Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 21 to 60

Investigating the effects of propranolol and nicotine patches on smoking cues

Official title: Beta-Adrenergic Modulation of Drug Cue Reactivity: Neural and Behavioral Mechanisms

Run by University of Oklahoma · NCT05587361 · Data updated 2026-11-12

This study is testing whether taking propranolol and using nicotine patches can help daily smokers resist the urge to smoke when they see things that remind them of smoking.

More Tobacco Use Disorder trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages21 Years to 60 Years
SexAll
Enrollment80 (estimated)
SponsorUniversity of Oklahoma
Academic / other
Locations1 site (Tulsa, Oklahoma)
StatusRecruiting
StartedNovember 26, 2024
Main results expectedMarch 31, 2027
Study endsMarch 31, 2027
Registry record updatedApril 28, 2026
Trial IDNCT05587361 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are generally healthy adults aged 21-60 who smoke at least 5 cigarettes per day and have been smoking regularly for over a year.

Probably not a fit

Patients with significant health issues, those who cannot undergo MRI, or individuals currently using psychoactive medications may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study examines how a beta-adrenergic antagonist, propranolol, and a nicotine patch affect responses to smoking cues in daily smokers. Participants will receive either the medications or placebos and undergo neuroimaging to assess brain activity and behavioral responses. The goal is to understand if combining these treatments can reduce the urge to smoke when exposed to smoking-related cues. Participants will attend four sessions involving questionnaires, monitoring, and MRI scans.

Why it matters

Potential benefit: If successful, this study could lead to improved treatments for tobacco use disorder by targeting smoking cues and cravings more effectively.

How similar studies have gone: Previous pilot studies have shown that propranolol can suppress smoking cue reactivity, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Generally healthy
2. Age 21-60
3. Right-handed using a three-item scale
4. Daily smoker of ≥ 5 cigarettes/day delivering 0.5 mg nicotine (FTC)
5. Smoking regularly for ≥ 1 year, with stable smoking for the past 6 months
6. Afternoon expired Carbon Monoxide (CO) concentration ≥ 6 ppm and/or morning urinary cotinine \>100 ng/ml
7. Must identity at least 4 different smoking locations used in a typical week
8. Able to read and understand English

Exclusion Criteria:

1. Inability to attend all required sessions
2. Significant health problems that would preclude active participation
3. Presence of conditions that would make MRI unsafe (e.g. pacemaker) or (e.g. weight and body shape)
4. Current use of psychoactive medications/drugs as indicated by self-report or urine screen
5. Positive breath alcohol concentration
6. Pregnant, breastfeeding, or planning to become pregnant during the course of the study (females)
7. Problems with vision that cannot be corrected with contacts or glasses
8. Current regular use of smokeless tobacco, smoking cessation medications, or other nicotine containing products (e.g. electronic cigarettes)
9. Current use of beta-adrenergic medications (e.g. beta-blockers) or other blood pressure medications
10. Systolic blood pressure \< 90 mmHg or diastolic blood pressure \< 60 mmHg (sitting or standing)
11. Abnormal EKG
12. Presence of severe anemia
13. Presence of electrolyte imbalance that could impact blood pressure
14. Presence of any other contraindications for propranolol or nicotine patch (e.g. cardiovascular disease, bronchial asthma, prior allergic reactions, diabetes)

Where it's running

  • Hardesty Center for Clinical Research and Neuroscience
    Tulsa, Oklahoma, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.