Evidence map›Paper›PMID 28235705›Full record

Trial reportAddictive behaviors2017

Timing of nicotine lozenge administration to minimize trigger induced craving and withdrawal symptoms.

Michael Kotlyar, Bruce R Lindgren, John P Vuchetich, Chap Le, Anne M Mills, Elizabeth Amiot, Dorothy K Hatsukami

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01522963 (Medicinal Nicotine for Preventing Stress Induced Craving and Withdrawal Symptoms), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

NCT01522963 nacompletednot on this map

Medicinal Nicotine for Preventing Stress Induced Craving and Withdrawal Symptoms

TypeinterventionalSponsorUniversity of MinnesotaRan2011 to 2014Enrolled98ConditionsTobacco Use DisorderArmsNicotine lozenge
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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  10. Sex differences in physiological response to the combination of stress and smoking.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2017
    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

7 authors.

Michael KotlyarDepartment of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, 7-153 Weaver Densford Hall, 308 Harvard St SE, Minneapolis, MN 55455, United States; Department of Psychiatry, University of Minnesota, 2450 Riverside Ave, Minneapolis, MN 55454, United States. Electronic address: kotly001@umn.edu.
Bruce R LindgrenMasonic Cancer Center, University of Minnesota, Mayo Mail Code 806 420 Delaware Street SE, Minneapolis, MN 55455, United States.
John P VuchetichDepartment of Psychiatry, University of Minnesota, 2450 Riverside Ave, Minneapolis, MN 55454, United States.
Chap LeMasonic Cancer Center, University of Minnesota, Mayo Mail Code 806 420 Delaware Street SE, Minneapolis, MN 55455, United States.
Anne M MillsDepartment of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, 7-153 Weaver Densford Hall, 308 Harvard St SE, Minneapolis, MN 55455, United States.
Elizabeth AmiotDepartment of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, 7-153 Weaver Densford Hall, 308 Harvard St SE, Minneapolis, MN 55455, United States.
Dorothy K HatsukamiDepartment of Psychiatry, University of Minnesota, 2450 Riverside Ave, Minneapolis, MN 55454, United States; Tobacco Research Programs, University of Minnesota, 717 Delaware Street SE, Minnneapolis, MN 55414, United States.

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Timothy C. Hallstrom · 1998 to 2026
$100.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Medicinal nicotine for preventing stress induced craving and withdrawal symptomsR21DA029689 · NIDA · UNIVERSITY OF MINNESOTA · PI KOTLYAR, MICHAEL · 2011 to 2012
$407k
NCATS NIH HHS UL1 TR000114NCI NIH HHS P30 CA077598NIDA NIH HHS R21 DA029689
6 · The paper itself

Abstract

introductionSmokers are often advised to use nicotine lozenge when craving or withdrawal symptoms occur. This may be too late to prevent lapses. This study assessed if nicotine lozenge use prior to a common smoking trigger can minimize trigger induced increases in craving and withdrawal symptoms.

methodsEighty-four smokers completed two laboratory sessions in random order. At one session, nicotine lozenge was given immediately after a stressor (to approximate current recommended use - i.e., after craving and withdrawal symptoms occur); at the other session subjects were randomized to receive nicotine lozenge at time points ranging from immediately to 30min prior to the stressor. Withdrawal symptoms and urge to smoke were measured using the Minnesota Nicotine Withdrawal Scale and the Questionnaire of Smoking Urges (QSU).

resultsRelative to receiving lozenge after the stressor, a smaller increase in pre-stressor to post-stressor withdrawal symptom scores occurred when lozenge was used immediately (p=0.03) and 10min prior (p=0.044) to the stressor. Results were similar for factors 1 and 2 of the QSU when lozenge was used immediately prior to the stressor (p<0.03) and for factor 1 of the QSU when lozenge was used 10min prior to the stressor (p=0.028). Absolute levels of post-stressor withdrawal symptom and urge to smoke severity were lower when lozenge was given prior to versus after a stressor.

conclusionsAdministering the nicotine lozenge prior to a smoking trigger can decrease trigger induced craving and withdrawal symptoms. Future studies are needed to determine if such use would increase cessation rates. Clinicaltrials.gov # NCT01522963.

Indexed as

CravingCross-Over StudiesDrug Administration ScheduleFemaleHumansMaleMiddle AgedNicotineNicotinic AgonistsSmoking CessationSubstance Withdrawal SyndromeSurveys and QuestionnairesTabletsTobacco Use Cessation DevicesTobacco Use DisorderTreatment OutcomeNicotineNicotinic AgonistsTabletsCravingNicotine LozengeSmokingWithdrawal symptoms

Identifiers

PMID28235705
PMCPMC5449230

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.