New combo treatment aims to help veterans quit smoking and manage PTSD
NCT ID NCT03978442
First seen Jun 27, 2026 · Last updated Jul 02, 2026 · Updated 1 time
Summary
This study tested a treatment called CPT-SMART that combines PTSD therapy, smoking cessation counseling, medication, and financial incentives to help veterans quit smoking. 120 veteran smokers with PTSD were randomly assigned to either the full program or a control group. The goal was to see if this combined approach leads to higher quit rates and better engagement in treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupropion (Zyban)
- What this could lead to
- If successful, this approach could provide an effective way to help veterans with PTSD quit smoking, reducing smoking-related illness and death.
- What could go wrong
- This is a completed Phase 4 trial with 120 participants, so results are available but may not apply to all smokers with PTSD. The intervention is complex and may not be widely adopted.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
115 people
The number who actually took part.
- Started
-
Nov 2019
- Finished
-
Oct 2025
- Lead sponsor
-
A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Is Veteran * Is between the ages of 18 and 80 * Smokes ten or more cigarettes per day for the past year * Has been smoking for at least the past year * Meets criteria for current PTSD * Speaks and writes English * Is willing to attempt smoking cessation and trauma-focused psychotherapy Exclusion Criteria: * Has had myocardial infarction in the past 6 months * Uses other forms of nicotine that he/she is unwilling to stop * Is pregnant * Has a primary psychotic disorder * Has a current substance use disorder other than tobacco use disorder * Has a contraindication to bupropion use with no medical clearance to use it * Is unwilling to use bupropion * Is receiving other behavioral smoking counseling or trauma-focused therapy or plans to do so during the study period * Is currently imprisoned or in psychiatric hospitalization
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Durham VA Medical Center, Durham, NC
Durham, North Carolina, 27705-3875, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can cramming PTSD therapy into a few weeks help veterans cut substance use?