Evidence map›Paper›PMID 26916879›Full record

Trial reportAlcoholism, clinical and experimental research2016

The Impact of Smoking Very Low Nicotine Content Cigarettes on Alcohol Use.

Sarah S Dermody, Jennifer W Tidey, Rachel L Denlinger, Lauren R Pacek, Mustafa al'Absi, David J Drobes, Dorothy K Hatsukami, Ryan Vandrey, Eric C Donny

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01681875 (Project 1, Study 1), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.8field-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.

NCT01681875 nacompletednot on this map

Project 1, Study 1: Investigating the Impact of Nicotine Using Spectrum Cigarettes

TypeinterventionalSponsorWake Forest University Health SciencesRan2013 to 2014Enrolled839ConditionsTobacco DependenceArmsvery low nicotine content cigarettes
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Regulatory Approaches and Implementation of Minimally Addictive Combusted Products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Pooled it
  2. Nicotine Reduction in Cigarettes: Literature Review and Gap Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. An Evaluation of Potential Unintended Consequences of a Nicotine Product Standard: A Focus on Drinking History and Outcomes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Trial
  7. Trial
  8. Article
  9. Addiction-Related Outcomes of Nicotine and Alcohol Co-use: New Insights Following the Rise in Vaping.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. An overview of alcohol and tobacco/nicotine interactions in the human laboratory.The American journal of drug and alcohol abuse · 2017
    Review
  18. 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

9 authors at 7 institutions in 1 country.

Sarah S DermodyDepartment of Psychology , University of Pittsburgh, Pittsburgh, Pennsylvania.
Jennifer W TideyCenter for Alcohol and Addiction Studies , Brown University, Providence, Rhode Island.
Rachel L DenlingerCenter for Alcohol and Addiction Studies , Brown University, Providence, Rhode Island.
Lauren R PacekDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Mustafa al'AbsiUniversity of Minnesota Medical School , Duluth, Minnesota.
David J DrobesDepartment of Health Outcomes and Behavior , Moffitt Cancer Center, Tampa, Florida.
Dorothy K HatsukamiMasonic Cancer Center and Department of Psychiatry , University of Minnesota, Minneapolis, Minnesota.
Ryan VandreyDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Eric C DonnyDepartment of Psychology , University of Pittsburgh, Pittsburgh, Pennsylvania.
Brown University · USUniversity of Pittsburgh · USJohns Hopkins Medicine · USJohns Hopkins University · USMoffitt Cancer Center · USUniversity of Minnesota, Duluth · USUniversity of Minnesota Medical Center · US

Funding

VERY LOW NICOTINE CIGARETTES IN SMOKERS WITH SCHIZOPHRENIAU54DA031659 · NIDA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LE, CHAP T. · 2011 to 2022
$64.7M
Stress Response and Opioid Dysfunction in Nicotine DependenceR01DA016351 · NIDA · UNIVERSITY OF MINNESOTA DULUTH · PI AL'ABSI, MUSTAFA · 2003 to 2023
$4.5M
The Impact of Smoking Very Low Nicotine Content Cigarettes on Alcohol UseF31AA022291 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DERMODY, SARAH SIODMOK · 2013 to 2013
$42k
NIAAA NIH HHS F31 AA022291NIAAA NIH HHS F31AA022291NIDA NIH HHS N0T-DA-14004NIDA NIH HHS R01 DA016351NIDA NIH HHS U54 DA031659
6 · The paper itself

Abstract

backgroundReducing the nicotine content in cigarettes could improve public health by reducing smoking and toxicant exposure, but may also have unintended consequences on alcohol use. The primary objective of this study was to examine the effect of reducing the nicotine content in cigarettes on alcohol outcomes. The secondary aim was to examine whether the effects of these cigarettes on alcohol outcomes were mediated by changes in nicotine exposure, smoking behavior, or withdrawal.

methodsBetween June 2013 and July 2014, we conducted a 7-arm, double-blind, randomized clinical trial at 10 U.S.-based sites. Daily smokers not currently interested in quitting (n = 839) were assigned to equally sized groups to smoke for 6 weeks cigarettes containing either normal nicotine content (NNC; 15.8 mg/g, 9 mg tar), moderate nicotine content (5.2 mg/g nicotine, 9 mg tar), or very low nicotine content (VLNC; 0.4 to 2.4 mg/g, 9 to 13 mg tar). This investigation focused on a subsample of current drinkers (n = 403). Each reduced nicotine content cigarette condition was compared to the NNC control condition with respect to trajectories over the 6-week period of average daily alcohol use and occurrence of binge drinking. Moderating variables were considered. Mediation analyses tested potential explanatory processes including changes in nicotine exposure, cigarettes per day, and withdrawal.

resultsOver time, reduced nicotine exposure and smoking rate mediated effects of VLNC cigarette use on reduced alcohol use. There was no evidence of compensatory drinking in response to nicotine reduction or nicotine withdrawal, even among subgroups expected to be at greater risk (e.g., relatively heavier drinkers, highly nicotine-dependent individuals).

conclusionsThe findings suggest that compensatory drinking is unlikely to occur in response to switching to VLNC cigarettes. In contrast, reducing the nicotine content of cigarettes may reduce alcohol use (clinicalTrials.gov number, NCT01681875).

Indexed as

Tobacco ProductsTobacco Use Cessation DevicesAdultAlcohol DrinkingBinge DrinkingDouble-Blind MethodHumansMiddle AgedNicotineSmokingSmoking CessationSubstance Withdrawal SyndromeNicotineAlcohol UseBinge DrinkingNicotineVery Low Nicotine Content Cigarettes

Identifiers

PMID26916879
PMCPMC5347256
OpenAlexW2176034188

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.