Evidence map›Paper›PMID 29878501›Full record

Trial reportHuman psychopharmacology2018

A preliminary investigation into the effects of doxazosin on cognitive functioning in tobacco-deprived and -satiated smokers.

Walter Roberts, Terril L Verplaetse, Kelly E Moore, Lindsay M Oberleitner, Sherry A McKee

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Human psychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Walter RobertsDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-6817-884X
Terril L VerplaetseDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Kelly E MooreDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Lindsay M OberleitnerDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Sherry A McKeeDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, 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
Cholinergic Contribution to Circuits Underlying DepressionR01MH077681 · NIMH · YALE UNIVERSITY · PI MINEUR, YANN SEBASTIEN, PICCIOTTO, MARINA R · 2006 to 2025
$7.0M
Yale SCOR on Gender-Sensitive Treatment for Tobacco DependenceP50DA033945 · NIDA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2012 to 2017
$6.5M
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
Dose ranging study of varenicline on human alcohol self-administration behaviorR01AA017976 · NIAAA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2009 to 2011
$1.0M
Does doxazosin attenuate stress-induced smoking and improve clinical outcomes?R21DA033597 · NIDA · YALE UNIVERSITY · PI MCKEE, SHERRY ANN · 2012 to 2014
$457k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R01 AA017976NIDA NIH HHS P50 DA033945NIDA NIH HHS R21 DA033597NIDA NIH HHS T32 DA007238NIMH NIH HHS R01 MH077681
6 · The paper itself

Abstract

objectiveTo test the effects of doxazosin, an α1 antagonist, on cognitive functioning during tobacco withdrawal in smokers.

methodsParticipants (n = 35) were randomly assigned to receive placebo, 4-mg/day, or 8-mg/day doxazosin. They completed a continuous performance task and self-reported their withdrawal symptoms at baseline and twice following a medication titration period: once in a tobacco-deprived state and again in a nondeprived state. Ability to resist smoking was assessed using a laboratory smoking-lapse paradigm.

resultsParticipants showed poorer cognitive performance on most measures taken from the continuous performance task when tobacco deprived. Eight-mg/day doxazosin improved inhibitory control during the nondeprivation session but did not affect sustained attention or reaction time. Participants receiving doxazosin reported fewer withdrawal symptoms during deprivation than those on placebo. Those showing the greatest improvement of inhibitory control under doxazosin were better able to resist smoking (i.e., latency to smoke) during a smoking lapse task. Self-reported withdrawal symptoms also were negatively associated with time to smoking.

conclusionsDoxazosin reduced symptoms of tobacco withdrawal according to self-report and cognitive assessment and improved inhibitory control above predrug levels. This research identifies potential mechanisms by which doxazosin might improve smoking outcomes.

Indexed as

Inhibition, PsychologicalSmokingTobacco Use DisorderAdrenergic alpha-1 Receptor AntagonistsAdultAttentionCognitive DysfunctionDouble-Blind MethodDoxazosinFemaleHumansMaleMiddle AgedReaction TimeSatiationSubstance Withdrawal SyndromeAdrenergic alpha-1 Receptor AntagonistsDoxazosindoxazosininhibitory controlsmoking cessationtobacco withdrawalα1 antagonist

Identifiers

PMID29878501
PMCPMC5995328
OpenAlexW2805229825

What OpenQuestion holds

Textmetadata
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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.