Evidence map›Paper›PMID 25895948›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2016

Initial Evaluation of Fenofibrate for Efficacy in Aiding Smoking Abstinence.

Kenneth A Perkins, Joshua L Karelitz, Valerie C Michael, Margaret Fromuth, Cynthia A Conklin, K N Roy Chengappa, Chris Hope, Caryn Lerman

Open access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.7field-weighted citation impact, top 16% 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, 18 citations in OpenAlex.

  1. Trial
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  6. The 2022 Ferno Award Address: CrEATE, an Efficient Crossover Evaluation of Addiction Treatment Efficacy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Initial Cross-Over Test of A Positive Allosteric Modulator of Alpha-7 Nicotinic Receptors to Aid Cessation in Smokers With Or Without Schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Article
  13. Article
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  15. Review
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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 1 institution in 1 country.

Kenneth A PerkinsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh PA; perkinska@upmc.edu.
Joshua L KarelitzDepartment of Psychiatry, University of Pittsburgh, Pittsburgh PA;
Valerie C MichaelDepartment of Psychiatry, University of Pittsburgh, Pittsburgh PA;
Margaret FromuthDepartment of Psychiatry, University of Pittsburgh, Pittsburgh PA;
Cynthia A ConklinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh PA;
K N Roy ChengappaDepartment of Psychiatry, University of Pittsburgh, Pittsburgh PA;
Chris HopeDepartment of Psychiatry, University of Pittsburgh, Pittsburgh PA;
Caryn LermanDepartment of Psychiatry and Abramson Cancer Center, University of Pennsylvania, Philadelphia PA.
University of Pittsburgh · US

Funding

Neuroimaging Abstinence and Medication ResponseP50CA143187 · NCI · UNIVERSITY OF PENNSYLVANIA · PI AUDRAIN-MCGOVERN, JANET E · 2009 to 2013
$8.6M
NCI NIH HHS P50 CA143187
6 · The paper itself

Abstract

introductionPrimate and rodent models show that peroxisome proliferator-activated receptor-alpha (PPAR-α) ligands, including fibrate medications, reduce nicotine reinforcement, reward, and related effects. We tested fenofibrate, the most common U.S. Food and Drug Administration-approved fibrate for lipid control versus placebo for initial evidence of efficacy in smoking cessation using a validated cross-over procedure for early Phase 2 evaluations.

methodsAdult dependent smokers (N = 38) in this 4-week within-subjects study were those already intending to try to quit in the next 2 months. All smoked ad libitum during weeks 1 (baseline) and 3 (washout) and began fenofibrate (160 mg/d; dosing approved for lipid control) or placebo near the end of weeks 1 and 3. Following each 4-day dose run-up, they were then instructed to try to quit for 4 days (Tuesday-Friday) during weeks 2 and 4, with the order of medication conditions counter-balanced and administered double-blind. Abstinence was verified daily in each 4-day quit period by self-report of no smoking in the prior 24 hours and carbon monoxide < 5 ppm. Secondary measures of acute smoking reinforcement and cue reactivity prior to quitting, and smoking reduction when trying to quit, were also assessed.

resultsNo differences between fenofibrate versus placebo were found on days quit (means ± SEM of 1.8±0.3 vs. 1.9±0.3, respectively). Similarly, there were no differences in any of the secondary measures (all P > .20).

conclusionsAlthough higher dosing or other proliferator-activated receptor-alpha agonists may show efficacy, this study indicates that fenofibrate does not aid ability to stop smoking during a brief practice quit period in dependent smokers high in current quit interest.

Indexed as

Smoking PreventionAdultCarbon MonoxideCross-Over StudiesDouble-Blind MethodFemaleFenofibrateHumansMalePPAR alphaSelf ReportSmoking CessationTobacco Use DisorderUnited StatesYoung AdultCarbon MonoxideFenofibratePPAR alpha

Identifiers

PMID25895948
PMCPMC4881827
OpenAlexW2132948923

What OpenQuestion holds

Textmetadata
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.