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.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 21 Years to 60 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | University of Oklahoma Academic / other |
| Locations | 1 site (Tulsa, Oklahoma) |
| Status | Recruiting |
| Started | November 26, 2024 |
| Main results expected | March 31, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | April 28, 2026 |
| Trial ID | NCT05587361 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
- Principal investigator: Jason A Oliver, PhD — University of Oklahoma
- Study coordinator: Jason A Oliver, PhD
- Email: Jason-Oliver@ouhsc.edu
- Phone: 405-271-8001
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
TUBSIS 2.0 — an online program to help adults reduce or quit smoking and vaping
This program tests whether a free, anonymous, 4-week web-based course using mindfulness, self-compassion, and behavior-change techniques helps German-, English-, and Turkish-speaking adults who smoke or vape reduce or quit tobacco.
-
Ear acupressure plus nicotine replacement to ease withdrawal in psychiatric inpatients
This study will test whether adding ear acupressure (ear seeds) to standard nicotine replacement therapy helps psychiatric inpatients who must stop smoking reduce withdrawal symptoms, cravings, and anxiety.
-
Varenicline-based approach to help Veterans who smoke see if they can reduce smoking and try to quit
This study tests whether varenicline, plus motivational support, helps Veterans who aren’t ready to quit reduce smoking and make quit attempts.
-
tDCS plus varenicline to help people quit smoking
This will test if adding noninvasive tDCS brain stimulation to varenicline helps adults who smoke at least 8 cigarettes a day quit and stay smoke-free.
-
Helping adults quit e-cigarettes while using cannabis
This study is testing if a medication, along with financial rewards and counseling, can help adults aged 18-40 quit e-cigarettes while they also use cannabis.
-
Evaluating nicotine pouches for quitting smoking
This study is testing if tobacco-free nicotine pouches can help smokers switch from cigarettes by trying out different nicotine levels over 28 days.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.