Status:

COMPLETED

Bupropion and Counseling With or Without Contingency Management to Enhance Smoking Cessation in Treating Cancer Survivors Who Continue to Smoke

Lead Sponsor:

National Institutes of Health Clinical Center (CC)

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Cancer Survivor

Unspecified Adult Solid Tumor, Protocol Specific

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

RATIONALE: Contingency management is a behavioral treatment approach that provides immediate rewards for positive change in behavior such as quitting smoking. In this protocol, contingency management ...

Detailed Description

OBJECTIVES: Primary * Compare the feasibility of a multi-component smoking cessation intervention comprising bupropion and counseling with or without contingency management (cash reward) for cancer ...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of cancer at least 6 months before study entry
  • No carcinoma in situ of the cervix, basal cell or squamous cell skin cancer, or CNS tumor
  • Smoking history of at least 2 years
  • Smoked cigarettes daily for the past 30 days
  • Completed prior cancer treatment at least 6 months, but no more than 5 years before study entry
  • Concurrent tamoxifen allowed
  • PATIENT CHARACTERISTICS:
  • Age
  • 18 and over
  • Performance status
  • Not specified
  • Life expectancy
  • Not specified
  • Hematopoietic
  • Platelet count ≥ 100,000 - 450,000/mm\^3
  • WBC ≥ 3,000/mm\^3
  • Hepatic
  • AST and ALT ≤ 2 times upper limit of normal
  • Bilirubin ≤ 2.0 mg/dL
  • Renal
  • Creatinine \< 2.0 mg/dL
  • Cardiovascular
  • No unstable cardiovascular disease, including any of the following:
  • High-grade atrioventricular block
  • Neurocardiogenic syncope
  • Unstable angina
  • Uncompensated congestive heart failure
  • Poorly controlled hypertension
  • Other
  • Not pregnant or nursing
  • Negative pregnancy test
  • Able to undergo peripheral blood draw
  • No port-a-cath or Hickman catheters
  • Planning to reside in the Washington D.C. metro area for at least 1 year after study entry
  • Willing to undergo urine testing for cotinine levels and breath testing for carbon monoxide monitoring
  • No significant physical or psychological disability that would preclude study participation
  • No known allergy to bupropion
  • Baseline urine drug screen negative
  • Prescribed pain medication allowed
  • None of the following predisposing factors that may increase the risk of seizures with bupropion use:
  • History of seizures
  • Alcohol use \> 4 oz/day
  • History of closed head injury
  • History of an eating disorder
  • CNS infection
  • No poorly controlled diabetes
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • Not specified
  • Chemotherapy
  • Not specified
  • Endocrine therapy
  • See Disease Characteristics
  • Radiotherapy
  • Not specified
  • Surgery
  • Not specified
  • Other
  • At least 2 years since prior alcohol abuse or substance abuse therapy (except for tobacco use or dependence)
  • More than 14 days since prior monoamine oxidase (MAO) inhibitor
  • No concurrent MAO inhibitor
  • No concurrent bupropion (Wellbutrin® or Wellbutrin SR®)
  • No concurrent alcohol or substance abuse disorder treatment
  • No concurrent nicotine replacement therapy
  • No concurrent medications that lower seizure threshold (e.g., theophylline or short-acting benzodiazepines)
  • No use of tobacco products (more than 1 time per week) other than cigarettes

Exclusion

    Key Trial Info

    Start Date :

    February 1 2004

    Trial Type :

    INTERVENTIONAL

    End Date :

    August 1 2004

    Estimated Enrollment :

    Patients enrolled

    Trial Details

    Trial ID

    NCT00079469

    Start Date

    February 1 2004

    End Date

    August 1 2004

    Last Update

    March 8 2012

    Active Locations (1)

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    Tobacco Control Research Branch

    Rockville, Maryland, United States, 20852