Best sequence of medications plus virtual support to help people quit smoking

Comparative Effectiveness of Sequential Pharmacotherapeutic Strategies and Virtually Delivered Treatment to Optimize Smoking Cessation

['FUNDING_R01'] · UNIVERSITY OF TX MD ANDERSON CAN CTR · NIH-11251227

This project compares two starter medicines and different follow-up medication plans, all with online counseling, to help adults in Texas quit smoking.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorUNIVERSITY OF TX MD ANDERSON CAN CTR (nih funded)
Locations1 site (HOUSTON, UNITED STATES)
Trial IDNIH-11251227 on ClinicalTrials.gov

What this research studies

You would start with either varenicline or a combination nicotine-replacement patch/lozenge for six weeks with counseling delivered online. If you haven't quit after six weeks, the trial would re-randomize you to either continue the same medicine, switch to the other medicine, or add/increase FDA-approved medications as a rescue strategy. All care and counseling are provided virtually so you can participate from home, and the trial will enroll about 2,000 adults across Texas. The study uses a SMART design to tailor treatment steps based on how well you respond.

Who could benefit from this research

Good fit: Adults aged 21 and older who live in Texas, currently smoke, want to quit, and are willing to use medications and virtual counseling are ideal candidates.

Not a fit: People who are under the study age cutoff, live outside Texas, are pregnant or have medical contraindications to the study medications, or who refuse medication or virtual visits may not be eligible or benefit.

Why it matters

Potential benefit: If successful, this approach could raise the number of people who quit and stay smoke-free by identifying the most helpful sequences of medicines combined with virtual counseling.

How similar studies have performed: Varenicline and combination nicotine-replacement therapies have been effective on their own, but using a sequential SMART approach delivered entirely virtually is a newer, less-tested strategy.

Where this research is happening

HOUSTON, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Conditions: Chronic Disease

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.