Evidence map›Paper›PMID 21507585›Full record

Trial reportDrug and alcohol dependence2011

Incremental efficacy of adding bupropion to the nicotine patch for smoking cessation in smokers with a recent history of alcohol dependence: results from a randomized, double-blind, placebo-controlled study.

David Kalman, Lawrence Herz, Peter Monti, Christopher W Kahler, Marc Mooney, Stephanie Rodrigues, Kathryn O'Connor

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 8 pooled it
1.4field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 8 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. A Systematic Review of Smoking Cessation Interventions for Adults in Substance Abuse Treatment or Recovery.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Pooled it
  8. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2014
    Pooled it
  9. Trial
  10. Trial
  11. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
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

7 authors at 4 institutions in 1 country.

David KalmanUniveristy of Massachusetts School of Medicine, Worcester, MA 01655, USA. david.kalman@umassmed.edu
Lawrence Herz
Peter Monti
Christopher W Kahler
Marc Mooney
Stephanie Rodrigues
Kathryn O'Connor
Brown University · USUniversity of Massachusetts Chan Medical School · USUnited States Department of Veterans Affairs · USUniversity of Minnesota · US

Funding

Bupropion Treatment for Smokers in RecoveryR01DA017370 · NIDA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KALMAN, DAVID W · 2005 to 2009
$1.2M
Combination Pharmacotherapy for Nicotine DependenceK01DA019446 · NIDA · UNIVERSITY OF MINNESOTA · PI MOONEY, MARC E · 2006 to 2010
$583k
NIDA NIH HHS K01-DA-019446NIDA NIH HHS R01 DA017370NIDA NIH HHS R01-DA11713-01
6 · The paper itself

Abstract

aimsThe primary aim of this study was to compare the efficacy of smoking cessation treatment using a combination of nicotine patch and bupropion vs. nicotine patch and placebo bupropion. A secondary aim was to investigate whether the efficacy of bupropion is moderated by belief about whether one is receiving active or placebo medication.

methodsParticipants were recruited from a residential substance abuse treatment program and the community. We randomly assigned 148 smokers with between 2 and 12 months of alcohol abstinence to nicotine patch plus bupropion or nicotine patch plus placebo. All participants also received seven counseling sessions.

resultsAt follow up, differences between medication conditions were not significant. Seven-day point prevalence quit rates in the patch plus bupropion vs. patch plus placebo conditions at week 24 were 6% and 11%, respectively. Differences between groups on prolonged abstinence and time to first smoking lapse were also not significant. However, among participants who received bupropion, those who accurately "guessed" that they were receiving bupropion were more likely to remain abstinent than those who incorrectly believed they were receiving placebo.

conclusionsFindings do not support combining nicotine patch and bupropion for smoking cessation in this population. However, findings support previous studies suggesting the importance of assessing the blind in smoking cessation studies and its possible moderating effect on medication efficacy. Future directions for enhancing smoking cessation outcome in these smokers include investigations of intensive behavioral and pharmacological interventions, including studies of potential interactions between individual genetic differences and medication efficacy.

Indexed as

Tobacco Use Cessation DevicesAdultAgedBupropionDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMedication AdherenceMiddle AgedNicotineNicotinic AgonistsSmokingSmoking CessationTobacco Use DisorderBupropionNicotineNicotinic Agonists

Identifiers

PMID21507585
PMCPMC3142284
OpenAlexW1993861075

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.