Trial Outcomes & Findings for Balanced Placebo Design With Varenicline: Pharmacological and Expectancy Effects on Medication Adherence (NCT NCT03538808)

NCT ID: NCT03538808

Last Updated: 2020-12-14

Results Overview

Self-reported medication adherence measured through a single item assessing medication compliance. The item is answered as "yes" (scored as 1) or "no" (scored as 0). This measure combines all responses from Day 1 through Day 13 of this study to provide a total measure of medication adherence ranging from 0% (missed all doses) to 100% (took every dose as prescribed). Higher scores indicate better outcomes (i.e., better adherence to medication).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

80 participants

Primary outcome timeframe

Days 1 - 13

Results posted on

2020-12-14

Participant Flow

None, all participants that were enrolled in the study were randomized into one of the four conditions.

Participant milestones

Participant milestones
Measure
Therapeutic Dose/Varenicline
Participants were told they were provided with a therapeutic dose of varenicline and they received varenicline medication
Therapeutic Dose/Placebo
Participants were told they received a therapeutic dose varenicline, but they received a placebo.
Low Dose/Varenicline
Participants were told they received a very low dose varenicline, but they received a therapeutic dose varenicline.
Low Dose/Placebo
Participants were told they received a very low dose varenicline, but they received a placebo.
Overall Study
STARTED
20
20
20
20
Overall Study
COMPLETED
18
20
16
18
Overall Study
NOT COMPLETED
2
0
4
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Balanced Placebo Design With Varenicline: Pharmacological and Expectancy Effects on Medication Adherence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Therapeutic Dose/Varenicline
n=20 Participants
Participants were told they were provided with a therapeutic dose of varenicline and they received varenicline medication.
Therapeutic Dose/Placebo
n=20 Participants
Participants were told they received a therapeutic dose varenicline, but they received a placebo.
Low Dose/Varenicline
n=20 Participants
Participants were told they received a very low dose varenicline, but they received a therapeutic dose varenicline.
Low Dose/Placebo
n=20 Participants
Participants were told they received a very low dose varenicline, but they received a placebo.
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
49.15 years
STANDARD_DEVIATION 2.59 • n=5 Participants
48.00 years
STANDARD_DEVIATION 2.59 • n=7 Participants
45.00 years
STANDARD_DEVIATION 2.59 • n=5 Participants
45.30 years
STANDARD_DEVIATION 2.59 • n=4 Participants
46.86 years
STANDARD_DEVIATION 11.51 • n=21 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
8 Participants
n=7 Participants
5 Participants
n=5 Participants
13 Participants
n=4 Participants
31 Participants
n=21 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
12 Participants
n=7 Participants
15 Participants
n=5 Participants
7 Participants
n=4 Participants
49 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
20 Participants
n=7 Participants
19 Participants
n=5 Participants
19 Participants
n=4 Participants
78 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
10 Participants
n=4 Participants
40 Participants
n=21 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
10 Participants
n=4 Participants
39 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Stanford Expectations of Treatment Scale: Negative Subscale
3.42 units on a scale
STANDARD_DEVIATION 0.34 • n=5 Participants
3.2 units on a scale
STANDARD_DEVIATION 0.34 • n=7 Participants
3.4 units on a scale
STANDARD_DEVIATION 0.34 • n=5 Participants
3.3 units on a scale
STANDARD_DEVIATION 0.34 • n=4 Participants
3.33 units on a scale
STANDARD_DEVIATION 1.48 • n=21 Participants

PRIMARY outcome

Timeframe: Days 1 - 13

Self-reported medication adherence measured through a single item assessing medication compliance. The item is answered as "yes" (scored as 1) or "no" (scored as 0). This measure combines all responses from Day 1 through Day 13 of this study to provide a total measure of medication adherence ranging from 0% (missed all doses) to 100% (took every dose as prescribed). Higher scores indicate better outcomes (i.e., better adherence to medication).

Outcome measures

Outcome measures
Measure
Therapeutic Dose/Varenicline
n=18 Participants
Participants were told they were provided with a therapeutic dose of varenicline and they received varenicline medication.
Therapeutic Dose/Placebo
n=20 Participants
Participants were told they received a therapeutic dose varenicline, but they received a placebo.
Low Dose/Varenicline
n=16 Participants
Participants were told they received a very low dose varenicline, but they received a therapeutic dose varenicline.
Low Dose/Placebo
n=18 Participants
Participants were told they received a very low dose varenicline, but they received a placebo.
Medication Adherence
85.36 Percentage
86.79 Percentage
81.93 Percentage
86.09 Percentage

SECONDARY outcome

Timeframe: Baseline and Day 14

Medication expectancies will be measured through the Beliefs and Attitudes about Varenicline (BAV) scale which is a 6-item questionnaire adapted to assess varenicline expectancies. This measure is rated on a scale from 1 (not at all) to 5 (extremely). The measure has a minimum score of 6 and a maximum score of 30. Higher scores indicating better outcomes (i.e., stronger positive beliefs about using varenicline).

Outcome measures

Outcome measures
Measure
Therapeutic Dose/Varenicline
n=18 Participants
Participants were told they were provided with a therapeutic dose of varenicline and they received varenicline medication.
Therapeutic Dose/Placebo
n=20 Participants
Participants were told they received a therapeutic dose varenicline, but they received a placebo.
Low Dose/Varenicline
n=16 Participants
Participants were told they received a very low dose varenicline, but they received a therapeutic dose varenicline.
Low Dose/Placebo
n=18 Participants
Participants were told they received a very low dose varenicline, but they received a placebo.
Medication Expectancies
3.56 units on a scale
Interval 3.06 to 3.94
3.65 units on a scale
Interval 3.12 to 4.18
3.50 units on a scale
Interval 2.91 to 4.09
3.44 units on a scale
Interval 2.89 to 4.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 14

A 30-item self-report measure of the presence (or not) of symptoms commonly associated with varenicline side effects and nicotine withdrawal. Items are rated as "No" (scored as 0) or "Yes" (scored as 1). A total score was calculated to reflect the total number of reported side effects. This measure has a minimum score of 0 and a maximum score of 30. Higher scores indicate worse outcomes (i.e., greater frequency of experienced side effects).

Outcome measures

Outcome measures
Measure
Therapeutic Dose/Varenicline
n=18 Participants
Participants were told they were provided with a therapeutic dose of varenicline and they received varenicline medication.
Therapeutic Dose/Placebo
n=20 Participants
Participants were told they received a therapeutic dose varenicline, but they received a placebo.
Low Dose/Varenicline
n=16 Participants
Participants were told they received a very low dose varenicline, but they received a therapeutic dose varenicline.
Low Dose/Placebo
n=18 Participants
Participants were told they received a very low dose varenicline, but they received a placebo.
Side Effects
1.50 Symptoms
Standard Error 0.57
3.40 Symptoms
Standard Error 0.54
2.00 Symptoms
Standard Error 0.61
1.89 Symptoms
Standard Error 0.57

Adverse Events

Therapeutic Dose/Varenicline

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Therapeutic Dose/Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Low Dose/Varenicline

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Low Dose/Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Therapeutic Dose/Varenicline
n=20 participants at risk
Participants were told they were provided with a therapeutic dose of varenicline and they received varenicline medication.
Therapeutic Dose/Placebo
n=20 participants at risk
Participants were told they received a therapeutic dose varenicline, but they received a placebo.
Low Dose/Varenicline
n=20 participants at risk
Participants were told they received a very low dose varenicline, but they received a therapeutic dose varenicline.
Low Dose/Placebo
n=20 participants at risk
Participants were told they received a very low dose varenicline, but they received a placebo.
Psychiatric disorders
Depressed Mood
0.00%
0/20 • 14 days
0.00%
0/20 • 14 days
5.0%
1/20 • Number of events 1 • 14 days
0.00%
0/20 • 14 days
Psychiatric disorders
Nocebo Effect/Depressed Mood
0.00%
0/20 • 14 days
0.00%
0/20 • 14 days
0.00%
0/20 • 14 days
5.0%
1/20 • Number of events 1 • 14 days
Renal and urinary disorders
Nocebo Effect/Sexual Dysfunction
0.00%
0/20 • 14 days
5.0%
1/20 • Number of events 1 • 14 days
0.00%
0/20 • 14 days
0.00%
0/20 • 14 days
Surgical and medical procedures
Nasal Polyp Removal
5.0%
1/20 • Number of events 1 • 14 days
0.00%
0/20 • 14 days
0.00%
0/20 • 14 days
0.00%
0/20 • 14 days

Additional Information

Samantha Schiavon

University of Alabama at Birmingham

Phone: 9515509388

Results disclosure agreements

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