Evidence map›Paper›PMID 29370538›Full record

Trial reportThe American journal of drug and alcohol abuse2018

Exploring longitudinal course and treatment-baseline severity interactions in secondary outcomes of smoking cessation treatment in individuals with attention-deficit hyperactivity disorder.

Sean X Luo, Melanie Wall, Lirio Covey, Mei-Chen Hu, Jennifer M Scodes, Frances R Levin, Edward V Nunes, Theresa Winhusen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of drug and alcohol abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00253747 (A Pilot Study of Osmotic-Release Methylphenidate in Initiating and Maintaining Abstinence in Smokers With ADHD), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 43% 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.

NCT00253747 phase3completednot on this map

A Pilot Study of Osmotic-Release Methylphenidate in Initiating and Maintaining Abstinence in Smokers With ADHD

TypeinterventionalSponsorUniversity of CincinnatiRan2005 to 2008Enrolled255ConditionsADHD, SmokingArmsOsmotic-Release Methylphenidate, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

8 authors at 2 institutions in 1 country.

Sean X Luoa Department of Psychiatry , Columbia University , New York , NY, USA.ORCID 0000-0002-5568-9410
Melanie Walla Department of Psychiatry , Columbia University , New York , NY, USA.
Lirio Coveya Department of Psychiatry , Columbia University , New York , NY, USA.
Mei-Chen Hua Department of Psychiatry , Columbia University , New York , NY, USA.
Jennifer M Scodesa Department of Psychiatry , Columbia University , New York , NY, USA.
Frances R Levina Department of Psychiatry , Columbia University , New York , NY, USA.
Edward V Nunesa Department of Psychiatry , Columbia University , New York , NY, USA.
Theresa Winhusenb Department of Psychiatry , University of Cincinnati , Cincinnati , OH, USA.
Columbia University · USUniversity of Cincinnati · US

Funding

Clinical Trials Network, Ohio Valley Node U10DA013732U10DA013732 · NIDA · UNIVERSITY OF CINCINNATI · PI WINHUSEN, T JOHN · 2000 to 2015
$45.0M
The Ohio Valley Node of the Clinical Trials Network (CTN-0153)UG1DA013732 · NIDA · UNIVERSITY OF CINCINNATI · PI T John WINHUSEN · 2015 to 2026
$42.5M
Southern Consortium Node of the Clinical Trials Network (Varenicline)UG1DA013727 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Kelly S. Barth · 2015 to 2026
$24.8M
Translational Clinical Research Fellowship on Substance Use DisordersT32DA007294 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Frances Rudnick Levin, Diana M Martinez · 1993 to 2026
$9.3M
Substance Abuse Treatment Development and Clinical Research MentoringK24DA029647 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LEVIN, FRANCES RUDNICK · 2010 to 2019
$1.8M
Electroretinogram: a new human biomarker for smoking cessation treatmentK23DA042136 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI LUO, SEAN XIAO · 2017 to 2021
$999k
NIDA NIH HHS K23 DA042136NIDA NIH HHS K24 DA029647NIDA NIH HHS T32 DA007294NIDA NIH HHS U10 DA013732NIDA NIH HHS UG1 DA013727NIDA NIH HHS UG1 DA013732
6 · The paper itself

Abstract

backgroundA double blind, placebo-controlled randomized trial (NCT00253747) evaluating osmotic-release oral system methylphenidate (OROS-MPH) for smoking-cessation revealed a significant interaction effect in which participants with higher baseline ADHD severity had better abstinence outcomes with OROS-MPH while participants with lower baseline ADHD severity had worse outcomes.

objectivesThis current report examines secondary outcomes that might bear on the mechanism for this differential treatment effect.

methodsLongitudinal analyses were conducted to evaluate the effect of OROS-MPH on three secondary outcomes (ADHD symptom severity, nicotine craving, and withdrawal) in the total sample (N = 255, 56% Male), and in the high (N = 134) and low (N = 121) baseline ADHD severity groups.

resultsOROS-MPH significantly improved ADHD symptoms and nicotine withdrawal symptoms in the total sample, and exploratory analyses showed that in both higher and lower baseline severity groups, OROS-MPH statistically significantly improved these two outcomes. No effect on craving overall was detected, though exploratory analyses showed statistically significantly decreased craving in the high ADHD severity participants on OROS-MPH. No treatment by ADHD baseline severity interaction was detected for the outcomes.

conclusionsMethylphenidate improved secondary outcomes during smoking cessation independent of baseline ADHD severity, with no evident treatment-baseline severity interaction. Our results suggest divergent responses to smoking cessation treatment in the higher and lower severity groups cannot be explained by concordant divergence in craving, withdrawal and ADHD symptom severity, and alternative hypotheses may need to be identified.

Indexed as

Smoking CessationAdultAttention Deficit Disorder with HyperactivityCentral Nervous System StimulantsDouble-Blind MethodFemaleHumansLongitudinal StudiesMaleMethylphenidateMiddle AgedSeverity of Illness IndexSmokingTobacco Use DisorderTreatment OutcomeCentral Nervous System StimulantsMethylphenidateADHDcravinglongitudinalnicotineSmokingwithdrawal

Identifiers

PMID29370538
PMCPMC6060016
OpenAlexW2790285214

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.