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Grant Details

Grant Number: 5R01CA096881-03 Interpret this number
Primary Investigator: Ebbert, Jon
Organization: Mayo Clinic Rochester
Project Title: High Dose Nicotine Patch Therapy for Spit Tobacco Users
Fiscal Year: 2004


Abstract

DESCRIPTION (provided by applicant): According to the 1999 National Household Survey on Drug Abuse, an estimated 7.6 million of the United States population 12 years of age and older (3.4%) currently use spit tobacco (ST). Long-term ST use increases the risk of developing oral leukoplakia, oropharyngeal cancer, and periodontal disease. Few studies of interventions for ST users have been conducted. A novel treatment approach for ST users employing existing pharmacotherapeutic agents is high dose nicotine patch therapy. Nicotine replacement therapy using standard dose nicotine patch therapy has not been shown to be effective for increasing tobacco abstinence rates in ST users. Our previous research in smokers shows that a high proportion of tobacco users have inadequate replacement of baseline serum nicotine levels with a standard nicotine patch dose and that higher doses (up to 44 mg/d) reduce nicotine withdrawal symptoms and increase tobacco abstinence rates. Since total daily nicotine exposure among ST users may be higher than in smokers, we propose that high dose nicotine patch therapy will improve withdrawal symptom relief, be safe and well-tolerated, increase tobacco abstinence rates and increase the replacement of baseline serum nicotine levels in ST users. To test these hypotheses, we will conduct a 3-phase study in which 60 adult ST users will be randomized to placebo or 3 different nicotine patch doses (21, 42, or 63 mg/d) with monitoring in our General Clinical Research Center (GCRC). Withdrawal symptom data will be collected using an Electronic Diary (ED). All subjects will receive a behavioral intervention during participation in the study. This ROl pilot study will serve as the foundation upon which the Principal Investigator will build a line of research committed to the health promotion and disease prevention objectives of Healthy People 2000. Our goal is to reduce the prevalence of ST use and decrease the incidence of oropharyngeal cancer through the development of effective treatment options for ST users.



Publications

Interventions For Tobacco Cessation In The Dental Setting
Authors: Carr,A.B. , Ebbert,J. .
Source: Cochrane Database Of Systematic Reviews (online), 2012; 6, p. CD005084.
PMID: 22696348
Related Citations

Nicotine Percentage Replacement Among Smokeless Tobacco Users With Nicotine Patch
Authors: Ebbert,J.O. , Post,J.A. , Moyer,T.P. , Dale,L.C. , Schroeder,D.R. , Hurt,R.D. .
Source: Drug And Alcohol Dependence, 2007-07-10 00:00:00.0; 89(2-3), p. 223-6.
PMID: 17300878
Related Citations

Effect Of High-dose Nicotine Patch Therapy On Tobacco Withdrawal Symptoms Among Smokeless Tobacco Users
Authors: Ebbert,J.O. , Dale,L.C. , Patten,C.A. , Croghan,I.T. , Schroeder,D.R. , Moyer,T.P. , Hurt,R.D. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2007 Jan; 9(1), p. 43-52.
PMID: 17365735
Related Citations

Measuring Nicotine Dependence Among Smokeless Tobacco Users
Authors: Thomas J.L. , Ebbert J.O. , Patten C.A. , Dale L.C. , Bronars C.A. , Schroeder D.R. .
Source: Addictive Behaviors, 2006 Sep; 31(9), p. 1511-21.
PMID: 16386854
Related Citations

The Fagerström Test For Nicotine Dependence-smokeless Tobacco (ftnd-st)
Authors: Ebbert,J.O. , Patten,C.A. , Schroeder,D.R. .
Source: Addictive Behaviors, 2006 Sep; 31(9), p. 1716-21.
PMID: 16448783
Related Citations

A Survey Of Characteristics Of Smokeless Tobacco Users In A Treatment Program
Authors: Ebbert,J.O. , Klinkhammer,M.D. , Stevens,S.R. , Rowland,L.C. , Offord,K.P. , Ames,S.C. , Dale,L.C. .
Source: American Journal Of Health Behavior, 2005 Jan-Feb; 29(1), p. 25-35.
PMID: 15604048
Related Citations

Smokeless Tobacco: An Emerging Addiction
Authors: Ebbert J.O. , Carr A.B. , Dale L.C. .
Source: The Medical Clinics Of North America, 2004 Nov; 88(6), p. 1593-605.
PMID: 15464115
Related Citations

Using Advanced Search Tools On Pubmed For Citation Retrieval
Authors: Sood,A. , Erwin,P.J. , Ebbert,J.O. .
Source: Mayo Clinic Proceedings. Mayo Clinic, 2004 Oct; 79(10), p. 1295-9; quiz 1300.
PMID: 15473412
Related Citations

Treatments For Spit Tobacco Use: A Quantitative Systematic Review
Authors: Ebbert,J.O. , Rowland,L.C. , Montori,V.M. , Vickers,K.S. , Erwin,P.J. , Dale,L.C. .
Source: Addiction (abingdon, England), 2003 May; 98(5), p. 569-83.
PMID: 12751971
Related Citations

Searching The Medical Literature Using Pubmed: A Tutorial
Authors: Ebbert,J.O. , Dupras,D.M. , Erwin,P.J. .
Source: Mayo Clinic Proceedings. Mayo Clinic, 2003 Jan; 78(1), p. 87-91.
PMID: 12528881
Related Citations




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