Evidence map›Paper›PMID 28952897›Full record

Trial reportJournal of psychoactive drugs

Feasibility and Preliminary Effectiveness of Varenicline for Treating Co-Occurring Cannabis and Tobacco Use.

Tangeria R Adams, Julia H Arnsten, Yuming Ning, Shadi Nahvi

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychoactive drugs. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–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.

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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pharmacotherapies for cannabis dependence.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Support Provided by Stop-Smoking Practitioners to Co-users of Tobacco and Cannabis: A Qualitative Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  8. Article
  9. Cannabis use and cannabis use disorder.Nature reviews. Disease primers · 2021
    Review
  10. Article
  11. Cannabis Use Is Associated With Increased Risk of Cigarette Smoking Initiation, Persistence, and Relapse Among Adults in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  12. Article
  13. Article
  14. 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

4 authors.

Tangeria R Adamsa PREP Scholar, Department of Medicine , Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA.
Julia H Arnstenc Chief, Division of General Internal Medicine and Professor, Departments of Medicine, Psychiatry & Behavioral Sciences, and Epidemiology & Population Health , Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA.
Yuming Ningd Assistant Professor, Department of Medicine , Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA.
Shadi Nahvie Associate Professor, Departments of Medicine and Psychiatry & Behavioral Sciences , Albert Einstein College of Medicine/Montefiore Medical Center , Bronx , NY , USA.

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Einstein Postbaccalaureate Research Education ProgramR25GM104547 · NIGMS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI AKABAS, MYLES H. · 2013 to 2023
$4.0M
HIV and Substance Abuse Clinical Addiction Research and Education (CARE) ProgramR25DA023021 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ARNSTEN, JULIA H. · 2007 to 2014
$2.7M
Varenicline Smoking Cessation Treatment for Methadone Maintenance PatientsK23DA025736 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI NAHVI, SHADI · 2010 to 2014
$903k
NCATS NIH HHS UL1 TR001073NIDA NIH HHS K23 DA025736NIDA NIH HHS R25 DA023021NIGMS NIH HHS R25 GM104547
6 · The paper itself

Abstract

Few studies have evaluated treatment for co-occurring cannabis and tobacco use. The objective of this pilot study was to evaluate the feasibility and preliminary effectiveness of varenicline for co-occurring cannabis and tobacco use. Participants who reported cannabis use on ≥5 days per week were recruited from an urban, outpatient opioid treatment program (OTP). Participants were randomized to either four weeks of standard OTP clinical care (SCC; medication-assisted treatment for opioid use disorder and individual behavioral counseling), followed by four weeks of SCC plus varenicline (SCC+VT), or to four weeks of SCC+VT followed by four weeks of SCC. All participants contributed feasibility and outcome data during both study phases. Of 193 persons screened, seven were enrolled. Retention at eight weeks was 100%. No adverse effects prompted varenicline discontinuation. Participants reported lower cannabis craving during the SCC+VT phase compared to baseline, and lower frequencies and quantities of cannabis use compared to both baseline and the SCC alone phase. In the SCC+VT phase, participants also reported fewer cigarettes per day. Among persons with co-occurring cannabis and tobacco use, varenicline is well-tolerated and may reduce cannabis craving, cannabis use, and tobacco use.

Indexed as

AdultBehavior TherapyCravingCross-Over StudiesFeasibility StudiesFemaleHumansMaleMarijuana AbuseMiddle AgedPilot ProjectsSmoking Cessation AgentsTobacco Use DisorderVareniclineSmoking Cessation AgentsVareniclineCannabisconcurrent usefeasibilitytobaccovarenicline

Identifiers

PMID28952897
PMCPMC5871554

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.