Digital Cessation Program for Quitting Smoking

Not currently recruiting at 1 trial location

Overseen By Managing Director, Research

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Truth Initiative

Disqualifiers: Age 25 or above

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 7 months

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether a digital program can help people quit using tobacco more effectively than standard methods. It examines different versions of the program to determine which best promotes tobacco abstinence. Participants will use either a sponsored digital cessation program (Truth Initiative Digital Cessation Program), a free version, or receive usual care, while some will only have periodic check-ins. This trial suits individuals in the US who currently use tobacco products like cigarettes or e-cigarettes and have an active text messaging plan. As an unphased trial, it provides a unique opportunity to contribute to innovative research that could transform tobacco cessation methods.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this digital cessation program is safe for quitting smoking?

Research has shown that the Truth Initiative Digital Cessation Program is generally safe and well-tolerated. A survey found that 90% of participants who quit using the program reported feeling less stressed, anxious, or depressed, suggesting minimal negative side effects from the program itself.

Additionally, a study published in JAMA found that teens using a similar text message program were 35% more likely to quit vaping nicotine, indicating effectiveness without harm.

Overall, evidence suggests that the digital cessation program is safe for users, with no serious negative effects reported in the reviewed studies. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Truth Initiative Digital Cessation Program because it offers a fresh, tech-driven approach to quitting smoking. Unlike traditional methods like nicotine replacement therapies or medications such as bupropion and varenicline, this program leverages digital tools to support users in their journey to quit smoking. The program is unique as it provides both a sponsored version for enterprise clients and a free version, making it accessible to a broader audience. Additionally, its digital nature means it can be accessed anytime, anywhere, offering flexibility and convenience that traditional in-person programs may lack. Researchers hope this innovative approach will enhance engagement and success rates compared to usual care methods.

What evidence suggests that this digital cessation program is effective for quitting smoking?

Research has shown that the Truth Initiative Digital Cessation Program helps people quit smoking. One study found that 37.8% of participants using the program quit smoking, compared to 28% who did not use it, indicating the program's effectiveness. Another study demonstrated that the program reduces health costs related to smoking. Additionally, a text message program from the same initiative increased the likelihood of teens quitting vaping by 35% within seven months. These findings suggest that the digital program could be a good option for those wanting to quit smoking. Participants in this trial may receive either a sponsored or free version of the cessation intervention, or they may be part of a usual care or assessment-only group. ^{2 3 6 7 8}

Are You a Good Fit for This Trial?

This trial is for tobacco users in the US who've used products like cigarettes or e-cigarettes in the last 30 days. They must have an active text message plan for phase 2 of the study. However, individuals aged 25 or above are excluded from phase 2.

Inclusion Criteria

Current tobacco use (past 30-day use of one or more of the following: cigarettes, cigars, little cigars, cigarillos, e-cigarettes, or oral nicotine products)

US residence

Active text message plan (phase 2 only)

Exclusion Criteria

I am 25 years old or older.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a digital quit tobacco program or usual care for tobacco cessation

7 months

Follow-up

Participants are monitored for 30-day point prevalent abstinence and abstinence from all tobacco products

7 months

What Are the Treatments Tested in This Trial?

Interventions

• Truth Initiative Digital Cessation Program

Trial Overview The trial is testing a digital program designed to help people quit using tobacco against what's normally done (usual care). Participants will either use this new digital tool or continue with standard support methods to see which helps more with quitting.

How Is the Trial Designed?

Group I: Sponsored cessation intervention Experimental Treatment 1 Intervention

Intervention arm receiving sponsored version only available for enterprise client users.

Group II: Free cessation intervention Experimental Treatment 1 Intervention

Intervention arm receiving free version of a cessation intervention.

Group III: Usual Care Active Control 1 Intervention

Usual care control arm receiving referral to a free digital cessation program

Group IV: Assessment-only Active Control 1 Intervention

Periodic assessment check-ins only, no active intervention

Who Is Running the Clinical Trial?

Truth Initiative

Lead Sponsor

Trials

20

Recruited

32,000+

Published Research Related to This Trial

The Pivot digital smoking cessation program showed promising engagement, with participants actively involved for an average of 12.4 weeks, and significant improvements in attitudes towards quitting, such as increased confidence and decreased expected difficulty in maintaining abstinence.

At the end of the program, 32.4% of participants achieved 30-day point prevalence abstinence, demonstrating that Pivot can effectively support both smokers ready to quit and those who are not, potentially expanding access to smoking cessation resources.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Initial Assessment of a Comprehensive Digital Smoking Cessation Program That Incorporates a Mobile App, Breath Sensor, and Coaching: Cohort Study. Marler, JD., Fujii, CA., Utley, DS., et al.[2023]

A new standardized strategy for reporting adverse events (AEs) and serious adverse events (SAEs) in substance use disorder (SUD) clinical trials was developed, which aims to reduce the reporting burden while maintaining safety monitoring.

In a review of 17 SUD trials involving 6737 participants, the new strategy showed a significant reduction in irrelevant safety event reporting, leading to a more consistent safety assessment system tailored to the risks associated with specific trial interventions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Strategies for safety reporting in substance abuse trials. Lindblad, R., Campanella, M., Styers, D., et al.[2013]

The Pivot: Explore program, which combines a CO breath sensor, cigarette logging, and human coaching, showed high engagement levels among participants, with over 80% taking daily CO samples and more than 65% logging cigarettes regularly.

Participants reported significant improvements in their attitudes toward quitting smoking, with 78% indicating they reduced their daily cigarette consumption during the 9-day study, highlighting the program's potential effectiveness in promoting smoking cessation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Comprehensive Digital Program for Smoking Cessation: Assessing Feasibility in a Single-Group Cohort Study. Patrick, H., Fujii, CA., Glaser, DB., et al.[2020]

A review of 192 randomized clinical trials revealed that safety information is often underreported, with only 46% specifying reasons for withdrawals due to toxicity and only 39% adequately reporting clinical adverse effects.

To enhance safety reporting, the study emphasizes the need for standardized scales for adverse effects, systematic data collection, and detailed reporting of severe reactions, suggesting that improved practices could lead to better safety insights in clinical trials.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving safety reporting from randomised trials. Ioannidis, JP., Lau, J.[2018]

In 2011, the MedWatch system received 600,000 adverse event reports, highlighting its role in improving drug and device safety awareness, but it also faces challenges with reporting bias and data accuracy.

A study analyzing 10.2 million reports found that while patient information was mostly accurate, suspect product data was often incomplete or incorrect, with significant gaps in key details like dosage and product lot numbers, which could lead to incorrect conclusions about drug safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluating the completeness and accuracy of MedWatch data. Getz, KA., Stergiopoulos, S., Kaitin, KI.[2017]

The North Central Cancer Treatment Group developed a real-time toxicity reporting system to enhance the monitoring of severe side effects in NCI-sponsored clinical trials, aiming to improve patient safety.

This system has been effective in monitoring phase II and III trials, such as the N9741 study on advanced colorectal cancer, allowing for timely modifications to ongoing clinical trials based on reported adverse events.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Early detection of toxicity and adjustment of ongoing clinical trials: the history and performance of the North Central Cancer Treatment Group's real-time toxicity monitoring program. Goldberg, RM., Sargent, DJ., Morton, RF., et al.[2016]

In a study involving 584 participants, the CureApp Smoking Cessation (CASC) system, which includes a smartphone app and a mobile CO checker, significantly improved the continuous abstinence rate (CAR) from smoking compared to a control app, with rates of 63.9% versus 50.5% from weeks 9 to 24.

The CASC system also showed a higher CAR from weeks 9 to 52 (52.3% vs. 41.5%), indicating its effectiveness in supporting long-term smoking cessation without any reported adverse events.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker. Masaki, K., Tateno, H., Nomura, A., et al.[2023]

The NCI developed a software tool to collect patient-reported adverse events in clinical trials, which underwent iterative usability testing with 169 patients and 47 professionals to enhance its functionality.

Modifications based on user feedback improved the software's usability, leading to significant enhancements in task performance for professionals, indicating that the tool is now effectively used in multiple cancer clinical trials.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Software for Administering the National Cancer Institute's Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events: Usability Study. Schoen, MW., Basch, E., Hudson, LL., et al.[2023]

A scoping review of 82 studies on remote biochemical verification of smoking status found that the most common methods used were expired air and saliva samples, with carbon monoxide and cotinine as the primary biomarkers.

The study revealed that self-reported abstinence rates were significantly higher (21%) than biochemically verified rates (10%), indicating potential misreporting or challenges in sample return, highlighting the need for improved strategies in remote verification methods.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Scoping Review and Meta-analysis of the Use of Remote Biochemical Verification Methods of Smoking Status in Tobacco Research. Thrul, J., Howe, CL., Devkota, J., et al.[2023]

The Pivot smoking cessation program showed significant long-term effectiveness, with 35.4% of participants achieving 7-day point prevalence abstinence and 31.3% achieving 30-day point prevalence abstinence three months after completing the program.

Participants reduced their cigarette consumption by an average of 52.6%, and many who achieved short-term abstinence maintained it, indicating that the program not only helps smokers quit but also supports sustained cessation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Durability of Abstinence After Completing a Comprehensive Digital Smoking Cessation Program Incorporating a Mobile App, Breath Sensor, and Coaching: Cohort Study. Marler, JD., Fujii, CA., Galanko, JA., et al.[2021]

In a randomized controlled trial with 188 smokers, the Pivot smoking cessation program showed significantly higher engagement (mean app openings) compared to the QuitGuide app, indicating better user interaction with the program.

Pivot also demonstrated superior biovalidated cessation rates at 12 weeks (29% vs. 13%) and 26 weeks (21% vs. 10%) compared to QuitGuide, suggesting it is a more effective mobile solution for quitting smoking.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Outcomes of a Comprehensive Mobile Smoking Cessation Program With Nicotine Replacement Therapy in Adult Smokers: Pilot Randomized Controlled Trial. Marler, JD., Fujii, CA., Utley, MT., et al.[2022]

Computer-based smoking cessation programs are effective and can be delivered on a large scale at a low cost, making them accessible to many smokers.

These programs work best when combined with pharmacotherapy and can serve as a helpful addition to counseling provided by healthcare professionals.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Using new information technology to treat tobacco dependence. Etter, JF.[2017]

The Web-based smoking cessation program significantly improved short-term smoking abstinence rates at 6 weeks, with odds ratios indicating higher chances of quitting compared to the control group (e.g., 24-hour abstinence OR 1.85).

However, after 6 months, the program did not show sustained effects on smoking cessation, suggesting that while it may help in the short term, further strategies are needed to maintain long-term abstinence and address participant attrition.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of a Web-based multiple tailored smoking cessation program: a randomized controlled trial among Dutch adult smokers. Smit, ES., de Vries, H., Hoving, C.[2022]

Citations

1. truthinitiative.org truthinitiative.org/research-resources/quitting-smoking-vaping/quitting-tobacco-facts-and-stats

Quitting Tobacco: Facts and Stats In 2020, 8.5% of adult current smokers successfully quit smoking in the past year, up from 7.5% in 2018.

2. truthinitiative.org truthinitiative.org/press/press-release/ex-program-truth-initiative-delivers-strong-roi-healthcare-savings-first-year

EX Program by Truth Initiative Delivers Strong ROI in ... An analysis of medical claims data showed that EX Program yielded a 4.75x return on investment (ROI) within the first year of program enrollment.

3. truthinitiative.org truthinitiative.org/press/press-release/jama-publishes-new-study-proven-effectiveness-truth-initiatives-text-message

JAMA Publishes New Study on Proven Effectiveness of ... Quit rates were 37.8% in the intervention groups compared to 28% in the control group. "For many years, healthcare providers, teachers, and ...

4. truthinitiative.org truthinitiative.org/research-resources/quitting-smoking-vaping/text-message-program-truth-initiative-helps-teens-quit-e

Text message program from Truth Initiative helps teens quit ... Teens enrolled in Truth Initiative's text message-based quit-vaping program were 35% more likely to quit vaping nicotine within seven months.

5. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9293135/

Effectiveness of an optimized text message and Internet ... To evaluate the effectiveness of a combined internet and text message intervention for smoking cessation compared with an internet intervention alone.

6. truthinitiative.org truthinitiative.org/

Truth Initiative: freedom from nicotine addiction We are inspiring a movement to create a future free from nicotine addiction · Proven-Effective Digital Cessation for Consumers · Youth/Young Adult Nicotine ...

7. jamanetwork.com jamanetwork.com/journals/jama/fullarticle/2822082

A Vaping Cessation Text Message Program for Adolescent ... In intention-to-treat analysis, with missingness coded as vaping, abstinence rates were 37.8% among participants assigned to the text message ...

8. truthinitiative.org truthinitiative.org/sites/default/files/media/files/2024/04/Quitting%20Tobacco%20Fact%20Sheet%202024_approved.pdf

QUITTING Effects of preoperative smoking cessation on the incidence and risk of intraoperative and postoperative complications in adult smokers: a ...