Evidence map›Paper›PMID 24862167›Full record

Trial reportAddiction (Abingdon, England)2014

Varenicline efficacy and safety among methadone maintained smokers: a randomized placebo-controlled trial.

Shadi Nahvi, Yuming Ning, Kate S Segal, Kimber P Richter, Julia H Arnsten

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IVMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05039554 (Randomized Trial of Acceptance and Commitment Therapy), which is not on this map. Cited by 32 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 7 pooled it
3.1field-weighted citation impact, top 8% 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.

NCT05039554 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Randomized Trial of Acceptance and Commitment Therapy (ACT) and a Care Management App in Primary Care-based Buprenorphine Treatment

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2023 to 2027Enrolled125ConditionsOpioid-use Disorder, Chronic PainArmsAcceptance and commitment therapy, Valera Smartphone Application, Treatment as Usual
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 7 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2016
    Pooled it
  7. Pooled it
  8. Trial
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  14. Cigarette Smoking Cessation Intervention for Buprenorphine Treatment Patients.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Trial
  15. Trial
  16. Trial
  17. Barriers to Telephone Quitline Use Among Methadone-Maintained Smokers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2015
    Trial
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  20. 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

5 authors at 2 institutions in 1 country.

Shadi NahviDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA; Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY, USA.
Yuming Ning
Kate S Segal
Kimber P Richter
Julia H Arnsten
Albert Einstein College of Medicine · USUniversity of Kansas · US

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025750 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$20.5M
HIV and Substance Abuse Clinical Addiction Research and Education (CARE) ProgramR25DA023021 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ARNSTEN, JULIA H. · 2007 to 2014
$2.7M
Varenicline Smoking Cessation Treatment for Methadone Maintenance PatientsK23DA025736 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI NAHVI, SHADI · 2010 to 2014
$903k
NCATS NIH HHS UL1 TR001073NCRR NIH HHS UL1 RR025750NCRR NIH HHS UL1RR025750NIDA NIH HHS K23 DA025736NIDA NIH HHS R25 DA023021
6 · The paper itself

Abstract

aimsTo test the efficacy and safety of varenicline as an aid to smoking cessation in methadone-maintained smokers.

designMulticenter, randomized, double-blind, placebo-controlled trial with random assignment to 12 weeks of varenicline 1 mg twice daily (n = 57) or matched placebo (n = 55), with in-person and telephone counseling.

settingUrban methadone programs in the Bronx, New York City, New York, USA.

participantsMethadone maintenance patients, smoking ≥5 cigarettes/day, interested in quitting, stable in methadone treatment, without current Axis I psychiatric disorders, suicidal ideation or recent suicide attempts. MEASUREMENTS: Seven-day point prevalence abstinence verified by expired carbon monoxide (CO) < 8 parts per million at week 12 (primary outcome); carbon monoxide (CO)-verified abstinence, cigarettes/day, incident Axis I psychiatric illness, suicidal ideation or serious adverse events (SAEs) at weeks 2, 4, 8, 12 or 24 (secondary outcomes).

findingsBaseline demographic, smoking and clinical factors were similar between groups. Retention at 24 weeks was 90%. Subjects receiving varenicline were more likely than those receiving placebo to achieve abstinence (10.5 versus 0%, P = 0.03; effect size 10.5%, 95% confidence interval (CI) = 4.4-19.3%) and to reduce smoking (median five versus two cigarettes/day, P < 0.001) at 12 weeks. These effects were not maintained after drug treatment ceased. Incident psychiatric illness (OR= 0.84, 95% CI = 0.16, 4.4) and suicidality [odds ratio (OR) = 0.88, 95% CI 0.2, 3.9] were not different between groups. There were no psychiatric or cardiac SAEs.

conclusionsVarenicline can aid short-term smoking abstinence in methadone-maintained smokers.

Indexed as

BenzazepinesDouble-Blind MethodFemaleHumansMaleMethadoneMiddle AgedNew York CityNicotinic AgonistsOpiate Substitution TreatmentQuinoxalinesSmokingSmoking CessationTreatment OutcomeVareniclineBenzazepinesMethadoneNicotinic AgonistsQuinoxalinesVareniclinemethadone maintenanceOpioid dependencesmoking cessationvarenicline

Identifiers

PMID24862167
PMCPMC4300953
OpenAlexW2100204115

What OpenQuestion holds

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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.