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Trial NCT00873535

Resource URI: http://static.linkedct.org/resource/trials/NCT00873535
PropertyValue
linkedct:arm_group <http://static.linkedct.org/resource/arm_group/57355>
linkedct:arm_group <http://static.linkedct.org/resource/arm_group/64560>
linkedct:brief_title Effect of Varenicline on Reactivity to Smoking and Drinking Cues in Individuals With Concurrent Tobacco Dependence and Alcohol Use
linkedct:collaborator_agency <http://static.linkedct.org/resource/collabagency/1060>
linkedct:condition <http://static.linkedct.org/resource/condition/13071>
linkedct:condition <http://static.linkedct.org/resource/condition/714>
linkedct:criteria Inclusion Criteria: Heavy Smokers/Heavy Drinkers - Treatment seeking smokers - Age 18 to 65 years - Smoke  10 cigarettes per day - Fagerstrom Test of Nicotine Dependence score > 3 - Alcohol Use Disorders Identification Test (AUDIT) > 8 - Drink > 25 drinks per week for males or > 20 drinks per week for females - Able to provide written informed consent Inclusion Criteria (Heavy Smokers/Social Drinkers): - Treatment seeking smokers - Age 18 to 65 years - Smoke  10 cigarettes per day - Fagerstrom Test of Nicotine Dependence score > 3 - Alcohol Use Disorders Identification Test(AUDIT) < 8 - Drink < 14 drinks per week for males or < 9 drinks per week for females - Able to provide written informed consent Exclusion Criteria (Heavy Smokers/Heavy Drinkers): - Any medical condition requiring immediate investigation or treatment - Beck Depression Inventory score >16 - Insulin-dependent diabetes - Drink > 70 standard alcoholic drinks per week for males or drink > 52 standard alcoholic drinks per week for females - Pregnancy or lactation - Current DSM-IV Axis 1 psychiatric disorder - Regular use of any therapeutic or recreational psychoactive drug use during the last three months or other substance use disorder, with the exception of tobacco and alcohol. Exclusion Criteria (Heavy Smokers/Social Drinkers): - Any medical condition requiring immediate investigation or treatment - Beck Depression Inventory score >16 - Insulin-dependent diabetes - Drink > 14 standard alcoholic drinks per week for males or > 9 standard alcoholic drinks per week for females - Pregnancy or lactation - Current DSM-IV Axis 1 psychiatric disorder - Regular use of any therapeutic or recreational psychoactive drug use during the last three months or other substance use disorder, with the exception of tobacco.
linkedct:description The relationship between alcohol and tobacco dependence needs to be addressed as such populations are generally excluded from clinical trials involving smoking cessation pharmacotherapy. Furthermore, the effect of Varenicline(Pfizer Pharmaceuticals)treatment on tobacco cue-induced craving has not been empirically measured, nor has the effect of varenicline on alcohol consumption. In addition to being an effective aid in smoking cessation, preliminary evidence has shown that Varenicline can decrease alcohol consumption in animal models. Varenicline is a partial agonist of the 42 nicotinic acetylcholine receptor. This drug's partial agonist effect allows for the activation of this receptor at a lesser degree than nicotine while simultaneously preventing nicotine binding due to the drugs high affinity (i.e.: antagonist effect) for this receptor subtype. Varenicline has recently been approved in Canada as an aid for smoking cessation. This study will be a double-blind, placebo-controlled randomized study. It will assess differences in alcohol and tobacco consumption and cue-induced craving in treatment-seeking smokers after two weeks of treatment with either varenicline or placebo.Ultimately This study may help to further understand the association between smoking and drinking alcohol. This study will consist of two study groups composed of 40 subjects each being randomized to receive either placebo or varenicline (0.5mg once daily for days 1-3, 0.5mg twice daily for days 4-7 followed by 1mg twice daily for days 8-14). One group will be heavy smokers and heavy drinkers while the other will be heavy smokers and social drinkers. Upon entering the study, subjects will undergo baseline cognitive and craving measures for both tobacco and alcohol associated cue presentations prior to randomization to varenicline or placebo. Subjects will be provided a 1-week supply of study medications and directions for use. During this period, subjects will be requested to complete a diary outlining their cigarette and alcohol craving and consumption each day and outline any adverse effects. Upon completion of this 1-week period, subjects will attend the Centre for Addiction and Mental Health (CAMH) where their old pill bottles and daily diaries will be collected and they will be supplied with study medication (1mg varenicline taken twice daily or placebo) and daily diary for an additional week. At this visit, subjects will complete the symptom checklist. At the end of the second week of treatment, subjects will be requested to return to CAMH where craving for tobacco and alcohol and cue-reactivity will be assessed in a similar manner as to study day After study completion, all subjects will be given the option to continue with varenicline in a 12-week treatment plan through the Nicotine Dependence Clinic.
linkedct:download_date Information obtained from ClinicalTrials.gov on December 30, 2009
linkedct:eligibility_gender Both
linkedct:eligibility_healthy_volunteers Accepts Healthy Volunteers
linkedct:eligibility_maximum_age 65 Years
linkedct:eligibility_minimum_age 18 Years
linkedct:enrollment 80 (xsd:int)
linkedct:firstreceived_date March 31, 2009
linkedct:has_dmc No
linkedct:id NCT00873535
linkedct:intervention <http://static.linkedct.org/resource/intervention/120392>
rdfs:label Trial NCT00873535
linkedct:lastchanged_date April 3, 2009
linkedct:lead_sponsor_agency Centre for Addiction and Mental Health
linkedct:location <http://static.linkedct.org/resource/location/263622>
linkedct:nct_id NCT00873535
linkedct:number_of_arms 2 (xsd:int)
linkedct:number_of_groups 0 (xsd:int)
linkedct:official_title Effect of Varenicline on Reactivity to Smoking and Drinking Cues in Individuals With Concurrent Tobacco Dependence and Alcohol Use
linkedct:org_study_id 114/2008
linkedct:overall_contact_email usoa_busto@camh.net
linkedct:overall_contact_last_name Usoa E. Busto, Pharm.D.
linkedct:overall_contact_phone 416-535-8501
linkedct:overall_contact_phone_ext 6812
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/59807>
linkedct:overall_status Recruiting
linkedct:oversight <http://static.linkedct.org/resource/oversight/402>
linkedct:oversight <http://static.linkedct.org/resource/oversight/415>
foaf:page <http://clinicaltrials.gov/show/NCT00873535>
linkedct:phase N/A
linkedct:primary_completion_date December 2009
linkedct:primary_outcomes <http://static.linkedct.org/resource/primary_outcomes/59631>
linkedct:primary_outcomes <http://static.linkedct.org/resource/primary_outcomes/59649>
linkedct:primary_outcomes <http://static.linkedct.org/resource/primary_outcomes/59650>
linkedct:reference <http://static.linkedct.org/resource/reference/30454>
linkedct:source Centre for Addiction and Mental Health
linkedct:start_date October 2008
linkedct:study_design Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Efficacy Study
linkedct:study_type Interventional
linkedct:summary Alcohol and nicotine dependence are often co-morbid, with 85% of alcoholics also smoking. However, very little research has been conducted into the nature of this co-occurrence. Thus, the main aim of this study is to assess differences in alcohol and tobacco consumption and cue-induced craving in treatment-seeking smokers after two weeks treatment of varenicline. Hypotheses 1. Two weeks of varenicline treatment will significantly decrease cue-induced tobacco craving compared to placebo (Due to the actions of varenicline on alpha-4-beta-2 receptors and its downstream effect on dopamine release). 2. Varenicline will decrease cue-induced alcohol craving compared to placebo. 3. The impact of Varenicline on cue-induced alcohol craving will be greater in heavy drinkers compared to social drinkers.
rdf:type linkedct:trials
linkedct:verification_date April 2009