Evidence map›Paper›PMID 40448340›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2025

A Factorial Randomized Clinical Trial of Nicotine Replacement Therapy and Treatment Recommendations to Quit Versus Continue E-cigarettes When Quitting Smoking in Young Adult Dual Users.

Elias M Klemperer, Marc Jerome P Feinstein, Katya Marsh, Andrea C Villanti, Matthew J Carpenter, Joan M Skelly, Michael J DeSarno, Stephen T Higgins

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

8 authors.

Elias M KlempererDepartment of Psychiatry, College of Medicine, University of Vermont, Burlington, VT, USA.ORCID 0000-0002-7985-0870
Marc Jerome P FeinsteinDepartment of Psychiatry, College of Medicine, University of Vermont, Burlington, VT, USA.
Katya MarshDepartment of Psychiatry, College of Medicine, University of Vermont, Burlington, VT, USA.
Andrea C VillantiRutgers Institute for Nicotine & Tobacco Studies Rutgers Health, Department of Health Behavior, Society & Policy, Rutgers School of Public Health, New Brunswick, NJ, USA.ORCID 0000-0003-3104-966X
Matthew J CarpenterDepartment of Psychiatry & Behavioral Sciences, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.ORCID 0000-0002-8909-1302
Joan M SkellyDepartment of Biostatistics, University of Vermont, Burlington, VT, USA.
Michael J DeSarnoDepartment of Biostatistics, University of Vermont, Burlington, VT, USA.
Stephen T HigginsDepartment of Psychiatry, College of Medicine, University of Vermont, Burlington, VT, USA.

Funding

TRANSCRIPTIONAL PROFILINGP30CA072720 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Tracie Saunders · 1997 to 2026
$94.5M
Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2022
$21.3M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Vermont Center on Behavior and HealthP30GM149331 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Stephen T Higgins · 2023 to 2026
$5.6M
A randomized controlled trial of reduced nicotine cigarettes and e-cigarettes among dual usersR01DA059562 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Elias M Klemperer · 2024 to 2026
$2.3M
NCI NIH HHSNIDA NIH HHS P30CA072720NIDA NIH HHS R01 DA059562NIDA NIH HHS T32 DA007242NIGMS NIH HHS P20 GM103644NIGMS NIH HHS P30 GM149331NIGMS NIH HHS R01DA059562
6 · The paper itself

Abstract

introductionMultiple tobacco product use has increased markedly in the United States, especially dual use of cigarettes and e-cigarettes among young adults. Little is known regarding nicotine replacement therapy (NRT) for young adult dual users, or whether to recommend quitting versus continuing e-cigarettes during smoking cessation treatment.

methodsThis 2 × 2 factorial trial randomized 396 young adult dual users (aged 18-29; ≥ 5 cigarettes/day; used e-cigarettes on ≥ 10 of past 30 days) to receive 12 weeks of combination NRT versus No NRT to quit smoking, plus text-based treatment recommendations to Quit versus Continue E-cigarettes. The primary outcome was self-reported end-of-treatment 7-day point-prevalence abstinence (PPA) from cigarettes; a secondary outcome was end-of-treatment 30-day PPA from cigarettes.

resultsParticipants were 26.0 (SD = 6.8) years old, 52.8% female, and 26.5% non-white. At week 12, NRT increased 7-day PPA (NRT = 50.5% versus No NRT = 39.9%; OR = 1.54, 95% CI = 1.03, 2.29), but neither treatment recommendation (Quit E-cigarettes = 48.0% versus Continue E-cigarettes = 42.4%; OR = 1.25, 95% CI = 0.84, 1.85) nor the NRT-by-treatment recommendation interaction were significant. The direction and magnitude of main effects for 30-day PPA at week 12 were similar to 7-day PPA, but the NRT-by-treatment recommendation interaction was significant (p = .04): smoking cessation was greatest for the NRT plus Quit E-cigarettes condition (47.1%) versus NRT plus Continue E-cigarettes (28.1%); No NRT plus Quit E-cigarettes (29.2%); and No NRT plus Continue E-cigarettes (30.4%) conditions (all p < .05).

conclusionsNRT is effective in promoting early smoking cessation among young adult dual users. Secondary findings indicate that pairing NRT with support to quit both products could enhance the effects on prolonged cigarette abstinence.

Indexed as

Electronic Nicotine Delivery SystemsSmoking CessationTobacco Use Cessation DevicesAdolescentAdultFemaleHumansMaleNicotine Replacement TherapyTreatment OutcomeYoung Adult

Identifiers

PMID40448340
PMCPMC12641168

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.