Evidence map›Paper›PMID 23941313›Full record

Trial reportAddiction (Abingdon, England)2013

Influence of a dopamine pathway additive genetic efficacy score on smoking cessation: results from two randomized clinical trials of bupropion.

Sean P David, David R Strong, Adam M Leventhal, Molly A Lancaster, John E McGeary, Marcus R Munafò, Andrew W Bergen, Gary E Swan, Neal L Benowitz, Rachel F Tyndale and 4 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
2.3field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Single Nucleotide Polymorphisms WithinCurrent addiction reports · 2024
    Article
  10. Review
  11. Antidepressants for smoking cessation.The Cochrane database of systematic reviews · 2023
    Review
  12. Article
  13. Article
  14. Multiethnic Prediction of Nicotine Biomarkers and Association With Nicotine Dependence.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  15. Translational Research in Nicotine Addiction.Cold Spring Harbor perspectives in medicine · 2021
    Review
  16. The VNTR 48 bp Polymorphism in theDiagnostics (Basel, Switzerland) · 2019
    Article
  17. Article
  18. Review
  19. Leveraging Genomic Data in Smoking Cessation Trials in the Era of Precision Medicine: Why and How.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Review
  20. Pharmacogenetic Optimization of Smoking Cessation Treatment.Trends in pharmacological sciences · 2017
    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

14 authors at 10 institutions in 3 countries.

Sean P DavidStanford University School of Medicine, Center for Education and Research in Family and Community Medicine, Division of General Medical Disciplines, Department of Medicine, Stanford, CA, USA; SRI International, Center for Health Sciences, Menlo Park, CA, USA; Alpert Medical School of Brown University, Department of Family Medicine, Pawtucket, RI, USA.
David R Strong
Adam M Leventhal
Molly A Lancaster
John E McGeary
Marcus R Munafò
Andrew W Bergen
Gary E Swan
Neal L Benowitz
Rachel F Tyndale
David V Conti
Richard A Brown
Caryn Lerman
Raymond Niaura
University of Southern California · USBrown University · USSRI International · USJohns Hopkins University · USProvidence VA Medical Center · USUniversity of Bristol · GBUniversity of California, San Diego · USUniversity of California, San Francisco · USUniversity of Pennsylvania · USUniversity of Toronto · CA

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
PharmGKB: pharmacogenomics knowledge for precision medicineR24GM061374 · NIGMS · STANFORD UNIVERSITY · PI ALTMAN, RUSS BIAGIO, KLEIN, TERI ELLEN · 2010 to 2018
$25.2M
THE STANFORD PHARMACOGENETICS KNOWLEDGE BASEU01GM061374 · NIGMS · STANFORD UNIVERSITY · PI ALTMAN, RUSS BIAGIO · 2000 to 2009
$24.0M
University of Toronto Coordinating Genetics Core & Clinical Trial SiteU01DA020830 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI HATSUKAMI, DOROTHY K · 2005 to 2014
$22.4M
TRANSDISCIPLINARY TOBACCO USE RESEARCH CENTERSP50CA084718 · NCI · UNIVERSITY OF PENNSYLVANIA · PI PERKINS, KENNETH ALAN · 1999 to 2008
$17.8M
Statistical Sciences CoreP50CA084719 · NCI · MIRIAM HOSPITAL · PI PAPANDONATOS, GEORGE DENNIS · 1999 to 2008
$17.8M
Extended Treatment for Smoking CessationR01DA017441 · NIDA · STANFORD UNIVERSITY · PI DAVID, SEAN P. · 2003 to 2013
$5.2M
Psychobiological /Genetic Determinants-Smoking CessationK08DA014276 · NIDA · MEMORIAL HOSPITAL OF RHODE ISLAND · PI DAVID, SEAN P. · 2002 to 2006
$786k
Affective and Genetic Correlates of Amphetamine ResponseK08DA025041 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LEVENTHAL, ADAM MATTHEW · 2009 to 2013
$773k
DMET Genes, Nicotine Metabolism and Prospective AbstinenceR21DA033813 · NIDA · SRI INTERNATIONAL · PI BERGEN, ANDREW W · 2012 to 2013
$528k
Southern California Clinical and Translational Science InstituteTL1TR000132 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2014
$491k
Exploratory/Developmental Study of Pharmacogenetic Smoking Cessation TherapyR21DA027331 · NIDA · STANFORD UNIVERSITY · PI DAVID, SEAN P. · 2009 to 2010
$423k
British Heart FoundationCancer Research UKNCATS NIH HHS TL1 TR000132NCI NIH HHS CA-063532NCI NIH HHS CA-084718NCI NIH HHS CA-084719NCI NIH HHS P30 CA016520NCI NIH HHS P50 CA084718NCI NIH HHS P50 CA084719NHLBI NIH HHS HL-032318NIDA NIH HHS DA-014276NIDA NIH HHS DA-017441NIDA NIH HHS DA-020830NIDA NIH HHS DA-025041NIDA NIH HHS DA-027331NIDA NIH HHS K08 DA014276NIDA NIH HHS K08 DA025041NIDA NIH HHS R01 DA017441NIDA NIH HHS R21 DA027331NIDA NIH HHS R21 DA033813NIDA NIH HHS U01 DA020830NIGMS NIH HHS GM-061374NIGMS NIH HHS R24 GM061374NIGMS NIH HHS U01 GM061374
6 · The paper itself

Abstract

aimsTo evaluate the associations of treatment and an additive genetic efficacy score (AGES) based on dopamine functional polymorphisms with time to first smoking lapse and point prevalence abstinence at end of treatment among participants enrolled into two randomized clinical trials of smoking cessation therapies.

designDouble-blind pharmacogenetic efficacy trials randomizing participants to active or placebo bupropion. Study 1 also randomized participants to cognitive-behavioral smoking cessation treatment (CBT) or this treatment with CBT for depression. Study 2 provided standardized behavioural support.

settingTwo hospital-affiliated clinics (study 1), and two university-affiliated clinics (study 2).

participantsA total of 792 self-identified white treatment-seeking smokers aged ≥18 years smoking ≥10 cigarettes per day over the last year. MEASUREMENTS: Age, gender, Fagerström Test for Nicotine Dependence, dopamine pathway genotypes (rs1800497 [ANKK1 E713K], rs4680 [COMT V158M], DRD4 exon 3 variable number of tandem repeats polymorphism [DRD4 VNTR], SLC6A3,3' VNTR) analyzed both separately and as part of an AGES, time to first lapse and point prevalence abstinence at end of treatment.

findingsSignificant associations of the AGES (hazard ratio [HR] = 1.10, 95% confidence interval [CI] = 1.06-1.14, P = 0.009) and of the DRD4 VNTR (HR = 1.29, 95% CI = 1.17-1.41, P = 0.0073) were observed with time to first lapse. A significant AGES by pharmacotherapy interaction was observed (β standard error = -0.18 [0.07], P = 0.016), such that AGES predicted risk for time to first lapse only for individuals randomized to placebo.

conclusionsA score based on functional polymorphisms relating to dopamine pathways appears to predict lapse to smoking following a quit attempt, and the association is mitigated in smokers using bupropion.

Indexed as

Smoking PreventionBupropionCatechol O-MethyltransferaseCognitive Behavioral TherapyCombined Modality TherapyDopamineDopamine Plasma Membrane Transport ProteinsDopamine Uptake InhibitorsDouble-Blind MethodFemaleGenotypeHumansMaleMiddle AgedPolymorphism, GeneticProtein Serine-Threonine KinasesANKK1 protein, humanBupropionCatechol O-MethyltransferaseCOMT protein, humanDopamineDopamine Plasma Membrane Transport ProteinsDopamine Uptake InhibitorsDRD4 protein, humanProtein Serine-Threonine KinasesReceptors, Dopamine D4SLC6A3 protein, humanBupropionfirst lapsegeneticpharmacogenetic analysisrandomized clinical trial

Identifiers

PMID23941313
PMCPMC3834197
OpenAlexW1607776125

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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.