Evidence map›Paper›PMID 22926596›Full record

Trial reportJournal of clinical psychopharmacology2012

Effects of naltrexone on smoking cessation outcomes and weight gain in nicotine-dependent men and women.

Andrea C King, Dingcai Cao, Stephanie S O'Malley, Henry R Kranzler, Xiaochen Cai, Harriet deWit, Alicia K Matthews, Ryan J Stachoviak

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 6 pooled it
4.6field-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

46 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
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  4. Interventions for preventing weight gain after smoking cessation.The Cochrane database of systematic reviews · 2021
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  6. Opioid antagonists for smoking cessation.The Cochrane database of systematic reviews · 2013
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  9. Exenatide Adjunct to Nicotine Patch Facilitates Smoking Cessation and May Reduce Post-Cessation Weight Gain: A Pilot Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
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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

8 authors at 4 institutions in 1 country.

Andrea C KingDepartment of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL 60637, USA. aking@bsd.uchicago.edu
Dingcai Cao
Stephanie S O'Malley
Henry R Kranzler
Xiaochen Cai
Harriet deWit
Alicia K Matthews
Ryan J Stachoviak
University of Chicago · USUniversity of Illinois Chicago · USUniversity of Pennsylvania · USYale University · US

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI MARK W. LINGEN · 1985 to 2026
$122.1M
TRANSLATIONAL RESEARCH UNIVERSITY OF CHICAGO: CLINICAL TRIALSUL1RR024999 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$25.3M
Efficacy of Naltrexone in Women's Smoking CessationR01DA016834 · NIDA · UNIVERSITY OF CHICAGO · PI KING, ANDREA C · 2005 to 2009
$3.0M
NCI NIH HHS P30 CA014599NCI NIH HHS P30-CA14599NCRR NIH HHS UL1 RR024999NCRR NIH HHS ULI-RR024999NIDA NIH HHS R01 DA016834NIDA NIH HHS R01-DA016834
6 · The paper itself

Abstract

This study examined whether the opioid receptor antagonist naltrexone is efficacious in smoking cessation and whether sex moderates the response. We assessed smoking quit rates and weight gain in a double-blind randomized trial comparing oral naltrexone (n = 162) with placebo (n = 154) in nicotine-dependent participants who wanted to quit smoking. The medication was gradually titrated up to 50 mg during the week before the quit date and then maintained at this dose for 12 weeks. For the first 4 weeks after the quit date, all participants received a nicotine patch to mitigate tobacco withdrawal and attended weekly individual cognitive-behavioral smoking cessation counseling sessions. After this time, participants continued with naltrexone or placebo through 12 weeks. Follow-up assessments were conducted at 26 and 52 weeks. During treatment, naltrexone (vs placebo) increased quit rates, attenuated smoking urge, and reduced weight gain. At follow-up, after medication discontinuation, the effect of naltrexone on improving quit rates was no longer evident. Men and women experienced different benefits from naltrexone; men showed greater reductions in smoking, whereas women showed greater reductions in weight gain. In sum, naltrexone showed acute efficacy in treating nicotine dependence, but after the medication was discontinued, the effect on quit rate was not maintained. Further study of naltrexone in smoking cessation treatment and reduction of cessation-related weight gain, as well as preclinical investigation of mechanisms underlying sex differences, is warranted.

Indexed as

Administration, OralAdultCognitive Behavioral TherapyCombined Modality TherapyDose-Response Relationship, DrugDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedNaltrexoneNarcotic AntagonistsSex FactorsSmoking CessationTime FactorsNaltrexoneNarcotic Antagonists

Identifiers

PMID22926596
PMCPMC4640209
OpenAlexW2069131876

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.