Trial Outcomes & Findings for Low-Dose Naltrexone Combined With Bupropion to Stop Smoking With Less Weight Gain (NCT NCT00129246)

NCT ID: NCT00129246

Last Updated: 2020-12-03

Results Overview

Smoking cessation is defined as the number of patients that displayed continuous 6-week abstinence from the quit date.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

40 participants

Primary outcome timeframe

Week 6

Results posted on

2020-12-03

Participant Flow

Participant milestones

Participant milestones
Measure
Bupropion Only
The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day). Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Naltrexone +Bupropion
The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only). Naltrexone : Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment. Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Low-Dose Naltrexone Combined With Bupropion to Stop Smoking With Less Weight Gain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bupropion Only
n=20 Participants
The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day). Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Naltrexone +Bupropion
n=20 Participants
The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only). Naltrexone : Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment. Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
42.3 years
STANDARD_DEVIATION 12.3 • n=5 Participants
43.0 years
STANDARD_DEVIATION 11.2 • n=7 Participants
42.7 years
STANDARD_DEVIATION 11.6 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
14 Participants
n=7 Participants
28 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 6

Population: Per protocol analysis

Smoking cessation is defined as the number of patients that displayed continuous 6-week abstinence from the quit date.

Outcome measures

Outcome measures
Measure
Bupropion Only
n=20 Participants
The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day). Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Naltrexone +Bupropion
n=20 Participants
The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only). Naltrexone : Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment. Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Smoking Cessation
6 participants
6 participants

PRIMARY outcome

Timeframe: Week 6

Population: Per protocol analysis

Point prevalence abstinence is defined as the number of patients reporting point prevalence abstinence over the last 7 days.

Outcome measures

Outcome measures
Measure
Bupropion Only
n=20 Participants
The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day). Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Naltrexone +Bupropion
n=20 Participants
The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only). Naltrexone : Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment. Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Point Prevalence Abstinence
8 participants
8 participants

PRIMARY outcome

Timeframe: Week 6

Population: Per protocol analysis

Weight gain for for the entire sample in pounds at 6 weeks.

Outcome measures

Outcome measures
Measure
Bupropion Only
n=20 Participants
The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day). Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Naltrexone +Bupropion
n=20 Participants
The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only). Naltrexone : Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment. Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Weight Gain
1.25 lbs
Standard Deviation 2.90
0.28 lbs
Standard Deviation 3.88

SECONDARY outcome

Timeframe: Week 6

Population: Per protocol analysis

Weight gain (in pounds) for the patients that were continuously abstinent at 6 weeks.

Outcome measures

Outcome measures
Measure
Bupropion Only
n=6 Participants
The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day). Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Naltrexone +Bupropion
n=6 Participants
The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only). Naltrexone : Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment. Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Weight Gain Abstinent Participants
3.17 lbs
Standard Deviation 2.04
1.67 lbs
Standard Deviation 3.17

Adverse Events

Bupropion Only

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Naltrexone +Bupropion

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Bupropion Only
n=20 participants at risk
The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day). Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Naltrexone +Bupropion
n=20 participants at risk
The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only). Naltrexone : Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment. Bupropion : Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.
Gastrointestinal disorders
Nausea
5.0%
1/20 • Number of events 1
25.0%
5/20 • Number of events 5
Gastrointestinal disorders
Vomiting
5.0%
1/20 • Number of events 1
5.0%
1/20 • Number of events 1
Gastrointestinal disorders
Diarrhea
5.0%
1/20 • Number of events 1
0.00%
0/20
Nervous system disorders
Headache
0.00%
0/20
10.0%
2/20 • Number of events 2
Nervous system disorders
Dizziness
0.00%
0/20
5.0%
1/20 • Number of events 1
General disorders
Fatigue
0.00%
0/20
5.0%
1/20 • Number of events 1
Psychiatric disorders
Nervousness/anxiety
10.0%
2/20 • Number of events 2
20.0%
4/20 • Number of events 4
Psychiatric disorders
Insomnia
25.0%
5/20 • Number of events 5
15.0%
3/20 • Number of events 3
Skin and subcutaneous tissue disorders
Pruritus
10.0%
2/20 • Number of events 2
0.00%
0/20
General disorders
Dry mouth
20.0%
4/20 • Number of events 4
20.0%
4/20 • Number of events 4
Psychiatric disorders
Irritability
10.0%
2/20 • Number of events 2
10.0%
2/20 • Number of events 2
Gastrointestinal disorders
Constipation
0.00%
0/20
10.0%
2/20 • Number of events 2
Ear and labyrinth disorders
Ringing in ears
0.00%
0/20
5.0%
1/20 • Number of events 1
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/20
5.0%
1/20 • Number of events 1
Skin and subcutaneous tissue disorders
Sweating
5.0%
1/20 • Number of events 1
10.0%
2/20 • Number of events 2

Additional Information

Benjamin A. Toll, PhD

Associate Professor of Psychiatry and Program Director, Smoking Cessation Service at Smilow Cancer Hospital at Yale-New Haven

Phone: (203) 974 5767

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place