Precision Treatment to Promote Smoking Cessation and Survival in Oncology Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-89
SponsorWashington University School of Medicine

About this trial

This study evaluates the feasibility and preliminary effects of precision tobacco treatment, compared to usual care, on promoting tobacco treatment in oncology patients and providers in the oncology care setting. The precision treatment intervention includes personalized tobacco treatment recommendations using the patient's clinical, genetic, and biomarker information. This intervention may increase patient receipt of tobacco treatment, patient medication use, and patient smoking abstinence at 6 months.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Clinician from participating oncology/hematology clinic

At least 18 years of age

Can speak and understand English

Patient at participating clinic

Disqualifiers

Active use of smoking cessation medication (within the past 30 days)

Receipt of smoking cessation medication or prescription for smoking cessation medication (within the past 30 days)

Having a contradiction for cNRT or varenicline (allergic reactions, current cardiac problems, pregnancy)

Patients who were deemed by the investigator to be ineligible for participation in the trial

Trial design

Design model

Parallel

Treatments tested in this trial

  • Usual care

    Behavioral

    Usual care will be informed by practice guidelines (standard of care, brief advice, and guideline awareness).

  • Precision treatment

    Behavioral

    Precision treatment will be informed by practice guidelines (standard of care, brief advice, and guideline awareness), plus patient-specific risk feedback and personalized tobacco treatment recommendations using patients' clinical, genetic, and biomarker information, adapted for oncology.

Treatment groups

132 Participants
are divided into 2 treatment groups
Group A: Usual CareActive comparator 1 intervention
Group B: PrecisionTx-Onc (oncology)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Patient receipt of tobacco treatment medication for smoking cessation

This will be quantified by the proportion of enrolled patients who receive cessation medication.

Time frame
6 months post-intervention
2

Patient use of cessation medication

This will be quantified by the proportion of patients taking any cessation medication from time of enrollment through 6 months post-intervention.

Time frame
6 months post-intervention
3

Patient smoking abstinence

This will be quantified by the proportion of patients who smoke with bioverified point-prevalent abstinence at 6 months.

Time frame
6 months post-intervention

Secondary outcomes

1

Patient quality of life

Quality of life measure will be measured using European Organization for Research and Treatment of Cancer Quality of life Questionnaire-Core 30 (EORTC QLQ-C30). All of the scales and single-item range in score from 0-100. A high scale score represents a higher response level. Thus, a high score for a functional scale represents a high/healthy level of functioning, a high score for the global health status/QoL represents high quality of life, but a high score for a symptom scale / item represents a high level of symptomatology/problems.

Time frame
6 and 12 months post-intervention
2

Patient survival

Probability of survival from the start of intervention

Time frame
6 and 12 months post-intervention
3

Patient receipt of recommended tobacco treatment

This will be quantified by the proportion of enrolled patients who received recommended cessation medication.

Time frame
6 months post-intervention
4

Patient medication adherence

This will be quantified by the proportion of medication taken among medication prescribed.

Time frame
6 months post-intervention

Other outcomes

Sponsors and contacts

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Washington University School of Medicine

Lead sponsor

United States Department of Defense

Collaborator