Evidence map›Paper›PMID 40409566›Full record

Trial reportAmerican journal of preventive medicine2025

Augmented Doses of Nicotine Replacement Therapy: Feasibility for Dual Cigarette and E-Cigarette Cessation.

Amanda M Palmer, Reid DeMass, Alana M Rojewski, Evan M Bagley, Matthew J Carpenter, Tracy T Smith, Benjamin A Toll

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06087328 (Comparing the Effects of Augmented Doses of Nicotine Replacement Therapy on Quitting Cigarettes and E-cigarettes), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06087328 phase2completednot on this map

Comparing the Effects of Augmented Doses of Nicotine Replacement Therapy on Quitting Cigarettes and E-cigarettes

TypeinterventionalSponsorMedical University of South CarolinaRan2023 to 2024Enrolled46ConditionsSmoking Cessation, Electronic Cigarette Use, Cigarette SmokingArmsRegular Nicotine patch and lozenge dose, Augmented Nicotine patch and lozenge dose
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Interventions for quitting vaping.The Cochrane database of systematic reviews · 2025
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amanda M PalmerDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina; Division of Cancer Prevention and Control, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina. Electronic address: palmeram@musc.edu.
Reid DeMassBiostatistics Shared Resource, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina.
Alana M RojewskiDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina; Division of Cancer Prevention and Control, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina.
Evan M BagleyDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina; Biostatistics Shared Resource, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina.
Matthew J CarpenterDivision of Cancer Prevention and Control, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina; Department of Psychiatry, Medical University of South Carolina, Charleston, South Carolina.
Tracy T SmithDivision of Cancer Prevention and Control, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina; Department of Psychiatry, Medical University of South Carolina, Charleston, South Carolina.
Benjamin A TollDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina; Division of Cancer Prevention and Control, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina; Department of Psychiatry, Medical University of South Carolina, Charleston, South Carolina.

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND N. DUBOIS · 2009 to 2026
$42.7M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Clinical Scientists Training Program in Addictions at MUSCK12DA031794 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Kevin M. Gray, AIMEE L MCRAE-CLARK · 2013 to 2026
$7.2M
NCATS NIH HHS UL1 TR001450NCI NIH HHS P30 CA138313NIDA NIH HHS K12 DA031794
6 · The paper itself

Abstract

introductionDual use of combustible cigarettes and e-cigarettes is common and has harmful health effects. Many who dual use want to quit, but there are no empirically supported dual cessation interventions. High-dose nicotine replacement therapy is effective for treating heavy smoking and may be applied to treating dual use of combustible cigarettes and e-cigarettes.

methodsIn this pilot feasibility trial, individuals using both combustible cigarettes and e-cigarettes who wanted to quit were randomly assigned to a 28-day supply of nicotine replacement therapy in one of 3 doses: Standard (21mg patch, qd + 4mg lozenge prn [minimum of 5, up to 20/day]); Mid (21mg patch + 14mg patch + 4mg lozenge [5-30/day]), or High (2 × 21mg patches + 4mg lozenges [5-40/day]). Participants reported combustible cigarette and e-cigarette use daily throughout treatment and 1-month follow-up.

resultsParticipants enrolled in the study (N=46 from 2023 to 2024, analyzed 2025) had high nicotine dependence and most completed study procedures. Participants in the Mid group reported using nicotine replacement therapy on more days relative to the other groups. Participants in Mid and High reported numerically higher 7-day point-prevalence dual abstinence at end of treatment (13% for both groups vs 6% Standard) and follow-up (33% for both groups vs 0% Standard). Generaelized estimating equation models showed a significantly higher likelihood of abstinence on a given day for the Mid and High groups relative to Standard (ps<0.05).

conclusionsAugmented doses of nicotine replacement therapy are a feasible, promising treatment for dual cessation of combustible cigarettes and e-cigarettes. Future research should evaluate this approach in a more rigorous, fully powered trial.

trial registrationThis study is registered at www. CLINICALTRIALS: gov NCT06087328.

Indexed as

Electronic Nicotine Delivery SystemsNicotineSmoking CessationTobacco Use Cessation DevicesTobacco Use DisorderAdultFeasibility StudiesFemaleHumansMaleMiddle AgedNicotine Replacement TherapyPilot ProjectsNicotine

Identifiers

PMID40409566
PMCPMC13430507

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.