Adults 18 to 65, any sex, with Tobacco Use Disorder or Smoking Cessation. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Emotional Reactivity By PharmacotherapyPrimary· Baseline to 1 month
Emotional reactivity measured by the peak eye blink electromyography (EMG) of the orbicularis oculi (ORB) muscle responses to acoustic startle probe delivered during the presentation of emotionally valent stimuli (pleasant, unpleasant, neutral, and smoking-related pictures). A single value was estimated by averaging within the specific time interval.
Emotional Reactivity (ORB) to Cigarette Stimuli
Group
Value
95% CI
Varenicline
66.6
62.3 – 71.1
Bupropion
64.7
60.9 – 68.5
Placebo
65.6
61.5 – 69.7
Emotional Reactivity (ORB) to Negative Stimuli
Group
Value
95% CI
Varenicline
70.9
66.4 – 75.4
Bupropion
73.1
69.2 – 76.9
Placebo
65.6
61.5 – 69.7
Emotional Reactivity (ORB) to Positive Stimuli
Group
Value
95% CI
Varenicline
66.7
62.5 – 70.9
Bupropion
65.4
61.8 – 68.9
Placebo
64.7
60.8 – 68.6
Emotional Reactivity (ORB) to Neutral Stimuli
Group
Value
95% CI
Varenicline
59.6
45.2 – 74.1
Bupropion
64.9
52.7 – 77.2
Placebo
72.5
59.3 – 85.7
Emotional Reactivity By Pharmacotherapy Moderated by DRD2 A1 AllelePrimary· Baseline to 1 month
The emotional reactivity (ORB EMG) of smokers during cessation will be moderated by genotype. A single value was estimated by averaging within the specific time interval. During a quit attempt, smokers were evaluated on how they react to smoking related cues. An interaction term was then formed by the reactivity to smoking stimulus and genotype.
Emotional Reactivity (ORB) to Cigarette Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
66.5
61.1 – 71.9
Varenicline With DRD2 A1 Allele
69.9
62.8 – 77.0
Bupropion w/o DRD2 A1 Allele
66.2
60.4 – 72
Bupropion With DRD2 A1 Allele
66
60.9 – 71.2
Placebo w/o DRD2 A1 Allele
67.3
61.5 – 73.1
Placebo With DRD2 A1 Allele
68.1
62.2 – 73.9
Emotional Reactivity (ORB) to Negative Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
70.5
65 – 75.9
Varenicline With DRD2 A1 Allele
75.1
67.9 – 82.2
Bupropion w/o DRD2 A1 Allele
78.6
72.8 – 84.4
Bupropion With DRD2 A1 Allele
71.3
66.2 – 76.5
Placebo w/o DRD2 A1 Allele
74
68.2 – 79.7
Placebo With DRD2 A1 Allele
68.1
62.2 – 73.9
Emotional Reactivity (ORB) to Positive Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
65.5
60.4 – 70.6
Varenicline With DRD2 A1 Allele
72
65.3 – 78.7
Bupropion w/o DRD2 A1 Allele
71.3
65.8 – 76.7
Bupropion With DRD2 A1 Allele
63.3
58.4 – 681.
Placebo w/o DRD2 A1 Allele
68.5
63.1 – 74
Placebo With DRD2 A1 Allele
63.8
58.3 – 69.4
Emotional Reactivity (ORB) to Neutral Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
55.3
37.4 – 73.2
Varenicline With DRD2 A1 Allele
67.2
43 – 91.5
Bupropion w/o DRD2 A1 Allele
73.9
54.6 – 93.1
Bupropion With DRD2 A1 Allele
61.2
44 – 78.3
Placebo w/o DRD2 A1 Allele
79.7
61 – 98.5
Placebo With DRD2 A1 Allele
67.8
48.3 – 87.2
Smoking Abstinence at 3 MonthsSecondary· Baseline to 3 months
Values represent change in probability of abstinence for unit change in emotional reactivity. Abstinence data collected using a timeline follow-back (TLFB) procedure. Continuous Abstinence was defined as no smoking within the last 4 weeks of treatment. It is scored as 0 if the participant smoked during the specific interval, and 1 if the participant abstained from smoking.
Emotional Reactivity (ORB) to Cigarette Stimuli
Group
Value
95% CI
Varenicline
-0.003
-0.0777 – 0.072
Bupropion
-0.01
-0.084 – 0.065
Placebo
-0.008
-0.096 – 0.081
Emotional Reactivity (ORB) to Negative Stimuli
Group
Value
95% CI
Varenicline
-0.004
-0.081 – 0.073
Bupropion
-0.009
-0.076 – 0.058
Placebo
-0.007
-0.088 – 0.073
Emotional Reactivity (ORB) to Positive Stimuli
Group
Value
95% CI
Varenicline
-0.003
-0.081 – 0.076
Bupropion
-0.01
-0.084 – 0.064
Placebo
-0.007
-0.092 – 0.079
Emotional Reactivity (ORB) to Neutral Stimuli
Group
Value
95% CI
Varenicline
-0.004
-0.085 – 0.076
Bupropion
-0.008
-0.084 – 0.068
Placebo
-0.007
-0.088 – 0.075
Smoking Abstinence at 3 Months by DRD2 A1 AlleleSecondary· Baseline to 3 Month
Values represent change in probability of abstinence for unit change in emotional reactivity. Abstinence data collected using a timeline follow-back (TLFB) procedure. Continuous Abstinence was defined as no smoking within the last 4 weeks of treatment. It is scored as 0 if the participant smoked during the specific interval, and 1 if the participant abstained from smoking.
Emotional Reactivity (ORB) to Cigarette Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.001
-0.002 – 0.004
Varenicline With DRD2 A1 Allele
-0.004
-0.008 – 0
Bupropion w/o DRD2 A1 Allele
0
-0.003 – 0.003
Bupropion With DRD2 A1 Allele
-0.003
-0.006 – 0.001
Placebo w/o DRD2 A1 Allele
-0.001
-0.003 – 0.001
Placebo With DRD2 A1 Allele
-0.004
-0.008 – 0
Emotional Reactivity (ORB) to Negative Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.002
-0.002 – 0.005
Varenicline With DRD2 A1 Allele
-0.005
-0.008 – -0.001
Bupropion w/o DRD2 A1 Allele
0
-0.002 – 0.002
Bupropion With DRD2 A1 Allele
-0.004
-0.007 – 0.001
Placebo w/o DRD2 A1 Allele
-0.001
-0.003 – 0.001
Placebo With DRD2 A1 Allele
-0.004
-0.008 – 0
Emotional Reactivity (ORB) to Positive Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.001
-0.002 – 0.005
Varenicline With DRD2 A1 Allele
-0.005
-0.009 – -0.001
Bupropion w/o DRD2 A1 Allele
0
-0.003 – 0.002
Bupropion With DRD2 A1 Allele
-0.003
-0.006 – 0
Placebo w/o DRD2 A1 Allele
-0.001
-0.003 – 0.001
Placebo With DRD2 A1 Allele
-0.004
-0.007 – 0
Emotional Reactivity (ORB) to Neutral Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.001
-0.002 – 0.005
Varenicline With DRD2 A1 Allele
-0.005
-0.009 – -0.001
Bupropion w/o DRD2 A1 Allele
0.001
-0.002 – 0.003
Bupropion With DRD2 A1 Allele
-0.002
-0.005 – 0.001
Placebo w/o DRD2 A1 Allele
-0.001
-0.003 – 0.001
Placebo With DRD2 A1 Allele
-0.003
-0.007 – 0.001
Smoking Abstinence at 6 MonthsSecondary· Abstinence at 6 Months ( the effects shown are the increase/decrease in probability of abstinence for 1 unit increase in the predictor)
Values represent change in probability of abstinence for unit change in emotional reactivity. Abstinence data collected using a timeline follow-back (TLFB) procedure. Continuous Abstinence was defined as no smoking within the last 4 weeks of treatment. It is scored as 0 if the participant smoked during the specific interval, and 1 if the participant abstained from smoking.
Emotional Reactivity (ORB) to Cigaretee Stimuli
Group
Value
95% CI
Varenicline
0.007
-0.067 – 0.082
Bupropion
-0.002
-0.073 – 0.069
Placebo
-0.006
-0.091 – 0.079
Emotional Reactivity (ORB) to Negative Stimuli
Group
Value
95% CI
Varenicline
0.008
-0.069 – 0.085
Bupropion
-0.003
-0.067 – 0.062
Placebo
-0.005
-0.081 – 0.071
Emotional Reactivity (ORB) to Positive Stimuli
Group
Value
95% CI
Varenicline
0.01
-0.065 – 0.086
Bupropion
-0.003
-0.075 – 0.068
Placebo
-0.005
-0.087 – 0.078
Emotional Reactivity (ORB) to Neutral Stimuli
Group
Value
95% CI
Varenicline
0.008
-0.071 – 0.087
Bupropion
-0.001
-0.078 – 0.076
Placebo
-0.005
-0.052 – 0.041
Abstinence at 6 Months by DRD2 A1 AlleleSecondary· Baseline to 6 Month ( the effects shown are the increase/decrease in probability of abstinence for 1 unit increase in the predictor)
Values represent change in probability of abstinence for unit change in emotional reactivity. Abstinence data collected using a timeline follow-back (TLFB) procedure. Continuous Abstinence was defined as no smoking within the last 4 weeks of treatment. It is scored as 0 if the participant smoked during the specific interval, and 1 if the participant abstained from smoking.
Emotional Reactivity (ORB) to Cigarette Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.003
0 – 0.005
Varenicline With DRD2 A1 Allele
-0.001
-0.005 – 0.003
Bupropion w/o DRD2 A1 Allele
0.001
-0.002 – 0.003
Bupropion With DRD2 A1 Allele
-0.001
-0.004 – 0.002
Placebo w/o DRD2 A1 Allele
0
-0.002 – 0.001
Placebo With DRD2 A1 Allele
-0.005
-0.01 – 0
Emotional Reactivity (ORB) to Negative Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.003
0.001 – 0.005
Varenicline With DRD2 A1 Allele
-0.001
-0.005 – 0.003
Bupropion w/o DRD2 A1 Allele
0.001
-0.001 – 0.003
Bupropion With DRD2 A1 Allele
-0.002
-0.005 – 0.001
Placebo w/o DRD2 A1 Allele
0
-0.002 – 0.001
Placebo With DRD2 A1 Allele
-0.004
-0.008 – 0
Emotional Reactivity (ORB) to Positive Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.003
0.001 – 0.006
Varenicline With DRD2 A1 Allele
0
-0.005 – 0.004
Bupropion w/o DRD2 A1 Allele
0
-0.002 – 0.003
Bupropion With DRD2 A1 Allele
-0.001
-0.004 – 0.002
Placebo w/o DRD2 A1 Allele
0
-0.002 – 0.002
Placebo With DRD2 A1 Allele
-0.004
-0.008 – 0
Emotional Reactivity (ORB) to Neutral Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
0.003
0 – 0.005
Varenicline With DRD2 A1 Allele
-0.001
-0.005 – 0.003
Bupropion w/o DRD2 A1 Allele
0.001
-0.002 – 0.004
Bupropion With DRD2 A1 Allele
-0.001
-0.004 – 0.002
Placebo w/o DRD2 A1 Allele
0
-0.002 – 0.001
Placebo With DRD2 A1 Allele
-0.004
-0.009 – 0
Symptoms of Nicotine Withdrawal Using the Wisconsin Smoking Withdrawal Scale (WSWS)Secondary· Baseline to 8 months
Symptoms of nicotine withdrawal measured using Wisconsin Smoking Withdrawal Scale (WSWS). The Wisconsin Withdrawal Scale (WSWS) contains 7 factors: Anger, Anxiety, Sadness, Concentration, Craving, Sleep, and Hunger. WSWS consists of 28 items that are scored on a 5-point Likert type scale (0 = strongly disagree, 4 = strongly agree). A single value was estimated by averaging within the specific time interval. Higher values represent worse outcome. The average value was estimated from Baseline to 8 months
Anger
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
4.394
3.629 – 5.159
Varenicline With DRD2 A1 Allele
4.222
3.152 – 5.291
Bupropion w/o DRD2 A1 Allele
4.28
3.402 – 5.157
Bupropion With DRD2 A1 Allele
4.41
3.59 – 5.23
Placebo w/o DRD2 A1 Allele
5.584
4.744 – 6.424
Placebo With DRD2 A1 Allele
5.752
4.884 – 6.621
Anxiety
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
6.218
5.384 – 7.052
Varenicline With DRD2 A1 Allele
5.873
4.707 – 7.038
Bupropion w/o DRD2 A1 Allele
6.587
5.63 – 7.543
Bupropion With DRD2 A1 Allele
6.587
5.63 – 7.543
Placebo w/o DRD2 A1 Allele
7.785
6.87 – 8.7
Placebo With DRD2 A1 Allele
7.915
6.968 – 8.862
Concentration
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
3.743
3.117 – 4.369
Varenicline With DRD2 A1 Allele
3.407
2.531 – 4.282
Bupropion w/o DRD2 A1 Allele
4.238
3.521 – 4.956
Bupropion With DRD2 A1 Allele
3.935
3.265 – 4.605
Placebo w/o DRD2 A1 Allele
4.764
4.077 – 5.451
Placebo With DRD2 A1 Allele
4.951
4.242 – 5.66
Craving
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
6.646
5.591 – 7.701
Varenicline With DRD2 A1 Allele
6.252
4.777 – 7.726
Bupropion w/o DRD2 A1 Allele
6.814
5.605 – 8.024
Bupropion With DRD2 A1 Allele
6.78
5.651 – 7.91
Placebo w/o DRD2 A1 Allele
9.024
7.866 – 10.181
Placebo With DRD2 A1 Allele
8.696
7.499 – 9.893
Hunger
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
11.016
10.09 – 11.942
Varenicline With DRD2 A1 Allele
10.707
9.413 – 12.001
Bupropion w/o DRD2 A1 Allele
9.79
8.729 – 10.852
Bupropion With DRD2 A1 Allele
11.082
10.09 – 12.074
Placebo w/o DRD2 A1 Allele
11.207
10.19 – 12.223
Placebo With DRD2 A1 Allele
11.044
9.994 – 12.095
Sadness
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
4.246
3.535 – 4.958
Varenicline With DRD2 A1 Allele
3.738
2.744 – 4.732
Bupropion w/o DRD2 A1 Allele
4.005
3.189 – 4.82
Bupropion With DRD2 A1 Allele
4.338
3.577 – 5.1
Placebo w/o DRD2 A1 Allele
5.293
4.513 – 6.074
Placebo With DRD2 A1 Allele
5.865
5.057 – 6.673
Sleep
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
7.721
6.494 – 8.948
Varenicline With DRD2 A1 Allele
8.153
6.438 – 9.868
Bupropion w/o DRD2 A1 Allele
9.672
8.265 – 11.079
Bupropion With DRD2 A1 Allele
9.528
8.214 – 10.843
Placebo w/o DRD2 A1 Allele
9.078
7.731 – 10.424
Placebo With DRD2 A1 Allele
8.629
7.236 – 10.023
Symptoms of Nicotine Withdrawal and Negative Affect Using Positive and Negative Affect Scale (PANAS)Secondary· Baseline to 8 months
Symptoms of nicotine withdrawal and negative affect were measured using the Positive and Negative Affect Scale (PANAS). The Positive and Negative Affect Schedule (PANAS) is a self-report questionnaire to measure both positive and negative affect. Each item is rated on a 5-point scale of 1 (not at all) to 5 (very much). Scores can range from 10-50 for both the Positive and Negative Affect with the lower scores representing lower levels of Positive/Negative Affect and higher scores representing higher levels of Positive/Negative Affect. The average value was estimated from Baseline to 8 months
Positive Affect
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
35.507
33.494 – 37.521
Varenicline With DRD2 A1 Allele
37.315
34.5 – 40.13
Bupropion w/o DRD2 A1 Allele
36.429
34.122 – 38.735
Bupropion With DRD2 A1 Allele
35.281
33.125 – 37.437
Placebo w/o DRD2 A1 Allele
33.672
31.463 – 35.882
Placebo With DRD2 A1 Allele
33.984
31.709 – 36.259
Negative Affect
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
15.93
14.404 – 17.455
Varenicline With DRD2 A1 Allele
14.98
12.849 – 17.112
Bupropion w/o DRD2 A1 Allele
15.782
14.032 – 17.532
Bupropion With DRD2 A1 Allele
16.385
14.751 – 18.02
Placebo w/o DRD2 A1 Allele
18.017
16.343 – 19.691
Placebo With DRD2 A1 Allele
18.902
17.166 – 20.638
Symptoms of Depression Using the Center for Epidemiologic Studies Depression Scale (CES-D)Secondary· Baseline to 8 months
Symptoms of nicotine withdrawal measured using Center for Epidemiologic Studies Depression Scale (CES-D). Center of Epidemiologic Studies Depression Scale (CESD) a 20-item measure that asks caregivers to rate how often over the past week they experienced symptoms associated with depression, such as restless sleep, poor appetite, and feeling lonely. Response options range from 0 to 3 for each item (0 = Rarely or None of the Time, 1 = Some or Little of the Time, 2 = Moderately or Much of the time, 3 = Most or Almost All the Time). Scores range from 0 to 60, with high scores indicating greater de
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
8.084
6.19 – 9.978
Varenicline With DRD2 A1 Allele
6.847
4.2 – 9.494
Bupropion w/o DRD2 A1 Allele
7.588
5.416 – 9.76
Bupropion With DRD2 A1 Allele
8.362
6.333 – 10.39
Placebo w/o DRD2 A1 Allele
8.65
6.572 – 10.729
Placebo With DRD2 A1 Allele
10.799
8.647 – 12.951
Measures of Smoking Satisfaction and Psychological Reward Using the Modified Cigarette Evaluation Questionnaire (mCEQ) SubscalesSecondary· Baseline to 8 months
Modified Cigarette Evaluation Questionnaire (mCEQ). mCEQ Smoking satisfaction: range (1-21); mCEQ Psychological Reward: range(1-35); mCEQ Aversion: range (1-14); mCEQ Enjoyment of Resp.Tract Sens: range (1-7); mCEQ Craving Reduction: range (1-7). For all scales of mCEQ higher scores indicate worse outcomes (greater intensity of smoking effect). Scores of mCEQ Smoking satisfaction, mCEQ psychological reward and mCEQ aversion were summed to create the subscales. mCEQ Enjoyment of Resp Tract Sens and mCEQ Craving Reduction were single items.
Smoking Satisfaction
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
2.895
1.912 – 3.879
Varenicline With DRD2 A1 Allele
2.591
1.253 – 3.93
Bupropion w/o DRD2 A1 Allele
4.064
2.94 – 5.187
Bupropion With DRD2 A1 Allele
3.369
2.135 – 4.603
Placebo w/o DRD2 A1 Allele
3.025
2.087 – 3.963
Placebo With DRD2 A1 Allele
3.515
2.368 – 4.662
Psychological Reward
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
2.819
2.109 – 3.528
Varenicline With DRD2 A1 Allele
2.155
1.181 – 3.13
Bupropion w/o DRD2 A1 Allele
2.519
1.693 – 3.346
Bupropion With DRD2 A1 Allele
2.723
1.812 – 3.634
Placebo w/o DRD2 A1 Allele
3.575
2.861 – 4.289
Placebo With DRD2 A1 Allele
3.246
2.399 – 4.093
Aversion
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
1.612
1.357 – 1.867
Varenicline With DRD2 A1 Allele
1.694
1.342 – 2.045
Bupropion w/o DRD2 A1 Allele
1.988
1.69 – 2.286
Bupropion With DRD2 A1 Allele
1.79
1.461 – 2.119
Placebo w/o DRD2 A1 Allele
1.808
1.549 – 2.067
Placebo With DRD2 A1 Allele
1.69
1.384 – 1.996
Enjoyment of Respiratory Tract Sensation
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
1.912
0.146 – 3.678
Varenicline With DRD2 A1 Allele
1.703
-0.692 – 4.099
Bupropion w/o DRD2 A1 Allele
4.096
2.094 – 6.099
Bupropion With DRD2 A1 Allele
1.955
-0.243 – 4.153
Placebo w/o DRD2 A1 Allele
3.711
2.048 – 5.375
Placebo With DRD2 A1 Allele
2.783
0.741 – 4.825
Craving Reduction
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
4.531
3.232 – 5.831
Varenicline With DRD2 A1 Allele
3.952
2.2 – 5.705
Bupropion w/o DRD2 A1 Allele
4.564
3.083 – 6.044
Bupropion With DRD2 A1 Allele
6.628
5.017 – 8.238
Placebo w/o DRD2 A1 Allele
4.486
3.269 – 5.702
Placebo With DRD2 A1 Allele
4.673
3.176 – 6.17
Skin Conductance ResponseSecondary· Baseline to 1 month
Skin conductance response (SCR) amplitude measured by placing an electrodermal response transducer on the fore and ring fingers of the participants non-dominant hand, and heart rate (HR) was collected by placing a photoelectric pulse plethysmogram transducer on the middle finger of the participants non-dominant hand, during the presentation of emotionally valent stimuli (positive, negative, neutral, and smoking-related pictures). A single value was estimated by averaging within the specific time interval.
Skin conductance to Cigarette Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
2.301
1.619 – 2.982
Varenicline With DRD2 A1 Allele
2.016
1.132 – 2.901
Bupropion w/o DRD2 A1 Allele
2.275
1.512 – 3.037
Bupropion With DRD2 A1 Allele
1.797
1.082 – 2.511
Placebo w/o DRD2 A1 Allele
2.272
1.54 – 3.005
Placebo With DRD2 A1 Allele
2.443
1.703 – 3.183
Skin conductance to Negative Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
2.295
1.613 – 2.976
Varenicline With DRD2 A1 Allele
1.969
1.084 – 2.855
Bupropion w/o DRD2 A1 Allele
2.31
1.547 – 3.072
Bupropion With DRD2 A1 Allele
1.695
0.999 – 2.391
Placebo w/o DRD2 A1 Allele
2.355
1.611 – 3.099
Placebo With DRD2 A1 Allele
2.485
1.756 – 3.215
Skin conductance to Positive Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
2.256
1.58 – 2.931
Varenicline With DRD2 A1 Allele
1.984
1.106 – 2.862
Bupropion w/o DRD2 A1 Allele
2.299
1.542 – 3.055
Bupropion With DRD2 A1 Allele
1.7
1.01 – 2.39
Placebo w/o DRD2 A1 Allele
2.296
1.569 – 3.023
Placebo With DRD2 A1 Allele
2.565
1.831 – 3.299
Skin conductance to Neutral Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
2.261
1.578 – 2.944
Varenicline With DRD2 A1 Allele
2.017
1.13 – 2.904
Bupropion w/o DRD2 A1 Allele
2.369
1.602 – 3.136
Bupropion With DRD2 A1 Allele
1.699
1.002 – 2.397
Placebo w/o DRD2 A1 Allele
2.362
1.616 – 3.107
Placebo With DRD2 A1 Allele
2.559
1.82 – 3.299
Heart Rate ResponseSecondary· Baseline to 1 month
Heart Rate Response. A single value was estimated by averaging within the specific time interval. During a quit attempt, smokers were evaluated on how they react to smoking related cues. An interaction term was then formed by the reactivity to smoking stimulus and genotype.
Heart Rate response to Cigarette Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
69.731
66.962 – 72.5
Varenicline With DRD2 A1 Allele
68.652
65.068 – 72.236
Bupropion w/o DRD2 A1 Allele
71.427
68.331 – 74.524
Bupropion With DRD2 A1 Allele
69.836
66.974 – 72.699
Placebo w/o DRD2 A1 Allele
65.966
62.987 – 68.944
Placebo With DRD2 A1 Allele
65.276
62.266 – 68.286
Heart Rate response to Negative Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
69.562
66.722 – 72.402
Varenicline With DRD2 A1 Allele
68.078
64.403 – 71.753
Bupropion w/o DRD2 A1 Allele
71.077
67.904 – 74.25
Bupropion With DRD2 A1 Allele
69.595
66.699 – 72.492
Placebo w/o DRD2 A1 Allele
65.768
62.713 – 68.823
Placebo With DRD2 A1 Allele
65.569
62.523 – 68.615
Heart Rate response to Positive Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
69.151
66.351 – 71.95
Varenicline With DRD2 A1 Allele
68.711
65.087 – 72.334
Bupropion w/o DRD2 A1 Allele
71.518
68.386 – 74.65
Bupropion With DRD2 A1 Allele
70.404
67.546 – 73.262
Placebo w/o DRD2 A1 Allele
65.787
62.776 – 68.799
Placebo With DRD2 A1 Allele
65.927
62.929 – 68.926
Heart Rate response to Neutral Stimuli
Group
Value
95% CI
Varenicline w/o DRD2 A1 Allele
69.621
66.798 – 72.444
Varenicline With DRD2 A1 Allele
68.969
65.315 – 72.624
Bupropion w/o DRD2 A1 Allele
71.706
68.546 – 74.865
Bupropion With DRD2 A1 Allele
70.234
67.351 – 73.117
Placebo w/o DRD2 A1 Allele
65.237
62.2 – 68.273
Placebo With DRD2 A1 Allele
66.04
62.981 – 69.098
Adverse events — posted to ClinicalTrials.gov
Time frame: Baseline, up to 8 months.
Reporting threshold: 1%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The goals of this placebo-controlled randomized clinical trial were to evaluate the differences in emotional reactivity (peak startle response to affective stimuli) during a cessation attempt among smokers treated with bupropion, varenicline, or placebo, and to determine if these differences were moderated by genotype.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by M.D. Anderson Cancer Center
Last refreshed: 6 May 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00507728.