STEPS: E-cigarettes or Medication for Smoking in Substance Use Treatment

This study, called STEPS, is looking at two ways to help people who smoke and are in substance use disorder (SUD) treatment quit smoking. You would either switch completely to e-cigarettes (nicotine vapes) for twelve weeks, or you would use FDA-approved medications (combination nicotine replacement therapy like patches and lozenges) for twelve weeks to quit smoking. Both groups will also receive weekly counseling. The main goal is to see if people can stop smoking by the end of the twelve-week treatment. To join, you need to be at least 21 years old, smoke at least 5 cigarettes daily, be in outpatient SUD treatment, and have specific breath and urine test results for tobacco use. The study is currently unclear on its recruitment status.

Study design
This is an interventional study planning to enroll 240 participants. It compares two different approaches to quitting smoking.
What's involved
Participation will last 6 months, including five in-person visits and eleven virtual assessments. You will also complete a short daily diary on your phone for the first twelve weeks.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoint measures abstinence from smoking at the end of treatment (measured at 7 days).

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NCT06922617

STEPS: Substance Use Trial of E-cigarettes or Pharmacotherapy for Smoking

Recruiting
NAAges 21+InterventionalPrevention
Medical University of South Carolina
~240 participants
Updated 2026-04-03 on ClinicalTrials.gov
What's tested:Switching to E-CigaretteQuitting using MedicationCounseling

At a glance

Recruiting sites
4 of 4 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Abstinence from smoking at end of treatment
Measured over 7 days
Tobacco Use
Substance Use Disorders
4 sites across 1 states
South Carolina4

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  • Abstinence from smoking at end of treatment7 days

    7-day biologically confirmed point prevelance abstinence from cigarette smoking at Week 12 end of treatment visit