Evidence map›Paper›PMID 22888309›Full record

ArticleJournal of dual diagnosis2012

Varenicline for Smoking Cessation in Schizophrenia: Safety and Effectiveness in a 12-Week, Open-Label Trial.

Gladys N Pachas, Corinne Cather, Sarah A Pratt, Bettina Hoeppner, Johanna Nino, Sara V Carlini, Eric D Achtyes, Harry Lando, Kim T Mueser, Nancy A Rigotti and 2 more

Abstract read
In one paragraph

Article in Journal of dual diagnosis, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 pooled it
4.4field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 5 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Smoking cessation for improving mental health.The Cochrane database of systematic reviews · 2021
    Pooled it
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  4. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2016
    Pooled it
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  20. Smoking Use and Cessation Among People with Serious Mental Illness.The Yale journal of biology and medicine · 2015
    Review
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

12 authors at 6 institutions in 1 country.

Gladys N PachasMassachusetts General Hospital.
Corinne Cather
Sarah A Pratt
Bettina Hoeppner
Johanna Nino
Sara V Carlini
Eric D Achtyes
Harry Lando
Kim T Mueser
Nancy A Rigotti
Donald C Goff
A Eden Evins
Massachusetts General Hospital · USHarvard University · USBoston University · USDartmouth College · USMichigan State University · USUniversity of Minnesota · US

Funding

Smoking Cessation and Smoking Relapse Prevention in Patients with SchizophreniaR01DA021245 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI EVINS, A EDEN · 2007 to 2010
$3.1M
Mentoring in Addiction Treatment ResearchK24DA030443 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI EVINS, A EDEN · 2010 to 2020
$2.0M
Dynamic Processes of Smoking CessationK01DA027097 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI HOEPPNER, BETTINA B. · 2010 to 2014
$834k
NIDA NIH HHS K01 DA027097NIDA NIH HHS K24 DA030443NIDA NIH HHS L30 DA025511NIDA NIH HHS R01 DA021245
6 · The paper itself

Abstract

objectivesVarenicline was approved by the FDA in 2006. In 2009, based largely on case reports, the FDA issued a warning of possible adverse neuropsychiatric effects including depression and suicidal thoughts and behavior for varenicline and bupropion. Prospective trials of varenicline have not reported increased incidence of psychiatric adverse events other than sleep disturbance, but smokers with major mental illness have been excluded from large prospective trials of varenicline to date. We sought to evaluate the effect of a standard open-label 12-week varenicline trial on prospectively assessed safety and smoking outcomes in stable, treated adults with schizophrenia spectrum disorder and nicotine dependence.

methodsOne-hundred-and-twelve stable outpatients who smoked >10 cigarettes/day participated in a 12-week, open-label, smoking cessation trial of varenicline and weekly group cognitive behavioral therapy. Participants took varenicline for 4 weeks before attempting cessation. Trained raters collected safety and smoking outcome data weekly.

resultsParticipants demonstrated improved psychotic symptoms, depressive symptoms and nicotine withdrawal symptoms from baseline to week 12 or early termination. At the end of 12 weeks open label treatment, the 14- and 28-day continuous abstinence rates were 47.3 and 34%, respectively. Expired CO declined significantly during treatment in those who did not achieve abstinence.

conclusionsThis prospective study suggests that varenicline may be well-tolerated and effective for smoking cessation in combination with group CBT in stable outpatients with schizophrenia, a group with high rates of smoking and smoking-attributable morbidity and mortality.

Identifiers

PMID22888309
PMCPMC3414422
OpenAlexW2128399010

What OpenQuestion holds

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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.