About this trial
This research focuses on maximizing the chances of successfully quitting vaping. A large, pragmatic community-based clinical trial is planned in New Zealand to build on existing evidence from previous vaping and smoking cessation research undertaken by the study team. The effectiveness of combination nicotine replacement therapy (NRT) compared to nicotine tapering on vaping abstinence has not yet been investigated, but both provide an opportunity to increase success with vaping cessation, especially when combined with written behavioural support to further boost quit rates.
The planned trial will test whether using combination NRT will help more New Zealanders to quit vaping long-term, compared with a vape nicotine tapering plan. Participants in both groups will also receive written vaping cessation behavioural support.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Live in New Zealand.
Vape nicotine at least weekly (one or more days out of the past seven days).
Used to smoke (i.e. they have smoked tobacco regularly but not at all in the past six months) or have never smoked (i.e., they have never been a regular user of smoked tobacco, defined as less than 100 cigarettes in their lifetime).
Are aged ≥16 years.
Disqualifiers
They have another person in their household currently enrolled in the study.
They smoke tobacco currently or were a recent regular user of tobacco.
They are enrolled in another vaping cessation programme/trial.
They self-report having had a serious cardiovascular event, or hospitalisation for a cardiovascular complaint, in the previous four weeks (e.g. stroke, myocardial infarction, unstable angina, cardiac arrhythmia, coronary artery bypass graft and angioplasty).
Trial design
Parallel
Treatments tested in this trial
Nicotine patches plus nicotine mouth spray
Combination productTransdermal HABITROL® patches (21mg/24 hrs) plus NICORETTE® QUICKMIST mouth spray (1mg nicotine/spray dose)
Nicotine Tapering Plan
Other interventionTapering plan based on their current e-juice nicotine concentration and frequency of vaping upon entry to the trial. Participants will use their own vapes and nicotine e-liquid.
Treatment groups
Trial outcomes
Primary outcomes
Vape-free and tobacco-free: self-reported continuous abstinence from vaping at six-months post-end of treatment
Self-report of no device use (defined as not more than five vaping sessions since end of treatment), and self-report of not smoking (defined as no use of any tobacco, but individuals may or may not be using NRT. The tobacco-free status will be verified using exhaled carbon-monoxide (CO) measurement with a Bedfont Smokerlyzer (≤5 ppm signifying abstinence).
Secondary outcomes
Age
Date of birth will be recorded to enable the age at baseline to be reported for each treatment group (presented as a mean, and associated standard deviation, or median and inter-quartile range).
Gender
Gender will be reported as counts and proportions of male, female, and gender diverse at baseline, for each treatment group.
Ethnicity (self-reported)
Ethnicity will be reported as counts and proportions of Maori, Pacific or Other, for each treatment group.
Education
Education level will be reported as counts and proportions of participants with "less than 12 years of attending school" or "12 or more years of attending school" or "prefer not to answer", for each treatment group.
Sponsors and contacts
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University of Auckland, New Zealand
Lead sponsor
University College, London
Collaborator
Medical University of South Carolina
Collaborator
Flinders University
Collaborator