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Using genotype to tailor prescribing of Nicotine Replacement Therapy (NRT): a randomised controlled trial assessing impact upon medication adherence
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN14352545
Date ISRCTN assigned17/05/2006
Local reference number(s)G0500274 (MRC ref no)
Public titleUsing genotype to tailor prescribing of Nicotine Replacement Therapy (NRT): a randomised controlled trial assessing impact upon medication adherence
Scientific title
AcronymThe trial is 1 of 3 studies that make up an MRC-funded program of research: GRAB (Genetic Risk And Behaviour change)
Disease/condition/study domainSmoking
Study hypothesisAdherence to NRT is greater when given feedback that NRT is tailored to genotype as opposed to heaviness of smoking
Design/methodologyOpen-label, parallel group, randomised controlled trial
Research ethics reviewAdded as of 03/08/2007:
Hertfordshire 1 Research Ethics Committee, approved in June 2006 (ref: 06/Q0201/21; Protocol No.1)
Countries of trialUnited Kingdom
Participants - inclusion criteriaEligible participants are:
1. Motivated quitters attending the participating NHS smoking cessation clinics
2. Participants must be smokers smoking 10 or more cigarettes per day over the last 12 months
3. Aged 18 and over
4. Living in the British Isles
Participants - exclusion criteria1. Non-smokers
2. Smokers smoking less than 10 cigarettes daily over the last 12 months
3. Aged under 18
4. Living outside the British Isles
5. Cigar/pipe smokers
6. NRT contraindications (e.g. pregnant or lactating women)
7. Those with previous severe adverse reactions to NRT
8. Currently taking medication for smoking cessation that they are unwilling to cease taking or medication with a known influence on smoking cessation that they cannot stop
Patient information material
Anticipated start date21/05/2006
Anticipated end date21/05/2009
Status of trialOngoing
Target number of participants630 participants are required to be randomised
InterventionsParticipants will be divided into two groups of equal size by randomisation. One group will be informed that prescribing for NRT is based upon DNA information and addiction, and the other group informed that it is based on addiction alone.
Primary outcome measure(s)The proportion of all NRT consumed in the first 4 weeks of quitting or to the point of relapse, whichever is the sooner. This will be measured by self-report daily diary, backed up by 'pill count reconciliation' with the diary at the clinic. If pill counts are discrepant with the diary, this will be discussed and reconciled at the clinic visit.
Secondary outcome measure(s)1. Responses to the Mood and Physical Symptoms Scale, a measure of nicotine withdrawal symptoms
2. Point prevalance of 14-day complete abstinence measured at 28 days after smoking cessation
3. Response efficacy of NRT
4. State anxiety
Sources of fundingThe trial is part of a program of research funded by the Medical Research Council (MRC) (reference G0500274)(UK)
Sponsor nameKing's College London (UK)
Sponsor detailsInstitute of Psychiatry
De Crespigny Park
London
United Kingdom
SE5 8AF
Contact nameDr David Armstrong
Contact detailsKing's College London
5 Lambeth Walk
London
United Kingdom
SE1 6SP
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN14352545
Date last extracted from ISRCTN register17/04/2008
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