Status:

COMPLETED

Nicotine Replacement Therapy for Smoking Cessation in Schizophrenia

Lead Sponsor:

North Suffolk Mental Health Association

Conditions:

Schizophrenia

Schizoaffective Disorder

Eligibility:

All Genders

18-70 years

Phase:

PHASE4

Brief Summary

This proposal seeks to evaluate a pilot smoking cessation treatment program that will combine nicotine replacement therapy with or without bupropion sustained-release (SR) with cognitive behavioral th...

Detailed Description

Background: Seventy-four to 92% of patients with schizophrenia smoke cigarettes compared to 24% of the adult US population and 18% of adults in Massachusetts (1-3). Patients with schizophrenia also s...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Women and men aged 18-70 with a diagnosis of schizophrenia or schizoaffective disorder (depressed type or bipolar type) by structured diagnostic interview or chart review
  • Clinically stable on a stable dose of antipsychotic medication for at least one month, no current active suicidal ideation
  • Expired air CO \> 9 ppm and self report of smoking \>1/2 pack per day of cigarettes
  • Willing to set a smoking quit date within one month of beginning treatment
  • Not treated with investigational medication in the past 30 days
  • Competent to provide informed consent or able to provide assent with legal guardian informed consent
  • Meet DSM-IV criteria for Nicotine Dependence, as determined with the Fagerstrom Nicotine Tolerance Questionnaire (FTQ) (Fagerstrom, 1978)
  • Compliant with last 3 clinic visits
  • Exclusion Criteria
  • Diagnosis of dementia, neurodegenerative disease, current anorexia/bulimia nervosa, current substance abuse or dependence disorders, including alcohol, active within the last 3 months or any Axis I DSM-IV diagnosis other than schizophrenia or schizoaffective disorder
  • Severe or unstable angina; myocardial infarction in the past 2 weeks; untreated peptic ulcer; life-threatening arrhythmia; poorly controlled insulin dependent diabetes mellitus, uncontrolled hypertension, cerebrovascular event within six months; or allergy to a nicotine patch. Serious illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic, or hematologic disease that is not stabilized such that hospitalization for treatment of that illness is likely within the next two months
  • Patients who, in the investigator's opinion, pose a current severe homicide or suicide risk
  • Subjects with a history of skin diseases (e.g., psoriasis), skin allergies, or strong reactions to topical preparations, medical dressings or tapes
  • Current use of topical medications

Exclusion

    Key Trial Info

    Start Date :

    July 1 2001

    Trial Type :

    INTERVENTIONAL

    End Date :

    December 1 2005

    Estimated Enrollment :

    100 Patients enrolled

    Trial Details

    Trial ID

    NCT00320723

    Start Date

    July 1 2001

    End Date

    December 1 2005

    Last Update

    May 19 2009

    Active Locations (1)

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    Freedom Trail Clinic

    Boston, Massachusetts, United States, 02114