Communicating About Nicotine Reduction in Cigarettes

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorGeorgia State University

About this trial

The goal of this clinical trial is to learn how a messaging campaign about reduced nicotine cigarettes and policy, combined with the use of very low nicotine cigarettes (VLNCs), affects smoking behavior and attitudes among adult smokers. The study also aims to assess the efficacy of the messages in different populations, including smokers with past-month serious psychological distress (SPD), low socioeconomic status (SES), and those in neither category.

The primary hypothesis is: exposure to messages in combination with VLNC use will lead to less cigarettes use compared to VLNCs without messages.

Researchers will compare: The effects of receiving VLNCs with messages (treatment group) to receiving VLNCs without messages (control group).

Participants will: Complete a baseline survey and be randomly assigned to one of two groups: treatment (VLNCs + messages) or control (VLNCs only). Attend weekly study visits for surveys, breath samples, and receive supply of VLNCs , either with or without the messaging campaign. Complete brief daily surveys through text messages.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age 21+ years

Current smoker (self-report as having smoked 100 cigarettes in their lifetime and currently smoking on 27+ days out of past 30, expired breath carbon monoxide [CO] ≥6ppm to assess regular smoking)

Can speak, read, and write in English

Available for period of study

Disqualifiers

Pregnancy or lactation

Member of the same household as a study subject

Unwilling to use research cigarettes as part of the trial

Trial design

Design model

Parallel

Treatments tested in this trial

  • VLNC messages

    Behavioral

    Participants will be exposed to messaging about VLNCs and reduced nicotine policy through multiple formats, including inserts placed in cigarette packs, printed advertisements, and video materials presented during their weekly visits.

  • Control message

    Behavioral

    Participants will be exposed to control messages, such as advertisements for bottled water, during their weekly visits.

Treatment groups

1,230 Participants
are divided into 2 treatment groups
Group A: VLNC with message campaignExperimental treatment 1 intervention
Group B: VLNC onlyOther 1 intervention

Trial outcomes

Primary outcomes

1

Cigarettes per day

Number of cigarettes smoked per day (study and non-study cigarettes). * Averaged number of cigarettes smoked based on 7 days' daily logs submitted through text-based survey during the last week of the trial. * Response: integer indicating number per day.

Time frame
Week 4 of the trial (post randomization)

Secondary outcomes

1

Use of other tobacco products

Amount of other combusted (LCCs) and noncombustible (e-cigarettes) products per day. * Averaged number of other tobacco products is based on 7 days' daily logs submitted through text-based survey during the last week of the trial. * Response: integer indicating number per day.

Time frame
Week 4 of the trial (post randomization)
2

Use of cessation medications

Use of nicotine replacement therapy or prescription cessation medications in the past 24 hours based on 7 days' daily logs submitted through text-based survey during the last week of the trial. This will be assessed using a multiple-choice question, allowing participants to select all NRT or prescription cessation medications used from a provided list of options.

Time frame
Week 4 of the trial (post randomization)
3

Forgoing cigarettes

One item measures number of times forgoing cigarettes when considering smoking in the past 24 hours based on daily logs submitted through text-based survey from baseline visit to the end of the trial. Response options are: 1 (Never), 2 (Once), 3 (A few times), and 4 (Lots of times), with higher scores representing a better outcome.

Time frame
Through study completion, up to 4 weeks
4

Making a quit attempt

One item measures whether participants have made an attempt to stop smoking (not smoking cigarettes for at least 24 hours) in the past week based on questionnaire completed at weekly in-person visits throughout the trial. Response options: 1 (yes), 2 (no), 3 (don't know).

Time frame
Through study completion, up to 4 weeks

Other outcomes

Sponsors and contacts

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Georgia State University

Lead sponsor

Emory University

Collaborator

University of South Carolina

Collaborator

National Cancer Institute (NCI)

Collaborator