Evidence map›Paper›PMID 28500373›Full record

Trial reportPsychopharmacology2017

Effects of varenicline versus transdermal nicotine replacement therapy on cigarette demand on quit day in individuals with substance use disorders.

Cara M Murphy, James MacKillop, Rosemarie A Martin, Jennifer W Tidey, Suzanne M Colby, Damaris J Rohsenow

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00756275 (Varenicline and Motivational Advice for Smokers With SUD), which is not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
12.6field-weighted citation impact, top 1% 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.

NCT00756275 nacompletednot on this map

Varenicline and Motivational Advice for Smokers With SUD

TypeinterventionalSponsorBrown UniversityRan2009 to 2014Enrolled158ConditionsSmoking Cessation, Nicotine DependenceArmsNicotine Replacement Treatment (NRT), varenicline, Behavioral counseling for smoking cessation
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Cara M MurphyCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Box S121, Providence, RI, 02912, USA.
James MacKillopCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Box S121, Providence, RI, 02912, USA.
Rosemarie A MartinCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Box S121, Providence, RI, 02912, USA.
Jennifer W TideyCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Box S121, Providence, RI, 02912, USA.
Suzanne M ColbyCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Box S121, Providence, RI, 02912, USA.
Damaris J RohsenowCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Box S121, Providence, RI, 02912, USA. Damaris_Rohsenow@Brown.edu.
Brown University · USProvidence VA Medical Center · US

Funding

Substance Abuse Intervention/Outcome Research TrainingT32DA016184 · NIDA · BROWN UNIVERSITY · PI Damaris J. Rohsenow, JENNIFER W. TIDEY · 2003 to 2026
$6.1M
Varenicline and Motivational Advice for Smokers with SUDR01DA024652 · NIDA · BROWN UNIVERSITY · PI ROHSENOW, DAMARIS J. · 2008 to 2012
$3.4M
NIDA NIH HHS L30 DA042415NIDA NIH HHS R01 DA024652NIDA NIH HHS T32 DA016184
6 · The paper itself

Abstract

rationaleCigarette demand is a behavioral economic measure of the relative value of cigarettes. Decreasing the value of cigarette reinforcement may help with quitting smoking.

objectivesThis study aimed to evaluate the effects of initial use of varenicline (VAR) versus nicotine replacement therapy (NRT) on demand for cigarettes on quit day among smokers with substance use disorders (SUD) and to determine whether reduced demand was associated with subsequent abstinence from smoking at 1 and 3 months.

methodsParticipants (N = 110) were randomized to double-blind, double-placebo conditions: VAR with placebo NRT or NRT with placebo capsules. The cigarette purchase task (CPT) was used to assess demand for cigarettes at baseline and on quit day, following a 1-week medication dose run-up/placebo capsule lead-in and first day use of the patch.

resultsDemand for cigarettes decreased from baseline to quit day without significant differences between medications. Reductions in CPT intensity (number of cigarettes that would be smoked if they were free) and CPT breakpoint (lowest price at which no cigarettes would be purchased) predicted greater likelihood of abstaining on quit day. Reduced intensity predicted length of abstinence at 1 and 3 months while reduced breakpoint predicted only 1 month length of abstinence.

conclusionsInitial therapeutic doses of VAR and NRT resulted in similar reductions in cigarette reinforcement. Larger initial reductions in demand on quit day were associated with early success with abstaining from cigarettes. Behavioral economic approaches may be useful for identifying individuals who benefit less from pharmacotherapy and may need additional treatment resources.

trial registrationhttps://clinicaltrials.gov/ct2/show/NCT00756275.

Indexed as

CravingAdministration, CutaneousAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedNicotineReinforcement, PsychologySmokingSmoking CessationSmoking PreventionSubstance-Related DisordersTreatment OutcomeVareniclineNicotineVareniclineAbstinenceBehavioral economicsCigarette purchase taskNicotine dependenceNicotine replacement therapySmokingSubstance use disordersVarenicline

Identifiers

PMID28500373
PMCPMC5549617
OpenAlexW2612048534

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.