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Taking people in United StatesPhase 4

Varenicline for Smoking Reduction in Veterans Not Ready To Quit

Key facts

Who runs it
VA Office of Research and Development
Where
Durham, Madison, Minneapolis, and San Diego, United StatesSee the 4 sites
Trial code
Status
Recruiting
Phase
Phase 4
People taking part
400 people, planned
Started
17 Aug 2026
Expected to end
28 Jun 2030
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Motivation-Phase Varenicline
  • Motivation-Phase Nicotine Mini-Lozenge
  • Cessation-Phase Combination Nicotine Replacement Therapy (NRT)
  • Cessation-Phase Varenicline
  • Motivation-Phase Counseling
  • Cessation-Phase Counseling
Record updated
31 August 2026

Who can take part

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

The registry criteria, word for word

Show all 10 criteriaShow less

Who can take part

  • Report smoking an average of 5 or more cigarettes daily for the previous 6 months
  • Not ready to set a quit date in the next 30 days but willing to cut down on their smoking
  • Able to read, write, and speak English
  • Be medically eligible to use study medications (nicotine replacement therapy (NRT) or varenicline)
  • If female, use an approved method of birth control while using study medication
  • Be a Veteran

Who cannot take part

  • Unable to give informed, voluntary consent to participate
  • Current use of any pharmacotherapy for smoking cessation
  • Use of non-cigarette tobacco products as primary form of tobacco use
  • Incarceration

Where in United States

  • Durham VA Medical Center, Durham, NCDurham, United StatesContact: Jean Beckham, PhDTaking people
  • William S. Middleton Memorial Veterans Hospital, Madison, WIMadison, United StatesContact: Jessica M Cook, PhDNo longer taking part
  • Minneapolis VA Health Care System, Minneapolis, MNMinneapolis, United StatesContact: Patrick Hammett, PhDTaking people
  • VA San Diego Healthcare System, San Diego, CASan Diego, United StatesContact: Neal Doran, PhDTaking people

About the trial

What the trial wants to find out

In order to reduce the prevalence of cigarette smoking among Veterans, it is vital that healthcare providers offer effective tobacco treatment to all Veterans who smoke, including those not ready to make a quit attempt. Smoking treatments currently available to Veterans who are not ready to quit are only weakly effective. This project will generate new knowledge about the effectiveness of a promising varenicline-based intervention designed to increase quit attempts and long-term abstinence in Veterans who are initially not ready to quit. This project has great potential to engage Veterans not ready to quit smoking in treatment that increases quit attempts and quitting success, thereby reducing morbidity and mortality caused by smoking in Veterans.

The 2 groups in the trial

  • Motivation-Phase VareniclineTreatment being tested

    Varenicline use during pre-quit phase of smoking treatment for participants who are interested in cutting down on their smoking.

    Treatment: Motivation-Phase Varenicline, Cessation-Phase Varenicline, Motivation-Phase Counseling, and Cessation-Phase Counseling

  • Motivation-Phase Nicotine Mini-LozengeExisting treatment, for comparison

    NRT mini-lozenge use during pre-quit phase of smoking treatment for participants who are interested in cutting down on their smoking.

    Treatment: Motivation-Phase Nicotine Mini-Lozenge, Cessation-Phase Combination Nicotine Replacement Therapy (NRT), Motivation-Phase Counseling, and Cessation-Phase Counseling

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Varenicline for Smoking Reduction in Veterans Unwilling to Quit
Record updated
31 August 2026