Evidence map›Paper›PMID 17654295›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2007

Pharmacogenetic clinical trial of sustained-release bupropion for smoking cessation.

Sean P David, Richard A Brown, George D Papandonatos, Christopher W Kahler, Elizabeth E Lloyd-Richardson, Marcus R Munafò, Peter G Shields, Caryn Lerman, David Strong, Jeanne McCaffery and 1 more

Erratum issuedAbstract readControlled Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 48 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2014
    Pooled it
  7. Association of the DRD2 gene Taq1A polymorphism and smoking behavior: a meta-analysis and new data.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2009
    Pooled it
  8. Trial
  9. Trial
  10. Pharmacogenetic smoking cessation intervention in a health care setting: a pilot feasibility study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2013
    Trial
  11. Trial
  12. Dopamine genes and nicotine dependence in treatment-seeking and community smokers.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2009
    Trial
  13. Trial
  14. Trial
  15. Trial
  16. Review
  17. Article
  18. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2023
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

11 authors.

Sean P DavidBrown University Center for Primary Care and Prevention, Providence, RI 02860, USA. sean_david@brown.edu
Richard A Brown
George D Papandonatos
Christopher W Kahler
Elizabeth E Lloyd-Richardson
Marcus R Munafò
Peter G Shields
Caryn Lerman
David Strong
Jeanne McCaffery
Raymond Niaura

Funding

Statistical Sciences CoreP50CA084719 · NCI · MIRIAM HOSPITAL · PI RENDE, RICHARD · 1999 to 2008
$17.8M
Psychobiological /Genetic Determinants-Smoking CessationK08DA014276 · NIDA · MEMORIAL HOSPITAL OF RHODE ISLAND · PI DAVID, SEAN P. · 2002 to 2006
$786k
COPING WITH DEPRESSION IN SMOKING CESSATIONR01DA008511 · NIDA · BUTLER HOSPITAL (PROVIDENCE, RI) · PI BROWN, RICHARD A · 1993 to 2000
$342k
PSYCHOSOCIAL STRESSORS, SMOKING CESSATION AND C V RISKR01HL032318 · NHLBI · MIRIAM HOSPITAL · PI NIAURA, RAYMOND S. · 1986 to 2000
$251k
NCI NIH HHS CA84719NCI NIH HHS P50 CA084719NHLBI NIH HHS HL32318NIDA NIH HHS DA08511NIDA NIH HHS DA14276-03NIDA NIH HHS K08 DA014276NIDA NIH HHS R01 DA008511
6 · The paper itself

Abstract

This randomized, double-blinded, placebo-controlled trial examined genetic influences on treatment response to sustained-release bupropion for smoking cessation. Smokers of European ancestry (N = 291), who were randomized to receive bupropion or placebo (12 weeks) plus counseling, were genotyped for the dopamine D2 receptor (DRD2-Taq1A), dopamine transporter (SLC6A3 3' VNTR), and cytochrome P450 2B6 (CYP2B6 1459 CT) polymorphisms. Main outcome measures were cotinine-verified point prevalence of abstinence at end of treatment and at 2-, 6-, and 12-month follow-ups post quit date. Using generalized estimating equations, we found that bupropion, compared with placebo, was associated with significantly greater odds of abstinence at all time points (all p values<.01). We found a significant DRD2 x bupropion interaction (B = 1.49, SE = 0.59, p = .012) [corrected] and a three-way DRD2 x bupropion x craving interaction on 6-month smoking cessation outcomes (B = -0.45, SE = 0.22, p = .038), such that smokers with the A2/A2 genotype demonstrated the greatest craving reduction and the highest abstinence rates with bupropion. Furthermore, there was a significant DRD2 x CYP2B6 interaction (B = 1.43, SE = 0.56, p = .01), such that individuals with the DRD2-Taq1 A2/A2 genotype demonstrated a higher odds of abstinence only if they possessed the CYP2B6 1459 T/T or C/T genotype. Because the sample size of this study was modest for pharmacogenetic investigations, the results should be interpreted with caution. Although these results require replication, the data suggest preliminarily that the DRD2-Taq1A polymorphism may influence treatment response to bupropion for smoking cessation and, further, that exploration of gene x gene and gene x craving interactions in future, larger studies may provide mechanistic insights into the complex pharmacodynamics of bupropion.

Indexed as

Polymorphism, GeneticAdultAryl Hydrocarbon HydroxylasesBupropionCytochrome P-450 CYP2B6Dopamine Plasma Membrane Transport ProteinsDopamine Uptake InhibitorsDouble-Blind MethodFemaleHumansMaleMiddle AgedOxidoreductases, N-DemethylatingReceptors, Dopamine D2SmokingSmoking CessationAryl Hydrocarbon HydroxylasesBupropionCYP2B6 protein, humanCytochrome P-450 CYP2B6Dopamine Plasma Membrane Transport ProteinsDopamine Uptake InhibitorsOxidoreductases, N-DemethylatingReceptors, Dopamine D2

Identifiers

PMID17654295
PMCPMC2039873

What OpenQuestion holds

Textmetadata
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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.