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. 2023 Jun 19;2023(6):CD013308. doi: 10.1002/14651858.CD013308.pub2

Zawertailo 2020.

Study name Personalized dosing of nicotine replacement therapy versus standard dosing for the treatment of individuals with tobacco dependence
Methods Parallel randomised controlled trial
Country: Canada
Recruitment: from community and smoking cessation treatment clinics at 2 study sites, using pamphlets, posters, radio and social media
Participants 500 smokers of 10+ cigarettes per day; aged 18 to 75 years, interested in using nicotine patch and quitting within next 30 days
Interventions 2‐week run‐in period using 21 mg nicotine patch daily. Those who have not stopped smoking at the end of 2 weeks are randomised to:
1) Daily 21 mg NRT patch plus placebo patch (same titration, maintenance and tapering regime as intervention arm)
2) Daily 21 mg NRT patch plus additional NRT patch at a dose based on tolerability and cigarettes per day for 5 weeks of titration and 5 weeks of maintenance, then tapering down by 7 mg/week.
Both study arms receive brief behavioural support weekly.
Outcomes Continuous abstinence from week 9 to weeks 26 and 52
Validation: urinary cotinine measurement
Adverse events: not listed as an outcome
Starting date January 2018
Contact information Peter Selby, Centre for Addiction and Mental Health, Toronto
peter.selby@camh.ca
Notes Sponsor: Canadian Cancer Society Research Institute
Clinicaltrials.gov ID: NCT03000387.
Estimated primary completion date: December 2022

CO: carbon monoxide in exhaled air; PPA: point prevalence abstinence; ppm: parts per million