Evidence map›Paper›PMID 21221531›Full record

Trial reportPsychopharmacology2011

A preliminary investigation of varenicline for heavy drinking smokers.

Lisa M Fucito, Benjamin A Toll, Ran Wu, Denise M Romano, Ece Tek, Stephanie S O'Malley

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00860028 (Varenicline for Smoking Cessation in Heavy Drinking Smokers), which is not on this map. Cited by 78 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% 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.

NCT00860028 phase2completednot on this map

Varenicline for Smoking Cessation in Heavy Drinking Smokers

TypeinterventionalSponsorYale UniversityRan2008 to 2010Enrolled30ConditionsNicotine Dependence, Smoking, Heavy DrinkingArmsExtended Varenicline Pretreatment, Short-term Varenicline Pretreatment
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Efficacy of Varenicline in the Treatment of Alcohol Dependence: An Updated Meta-Analysis and Meta-Regression.International journal of environmental research and public health · 2023
    Pooled it
  3. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Sex Differences in Varenicline Efficacy for Smoking Cessation: A Meta-Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Pooled it
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  6. Alcohol use disorder severity moderates clinical response to varenicline.Alcoholism, clinical and experimental research · 2021
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  10. Cannabis and Alcohol Co-Use in a Smoking Cessation Pharmacotherapy Trial for Adolescents and Emerging Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
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18 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 1 country.

Lisa M FucitoDepartment of Psychiatry, CMHC-S200, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, USA. lisa.fucito@yale.edu
Benjamin A Toll
Ran Wu
Denise M Romano
Ece Tek
Stephanie S O'Malley
Yale University · USYale Cancer Center · US

Funding

Translational Technologies CoreP50AA012870 · NIAAA · YALE UNIVERSITY · PI Matthew J Girgenti · 2001 to 2026
$43.7M
SUBSTANCE ABUSEK12DA000167 · NIDA · YALE UNIVERSITY · PI STEPHANIE S O'MALLEY, Marc N Potenza · 1991 to 2026
$17.7M
Tobacco Dependence &Risk Factors for Treatment FailureP50AA015632 · NIAAA · YALE UNIVERSITY · PI PICCIOTTO, MARINA R · 2004 to 2008
$9.2M
Improving Alcoholism TreatmentK05AA014715 · NIAAA · YALE UNIVERSITY · PI O'MALLEY, STEPHANIE S · 2004 to 2013
$2.1M
Translational Neuroscience Research in Alcoholism (TNRA-TP)T32AA015496 · NIAAA · YALE UNIVERSITY · PI PETRAKIS, ISMENE L. · 2005 to 2014
$1.6M
New Approaches to Smoking Cessation in Heavy DrinkersK23AA020000 · NIAAA · YALE UNIVERSITY · PI FUCITO, LISA M · 2011 to 2016
$755k
NIAAA NIH HHS K05 AA014715NIAAA NIH HHS K05-AA014715NIAAA NIH HHS K23 AA020000NIAAA NIH HHS L30 AA018621NIAAA NIH HHS P50 AA012870NIAAA NIH HHS P50-AA012870NIAAA NIH HHS P50 AA015632NIAAA NIH HHS P50-AA15632NIAAA NIH HHS T32 AA015496NIAAA NIH HHS T32-AA015496NIDA NIH HHS K12 DA000167NIDA NIH HHS K12-DA000167
6 · The paper itself

Abstract

rationaleVarenicline, an approved smoking cessation pharmacotherapy, also shows promise as a potential treatment for alcohol dependence. However, varenicline has not been tested in heavy drinkers, and it remains to be determined whether varenicline could reduce alcohol craving and consumption in smokers who are trying to quit smoking.

objectivesWe conducted a preliminary study to examine the effect of varenicline on drinking behavior and the effects of extended varenicline pretreatment on smoking.

methodsThirty heavy drinking smokers received smoking cessation counseling and were randomly assigned to receive either an extended 4-week pretreatment with varenicline 2 mg daily or the usual 1-week pretreatment. Those in the extended pretreatment group received active medication for 8 weeks (i.e., 4 weeks of active pre-treatment followed by 4 weeks of active treatment), and participants in the usual pretreatment group received active medication after a placebo lead in (i.e., 3 weeks of placebo followed by active medication for 5 weeks).

resultsParticipants who received varenicline during the first 3 weeks reported significantly greater reductions in alcohol craving and numerically fewer heavy drinking days compared to those who received placebo, and these differences persisted during the open-label phase. Extended pretreatment was associated with numerically greater reductions in cigarette smoking over the entire study period. There were no differences, however, in smoking abstinence rates following the smoking quit date between the two groups.

conclusionsFindings from this preliminary study suggest that varenicline may be a promising strategy for concurrently reducing heavy drinking and promoting smoking changes in heavy drinkers.

Indexed as

AdolescentAdultAgedAlcohol DrinkingBenzazepinesDrug Administration ScheduleFemaleHumansMaleMiddle AgedNicotinic AgonistsPilot ProjectsQuinoxalinesSmokingSmoking CessationTreatment OutcomeBenzazepinesNicotinic AgonistsQuinoxalinesVarenicline

Identifiers

PMID21221531
PMCPMC3645986
OpenAlexW2093986666

What OpenQuestion holds

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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.