Evidence map›Paper›PMID 30276931›Full record

ArticleAddiction (Abingdon, England)2019

Cytisine versus varenicline for smoking cessation for Māori (the indigenous people of New Zealand) and their extended family: protocol for a randomized non-inferiority trial.

Natalie Walker, Barry Smith, Joanne Barnes, Marjolein Verbiest, Tomasz Kurdziel, Varsha Parag, Subhash Pokhrel, Chris Bullen

Registry-linked trialOpen access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Addiction (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02957786 (RAUORA), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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.

NCT02957786 phase3completednot on this map

RAUORA: Cytisine Versus Varenicline for Smoking Cessation

TypeinterventionalSponsorUniversity of Auckland, New ZealandRan2017 to 2019Enrolled679ConditionsSmoking CessationArmsCytisine, Behavioural support, Varenicline
3 · Its place in the literature

Who cites it

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

  1. Preference-based measures of health-related quality of life in Indigenous people: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Pooled it
  2. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. 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 3 institutions in 3 countries.

Natalie WalkerNational Institute for Health Innovation (NIHI), School of Population Health, The University of Auckland, Auckland, New Zealand.ORCID 0000-0001-5939-5009
Barry SmithLakes District Health Board, Rotorua, New Zealand.
Joanne BarnesSchool of Pharmacy, The University of Auckland, Auckland, New Zealand.
Marjolein VerbiestNational Institute for Health Innovation (NIHI), School of Population Health, The University of Auckland, Auckland, New Zealand.
Tomasz KurdzielNational Institute for Health Innovation (NIHI), School of Population Health, The University of Auckland, Auckland, New Zealand.
Varsha ParagNational Institute for Health Innovation (NIHI), School of Population Health, The University of Auckland, Auckland, New Zealand.
Subhash PokhrelHealth Economics Research Group, Brunel University London, Uxbridge, UK.ORCID 0000-0002-1009-8553
Chris BullenNational Institute for Health Innovation (NIHI), School of Population Health, The University of Auckland, Auckland, New Zealand.
University of Auckland · NZBrunel University of London · GBRotorua Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsCytisine, a nicotinic acetylcholine receptor partial agonist (like varenicline) found in some plants, is a low-cost, effective smoking cessation medication that may appeal to Māori [the indigenous people of New Zealand (NZ)]. The RAUORA trial aims to determine the effectiveness, safety and cost-effectiveness of cytisine (Tabex

designPragmatic, community-based, open-label randomized non-inferiority trial.

settingLakes District Health Board region, NZ.

participantsDaily smokers (n = 2140) who self-identify as Māori or whānau of Māori, and are: aged ≥ 18 years, motivated to quit smoking in the next 2 weeks, eligible for subsidized varenicline, able to provide verbal consent and have daily access to a mobile phone/internet. Recruitment uses multi-media advertising. INTERVENTION AND COMPARATOR: Participants are randomized (1 : 1 ratio) to receive a prescription for 12 weeks of cytisine tablets [following the manufacturer's dosing regimen for 25 days, then one 1.5-mg tablet every 6 hours (two per day) until 12 weeks] or varenicline tablets (following the manufacturer's dosing regimen). Both groups receive brief stop-smoking advice from the prescribing doctor and withdrawal-orientated behavioural support via community-based stop-smoking counselling services (frequency, duration and mode of delivery tailored for participants) or a research assistant (six weekly 10-15-minute calls). Participants are advised to reduce their smoking over the first 4 days of treatment, with day 5 as their designated quit-date. MEASUREMENTS: The primary outcome is carbon monoxide-verified continuous abstinence at 6 months post-quit date. Secondary outcomes at 1, 3, 6 and 12 months post-quit date include: self-reported continuous abstinence, 7-day point prevalence abstinence, cigarettes per day, time to (re)lapse, adverse events, treatment adherence/compliance, treatment acceptability, nicotine withdrawal/urge to smoke and health-care utilization/health-related quality of life. COMMENTS: This trial compares cytisine and varenicline when used by the indigenous people of NZ and their extended family for smoking cessation.

Indexed as

Equivalence Trials as TopicRandomized Controlled Trials as TopicAlkaloidsAzocinesCarbon DioxideCounselingFamilyHumansNew ZealandPatient SafetyPragmatic Clinical Trials as TopicQuinolizidine AlkaloidsQuinolizinesSmoking CessationSmoking Cessation AgentsVareniclineAlkaloidsAzocinesCarbon DioxidecytisineQuinolizidine AlkaloidsQuinolizinesSmoking Cessation AgentsVareniclineCytisineeffectivenessindigenousnon-inferiorityrandomizedsafety trialvarenicline

Identifiers

PMID30276931
PMCPMC6587772
OpenAlexW2894622491

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.