HARMONY (HARM reduction for Opiates, Nicotine and You): Statistical Analysis Plan for a Randomised Controlled Trial of the Effectiveness of Vaporised Nicotine Products for Tobacco Smoking Cessation amongst NSW Opiate Agonist Treatment Clients

Abstract

Background  The HARMONY study is a multicentre, randomised, single-blinded parallel group trial. It will compare the effectiveness of a 12-week course of liquid nicotine delivered via vapourised nicotine products (VNPs) to best practice nicotine replacement therapy (NRT) for smoking cessation in individuals receiving opiate agonist treatment (OAT). The aim of publishing this statistical analysis plan is to make the pre-specified statistical principles and procedures to be performed in the analysis of data generated by the HARMONY study, publicly accessible prior to the commencement of data analysis.  Methods  The plan outlines the analysis procedures for analysing the primary outcome of self-reported 7-day point prevalence abstinence from tobacco after 12-weeks of treatment. Secondary outcomes include biochemically verified abstinence, self-reported 30-day abstinence, number of cigarettes smoked each day, craving and withdrawal symptoms, and VNP safety. Between-group comparisons will be conducted at end of treatment, and at 12-weeks post-treatment. Researchers collecting outcome data are blind to the treatment group of each participant.  Analysis Bayesian hierarchical models will be used to estimate the treatment effects for all outcomes with uninformative prior distributions for all effect parameters. Alongside the treatment effect estimate of each outcome, a 95% credible interval (highest posterior density), Bayes factor, and probability of direction will be presented. The analyses will be performed under an ITT framework assuming missing at random. All missing outcome and baseline data will be multiply imputed with predictive mean matching. Conclusion  Making the statistical analysis plan for the HARMONY study publicly accessible prior to the commencement of data analysis minimises the risk of bias in the analysis of data, and the interpretation and reporting of results generated by the study.  Registration The study was registered in the Australian New Zealand Clinical Trials Registry (Reference ACTRN12621000148875).

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

The study was funded by New South Wales Health Translational Research Grant Scheme

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

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I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

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Data Availability

All data produced in the present study are available upon reasonable request to the authors

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