Document Detail


Cross-validation of a new procedure for early screening of smoking cessation medications in humans.
MedLine Citation:
PMID:  20485335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Brief procedures for evaluating medication efficacy may reveal which candidate drugs warrant further testing in clinical trials and which do not. We previously carried out a study of smoking abstinence, involving the nicotine patch, and established the sensitivity of our procedure. In this study, we sought to cross-validate our earlier work by comparing short-term smoking abstinence due to varenicline (relative to placebo) in smokers with high intrinsic quit interest (n = 57) and those with low intrinsic quit interest (n = 67). All the subjects were randomly assigned to either abstinence reinforcement ($12/day) or no reinforcement. In a crossover design, all the subjects participated in two 3-week phases: ad libitum smoking (week 1), dose run-up of varenicline (1.0 mg b.i.d.) or placebo (week 2), and quit attempt on medication verified daily by carbon monoxide <5 ppm (week 3). As with the nicotine patch in the previous study, varenicline (relative to placebo) increased abstinence more effectively in those with high intrinsic quit interest than in those with low quit interest but did not affect abstinence due to reinforcement. These data confirm the feasibility of a brief, sensitive test of the efficacy of cessation medications in smokers with high quit interest.
Authors:
K A Perkins; C Lerman; C A Fonte; M Mercincavage; M L Stitzer; K N R Chengappa; A Jain
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Validation Studies     Date:  2010-05-19
Journal Detail:
Title:  Clinical pharmacology and therapeutics     Volume:  88     ISSN:  1532-6535     ISO Abbreviation:  Clin. Pharmacol. Ther.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-21     Completed Date:  2010-07-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372741     Medline TA:  Clin Pharmacol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  109-14     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. perkinska@upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Cutaneous
Adult
Benzazepines / adverse effects,  therapeutic use*
Cross-Over Studies
Data Interpretation, Statistical
Double-Blind Method
Drug Evaluation, Preclinical
Female
Humans
Male
Motivation
Nicotine / administration & dosage,  adverse effects,  therapeutic use*
Nicotinic Agonists / administration & dosage,  adverse effects,  therapeutic use*
Questionnaires
Quinoxalines / adverse effects,  therapeutic use*
Reproducibility of Results
Research Design
Smoking / psychology
Smoking Cessation / methods*
Grant Support
ID/Acronym/Agency:
P50CA143187/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Benzazepines; 0/Nicotinic Agonists; 0/Quinoxalines; 0/varenicline; 54-11-5/Nicotine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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