Evidence map›Paper›PMID 29324248›Full record

Trial reportDrug and alcohol dependence2018

Varenicline for tobacco-dependence treatment in alcohol-dependent smokers: A randomized controlled trial.

Ryan T Hurt, Jon O Ebbert, Ivana T Croghan, Darrell R Schroeder, Richard D Hurt, J Taylor Hays

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01347112 (Varenicline Treatment for Active Alcoholic Smokers), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT01347112 phase2 / phase3completednot on this map

Varenicline Treatment for Active Alcoholic Smokers

TypeinterventionalSponsorMayo ClinicRan2011 to 2014Enrolled33ConditionsSmoking, Tobacco Dependence, Alcohol DependenceArmsVarenicline, placebo
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. 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
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Alcohol-Related Liver Disease: Basic Mechanisms and Clinical Perspectives.International journal of molecular sciences · 2021
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Ryan T HurtDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, United States.
Jon O EbbertDivision of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States; Nicotine Dependence Center, Mayo Clinic, Rochester, MN, United States.
Ivana T CroghanDivision of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States; Nicotine Dependence Center, Mayo Clinic, Rochester, MN, United States.
Darrell R SchroederDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Richard D HurtDivision of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States; Nicotine Dependence Center, Mayo Clinic, Rochester, MN, United States.
J Taylor HaysDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, United States; Nicotine Dependence Center, Mayo Clinic, Rochester, MN, United States. Electronic address: hays.taylor@mayo.edu.
Mayo Clinic in Florida · USMayo Clinic · USMayo Clinic in Arizona · US

Funding

Varenicline and lorcaserin for smoking cessation and weight gain preventionK23DA037299 · NIDA · MAYO CLINIC ROCHESTER · PI HURT, RYAN THOMAS · 2015 to 2019
$946k
Varenicline Treatment for Active Alcholic SmokersR21DA030645 · NIDA · MAYO CLINIC ROCHESTER · PI HURT, RICHARD D · 2011 to 2012
$434k
NIDA NIH HHS K23 DA037299NIDA NIH HHS R21 DA030645
6 · The paper itself

Abstract

backgroundTobacco use is prevalent among persons with alcohol abuse and dependence. Varenicline has been shown to be the most effective pharmacotherapy for smoking cessation and may decrease alcohol consumption. The purpose of this study was to evaluate the efficacy of 12 weeks of varenicline for increasing smoking abstinence rates in smokers with alcohol abuse or dependence.

methodsParticipants were eligible for enrollment if they were 18 years or older, smoked 10 or more cigarettes per day for at least 6 months, had current alcohol abuse or dependence, and were interested in quitting smoking. Participants were randomly assigned to receive 12 weeks of varenicline 1 mg twice daily or matching placebo. The primary end point was 7-day point prevalence smoking abstinence at week 12.

resultsThe 7-day point prevalence smoking abstinence rate at 12 weeks was significantly higher with varenicline (n = 16) than placebo (n = 17) (43.8% vs 5.9%; P = .01). At 24 weeks, the 7-day point prevalence smoking abstinence rate was still significantly higher with varenicline than placebo (31.3% vs 0%; P = .02). At 12 weeks, mean (SD) drinks per drinking day was significantly lower with varenicline than placebo (5.7 [3.9] vs 9.0 [5.3] drinks; treatment effect estimate, -2.8 [90% CI, -6.6 to -1.0]). Adverse events were minor and comparable to varenicline clinical trials.

conclusionsVarenicline is safe and efficacious for increasing smoking abstinence rates in smokers with alcohol abuse or dependence. Varenicline may decrease alcohol consumption in this population of smokers.

Indexed as

SmokersAdultAgedAlcohol DrinkingAlcoholismFemaleHumansMaleMiddle AgedNicotinic AgonistsPilot ProjectsSmokingSmoking CessationTobacco Use DisorderVareniclineYoung AdultNicotinic AgonistsVareniclineAlcohol use disorderNicotinePharmacotherapySmoking cessation

Identifiers

PMID29324248
PMCPMC5818285
OpenAlexW2782450480

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.