Evidence map›Paper›PMID 28600734›Full record

Trial reportPsychopharmacology2017

Effects of varenicline on alcohol cue reactivity in heavy drinkers.

Walter Roberts, Emily L R Harrison, Sherry A McKee

Open access · greenAbstract readRandomized 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. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of Varenicline in the Treatment of Alcohol Dependence: An Updated Meta-Analysis and Meta-Regression.International journal of environmental research and public health · 2023
    Pooled it
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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

3 authors at 1 institution in 1 country.

Walter RobertsYale School of Medicine, Department of Psychiatry, Yale University School of Medicine, Church St. South, Suite 109, New Haven, CT, 06519, USA. walter.roberts@yale.edu.
Emily L R HarrisonYale School of Medicine, Department of Psychiatry, Yale University School of Medicine, Church St. South, Suite 109, New Haven, CT, 06519, USA.
Sherry A McKeeYale School of Medicine, Department of Psychiatry, Yale University School of Medicine, Church St. South, Suite 109, New Haven, CT, 06519, USA.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Research Training Fellowship in Substance use and Addiction (RTFSA)T32DA007238 · NIDA · YALE UNIVERSITY · PI BRIAN D. KILUK, ISMENE L. PETRAKIS · 1988 to 2026
$5.7M
Translational Neuroscience Research in Alcoholism (TNRA-TP)T32AA015496 · NIAAA · YALE UNIVERSITY · PI PETRAKIS, ISMENE L. · 2005 to 2014
$1.6M
Does Guanfacine, an alpha2 adrenergic agonist, attenuate stress-induced drinking?R01AA022285 · NIAAA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2014 to 2017
$1.5M
Smoking cessation treatments and alcohol drinkingR01AA015596 · NIAAA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2006 to 2009
$1.2M
Dose ranging study of varenicline on human alcohol self-administration behaviorR01AA017976 · NIAAA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2009 to 2011
$1.0M
National Center for Advancing Translational Sciences UL1TR001863National Institute on Alcohol Abuse and Alcoholism T32AA015496National Institute on Drug Abuse T32DA007238NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R01 AA015596NIAAA NIH HHS R01 AA017976NIAAA NIH HHS R01 AA022285NIAAA NIH HHS T32 AA015496NIDA NIH HHS T32 DA007238
6 · The paper itself

Abstract

rationaleClinical trials and human laboratory studies have established that varenicline can reduce rates of alcohol use among heavy drinkers. Less is known about the mechanisms by which varenicline has this effect on drinking behavior. Reactivity to alcohol cues is often cited as the primary cause of relapse among those being treated for alcohol use disorder, and several front-line treatments for alcohol use disorder work, at least in part, by minimizing cue-induced alcohol craving.

objectiveThe current double-blind, placebo-controlled human laboratory study tested the effects of varenicline on alcohol cue reactivity in a group of heavy-drinking adult smokers and nonsmokers.

methodsAs part of a larger series of sequential human laboratory experiments testing the effects of varenicline on drinking outcomes, participants were assigned (between-participant) to receive either active varenicline (2 mg/day) or placebo. Following a titration period, participants (n = 77) attended a laboratory session during which they were exposed to alcohol and neutral cues using a standard cue reactivity paradigm.

resultsAlcohol cue exposure increased craving for alcohol in both medication groups. However, participants receiving varenicline showed a smaller increase in alcohol craving compared to participants receiving placebo. The medication effect did not differ between smokers and nonsmokers. Among smokers, alcohol cue exposure also increased tobacco craving. Varenicline did not attenuate this effect.

conclusionsResults support the use of varenicline for reducing alcohol use in heavy drinkers and identify a potential mechanism by which varenicline reduces drinking. Varenicline continues to show promise as a pharmacological treatment for alcohol use disorder.

Indexed as

CuesAdultAlcohol DrinkingAlcoholic IntoxicationConditioning, PsychologicalCravingDouble-Blind MethodEthanolFemaleHumansMaleNicotinic AgonistsSmokingVareniclineEthanolNicotinic AgonistsVareniclineAlcoholAlcohol cravingCue reactivityHuman laboratorySmokersVarenicline

Identifiers

PMID28600734
PMCPMC5709183
OpenAlexW2727562070

What OpenQuestion holds

Textmetadata
LicenceTDM
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.