Evidence map›Paper›PMID 15682300›Full record

Trial reportPsychopharmacology2005

Naltrexone reduces the relative reinforcing value of nicotine in a cigarette smoking choice paradigm.

Margaret Rukstalis, Christopher Jepson, Andrew Strasser, Kevin G Lynch, Kenneth Perkins, Freda Patterson, Caryn Lerman

Registry-linked trialAbstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02557984 (Dopamine D2/3- and μ-opioid Receptor Antagonists Reduce Cue-induced Reward Responding and Reward Impulsivity in Healthy Volunteers), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02557984 nacompletednot on this mapstarted 2014, after this paper: background citation

Dopamine D2/3- and μ-opioid Receptor Antagonists Reduce Cue-induced Reward Responding and Reward Impulsivity in Healthy Volunteers

TypeinterventionalSponsorUniversity of ZurichRan2014 to 2014Enrolled121ConditionsAddictionArmsPlacebo, Amisulpride, Naltrexone
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Opioid antagonists for smoking cessation.The Cochrane database of systematic reviews · 2013
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Effects of bupropion on simulated demand for cigarettes and the subjective effects of smoking.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2010
    Trial
  10. Trial
  11. Review
  12. Article
  13. Translational Research in Nicotine Addiction.Cold Spring Harbor perspectives in medicine · 2021
    Review
  14. The role of the opioid system in decision making and cognitive control: A review.Cognitive, affective & behavioral neuroscience · 2019
    Review
  15. Can repetitive mental simulation of smoking engender habituation?Experimental and clinical psychopharmacology · 2016
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Effects of smoking abstinence on cigarette craving, nicotine withdrawal, and nicotine reinforcement in smokers with and without schizophrenia.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Margaret RukstalisTobacco Use Research Center, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA. rukstali@mail.med.upenn.edu
Christopher Jepson
Andrew Strasser
Kevin G Lynch
Kenneth Perkins
Freda Patterson
Caryn Lerman
University of Pennsylvania · USUniversity of Pittsburgh · US

Funding

Pharmacogenetic Investigation of Naltrexone (RMI)R01DA017555 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI LERMAN, CARYN · 2003 to 2007
$2.2M
NIDA NIH HHS R01-DA-017555PHS HHS P5084718
6 · The paper itself

Abstract

rationaleHuman behavioral pharmacology studies can examine how medications that target different neurotransmitter systems influence different aspects of smoking. Naltrexone and bupropion have been shown to alter ad lib smoking behavior; however, medication effects on nicotine reward in a cigarette choice paradigm have yet to be investigated.

objectiveThis study explored the effects of an acute dose of naltrexone, bupropion, or placebo on the relative reinforcing value of nicotine from cigarette smoking using new nicotine and de-nicotinized (Quest, 0.6 and 0.05 mg = "denicotinized") cigarettes.

methodsIn a double-blind, within-subjects design, 26 dependent smokers participated in three experimental cigarette smoking sessions following pretreatment with either naltrexone (50 mg), bupropion (300 mg), or placebo. After medication administration and 2 h of monitored deprivation from cigarettes and food, participants rated their responses to the initial exposure to the cigarettes and then participated in four choice sessions over a 2-h period during which they could take four puffs from either cigarette.

resultsThe relative reinforcing value of nicotine, as measured by the number of nicotine puffs chosen out of 16, was significantly lower following naltrexone compared to placebo. There were no effects of an acute dose of bupropion on nicotine choices.

conclusionsThese results suggest that naltrexone may reduce the relative reinforcing effects of nicotine via cigarette smoking and support ongoing investigation of opioid antagonists as potential smoking cessation pharmacotherapies.

Indexed as

Reinforcement, PsychologyAdolescentAdultAgedBupropionChoice BehaviorDouble-Blind MethodFemaleHumansMaleMiddle AgedNaltrexoneNarcotic AntagonistsNicotineSmoking CessationTobacco Use DisorderBupropionNaltrexoneNarcotic AntagonistsNicotine

Identifiers

PMID15682300
OpenAlexW2025760737

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.