Evidence map›Paper›PMID 17130378›Full record

Trial reportTobacco control2006

An uncontrolled trial of cytisine (Tabex) for smoking cessation.

Witold Zatonski, Magdalena Cedzynska, Piotr Tutka, Robert West

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Tobacco control, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Review
  12. Nicotinic receptor antagonists as treatments for nicotine abuse.Advances in pharmacology (San Diego, Calif.) · 2014
    Review
  13. Article
  14. Current and emerging pharmacotherapeutic options for smoking cessation.Substance abuse : research and treatment · 2013
    Article
  15. Review
  16. Review
  17. Review
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

4 authors at 3 institutions in 2 countries.

Witold ZatonskiDepartment of Epidemiology & Cancer Prevention, The M Skłodowska-Curie Memorial Cancer Center & Institute of Oncology, Warsaw, Poland. zatonskiw@coi.waw.pl
Magdalena Cedzynska
Piotr Tutka
Robert West
The Maria Sklodowska-Curie National Research Institute of Oncology · PLMedical University of Lublin · PLUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCytisine (Tabex) has been licensed in Eastern Europe as an aid to smoking cessation for 40 years. Cytisine is a partial agonist with high affinity binding to the alpha4beta2 nicotinic acetylcholine receptor believed to be central to the rewarding effect of nicotine. There is insufficient information on effectiveness to warrant licensing by modern standards. To assess whether full-scale controlled trials are warranted, this study sought to obtain an estimate of the 12-month continuous abstinence rates of smokers using cytisine with minimal behavioural support.

designAn uncontrolled, open-label trial.

settingA smokers' clinic in an oncology centre in Warsaw, Poland. SUBJECTS: 436 consecutive attendees of the smokers' clinic of whom 191 were male. The mean dependence score (Fagerstrom Test for Nicotine Dependence) was 6.1.

interventionThe standard regimen of Tabex (cytisine) was used, involving 25 days of treatment with minimal behavioural support.

main outcome measureSelf-reported continuous abstinence for 12 months; with abstinence verified by carbon monoxide at the final follow up (after 12 months).

results60 participants (13.8% of the total sample) were abstinent for 12 months. Of the 315 subjects, who had taken the drug, 49 (15.5%) stopped cytisine because of adverse effects (mostly gastric disturbances and nausea), although they were not serious. The frequency of the minor adverse effects, primarily gastric disturbance, was similar to that observed in previous studies with the drug.

conclusionsThe long-term abstinence rates were similar to those observed in smokers receiving nicotine replacement therapy. Full-scale randomised trials of cytisine (Tabex), conducted to the standards required by regulatory authorities, are warranted.

Indexed as

AdultAlkaloidsAzocinesFemaleHumansMaleNicotinePolandQuinolizidine AlkaloidsQuinolizinesSmoking CessationSubstance Withdrawal SyndromeTobacco Use DisorderTreatment OutcomeAlkaloidsAzocinescytisineNicotineQuinolizidine AlkaloidsQuinolizines

Identifiers

PMID17130378
PMCPMC2563682
OpenAlexW2118190133

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.