Evidence map›Paper›PMID 19302083›Full record

Trial reportAlcoholism, clinical and experimental research2009

Naltrexone decreases heavy drinking rates in smoking cessation treatment: an exploratory study.

Andrea King, Dingcai Cao, Catherine Vanier, Tracie Wilcox

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

28 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
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  3. Predictors of Naltrexone Response in a Randomized Trial: Reward-Related Brain Activation, OPRM1 Genotype, and Smoking Status.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
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  12. Review
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  15. Nicotine and Opioids: a Call for Co-treatment as the Standard of Care.The journal of behavioral health services & research · 2020
    Review
  16. Article
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  18. Review
  19. Article
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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 1 institution in 1 country.

Andrea KingDepartment of Psychiatry & Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637, USA. aking@bsd.uchicago.edu
Dingcai Cao
Catherine Vanier
Tracie Wilcox
University of Chicago · US

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI MARK W. LINGEN · 1985 to 2026
$122.1M
ZOLEDRONATE &OSTEOPOROTIC EFFECTS OF ANDROGEN DEPRIVATIM01RR000055 · NCRR · UNIVERSITY OF CHICAGO · PI DE WIT, HARRIET · 1985 to 2007
$19.0M
Efficacy of Naltrexone in Women's Smoking CessationR01DA016834 · NIDA · UNIVERSITY OF CHICAGO · PI KING, ANDREA C · 2005 to 2009
$3.0M
NALTREXONE IN DRINKERS SMOKING RESPONSEK08AA000276 · NIAAA · UNIVERSITY OF CHICAGO · PI KING, ANDREA C · 1999 to 2002
$387k
NCI NIH HHS P30 CA014599NCI NIH HHS P30-CA 14599NCRR NIH HHS M01 RR000055NCRR NIH HHS M01-RR 00055NIAAA NIH HHS K08-AA 00276NIDA NIH HHS R01 DA016834NIDA NIH HHS R01-DA 016834
6 · The paper itself

Abstract

backgroundThere is mixed support for the efficacy of the opioid antagonist naltrexone in the treatment of nicotine dependence. One potential unexplored mechanism underlying naltrexone's effects in smoking cessation may be in its ability to reduce alcohol consumption.

methodsAlcohol consumption and liver enzyme levels (aspartate aminotransferase and alanine transaminase) were examined in a sample of 78 nonalcoholic social drinking smokers (34 naltrexone, 44 placebo) enrolled in a double-blind randomized clinical trial of naltrexone in smoking cessation. Naltrexone or placebo began 3 days prior to the quit date (25 mg daily) and continued for 8 weeks (50 mg daily). All participants received nicotine patches and behavioral counseling up through 4 weeks after the quit date.

resultsNaltrexone significantly reduced weekly heavy drinking rates. This effect was associated with greater nausea and pill taking adherence within the naltrexone group. Within heavy drinkers, naltrexone also directionally improved smoking quit rates compared with placebo. Liver enzyme levels did not differ during treatment with naltrexone compared with placebo.

conclusionsNaltrexone may reduce the frequency of heavy drinking in nonalcoholics attempting to quit smoking. Further, naltrexone may preferentially improve smoking quit rates within heavy drinkers who smoke, and further investigation in larger sample sizes is warranted.

Indexed as

AdultAlanine TransaminaseAlcohol DrinkingAspartate AminotransferasesDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansLiverMaleNaltrexoneNarcotic AntagonistsSmokingSmoking CessationTreatment OutcomeAlanine TransaminaseAspartate AminotransferasesNaltrexoneNarcotic Antagonists

Identifiers

PMID19302083
PMCPMC4625790
OpenAlexW2134954355

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.