Trial Outcomes & Findings for The Effect of Naltrexone and Varenicline on Alcohol-Mediated Smoking Lapse (NCT NCT00773422)

NCT ID: NCT00773422

Last Updated: 2018-04-23

Results Overview

Time to smoking during the smoking delay task. Smoking delay task occurred on day 8 of the study. Range of time delay is 0 minutes to 50 minutes.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

day 8

Results posted on

2018-04-23

Participant Flow

Participant milestones

Participant milestones
Measure
Naltrexone + Varenicline
naltrexone (25mg) + varenicline (2mg) naltrexone: 25 mg/day, with 1-week lead-in medication period. The starting dose is 0 mg/day for days 1-3, followed by 12.5mg/day for day 4, followed by 25mg/day for days 5-7, plus during the laboratory session (day 8). varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Varenicline
varenicline 2mg varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Placebo
placebo control placebo: placebo
Overall Study
STARTED
11
9
10
Overall Study
COMPLETED
11
9
10
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effect of Naltrexone and Varenicline on Alcohol-Mediated Smoking Lapse

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Naltrexone + Varenicline
n=11 Participants
naltrexone (25mg) + varenicline (2mg) naltrexone: 25 mg/day, with 1-week lead-in medication period. The starting dose is 0 mg/day for days 1-3, followed by 12.5mg/day for day 4, followed by 25mg/day for days 5-7, plus during the laboratory session (day 8). varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Varenicline
n=9 Participants
varenicline 2mg varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Placebo
n=10 Participants
placebo control placebo: placebo
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
29.91 years
STANDARD_DEVIATION 8.99 • n=5 Participants
37.67 years
STANDARD_DEVIATION 10.85 • n=7 Participants
33.20 years
STANDARD_DEVIATION 9.73 • n=5 Participants
33.33 years
STANDARD_DEVIATION 10.71 • n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
7 Participants
n=7 Participants
8 Participants
n=5 Participants
24 Participants
n=4 Participants

PRIMARY outcome

Timeframe: day 8

Time to smoking during the smoking delay task. Smoking delay task occurred on day 8 of the study. Range of time delay is 0 minutes to 50 minutes.

Outcome measures

Outcome measures
Measure
Naltrexone + Varenicline
n=11 Participants
naltrexone (25mg) + varenicline (2mg) naltrexone: 25 mg/day, with 1-week lead-in medication period. The starting dose is 0 mg/day for days 1-3, followed by 12.5mg/day for day 4, followed by 25mg/day for days 5-7, plus during the laboratory session (day 8). varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Varenicline
n=9 Participants
varenicline 2mg varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Placebo
n=10 Participants
placebo control placebo: placebo
Latency to Initiate Ad-lib Smoking Session
28.134 minutes
Standard Error 5.328
45.861 minutes
Standard Error 6.238
21.737 minutes
Standard Error 6.043

SECONDARY outcome

Timeframe: day 8

Number of cigarettes smoked during the ad libitum phase of the smoking delay task. Task occurred on day 8 of the study.

Outcome measures

Outcome measures
Measure
Naltrexone + Varenicline
n=11 Participants
naltrexone (25mg) + varenicline (2mg) naltrexone: 25 mg/day, with 1-week lead-in medication period. The starting dose is 0 mg/day for days 1-3, followed by 12.5mg/day for day 4, followed by 25mg/day for days 5-7, plus during the laboratory session (day 8). varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Varenicline
n=9 Participants
varenicline 2mg varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Placebo
n=10 Participants
placebo control placebo: placebo
Number of Cigarettes Smoked During the Ad-lib Period
1.283 cigarettes
Standard Error 0.283
0.959 cigarettes
Standard Error 0.331
2.23 cigarettes
Standard Error 0.331

Adverse Events

Naltrexone + Varenicline

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Varenicline

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Naltrexone + Varenicline
n=11 participants at risk
naltrexone (25mg) + varenicline (2mg) naltrexone: 25 mg/day, with 1-week lead-in medication period. The starting dose is 0 mg/day for days 1-3, followed by 12.5mg/day for day 4, followed by 25mg/day for days 5-7, plus during the laboratory session (day 8). varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Varenicline
n=9 participants at risk
varenicline 2mg varenicline: 2mg/day, with 1-week lead-in medication period. The starting dose is 0.5mg/day for days 1-2, followed by 0.5mg twice daily for days 3-5, followed by 1.0 mg twice daily for days 6-7, plus during the laboratory session (day 8).
Placebo
n=10 participants at risk
placebo control placebo: placebo
Gastrointestinal disorders
Nausea/vomiting
18.2%
2/11
22.2%
2/9
10.0%
1/10
General disorders
Headache
0.00%
0/11
11.1%
1/9
40.0%
4/10
Gastrointestinal disorders
Constipation
9.1%
1/11
11.1%
1/9
0.00%
0/10
Gastrointestinal disorders
Flatulence
9.1%
1/11
11.1%
1/9
10.0%
1/10
General disorders
Abnormal dreams
9.1%
1/11
0.00%
0/9
10.0%
1/10
General disorders
Abdominal pain
18.2%
2/11
33.3%
3/9
10.0%
1/10
General disorders
Erratic Behavior
0.00%
0/11
0.00%
0/9
0.00%
0/10
Gastrointestinal disorders
Diarrhea
9.1%
1/11
44.4%
4/9
0.00%
0/10
General disorders
Dry mouth
0.00%
0/11
22.2%
2/9
10.0%
1/10
General disorders
Insomnia
9.1%
1/11
11.1%
1/9
0.00%
0/10
General disorders
Difficulty Breathing
0.00%
0/11
11.1%
1/9
10.0%
1/10
General disorders
Tight chest
9.1%
1/11
11.1%
1/9
10.0%
1/10
Cardiac disorders
Fast heartbeat
0.00%
0/11
11.1%
1/9
0.00%
0/10
General disorders
Suicidal Thoughts
0.00%
0/11
0.00%
0/9
0.00%
0/10
General disorders
Depressed Mood
0.00%
0/11
11.1%
1/9
0.00%
0/10
General disorders
Appetite change
18.2%
2/11
0.00%
0/9
20.0%
2/10

Additional Information

Sherry McKee, PhD

Yale School of Medicine

Phone: 2037373529

Results disclosure agreements

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