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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01141855
Registration number
NCT01141855
Ethics application status
Date submitted
10/06/2010
Date registered
11/06/2010
Date last updated
8/08/2012
Titles & IDs
Public title
Smoking Termination Opportunity for inPatients
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Scientific title
Effectiveness of Inpatient Initiated Varenicline Tartrate for Smoking Cessation, for Smoking Related Illnesses.
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Secondary ID [1]
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2008012
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Universal Trial Number (UTN)
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Trial acronym
STOP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Tobacco Use Disorder
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Condition category
Condition code
Mental Health
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Addiction
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Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Champix
BEHAVIORAL - Counselling alone
Experimental: Champix plus counselling - varenicline tartrate will be initiated whilst subjects are inpatients with the standard MIMS dosing schedule (including period of titration). In combination with Quit SA (5A) telephone counselling service
Active comparator: counselling alone - 5A counselling via Quit SA (quitline) telephone counselling service. (maximum 8 phone calls per subject within a 3 month period).
Treatment: Drugs: Champix
Standard MIMS dosage (including period of titration) will be used. 0.5mg daily for 3 days 0.5mg b.d. for 4 days
1mb b.d. for 70 days (full course 3 months)
BEHAVIORAL: Counselling alone
Quit SA 5A counselling over the phone. Maximum 8 calls over a 3 month period
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Smoking abstinence
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Assessment method [1]
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Continued smoking abstinence is defined as: less than or equal to no more than 5 cigarettes smoked during the period of 2 weeks to 12 months post enrollment.
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Timepoint [1]
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one year
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Secondary outcome [1]
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Reduced hospital bed utilisation
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Assessment method [1]
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Hospital casemix/DRG data will be collected for the 5 years prior to enrollment and one year post enrollment. This will be supplemented by SA Department of Health data and PBS/MBS data sets of study completion, to monitor admissions at other hospitals and GP visits.
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Timepoint [1]
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one year
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Secondary outcome [2]
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7-day point prevalence
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Assessment method [2]
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Defined as no cigarettes for the previous 7 days
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Timepoint [2]
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from 2 weeks to 3 months post enrollment
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Secondary outcome [3]
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Reduction in health care costs
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Assessment method [3]
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Reduced health care costs with greater economic value will be relative to other health interventions. Four seperate economic models will be built for vascular diseases: cardiovascular, cerebrovascular and peripheral vascular diseases and airways diseases: asthma and/or chronic obstructive pulmonary disease. Each model will compare outcomes and costs for varenicline and counselling compared to counselling alone, and will incorporate epidemiological data on natural disease progression of smokers and previous smokers from the four disease profiles split by gender if indicated.
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Timepoint [3]
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one year
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Secondary outcome [4]
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Inpatient craving levels
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Assessment method [4]
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Craving scales will be used to assess levels during inpatient stay (pre and post intervention delivery)
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Timepoint [4]
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baseline to end of inpatient stay
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Secondary outcome [5]
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Prevalence of inpatient smoking
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Assessment method [5]
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Measured by self-report and observation by hospital and study staff prior to discharge.
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Timepoint [5]
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From baseline to end of inpatient stay
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Eligibility
Key inclusion criteria
* Smoker of at least 10 cigarettes per day on average over the past 12 months
* Inpatient with an anticipation admission of at least one day
* Willingness to quit smoking
* Aged between 20 and 75 years
* A plan of discharge to go home
* Acute hospital admission with cardiovascular, cerebrovascular, peripheral vascular diseases or airways (asthma and/or Chronic Obstructive Pulmonary disease
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Minimum age
20
Years
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Maximum age
75
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subject preference to use an alternative pharmacotherapy for smoking cessation
* Respiratory patient being considered for home oxygen
* Pregnancy
* Breast feeding
* Acute or pre-existing severe psychiatric illnesses
* Past history of psychosis or suicidal ideation
* Renal impairment with creatinine clearance <30ml/min
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2011
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Sample size
Target
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Accrual to date
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Final
392
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
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The Queen Elizabeth Hospital - Adelaide
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Recruitment hospital [3]
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Lyell McEwin Health Service - Adelaide
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Recruitment postcode(s) [2]
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5011 - Adelaide
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Recruitment postcode(s) [3]
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5112 - Adelaide
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Funding & Sponsors
Primary sponsor type
Other
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Name
The Queen Elizabeth Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The Smoking Termination Opportunity for inPatients, (STOP) project is designed to capture the opportunity that is provided by admission for acute smoking related illness, to assist patients through withdrawal by use of a combination of: * the new medication Champix with * best practice counselling * initiated in an inpatient setting to achieve: * sustained smoking abstinence * reduced hospital bed and health service utilisation * reduced inpatient smoking and craving prior to discharge
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Trial website
https://clinicaltrials.gov/study/NCT01141855
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Trial related presentations / publications
Smith BJ, Carson KV, Brinn MP, Labiszewski NA, Peters MJ, Fitridge R, Koblar SA, Jannes J, Veale AJ, Goldsworthy SJ, Litt J, Edwards D, Esterman AJ. Smoking Termination Opportunity for inPatients (STOP): superiority of a course of varenicline tartrate plus counselling over counselling alone for smoking cessation: a 12-month randomised controlled trial for inpatients. Thorax. 2013 May;68(5):485-6. doi: 10.1136/thoraxjnl-2012-202484. Epub 2012 Sep 19.
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Public notes
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Contacts
Principal investigator
Name
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Brian J Smith, MBBS; FRACP;PhD;Dip Clin Epid
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Address
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The Queen Elizabeth Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01141855
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