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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2022-00864 | Registry Identifier | CTRP (Clinical Trial Reporting Program) | |
| K07CA215546 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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This clinical trial investigates the acceptability of electronic cigarettes (JUUL) for smoking cessation (quitting smoking) and the reduction of surgery-related complications in patients with newly diagnosed head, neck, or lung cancer. Smoking before surgery is associated with increased risk of complications during and after surgery. Electronic cigarettes are a type of special product that gives small, steady doses of nicotine to help stop cravings and relieve symptoms that occur when a person is trying to quit smoking. Stopping cigarette smoking before surgery may reduce the risk of complications during and after surgery in patients with head, neck, or lung cancer.
PRIMARY OBJECTIVES:
I. To evaluate feasibility, acceptability, compliance, and safety of a non-randomized 2-month trial of a pod based electronic cigarette (intervention) versus usual care for stage I-III lung cancer patients and stage I-IV head and neck cancer patients undergoing surgical resection.
II. Examine the effect of the pod based electronic cigarette (intervention) on surgical complications, quality of life, and whether it promotes complete or incomplete switching to the non-combustible product.
OUTLINE: Patients choose to participate in 1 of 2 arms.
ARM I: Beginning 1 month before surgery, patients receive a JUUL e-cigarette and a 1 month supply e-liquid pods. After completion of surgery, patients receive another 1 month supply of e-liquid pods.
ARM II: Patients receive usual care.
After completion of study intervention, patients are followed up at 2 and 6 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm I (JUUL) | Experimental | Beginning 1 month before surgery, patients receive a JUUL e-cigarette and a 1 month supply e-liquid pods. After completion of surgery, patients receive another 1 month supply of e-liquid pods. |
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| Arm II (usual care) | Active Comparator | Patients receive usual care. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Best Practice | Other | Given usual care |
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| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of patients measured by number of screened per month | Will be measured by the number of screened patients per month. | Up to 6 months |
| Feasibility of patients measured by number of screened per month by eligibility status | Will be measured by the number of screened patients per month by eligibility status. | Up to 6 months |
| Feasibility of patients measured by number of screened per month by refusal status | Will be measured by the number of screened patients per month by refusal status. | Up to 6 months |
| Reasons for participant ineligibility | We will record reasons for patient ineligibility | Baseline |
| Reasons for participant refusal | We will record reasons for patient refusal to participate | Baseline |
| Acceptance measured by participation rate | Will be measured by the participation rate, the number of eligible participants who consent and agree to study participation. | Up to 6 months |
| Compliance | Will be self-reported and include counting of used JUUL pods on follow-ups interviews. | Up to 6 months |
| Adherence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Theodore Brasky, PhD | Ohio State University Comprehensive Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ohio State University Comprehensive Cancer Center | Columbus | Ohio | 43210 | United States |
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| Label | URL |
|---|---|
| The Jamesline | View source |
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| Nicotine Replacement | Drug | Given JUUL |
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| Quality-of-Life Assessment | Other | Ancillary studies |
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| Questionnaire Administration | Other | Ancillary studies |
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Further, exhaled carbon monoxide (a marker of short-term smoking status) will be assessed at baseline and upon hospital admission for surgery. |
| Baseline and hospital admission for surgery |
| Incidence of adverse events (AEs) | Will be assessed at days 2 and 14 following the delivery of the intervention and reported by participants. Further, participants will be invited to contact the research team to report any adverse events related to the use of the intervention at any time point. | Up to 14 days after delivery of intervention |
| Complication rate (primary preliminary efficacy) | Will be measured as the number of complications reported, per person month of follow up. | Up to 6 months |
| Quality of life (QOL) - anxiety & depression | Self-reported QOL measures will include the GAD-7 (anxiety and depressive symptoms) | Up to 6 months |
| Quality of life (QOL) - anxiety & depression 2 | Self-reported QOL measures will include the PHQ-9 (anxiety and depressive symptoms) | Up to 6 months |
| Quality of life (QOL) - Perceptions of cancer | Self-reported QOL measures will include the Perceptions of Lung Cancer to assess views on their disease (modified slightly for head and neck cancer patients) | Up to 6 months |
| Quality of life (QOL) - Health outcomes | Self-reported QOL measures will include the EQ-5D-5L to assess overall and cancer-specific health outcomes (including cough, dyspnea, dysphagia, and pain). | Up to 6 months |
| Quality of life (QOL) - Health outcomes 2 | Self-reported QOL measures will include the and EORTC-QLQ-LC13 to assess overall and cancer-specific health outcomes (including cough, dyspnes, dysphagia, and pain). | Up to 6 months |
| 7 day point prevalence of tobacco use | 7-day point prevalence of tobacco use (i.e., switching) will be measured at follow-ups | Up to 6 months |
| ID | Term |
|---|---|
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D009371 | Neoplasms by Site |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D017410 | Practice Guidelines as Topic |
| D059039 | Standard of Care |
| D000095488 | Nicotine Replacement Therapy |
| ID | Term |
|---|---|
| D017408 | Guidelines as Topic |
| D011785 | Quality Assurance, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
| D019984 | Quality Indicators, Health Care |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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