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CompletedPhase 1

Concurrent vs. Sequential Cessation of Dual Cigarette and E-cigarette Use

Key facts

Who runs it
Yale University
Where
New Haven, United StatesSee the site
Trial code
Status
Completed
Phase
Phase 1
People taking part
19 people enrolled
Started
1 Apr 2024
Ended
30 Nov 2025
Type of study
Interventional, 2 groups
Treatments tested
  • Varenicline
  • Counseling
  • Guided Self-Change Booklets
Record updated
5 November 2026

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 12 criteriaShow less

Who can take part

  • English literate
  • Report cigarette smoking, and e-cigarette use for at least the past 3 months
  • Smoke 5 or more cigarettes per day
  • Report e-cigarette use for at least 14 days in the past month
  • Interested in quitting both products in the next month and willing to set a quit date

Who cannot take part

  • Investigators will exclude anyone currently using any smoking cessation services and/or FDA pharmacotherapies
  • Investigators will exclude individuals with medical contraindications for varenicline use (i.e., severe renal impairment and unstable cardiac history)
  • Medical Conditions: Investigators will not enroll anyone with a current, serious uncontrolled medical/psychiatric condition (e.g., a condition that required a hospitalization or intensive outpatient treatment in the past year) based on review by Study Physician that would increase risk of severe adverse events and/or interfere with study participation
  • Verification of Non-Pregnancy: Females ages <55 will be given a commercially available pregnancy test to verify non-pregnancy. A female of child-bearing age that is currently pregnant or breastfeeding or report an unwillingness to use effective birth control (i.e., abstinence, IUD, implant, sterilization, pill, patch, ring, or barrier method such as condoms with spermicide) for the duration of the study will not be enrolled
  • Vulnerable Populations: Investigators will not be enrolling vulnerable populations, specifically pregnant women, children, prisoners, or institutionalized individuals
  • Investigators also will not enroll participants incapable of providing their own consent. The rationale will be provided to the individual as well as his or her family members. Referrals for further evaluation, including urgent or emergent evaluation, will be made as needed and clinically warranted
  • Individuals using other tobacco or nicotine products besides cigarettes and e-cigarettes > once per week in the last 30 days will be excluded

Where in United States

  • Yale UniversityNew Haven, United States

About the trial

What the trial wants to find out

The purpose of this research study is to understand whether concurrent treatment for cigarettes and e-cigarettes in which an individual quits both products at the same time (QUIT-C) or sequential treatment in which an individual quits cigarettes first followed by e-cigarettes is more effective for quitting both products. The study will also compare the effect of treatment on health-related biomarkers. All participants will receive varenicline, a medication used to treat tobacco use dependence, counseling, and cessation resources (i.e., links to text-based support, self-change booklet). Varenicline helps to reduce cravings for tobacco use and decreases the pleasurable effects of cigarettes and other tobacco products.

The 2 groups in the trial

  • QUIT-C (Concurrent)Treatment being tested

    Treatment in this arm will emphasize concurrent cessation of cigarettes and e-cigarettes. All participants will receive 12-weeks of varenicline, weekly individual counseling, and access to cessation resources including a guided self-change booklet and links to free text-based support. Counseling and cessation resources will emphasize concurrent cessation.

    Treatment: Varenicline, Counseling, and Guided Self-Change Booklets

  • QUIT-S (Sequential)Treatment being tested

    Treatment in this arm will focus on cessation of cigarettes followed sequentially by cessation of e-cigarettes. All participants will receive 12-weeks of varenicline, weekly individual counseling, and access to cessation resources including a guided self-change booklet and links to free text-based support. Counseling and cessation resources will emphasize sequential cessation.

    Treatment: Varenicline, Counseling, and Guided Self-Change Booklets

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A Preliminary Test of Concurrent vs. Sequential Cessation of Dual Cigarette and E-cigarette Use on Behavior, Tobacco Toxicant Exposure, and Health Effects
Record updated
5 November 2026