maintained smokers as compared to a smoking cessation counseling intervention used with the general population.

Eligible participants will:
  • Be English speaking (i.e., able to participate in counseling sessions in English and to complete study interviews in English);

  • Be enrolled in methadone treatment for at least three months;

  • Be able to give informed consent;

  • Be willing and able to participate in all study activities;

  • Not have taken smoking cessation related medication or participated in smoking cessation counseling in the past six months;

  • Have smoked at least 100 cigarettes during their lifetime and currently smoke every day or most days;

  • Not currently be pregnant or breastfeeding or plan on getting pregnant or breastfeeding during the next six months;

  • Have access to a working telephone; and,

  • Be interested in participating in a smoking cessation intervention and quitting smoking within the next six months.

Participants will be randomly assigned to receive either a smoking cessation intervention tailored for methadone maintained smokers or a referral to a smoking cessation program available to the general population (NJ Quitline). Participants assigned to receive the tailored intervention, will participate in approximately eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the participant's methadone clinic. Treatment needs will be assessed during the first session and the intervention will be tailored to participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them.

Study staff will contact the NJ Quitline for participants assigned to the control condition, and a counselor from the Quitline will call them.

Regardless of treatment assignment, participants will be asked to provide a urine sample for a drug test and pregnancy test (for women) and complete an interview, using a computer or face-to-face, before beginning treatment or receiving the NJ Quitline referral and three months and six months after study enrollment.Each interview will take approximately 45 minutes to one hour to complete.

Participants will receive a $20 gift card for completing each research visit (i.e., computer or face-to-face interview), but will not be reimbursed for counseling visits.

Study Design

Study Type:
Interventional
Actual Enrollment :
87 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Developing a Smoking Cessation Intervention for Methadone Maintained Smokers
Study Start Date :
Oct 1, 2011
Actual Primary Completion Date :
May 1, 2014
Actual Study Completion Date :
May 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Intensive, tailored intervention

Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them.

Behavioral: Intensive, tailored intervention
Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided.
Other Names:
  • Smokers in Methadone Treatment Intervention
  • IMB Model Based Smoking Cessation Intervention
  • Active Comparator: Control Intervention

    Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants.

    Behavioral: NJ Quitline Referral
    Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Other Names:
  • Standard of Care Smoking Cessation Intervention
  • General Population Smoking Cessation Intervention
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants Who Experienced Seven-day Point Prevalence Smoking Abstinence [during the previous seven days at three months post baseline]

      Self-reported not smoking "even a puff" within the previous seven days, and exhaled carbon monoxide reading of <8 parts per million.

    Secondary Outcome Measures

    1. Median Number of Cigarettes Participants Smoked Per Day During the Past Week [during the previous seven days at three months post baseline]

      Self-reported, median number of cigarettes per day during the previous seven days

    2. Number of Participants Who Experienced Any Quit Attempts Since Baseline [During the period between baseline and three months post enrollment]

      Self-reported, smoke free for 24 hours or more since baseline (yes/no)

    3. Number of Participants Who Experienced Seven-day Point Prevalence of Smoking Abstinence [during the previous seven days at six months post baseline]

      Self-reported not smoking "even a puff" within the previous seven days, and exhaled carbon monoxide reading of <8 parts per million.

    4. Median Number of Cigarettes Smoked Per Day During the Past Week [during the previous seven days at six months post baseline]

      Self-reported, median number of cigarettes per day during the previous seven days

    5. Number of Participants Who Experienced Any Quit Attempts Since Enrollment [during the period between baseline and six months post-enrollment]

      Self-reported, smoke free for 24 hours or more since baseline (yes/no)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Enrolled in methadone treatment for at least three months

    • Able to give informed consent

    • Willing and able to participate in all study activities

    • Smoked at least 100 cigarettes during their lifetime

    • Currently smoke every day or most days

    • Has access to a working telephone

    • Interested in participating in a smoking cessation intervention and quitting smoking within the next six months

    Exclusion Criteria:
    • Unable to speak English fluently

    • Took smoking cessation related medication or participated in smoking cessation counseling in the past three months

    • Pregnant or breastfeeding or planning on becoming pregnant or breastfeeding during the next six months

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Rutgers Robert Wood Johnson Medical School New Brunswick New Jersey United States 08901

    Sponsors and Collaborators

    • Rutgers, The State University of New Jersey
    • National Institute on Drug Abuse (NIDA)

    Investigators

    • Principal Investigator: Nina Cooperman, Psy.D., Rutgers Robert Wood Johnson Medical School

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Nina A. Copperman, Psy. D., Associate Professor of Psychiatry, Rutgers, The State University of New Jersey
    ClinicalTrials.gov Identifier:
    NCT01393392
    Other Study ID Numbers:
    • K23DA025049
    • K23DA025049
    First Posted:
    Jul 13, 2011
    Last Update Posted:
    Sep 6, 2018
    Last Verified:
    Sep 1, 2018
    Keywords provided by Nina A. Copperman, Psy. D., Associate Professor of Psychiatry, Rutgers, The State University of New Jersey
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Period Title: Overall Study
    STARTED 44 43
    COMPLETED 33 24
    NOT COMPLETED 11 19

    Baseline Characteristics

    Arm/Group Title Intensive, Tailored Intervention Control Intervention Total
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit). Total of all reporting groups
    Overall Participants 41 43 84
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    44
    (11)
    42
    (10)
    43
    (10)
    Sex: Female, Male (Count of Participants)
    Female
    24
    58.5%
    24
    55.8%
    48
    57.1%
    Male
    17
    41.5%
    19
    44.2%
    36
    42.9%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    9
    22%
    9
    20.9%
    18
    21.4%
    Not Hispanic or Latino
    32
    78%
    34
    79.1%
    66
    78.6%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    Asian
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    10
    24.4%
    10
    23.3%
    20
    23.8%
    White
    31
    75.6%
    31
    72.1%
    62
    73.8%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    2
    4.7%
    2
    2.4%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants Who Experienced Seven-day Point Prevalence Smoking Abstinence
    Description Self-reported not smoking "even a puff" within the previous seven days, and exhaled carbon monoxide reading of <8 parts per million.
    Time Frame during the previous seven days at three months post baseline

    Outcome Measure Data

    Analysis Population Description
    Three individuals randomized to the intensive, tailored intervention group did not attend any intervention sessions, and one participant in the control condition passed away; these individuals were not included in the analyses.
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Measure Participants 41 42
    Count of Participants [Participants]
    3
    7.3%
    0
    0%
    2. Secondary Outcome
    Title Median Number of Cigarettes Participants Smoked Per Day During the Past Week
    Description Self-reported, median number of cigarettes per day during the previous seven days
    Time Frame during the previous seven days at three months post baseline

    Outcome Measure Data

    Analysis Population Description
    Three individuals randomized to the intensive, tailored intervention group did not attend any intervention sessions, and one participant in the control condition passed away; these individuals were not included in the analyses.
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Measure Participants 41 42
    Median (Inter-Quartile Range) [cigarettes]
    6
    10
    3. Secondary Outcome
    Title Number of Participants Who Experienced Any Quit Attempts Since Baseline
    Description Self-reported, smoke free for 24 hours or more since baseline (yes/no)
    Time Frame During the period between baseline and three months post enrollment

    Outcome Measure Data

    Analysis Population Description
    Three individuals randomized to the intensive, tailored intervention group did not attend any intervention sessions, and one participant in the control condition passed away; these individuals were not included in the analyses.
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Measure Participants 41 42
    Count of Participants [Participants]
    21
    51.2%
    14
    32.6%
    4. Secondary Outcome
    Title Number of Participants Who Experienced Seven-day Point Prevalence of Smoking Abstinence
    Description Self-reported not smoking "even a puff" within the previous seven days, and exhaled carbon monoxide reading of <8 parts per million.
    Time Frame during the previous seven days at six months post baseline

    Outcome Measure Data

    Analysis Population Description
    Three individuals randomized to the intensive, tailored intervention group did not attend any intervention sessions, and one participant in the control condition passed away; these individuals were not included in the analyses.
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Measure Participants 41 42
    Count of Participants [Participants]
    1
    2.4%
    0
    0%
    5. Secondary Outcome
    Title Median Number of Cigarettes Smoked Per Day During the Past Week
    Description Self-reported, median number of cigarettes per day during the previous seven days
    Time Frame during the previous seven days at six months post baseline

    Outcome Measure Data

    Analysis Population Description
    Three individuals randomized to the intensive, tailored intervention group did not attend any intervention sessions, and one participant in the control condition passed away; these individuals were not included in the analyses.
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Measure Participants 41 42
    Median (Inter-Quartile Range) [cigarettes]
    8
    10
    6. Secondary Outcome
    Title Number of Participants Who Experienced Any Quit Attempts Since Enrollment
    Description Self-reported, smoke free for 24 hours or more since baseline (yes/no)
    Time Frame during the period between baseline and six months post-enrollment

    Outcome Measure Data

    Analysis Population Description
    Three individuals randomized to the intensive, tailored intervention group did not attend any intervention sessions, and one participant in the control condition passed away; these individuals were not included in the analyses.
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    Measure Participants 41 42
    Count of Participants [Participants]
    23
    56.1%
    17
    39.5%

    Adverse Events

    Time Frame 2.5 years
    Adverse Event Reporting Description AEs assessed at each counseling and research visit.
    Arm/Group Title Intensive, Tailored Intervention Control Intervention
    Arm/Group Description Participants in the intensive intervention condition will receive eight individual counseling sessions, with a smoking cessation counselor, over three months. Each session will last approximately 45 minutes and occur in the methadone clinic. Participant treatment needs will be assessed during the first session and the intervention will be tailored to the participants' needs. Prior to quitting participants will receive nicotine replacement patches and lozenges and instructions on how to use them. Intensive, tailored intervention: Eight, 45 minute counseling sessions, tailored to the individual and based on the Information-Motivation-Behavioral Skills model of behavior change. Incorporates motivational interviewing, education, cognitive-behavioral skills training. 12 week course of nicotine replacement patches provided. Nicotine lozenges also provided. Participants randomized to the control intervention will receive a referral to the NJ Quitline (a telephone smoking cessation counseling service). Participants will receive a brochure and information about the referral. Study staff will contact the NJ Quitline for control participants, and a counselor from the Quitline will call control participants. NJ Quitline Referral: Participants will receive a facilitated referral to the NJ Quitline (i.e. fax to quit).
    All Cause Mortality
    Intensive, Tailored Intervention Control Intervention
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/44 (0%) 1/43 (2.3%)
    Serious Adverse Events
    Intensive, Tailored Intervention Control Intervention
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/44 (0%) 1/43 (2.3%)
    Renal and urinary disorders
    Death 0/44 (0%) 0 1/43 (2.3%) 1
    Other (Not Including Serious) Adverse Events
    Intensive, Tailored Intervention Control Intervention
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 20/44 (45.5%) 1/43 (2.3%)
    General disorders
    leg pain 2/44 (4.5%) 2 0/43 (0%) 0
    nausea 2/44 (4.5%) 2 0/43 (0%) 0
    insomnia 1/44 (2.3%) 1 0/43 (0%) 0
    increased alcohol use 1/44 (2.3%) 1 0/43 (0%) 0
    jittery/agitated/irritable 4/44 (9.1%) 4 0/43 (0%) 0
    headache 3/44 (6.8%) 3 0/43 (0%) 0
    vivid dreams 2/44 (4.5%) 2 0/43 (0%) 0
    hemorrhoids 1/44 (2.3%) 1 0/43 (0%) 0
    chest discomfort/pain 2/44 (4.5%) 2 0/43 (0%) 0
    increased appetite 1/44 (2.3%) 1 0/43 (0%) 0
    Extremely high expired carbon monoxide level 1/44 (2.3%) 1 0/43 (0%) 0
    sores on tongue 1/44 (2.3%) 1 0/43 (0%) 0
    insomnia/restless sleep 2/44 (4.5%) 2 0/43 (0%) 0
    vertigo 2/44 (4.5%) 2 0/43 (0%) 0
    appendicitis 0/44 (0%) 0 1/43 (2.3%) 1
    cough 1/44 (2.3%) 1 0/43 (0%) 0
    Infections and infestations
    tooth infection 1/44 (2.3%) 1 0/43 (0%) 0
    bronchitis 1/44 (2.3%) 1 0/43 (0%) 0
    Musculoskeletal and connective tissue disorders
    back pain 1/44 (2.3%) 1 0/43 (0%) 0
    Psychiatric disorders
    depression 5/44 (11.4%) 5 0/43 (0%) 0
    suicidal ideation 2/44 (4.5%) 2 0/43 (0%) 0
    anxiety 2/44 (4.5%) 2 0/43 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    cough up blood 1/44 (2.3%) 1 0/43 (0%) 0
    shortness of breath 1/44 (2.3%) 1 0/43 (0%) 0
    pneumonia 1/44 (2.3%) 1 0/43 (0%) 0
    Skin and subcutaneous tissue disorders
    itching/irritation at patch site 6/44 (13.6%) 6 0/43 (0%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Dr. Nina Cooperman
    Organization Rutgers Robert Wood Johnson Medical School
    Phone 732-235-8569
    Email cooperna@rwjms.rutgers.edu
    Responsible Party:
    Nina A. Copperman, Psy. D., Associate Professor of Psychiatry, Rutgers, The State University of New Jersey
    ClinicalTrials.gov Identifier:
    NCT01393392
    Other Study ID Numbers:
    • K23DA025049
    • K23DA025049
    First Posted:
    Jul 13, 2011
    Last Update Posted:
    Sep 6, 2018
    Last Verified:
    Sep 1, 2018