Evidence map›Paper›PMID 30817018›Full record

Trial reportAlcoholism, clinical and experimental research2019

Longitudinal Findings from a Randomized Clinical Trial of Varenicline for Alcohol Use Disorder with Comorbid Cigarette Smoking.

Krysten W Bold, Allen Zweben, Lisa M Fucito, Mary E Piepmeier, Srinivas Muvvala, Ran Wu, Ralitza Gueorguieva, Stephanie S O'Malley

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Smoking As an Outcome Moderator In the Treatment of Alcohol Use Disorders.Alcohol and alcoholism (Oxford, Oxfordshire) · 2022
    Review
  9. Review
  10. Review
  11. Article
  12. 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.

Krysten W BoldDepartment of Psychiatry , Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-8012-6118
Allen ZwebenSchool of Social Work , Columbia University, New York, New York.ORCID 0000-0003-3832-0862
Lisa M FucitoDepartment of Psychiatry , Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0001-9410-2830
Mary E PiepmeierSchool of Social Work , Columbia University, New York, New York.ORCID 0000-0001-8582-2326
Srinivas MuvvalaDepartment of Psychiatry , Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0003-2766-2074
Ran WuDepartment of Psychiatry , Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0003-2331-817X
Ralitza GueorguievaDepartment of Psychiatry , Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0003-0944-5973
Stephanie S O'MalleyDepartment of Psychiatry , Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-1976-2369
Yale University · USColumbia 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
Translational Technologies CoreP50AA012870 · NIAAA · YALE UNIVERSITY · PI John H. Krystal · 2001 to 2026
$43.7M
Research Training Program in Substance Use PreventionT32DA019426 · NIDA · YALE UNIVERSITY · PI TAMI P SULLIVAN · 2005 to 2026
$7.5M
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
1/2-Multi-site Study: Varenicline Treatment of Alcohol Dependent SmokersR01AA020388 · NIAAA · YALE UNIVERSITY · PI O'MALLEY, STEPHANIE S · 2012 to 2015
$2.1M
Improving Alcoholism TreatmentK05AA014715 · NIAAA · YALE UNIVERSITY · PI O'MALLEY, STEPHANIE S · 2004 to 2013
$2.1M
2/2-Multisite Study: Varenicline for Alcohol Dependent SmokersR01AA020389 · NIAAA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI ZWEBEN, ALLEN · 2012 to 2015
$950k
New Approaches to Smoking Cessation in Heavy DrinkersK23AA020000 · NIAAA · YALE UNIVERSITY · PI FUCITO, LISA M · 2011 to 2016
$755k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS K05 AA014715NIAAA NIH HHS K23 AA020000NIAAA NIH HHS P50 AA012870NIAAA NIH HHS R01 AA020388NIAAA NIH HHS R01 AA020389NIDA NIH HHS T32 DA007238NIDA NIH HHS T32 DA019426NIDA NIH HHS T32DA019426
6 · The paper itself

Abstract

backgroundThis study is the first to examine longitudinal posttreatment outcomes of a placebo-controlled trial of varenicline for alcohol use disorder (AUD) with comorbid cigarette smoking.

methodsParticipants were 131 adults (n = 39 female) seeking alcohol treatment in a randomized, double-blind, parallel group, placebo-controlled, 16-week multisite trial of varenicline combined with medical management (MM). Timeline follow-back assessments of alcohol and smoking behavior were conducted at the end of treatment (4 months), with follow-ups at 6, 9, and 12 months. Outcomes were percentage of heavy drinking days (PHDD), percent of participants with no heavy drinking days (NHDD), cotinine-confirmed prolonged smoking abstinence (PA), and good clinical outcome on either NHDD or PA.

resultsTreatment improvements were maintained posttreatment. For the sample overall, PHDD or NHDD did not differ significantly by treatment condition (ps > 0.13), but varenicline produced higher rates of PA versus placebo at 4, 9, and 12 months (p < 0.05). Significant differences were observed by sex: Males had higher rates of NHDD with varenicline (28.9%) versus placebo (6.4%) at the end of treatment (p = 0.004), and these effects were maintained at 12 months (varenicline: 40.0% vs. placebo: 19.2%, p = 0.03). Higher rates of PA were seen for varenicline in both males (8.9%) and females (21.1%) versus placebo (males/females: 0%) at the end of treatment (p = 0.05), and this effect was maintained at 12 months for females (varenicline: 21.1% vs. placebo, 0.0%, p = 0.05).

conclusionsVarenicline treatment combined with MM appears to have enduring benefits for patients with co-occurring AUD and cigarette smoking, and these effects may differ by sex.

Indexed as

AdultAlcoholismCigarette SmokingComorbidityDouble-Blind MethodFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedSmoking CessationSmoking Cessation AgentsVareniclineSmoking Cessation AgentsVareniclineAlcoholSmokingTobaccoTreatmentVarenicline

Identifiers

PMID30817018
PMCPMC7039307
OpenAlexW2919092646

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.