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Effectiveness, safety and cost-effectiveness of vaporized nicotine products versus nicotine replacement therapy for tobacco smoking cessation in a low-socioeconomic status Australian population: a study protocol for a randomized controlled trial.

Trials
January 1, 1970
Bridget C Howard et al. (19 authors)
Clinical Trial ProtocolJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness, safety, and cost-effectiveness of vaporized nicotine products (VNPs), including pod devices with nicotine salt, compared to nicotine replacement therapy (NRT) for smoking cessation in a low-socioeconomic population.

Results Summary

The study is ongoing, so final results are not yet available. It aims to assess 6-month continuous abstinence rates, safety, and cost-effectiveness of VNPs versus NRT, with a focus on newer pod devices.

Population

Daily smokers interested in quitting who receive a government pension or allowance (N = 1058).

Effective Dosage

Pod device (40 mg/mL nicotine salt) and tank device (18 mg/mL freebase nicotine).

Duration

8 weeks of free product provision, with follow-up at 7 months.

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
vaporized nicotine products (VNPs)
increase
smoking cessation
-
-
aid smoking cessation
#1
vaporized nicotine products (VNPs) (pod and tank device)
increase
smoking cessation
people who smoke daily, are interested in quitting and receive a government pension or allowance
-
evaluates the effectiveness
#2
vaporized nicotine products (VNPs) (pod and tank device)
neutral
safety
people who smoke daily, are interested in quitting and receive a government pension or allowance
-
evaluates the safety
#3
vaporized nicotine products (VNPs) (pod and tank device)
neutral
cost-effectiveness
people who smoke daily, are interested in quitting and receive a government pension or allowance
-
evaluates the cost-effectiveness
#4
vaporized nicotine products (VNPs)
increase
smoking cessation
priority group
-
aid smoking cessation
#5
Abstract

BACKGROUND: In Australia, tobacco smoking rates have declined but inequalities remain with significantly higher smoking prevalence among low-socioeconomic populations. Clinical trial data suggest vaporized nicotine products (VNPs) aid smoking cessation. Most VNP trials have used refillable tank systems, but newer generation (pod) devices now comprise the largest market share yet have limited clinical trial evidence on safety and effectiveness. This study evaluates the effectiveness, safety and cost-effectiveness of VNPs (pod and tank device) compared with nicotine replacement therapy ([NRT]-gum or lozenge) for smoking cessation. METHODS: This is a two-arm, open-label, superiority, parallel group, randomized controlled trial (RCT) with allocation concealment and blinded outcome assessment. The RCT is conducted at the National Drug and Alcohol Research Centre at the University of New South Wales, Sydney, Australia. Participants are people who smoke daily, are interested in quitting and receive a government pension or allowance (N = 1058). Participants will be randomized (1:1 ratio) to receive 8 weeks of free: VNPs, with pod (40 mg/mL nicotine salt) and tank device (18 mg/mL freebase nicotine) in mixed flavours; or NRT (gum or lozenge; 4 mg). All participants will receive daily text message behavioural support for 5 weeks. Assessments will be undertaken by telephone at baseline, with three follow-up calls (two check-in calls within the first month and final follow-up at 7 months post randomization) to ascertain smoking status, treatment adherence and adverse events. The primary outcome is 6-month continuous abstinence verified by carbon monoxide breath test of ≤5ppm at 7-month follow-up. Safety and cost-effectiveness of VNPs versus NRT will also be evaluated. DISCUSSION: Further data are required to strengthen certainty of evidence for VNPs aiding smoking cessation, particularly for newer generation pod devices. To our knowledge, this trial is the first to offer choice of VNPs and no comparative effectiveness trial data exists for new pod devices. If effective, the findings can inform wider implementation of VNPs to aid smoking cessation in a priority group. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12621000076875. Registered on 29 January 2021.  https://www.anzctr.org.au.

Medical Subject Headings (MeSH)
AlcoholismAustraliaCost-Benefit AnalysisHumansNicotineRandomized Controlled Trials as TopicSmoking CessationSocial ClassTobacco Use Cessation DevicesTreatment OutcomeTobacco Products
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations5
Citations/Year1.7
Relative Citation Ratio0.82
NIH Percentile42.8%
Research Impact Scores
APT Score0.50
Weight Score1.63
Normalized Score0.67
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