Evidence map›Paper›PMID 18762494›Full record

Trial reportPediatrics2008

A randomized trial of nicotine nasal spray in adolescent smokers.

Mark L Rubinstein, Neal L Benowitz, Glenna M Auerback, Anna-Barbara Moscicki

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 12% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Nicotine replacement therapy versus control for smoking cessation.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Tobacco cessation interventions for young people.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Trial
  5. Varenicline versus bupropion XL for smoking cessation in older adolescents: a randomized, double-blind pilot trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2012
    Trial
  6. Trial
  7. Review
  8. Review
  9. Article
  10. Nicotine replacement therapy: A friend or foe.Journal of family medicine and primary care · 2020
    Review
  11. Article
  12. Pharmacological Treatment of Youth Substance Use Disorders.Journal of child and adolescent psychopharmacology · 2019
    Review
  13. The Role of Pharmacotherapy in the Treatment of Adolescent Substance Use Disorders.Child and adolescent psychiatric clinics of North America · 2016
    Review
  14. Article
  15. Article
  16. Pharmacotherapy for Substance Use Disorders in Youths.Journal of child & adolescent substance abuse · 2016
    Article
  17. Staying Young at Heart: Cardiovascular Disease Prevention in Adolescents and Young Adults.Current treatment options in cardiovascular medicine · 2015
    Article
  18. Article
  19. Review
  20. Smoking cessation treatment for adolescents.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2010
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Mark L RubinsteinUniversity of California, Division of Adolescent Medicine, 3333 California St, Suite 245, San Francisco, CA 94118, USA. rubinsteinm@peds.ucsf.edu
Neal L Benowitz
Glenna M Auerback
Anna-Barbara Moscicki
Office of Adolescent Health · USUniversity of California, San Francisco · US

Funding

PHARMACOKINETICS &PHARMACODYNAMICS OF NICOTINER01DA002277 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BENOWITZ, NEAL L · 1985 to 2012
$6.3M
PHARMACOKINETICS AND PHARMACODYNAMICS OF NICOTINER37DA002277 · NIDA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI BENOWITZ, NEAL L · 1993 to 2002
$1.6M
Nicotine Replacement and Counseling In AdolescentsK23RR018471 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RUBINSTEIN, MARK L · 2003 to 2007
$682k
NCRR NIH HHS K23 RR018471NIDA NIH HHS DA02277NIDA NIH HHS R01 DA002277NIDA NIH HHS R37 DA002277
6 · The paper itself

Abstract

objectivesNicotine nasal spray has been 1 of the most successful forms of nicotine-replacement therapy in adult populations. The nasal sprayer has not been studied in adolescent smokers. The objective of this pilot study was to determine the feasibility and utility of using nicotine nasal spray for adolescent smokers who wanted to quit smoking.

methodsForty adolescent smokers who were between 15 and 18 years of age and smoked >/=5 cigarettes daily for at least 6 months were recruited from several San Francisco Bay area schools from 2005 to 2007. Using a randomized, open-label, 12-week trial, adolescent smokers were assigned to receive either weekly counseling alone (control) for 8 weeks or 8 weeks of counseling along with 6 weeks of nicotine nasal spray. Self-reported smoking abstinence was verified by both expired-air carbon monoxide and salivary cotinine.

resultsThere was no difference in cessation rates, the numbers of cigarettes smoked per day, or cotinine levels at 12 weeks. Fifty-seven percent of participants stopped using their spray after only 1 week. The most commonly reported adverse effect was nasal irritation and burning (34.8%) followed by complaints about the taste and smell (13%).

conclusionsThe unpleasant adverse effects, poor adherence, and consequent lack of efficacy observed in our pilot study do not support the use of nicotine nasal spray as an adjunct to counseling for adolescent smokers who wish to quit.

Indexed as

Smoking PreventionAdministration, IntranasalAdolescentAirBreath TestsCaliforniaCarbon MonoxideCotinineCounselingDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansIncidenceMaleNicotineCarbon MonoxideCotinineNicotineNicotinic Agonists

Identifiers

PMID18762494
PMCPMC2744418
OpenAlexW2064274815

What OpenQuestion holds

Textmetadata
LicenceTDM
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.