Evidence map›Paper›PMID 28922968›Full record

Trial reportJournal of psychopharmacology (Oxford, England)2017

The effect of N-acetylcysteine on brain glutamate and gamma-aminobutyric acid concentrations and on smoking cessation: A randomized, double-blind, placebo-controlled trial.

Mhj Schulte, A E Goudriaan, A M Kaag, D P Kooi, W van den Brink, R W Wiers, L Schmaal

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychopharmacology (Oxford, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05903014 (Effectiveness of N-Acetylcysteine in Motivational Enhancement Therapy for Nicotine Addiction), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 32% 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.

NCT05903014 phase4completednot on this mapstarted 2023, after this paper: background citation

Effectiveness of N-Acetylcysteine in Motivational Enhancement Therapy for Nicotine Addiction: Study on the Dopaminergic Pathways, Changes in Functional Connectivity of fMRI Bold, and Changes in Smoking Abstinence

TypeinterventionalSponsorIndonesia UniversityRan2023 to 2023Enrolled90ConditionsNicotine Dependence, Nicotine AddictionArmsn-acetylcysteine, Motivational Enhancement Therapy
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. N-acetylcysteine as a treatment for substance use cravings: A meta-analysis.medRxiv : the preprint server for health sciences · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Effectiveness of N-acetylcysteine in Treating Clinical Symptoms of Substance Abuse and Dependence: A Meta-analysis of Randomized Controlled Trials.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  14. The potential ofPsychopharmacology · 2021
    Review
  15. Article
  16. Review
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 at 4 institutions in 2 countries.

Mhj Schulte1 Addiction, Development, and Psychopathology (ADAPT) Laboratory, University of Amsterdam, Amsterdam, the Netherlands.
A E Goudriaan2 Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, the Netherlands.
A M Kaag1 Addiction, Development, and Psychopathology (ADAPT) Laboratory, University of Amsterdam, Amsterdam, the Netherlands.
D P Kooi2 Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, the Netherlands.
W van den Brink2 Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, the Netherlands.
R W Wiers1 Addiction, Development, and Psychopathology (ADAPT) Laboratory, University of Amsterdam, Amsterdam, the Netherlands.
L Schmaal4 Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Amsterdam Institute for Addiction Research · NLUniversity of Amsterdam · NLReinier van Arkel · NLUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Using data form a 14-day double-blind trial with 48 smokers randomized to either N-acetylcysteine (2400 mg) or placebo, we tested the effect of N-acetylcysteine on glutamate and gamma-aminobutyric acid concentrations in the dorsal anterior cingulate cortex and on smoking cessation. Smoking related behaviors and neurotransmitter concentrations in the dorsal anterior cingulate cortex were assessed before and after treatment. Forty-seven non-smoking males served as baseline controls. Smokers showed higher baseline glutamate but similar gamma-aminobutyric acid concentrations than non-smokers. There were no treatment effects on dorsal anterior cingulate cortex neurotransmitter concentrations, smoking cessation, craving, or withdrawal symptoms. These results confirm glutamate disbalance in smokers, but not efficacy of N-acetylcysteine.

Indexed as

AcetylcysteineAdultCravingDouble-Blind Methodgamma-Aminobutyric AcidGlutamic AcidGyrus CinguliHumansMaleSmoking CessationSubstance Withdrawal SyndromeTobacco Use DisorderAcetylcysteinegamma-Aminobutyric AcidGlutamic Acidgamma-aminobutyric acidglutamateN-acetylcysteineProton magnetic resonance spectroscopysmoking cessationtobacco dependence

Identifiers

PMID28922968
PMCPMC5639948
OpenAlexW2756028355

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.