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NCT00507728

Pharmacogenetics, Emotional Reactivity and Smoking

Completed Phase 2, PHASE3 Results posted Last updated 6 May 2021
What this trial tests

Phase 2, PHASE3 trial testing Bupropion in Tobacco Use Disorder in 646 participants. Completed in 18 December 2019.

Timeline
8 December 2005
Primary endpoint
18 December 2019
18 December 2019

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2, PHASE3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment646
Start date8 December 2005
Primary completion18 December 2019
Estimated completion18 December 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

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 Pharmacotherapy Primary · 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
GroupValue95% CI
Varenicline66.662.3 – 71.1
Bupropion64.760.9 – 68.5
Placebo65.661.5 – 69.7
Emotional Reactivity (ORB) to Negative Stimuli
GroupValue95% CI
Varenicline70.966.4 – 75.4
Bupropion73.169.2 – 76.9
Placebo65.661.5 – 69.7
Emotional Reactivity (ORB) to Positive Stimuli
GroupValue95% CI
Varenicline66.762.5 – 70.9
Bupropion65.461.8 – 68.9
Placebo64.760.8 – 68.6
Emotional Reactivity (ORB) to Neutral Stimuli
GroupValue95% CI
Varenicline59.645.2 – 74.1
Bupropion64.952.7 – 77.2
Placebo72.559.3 – 85.7
Emotional Reactivity By Pharmacotherapy Moderated by DRD2 A1 Allele Primary · 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele66.561.1 – 71.9
Varenicline With DRD2 A1 Allele69.962.8 – 77.0
Bupropion w/o DRD2 A1 Allele66.260.4 – 72
Bupropion With DRD2 A1 Allele6660.9 – 71.2
Placebo w/o DRD2 A1 Allele67.361.5 – 73.1
Placebo With DRD2 A1 Allele68.162.2 – 73.9
Emotional Reactivity (ORB) to Negative Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele70.565 – 75.9
Varenicline With DRD2 A1 Allele75.167.9 – 82.2
Bupropion w/o DRD2 A1 Allele78.672.8 – 84.4
Bupropion With DRD2 A1 Allele71.366.2 – 76.5
Placebo w/o DRD2 A1 Allele7468.2 – 79.7
Placebo With DRD2 A1 Allele68.162.2 – 73.9
Emotional Reactivity (ORB) to Positive Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele65.560.4 – 70.6
Varenicline With DRD2 A1 Allele7265.3 – 78.7
Bupropion w/o DRD2 A1 Allele71.365.8 – 76.7
Bupropion With DRD2 A1 Allele63.358.4 – 681.
Placebo w/o DRD2 A1 Allele68.563.1 – 74
Placebo With DRD2 A1 Allele63.858.3 – 69.4
Emotional Reactivity (ORB) to Neutral Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele55.337.4 – 73.2
Varenicline With DRD2 A1 Allele67.243 – 91.5
Bupropion w/o DRD2 A1 Allele73.954.6 – 93.1
Bupropion With DRD2 A1 Allele61.244 – 78.3
Placebo w/o DRD2 A1 Allele79.761 – 98.5
Placebo With DRD2 A1 Allele67.848.3 – 87.2
Smoking Abstinence at 3 Months Secondary · 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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 Allele Secondary · 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.001-0.002 – 0.004
Varenicline With DRD2 A1 Allele-0.004-0.008 – 0
Bupropion w/o DRD2 A1 Allele0-0.003 – 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.002-0.002 – 0.005
Varenicline With DRD2 A1 Allele-0.005-0.008 – -0.001
Bupropion w/o DRD2 A1 Allele0-0.002 – 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.001-0.002 – 0.005
Varenicline With DRD2 A1 Allele-0.005-0.009 – -0.001
Bupropion w/o DRD2 A1 Allele0-0.003 – 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.001-0.002 – 0.005
Varenicline With DRD2 A1 Allele-0.005-0.009 – -0.001
Bupropion w/o DRD2 A1 Allele0.001-0.002 – 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 Months Secondary · 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
GroupValue95% CI
Varenicline0.007-0.067 – 0.082
Bupropion-0.002-0.073 – 0.069
Placebo-0.006-0.091 – 0.079
Emotional Reactivity (ORB) to Negative Stimuli
GroupValue95% CI
Varenicline0.008-0.069 – 0.085
Bupropion-0.003-0.067 – 0.062
Placebo-0.005-0.081 – 0.071
Emotional Reactivity (ORB) to Positive Stimuli
GroupValue95% CI
Varenicline0.01-0.065 – 0.086
Bupropion-0.003-0.075 – 0.068
Placebo-0.005-0.087 – 0.078
Emotional Reactivity (ORB) to Neutral Stimuli
GroupValue95% CI
Varenicline0.008-0.071 – 0.087
Bupropion-0.001-0.078 – 0.076
Placebo-0.005-0.052 – 0.041
Abstinence at 6 Months by DRD2 A1 Allele Secondary · 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.0030 – 0.005
Varenicline With DRD2 A1 Allele-0.001-0.005 – 0.003
Bupropion w/o DRD2 A1 Allele0.001-0.002 – 0.003
Bupropion With DRD2 A1 Allele-0.001-0.004 – 0.002
Placebo w/o DRD2 A1 Allele0-0.002 – 0.001
Placebo With DRD2 A1 Allele-0.005-0.01 – 0
Emotional Reactivity (ORB) to Negative Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.0030.001 – 0.005
Varenicline With DRD2 A1 Allele-0.001-0.005 – 0.003
Bupropion w/o DRD2 A1 Allele0.001-0.001 – 0.003
Bupropion With DRD2 A1 Allele-0.002-0.005 – 0.001
Placebo w/o DRD2 A1 Allele0-0.002 – 0.001
Placebo With DRD2 A1 Allele-0.004-0.008 – 0
Emotional Reactivity (ORB) to Positive Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.0030.001 – 0.006
Varenicline With DRD2 A1 Allele0-0.005 – 0.004
Bupropion w/o DRD2 A1 Allele0-0.002 – 0.003
Bupropion With DRD2 A1 Allele-0.001-0.004 – 0.002
Placebo w/o DRD2 A1 Allele0-0.002 – 0.002
Placebo With DRD2 A1 Allele-0.004-0.008 – 0
Emotional Reactivity (ORB) to Neutral Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele0.0030 – 0.005
Varenicline With DRD2 A1 Allele-0.001-0.005 – 0.003
Bupropion w/o DRD2 A1 Allele0.001-0.002 – 0.004
Bupropion With DRD2 A1 Allele-0.001-0.004 – 0.002
Placebo w/o DRD2 A1 Allele0-0.002 – 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele4.3943.629 – 5.159
Varenicline With DRD2 A1 Allele4.2223.152 – 5.291
Bupropion w/o DRD2 A1 Allele4.283.402 – 5.157
Bupropion With DRD2 A1 Allele4.413.59 – 5.23
Placebo w/o DRD2 A1 Allele5.5844.744 – 6.424
Placebo With DRD2 A1 Allele5.7524.884 – 6.621
Anxiety
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele6.2185.384 – 7.052
Varenicline With DRD2 A1 Allele5.8734.707 – 7.038
Bupropion w/o DRD2 A1 Allele6.5875.63 – 7.543
Bupropion With DRD2 A1 Allele6.5875.63 – 7.543
Placebo w/o DRD2 A1 Allele7.7856.87 – 8.7
Placebo With DRD2 A1 Allele7.9156.968 – 8.862
Concentration
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele3.7433.117 – 4.369
Varenicline With DRD2 A1 Allele3.4072.531 – 4.282
Bupropion w/o DRD2 A1 Allele4.2383.521 – 4.956
Bupropion With DRD2 A1 Allele3.9353.265 – 4.605
Placebo w/o DRD2 A1 Allele4.7644.077 – 5.451
Placebo With DRD2 A1 Allele4.9514.242 – 5.66
Craving
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele6.6465.591 – 7.701
Varenicline With DRD2 A1 Allele6.2524.777 – 7.726
Bupropion w/o DRD2 A1 Allele6.8145.605 – 8.024
Bupropion With DRD2 A1 Allele6.785.651 – 7.91
Placebo w/o DRD2 A1 Allele9.0247.866 – 10.181
Placebo With DRD2 A1 Allele8.6967.499 – 9.893
Hunger
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele11.01610.09 – 11.942
Varenicline With DRD2 A1 Allele10.7079.413 – 12.001
Bupropion w/o DRD2 A1 Allele9.798.729 – 10.852
Bupropion With DRD2 A1 Allele11.08210.09 – 12.074
Placebo w/o DRD2 A1 Allele11.20710.19 – 12.223
Placebo With DRD2 A1 Allele11.0449.994 – 12.095
Sadness
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele4.2463.535 – 4.958
Varenicline With DRD2 A1 Allele3.7382.744 – 4.732
Bupropion w/o DRD2 A1 Allele4.0053.189 – 4.82
Bupropion With DRD2 A1 Allele4.3383.577 – 5.1
Placebo w/o DRD2 A1 Allele5.2934.513 – 6.074
Placebo With DRD2 A1 Allele5.8655.057 – 6.673
Sleep
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele7.7216.494 – 8.948
Varenicline With DRD2 A1 Allele8.1536.438 – 9.868
Bupropion w/o DRD2 A1 Allele9.6728.265 – 11.079
Bupropion With DRD2 A1 Allele9.5288.214 – 10.843
Placebo w/o DRD2 A1 Allele9.0787.731 – 10.424
Placebo With DRD2 A1 Allele8.6297.236 – 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele35.50733.494 – 37.521
Varenicline With DRD2 A1 Allele37.31534.5 – 40.13
Bupropion w/o DRD2 A1 Allele36.42934.122 – 38.735
Bupropion With DRD2 A1 Allele35.28133.125 – 37.437
Placebo w/o DRD2 A1 Allele33.67231.463 – 35.882
Placebo With DRD2 A1 Allele33.98431.709 – 36.259
Negative Affect
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele15.9314.404 – 17.455
Varenicline With DRD2 A1 Allele14.9812.849 – 17.112
Bupropion w/o DRD2 A1 Allele15.78214.032 – 17.532
Bupropion With DRD2 A1 Allele16.38514.751 – 18.02
Placebo w/o DRD2 A1 Allele18.01716.343 – 19.691
Placebo With DRD2 A1 Allele18.90217.166 – 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

GroupValue95% CI
Varenicline w/o DRD2 A1 Allele8.0846.19 – 9.978
Varenicline With DRD2 A1 Allele6.8474.2 – 9.494
Bupropion w/o DRD2 A1 Allele7.5885.416 – 9.76
Bupropion With DRD2 A1 Allele8.3626.333 – 10.39
Placebo w/o DRD2 A1 Allele8.656.572 – 10.729
Placebo With DRD2 A1 Allele10.7998.647 – 12.951
Measures of Smoking Satisfaction and Psychological Reward Using the Modified Cigarette Evaluation Questionnaire (mCEQ) Subscales Secondary · 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele2.8951.912 – 3.879
Varenicline With DRD2 A1 Allele2.5911.253 – 3.93
Bupropion w/o DRD2 A1 Allele4.0642.94 – 5.187
Bupropion With DRD2 A1 Allele3.3692.135 – 4.603
Placebo w/o DRD2 A1 Allele3.0252.087 – 3.963
Placebo With DRD2 A1 Allele3.5152.368 – 4.662
Psychological Reward
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele2.8192.109 – 3.528
Varenicline With DRD2 A1 Allele2.1551.181 – 3.13
Bupropion w/o DRD2 A1 Allele2.5191.693 – 3.346
Bupropion With DRD2 A1 Allele2.7231.812 – 3.634
Placebo w/o DRD2 A1 Allele3.5752.861 – 4.289
Placebo With DRD2 A1 Allele3.2462.399 – 4.093
Aversion
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele1.6121.357 – 1.867
Varenicline With DRD2 A1 Allele1.6941.342 – 2.045
Bupropion w/o DRD2 A1 Allele1.9881.69 – 2.286
Bupropion With DRD2 A1 Allele1.791.461 – 2.119
Placebo w/o DRD2 A1 Allele1.8081.549 – 2.067
Placebo With DRD2 A1 Allele1.691.384 – 1.996
Enjoyment of Respiratory Tract Sensation
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele1.9120.146 – 3.678
Varenicline With DRD2 A1 Allele1.703-0.692 – 4.099
Bupropion w/o DRD2 A1 Allele4.0962.094 – 6.099
Bupropion With DRD2 A1 Allele1.955-0.243 – 4.153
Placebo w/o DRD2 A1 Allele3.7112.048 – 5.375
Placebo With DRD2 A1 Allele2.7830.741 – 4.825
Craving Reduction
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele4.5313.232 – 5.831
Varenicline With DRD2 A1 Allele3.9522.2 – 5.705
Bupropion w/o DRD2 A1 Allele4.5643.083 – 6.044
Bupropion With DRD2 A1 Allele6.6285.017 – 8.238
Placebo w/o DRD2 A1 Allele4.4863.269 – 5.702
Placebo With DRD2 A1 Allele4.6733.176 – 6.17
Skin Conductance Response Secondary · 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele2.3011.619 – 2.982
Varenicline With DRD2 A1 Allele2.0161.132 – 2.901
Bupropion w/o DRD2 A1 Allele2.2751.512 – 3.037
Bupropion With DRD2 A1 Allele1.7971.082 – 2.511
Placebo w/o DRD2 A1 Allele2.2721.54 – 3.005
Placebo With DRD2 A1 Allele2.4431.703 – 3.183
Skin conductance to Negative Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele2.2951.613 – 2.976
Varenicline With DRD2 A1 Allele1.9691.084 – 2.855
Bupropion w/o DRD2 A1 Allele2.311.547 – 3.072
Bupropion With DRD2 A1 Allele1.6950.999 – 2.391
Placebo w/o DRD2 A1 Allele2.3551.611 – 3.099
Placebo With DRD2 A1 Allele2.4851.756 – 3.215
Skin conductance to Positive Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele2.2561.58 – 2.931
Varenicline With DRD2 A1 Allele1.9841.106 – 2.862
Bupropion w/o DRD2 A1 Allele2.2991.542 – 3.055
Bupropion With DRD2 A1 Allele1.71.01 – 2.39
Placebo w/o DRD2 A1 Allele2.2961.569 – 3.023
Placebo With DRD2 A1 Allele2.5651.831 – 3.299
Skin conductance to Neutral Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele2.2611.578 – 2.944
Varenicline With DRD2 A1 Allele2.0171.13 – 2.904
Bupropion w/o DRD2 A1 Allele2.3691.602 – 3.136
Bupropion With DRD2 A1 Allele1.6991.002 – 2.397
Placebo w/o DRD2 A1 Allele2.3621.616 – 3.107
Placebo With DRD2 A1 Allele2.5591.82 – 3.299
Heart Rate Response Secondary · 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
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele69.73166.962 – 72.5
Varenicline With DRD2 A1 Allele68.65265.068 – 72.236
Bupropion w/o DRD2 A1 Allele71.42768.331 – 74.524
Bupropion With DRD2 A1 Allele69.83666.974 – 72.699
Placebo w/o DRD2 A1 Allele65.96662.987 – 68.944
Placebo With DRD2 A1 Allele65.27662.266 – 68.286
Heart Rate response to Negative Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele69.56266.722 – 72.402
Varenicline With DRD2 A1 Allele68.07864.403 – 71.753
Bupropion w/o DRD2 A1 Allele71.07767.904 – 74.25
Bupropion With DRD2 A1 Allele69.59566.699 – 72.492
Placebo w/o DRD2 A1 Allele65.76862.713 – 68.823
Placebo With DRD2 A1 Allele65.56962.523 – 68.615
Heart Rate response to Positive Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele69.15166.351 – 71.95
Varenicline With DRD2 A1 Allele68.71165.087 – 72.334
Bupropion w/o DRD2 A1 Allele71.51868.386 – 74.65
Bupropion With DRD2 A1 Allele70.40467.546 – 73.262
Placebo w/o DRD2 A1 Allele65.78762.776 – 68.799
Placebo With DRD2 A1 Allele65.92762.929 – 68.926
Heart Rate response to Neutral Stimuli
GroupValue95% CI
Varenicline w/o DRD2 A1 Allele69.62166.798 – 72.444
Varenicline With DRD2 A1 Allele68.96965.315 – 72.624
Bupropion w/o DRD2 A1 Allele71.70668.546 – 74.865
Bupropion With DRD2 A1 Allele70.23467.351 – 73.117
Placebo w/o DRD2 A1 Allele65.23762.2 – 68.273
Placebo With DRD2 A1 Allele66.0462.981 – 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.

Varenicline
Serious: 2/75 (3%)
Deaths: 0/75
Bupropion
Serious: 2/89 (2%)
Deaths: 0/89
Placebo
Serious: 0/90 (0%)
Deaths: 0/90

Serious adverse events (6 terms)

ReactionSystemVareniclineBupropionPlacebo
Shortness of BreathRespiratory, thoracic and mediastinal disorders
DizzinessNervous system disorders
EczemaSkin and subcutaneous tissue disorders
Urinary IncontinenceRenal and urinary disorders
Chest pain - cardiacCardiac disorders
Increased CoughingRespiratory, thoracic and mediastinal disorders
Other adverse events (82 terms — click to expand)

ReactionSystemVareniclineBupropionPlacebo
InsomniaNervous system disorders
RhinitisRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
IrritabilityPsychiatric disorders
Abnormal DreamsPsychiatric disorders
Anxiety SymptomsPsychiatric disorders
HeadacheNervous system disorders
DiarrheaGastrointestinal disorders
Disturbance in attentionPsychiatric disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Chest pain - cardiacCardiac disorders
Shortness of BreathRespiratory, thoracic and mediastinal disorders
DepressionPsychiatric disorders
FatigueGeneral disorders
Increased CoughingRespiratory, thoracic and mediastinal disorders
Sore throatRespiratory, thoracic and mediastinal disorders
APPETITE INCREASEDGeneral disorders
InfluenzaGeneral disorders
Dry mouthGeneral disorders
ToothacheGeneral disorders
ConstipationGastrointestinal disorders
EczemaSkin and subcutaneous tissue disorders
GastritisGastrointestinal disorders
InfectionGeneral disorders
PainGeneral disorders
TASTE PERVERSIONGeneral disorders
DrowsinessNervous system disorders
EdemaMusculoskeletal and connective tissue disorders
RestlessnessPsychiatric disorders
APPETITE DECREASEDGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Blurred visionEye disorders
Chest wall painMusculoskeletal and connective tissue disorders
DizzinessGeneral disorders
Emotional liabilityPsychiatric disorders
FlatulenceGastrointestinal disorders
HypertensionCardiac disorders
Tachycardia/Palpita..Cardiac disorders
Urinary frequencyRenal and urinary disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Shortness of Breath, Dizziness, Eczema, Urinary Incontinence, Chest pain - cardiac, Increased Coughing.

Data from ClinicalTrials.gov NCT00507728 adverse events section.

Sponsor's own description

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):

  1. Smoking cessation for improving mental health.
    Taylor GM, Lindson N, Farley A, Leinberger-Jabari A, et al · · 2021 · cited 160× · PMID 33687070 · DOI 10.1002/14651858.cd013522.pub2
  2. Effects of varenicline and bupropion sustained-release use plus intensive smoking cessation counseling on prolonged abstinence from smoking and on depression, negative affect, and other symptoms of nicotine withdrawal.
    Cinciripini PM, Robinson JD, Karam-Hage M, Minnix JA, et al · · 2013 · cited 105× · PMID 23536105 · DOI 10.1001/jamapsychiatry.2013.678
  3. Benefits of varenicline vs. bupropion for smoking cessation: a Bayesian analysis of the interaction of reward sensitivity and treatment.
    Cinciripini PM, Green CE, Robinson JD, Karam-Hage M, et al · · 2017 · cited 24× · PMID 28275830 · DOI 10.1007/s00213-017-4580-2
  4. Do brain responses to emotional images and cigarette cues differ? An fMRI study in smokers.
    Versace F, Engelmann JM, Jackson EF, Costa VD, et al · · 2011 · cited 24× · PMID 22097928 · DOI 10.1111/j.1460-9568.2011.07915.x
  5. The CHRNA3 rs578776 Variant is Associated with an Intrinsic Reward Sensitivity Deficit in Smokers.
    Robinson JD, Versace F, Lam CY, Minnix JA, et al · · 2013 · cited 19× · PMID 24065931 · DOI 10.3389/fpsyt.2013.00114
  6. Reinforcement sensitivity underlying treatment-seeking smokers' affect, smoking reinforcement motives, and affective responses.
    Cui Y, Robinson JD, Engelmann JM, Lam CY, et al · · 2015 · cited 5× · PMID 25621416 · DOI 10.1037/adb0000050
  7. Pharmacological intervention and abstinence in smokers undergoing cessation treatment: A psychophysiological study.
    Cui Y, Engelmann JM, Xian J, Minnix JA, et al · · 2018 · cited 4× · PMID 29223599 · DOI 10.1016/j.ijpsycho.2017.12.001
  8. Deep sequencing of candidate genes identified 14 variants associated with smoking abstinence in an ethnically diverse sample.
    Cinciripini PM, Wetter DW, Wang J, Yu R, et al · · 2024 · PMID 38493193 · DOI 10.1038/s41598-024-56750-7

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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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing