Human Laboratory Study of Varenicline and Bupropion for Nicotine Dependence

NCT ID: NCT00749658

Last Updated: 2020-11-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2010-09-30

Brief Summary

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The objective of this proposal is to elucidate effects of bupropion SR + varenicline on smoking-cessation related processes in early abstinence using a human laboratory model. A within-subjects design will be used to assess the additive effects of bupropion and varenicline in 48 treatment seeking smokers \[bupropion SR (300 mg/day)+placebo, varenicline (2 mg/day+placebo, and bupropion SR (300 mg/day)+varenicline (2 mg/day)\]. Outcomes include withdrawal and craving, cognition, stress tolerance, anxiety, the reinforcing effects of smoking, and smoking topography.

Hypotheses: We hypothesize that greatest treatment effects will be observed in the bupropion SR+varenicline group followed by varenicline+placebo and bupropion SR+placebo groups.

Detailed Description

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Conditions

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Nicotine Dependence Nicotine Withdrawal

Keywords

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Tobacco Nicotine Smoking Varenicline Bupropion Human laboratory study Stress tolerance Startle response Cognitive assessment Progressive ratio Motivation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Bupropion + Placebo Varenicline

Bupropion + Placebo Varenicline \\Varenicline + Placebo Bupropion; Varenicline + Placebo Bupropion \\Bupropion + Placebo Varenicline

Group Type ACTIVE_COMPARATOR

Bupropion

Intervention Type DRUG

Form: tablet, Dosage, Frequency, Duration: Days 1-3, 150 mg, q.d., Days 4-11, 150 mg, b.i.d.

Varenicline

Intervention Type DRUG

Form: tablet, Dosage, Frequency, Duration: Days 1-3, .5 mg, q.d., Days 4-7, .5 mg, b.i.d., Days 8-11, 1 mg, b.i.d.

upropion + Varenicline

Bupropion + Varenicline \\Varenicline + Placebo Bupropion; Varenicline + Placebo Bupropion \\Bupropion + Varenicline

Group Type ACTIVE_COMPARATOR

Bupropion

Intervention Type DRUG

Form: tablet, Dosage, Frequency, Duration: Days 1-3, 150 mg, q.d., Days 4-11, 150 mg, b.i.d.

Varenicline

Intervention Type DRUG

Form: tablet, Dosage, Frequency, Duration: Days 1-3, .5 mg, q.d., Days 4-7, .5 mg, b.i.d., Days 8-11, 1 mg, b.i.d.

Interventions

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Bupropion

Form: tablet, Dosage, Frequency, Duration: Days 1-3, 150 mg, q.d., Days 4-11, 150 mg, b.i.d.

Intervention Type DRUG

Varenicline

Form: tablet, Dosage, Frequency, Duration: Days 1-3, .5 mg, q.d., Days 4-7, .5 mg, b.i.d., Days 8-11, 1 mg, b.i.d.

Intervention Type DRUG

Other Intervention Names

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Zyban Wellbutrin Chantix

Eligibility Criteria

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Inclusion Criteria

1. 18 years and up.
2. Smoked at least 10 cigarettes/day for at least 1 year.
3. English speaking and reading.
4. Females who are of childbearing potential must practice effective contraception and meet the following criteria:

1. Are instructed to avoid pregnancy through 30 days after the last dose of study medication.
2. Have a negative urine pregnancy test at baseline.
3. Agree to use of the birth control methods listed: an oral contraceptive agent, an intrauterine device (IUD), an implantable contraceptive (e.g., Norplant), or an injectable contraceptive (e.g., Depo-Provera) for at least one month prior to entering the study and will continue its use through at least 30 days after the last dose of the study medication. A barrier method of contraception (e.g., condom or diaphragm with spermicide) while participating in the study and 30 days after the last dose of study medication.
5. Willingness to not use illicit drugs during study period including marijuana.

Exclusion Criteria

1. Any unstable medical condition.
2. Unstable angina, myocardial infarction, or coronary angioplasty within the past 3 months or an untreated cardiac dysrhythmia.
3. Personal history of seizures.
4. Closed head trauma with any loss of consciousness or amnesia in the last 5 years.
5. A history of closed head trauma with \> 30 minutes of loss of consciousness or amnesia or resulting in skull fracture or subdural hematoma/brain contusion.
6. A history of psychosis, bipolar disorder, bulimia or anorexia nervosa.
7. Current depression as assessed by Center for Epidemiologic Studies Depression Scale (CES-D).
8. Medications that might affect the outcome measures of nicotine reward, cognition, anxiety, and stress will also be a basis for exclusion. These medications include psychotropic drugs (i.e., anti-psychotic, anti-depressant, anti-anxiety, or stimulant), anti- hypertensive agents (e.g., beta-blockers), and other drugs that can influence the outcome domains.
9. Active substance abuse other than nicotine.
10. Used an investigational drug within the last 30 days.
11. Are currently using a behavioral or pharmacologic tobacco treatment.
12. Use of bupropion or varenicline in the previous 30 days.
13. Current (past 14 days) use of antipsychotic or antidepressant medications.
14. An allergy to bupropion or varenicline.
15. Untreated hypertension or baseline systolic blood pressure \> 180 or diastolic \> 100.
16. Impaired kidney function (creatinine clearance \< 30).
17. Having plans to leave the immediate geographical area within 2 months.
18. Unwillingness or inability to give written informed consent.

\-
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marc E Mooney, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Locations

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University of Minnesota, Tobacco Use Research Center

Minneapolis, Minnesota, United States

Site Status

Countries

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United States

References

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Related Links

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http://www.tobaccoresearch.umn.edu

Tobacco Use Research Center

Other Identifiers

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K01DA019446

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DPMC

Identifier Type: OTHER

Identifier Source: secondary_id

GCRC 10047

Identifier Type: -

Identifier Source: org_study_id