Bupropion and Weight Control for Smoking Cessation - 1

NCT ID: NCT00006170

Last Updated: 2016-07-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

349 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-09-30

Study Completion Date

2010-09-30

Brief Summary

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The purpose of this study is to determine whether the addition of bupropion (Zyban) to cognitive behavioral therapy (CBT) will enhance longer-term tobacco abstinence in women.

Detailed Description

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Although rates of smoking have declined, the decrease in prevalence has been much less pronounced in women than in men, and women are particularly vulnerable to ongoing smoking-related morbidity and mortality. One important reason for gender differences in smoking cessation is concern about cessation-related weight gain among women, which is associated with poorer cessation outcome. We previously documented that cognitive behavior therapy to minimize weight concerns (CBT) was effective in promoting cessation and controlling weight gain among weight concerned women smokers. The current study is a randomized, double-blind, controlled trial to determine whether the addition of bupropion (Zyban) to CBT (12 sessions over 14 weeks, with 6 booster sessions) will enhance longer-term abstinence. Bupropion was the clear medication of choice for this trial because it is efficacious in promoting smoking cessation, attenuates cessation-related weight gain (particularly in women), and relieves negative mood, which appears more common in weight-concerned women. Four hundred fifty weight concerned women smokers will be randomized to either CBT for weight concerns plus standard cessation or standard smoking cessation only and six months of either bupropion (Zyban) or placebo (2 x 2 design). Primary outcome will be rates of smoking abstinence at 1 year and time to relapse across the four treatment conditions. In addition, we will determine the effects of these treatments on tobacco withdrawal, mood, and weight. Results of this investigation will provide information on the relative efficacy of the CBT intervention and bupropion alone and in combination and the utility of drug and counseling strategies that are specifically tailored for a high-risk population.

Conditions

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Tobacco Use Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Bupropion and Weight Concerns intervention

Bupropion SR and a weight concerns psychosocial intervention

Group Type EXPERIMENTAL

Bupropion

Intervention Type DRUG

smoking cessation medication aid

weight concerns intervention

Intervention Type BEHAVIORAL

cognitive behavioral treatment to address weight concners

Placebo and Weight Concerns

A matched placebo administered on same schedule as bupriopion and a weight concerns psychosocial intervention for smoking cesstion

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

A matched placebo pill

weight concerns intervention

Intervention Type BEHAVIORAL

cognitive behavioral treatment to address weight concners

Bupropion and standard smoking cessation

Bupropion SR and a time and attention controlled smoking cessation intervention

Group Type ACTIVE_COMPARATOR

Bupropion

Intervention Type DRUG

smoking cessation medication aid

smoking cessation intervention

Intervention Type BEHAVIORAL

Cognitive behavioral intervention for smoking cessation

Placebo and standard smoking cessation

A matched placebo administered on same schedule as bupriopion and a time and attention controlled smoking cessation intervention

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

A matched placebo pill

smoking cessation intervention

Intervention Type BEHAVIORAL

Cognitive behavioral intervention for smoking cessation

Interventions

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Bupropion

smoking cessation medication aid

Intervention Type DRUG

Placebo

A matched placebo pill

Intervention Type DRUG

weight concerns intervention

cognitive behavioral treatment to address weight concners

Intervention Type BEHAVIORAL

smoking cessation intervention

Cognitive behavioral intervention for smoking cessation

Intervention Type BEHAVIORAL

Other Intervention Names

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zyban

Eligibility Criteria

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Inclusion Criteria

* Smoke at least 10 cigarettes per day
* Report concern about cessation-related weight gain
* Motivated to quit smoking

Exclusion Criteria

* Currently pregnant, lactating, or no medically approved method of contraception
* Major medical problem
* History of seizure disorder or head injury
* Current or historical psychosis or bipolar disorder
* History of alcohol or substance abuse within previous year
* Current or historical eating disorder
* Use of antidepressant medication, monoamine oxidase inhibitor or lithium with previous month
* Multiple Drug Allergies
* Current major depressive disorder
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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Marsha Marcus

Professor of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marsha Marcus, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Western Psychiatric Institute & Clinic

Locations

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Western Psychiatric Institute & Clinic

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

References

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Levine MD, Perkins KA, Kalarchian MA, Cheng Y, Houck PR, Slane JD, Marcus MD. Bupropion and cognitive behavioral therapy for weight-concerned women smokers. Arch Intern Med. 2010 Mar 22;170(6):543-50. doi: 10.1001/archinternmed.2010.33.

Reference Type RESULT
PMID: 20308641 (View on PubMed)

Hajizadeh A, Howes S, Theodoulou A, Klemperer E, Hartmann-Boyce J, Livingstone-Banks J, Lindson N. Antidepressants for smoking cessation. Cochrane Database Syst Rev. 2023 May 24;5(5):CD000031. doi: 10.1002/14651858.CD000031.pub6.

Reference Type DERIVED
PMID: 37230961 (View on PubMed)

Other Identifiers

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R01DA004174

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NIDA-04174-1

Identifier Type: -

Identifier Source: org_study_id

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