Effect of Smoking Exposure on Smoking Relapse Following Brief Abstinence - 2

New York State Psychiatric Institute

Status: Completed

Conditions: Tobacco Use Disorder

Treatments: Behavioral: Neutral or active cigarette cues

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00136838

R01DA017572-02 (U.S. NIH Grant/Contract)

R01DA017572 (U.S. NIH Grant/Contract)

#4725(2)

DPMC

Details and patient eligibility

About

Recent research on the effects of nicotine on the brain and behavior presents an opportunity to advance medication development.

The purpose of this study is to develop a laboratory model for early-stage testing of new and existing treatments for nicotine addiction. Specifically, the investigators will develop a laboratory model of relapse to cigarette use in nicotine dependent volunteers.

Full description

Tobacco use is the leading preventable cause of death in the United States. Recent research on the effects of nicotine on the brain and behavior presents an opportunity to advance medication development. The goal of this study is to develop a laboratory model for early-stage testing of new and existing compounds for the treatment of tobacco and nicotine addiction. In addition, the objective of this study is to develop a laboratory model of relapse induced by cigarette exposure that would reproduce the psychological and physiological processes that are involved when abstinent individuals progress from initial cigarette smoking (lapse) to a pre-abstinence level of use (relapse). Such a model may be used to study the mechanisms of relapse and to screen medications that might be effective in preventing relapse in treatment seekers.

This study will consist of two phases. Each phase will consist of a 5-day inpatient stay. During the first portion of inpatient stay, participants will not be permitted to smoke. During the second portion of inpatient stay, smoking reinstatement will be modeled, as participant will have opportunity to smoke, following the exposure to tobacco-related or control cues. A variety of behavioral, subjective, physiological, and performance measures will be assessed throughout the study.

Enrollment: 12 patients

Sex: All

Ages: 21 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of nicotine dependence with psychological dependence
• Smokes at least 15 cigarettes per day for the three months prior to enrollment
• Currently not seeking treatment for nicotine dependence
• Medically healthy, on the basis of physical examination and medical history, vital signs, EKG, and laboratory tests
• Females must use an effective method of contraception for the duration of the study

Exclusion criteria

• Diagnosis of abuse or dependence on alcohol or drugs other than nicotine
• Current Axis I diagnosis or current treatment with psychotropic medications within the 3 months prior to enrollment
• History of schizophrenia or other psychotic disorders, bipolar disorder, or anxiety disorders
• Currently seeking treatment for nicotine disorders
• On parole or probation
• History of seizures or head trauma with loss of consciousness, brain contusion, or fracture
• History of significant recent violent behavior
• Blood pressure greater than 150/90
• History of eating disorders
• Pregnant

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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12 participants in 2 patient groups

Neutral Cue first, then Active Cue

Experimental group

Description:

Each participant receives two consecutive interventions. Neutral Cue: during this phase of treatment participants were presented with neutral (sham) cue Cigarette cue: during this phase of treatment participants were presented with active cigarette cue.

Treatment:

Behavioral: Neutral or active cigarette cues

Active Cue first, then Neutral Cue

Experimental group

Description:

Each participant receives two consecutive interventions. Cigarette cue: during this phase of treatment participants were presented with active cigarette cue. Neutral Cue: during this phase of treatment participants were presented with neutral (sham) cue

Treatment:

Behavioral: Neutral or active cigarette cues