Obesity Clinical Trial
Official title:
Use of Sibutramine in Smoking Cessation
The purpose of this study is to determine if sibutramine will decrease post-cessation weight gain and cigarette smoking in overweight and obese smokers who quit smoking.
BACKGROUND:
Cigarette smoking poses a serious but preventable health risk. Behavioral smoking cessation
programs have been shown to help individuals quit smoking. However, concerns about
post-cessation weight gain have been reported as a significant barrier to quitting for many
smokers. Recently, sibutramine, a new serotonin and norepinephrine reuptake inhibitor drug,
has received FDA approval to help people lose weight. Since sibutramine affects
neurotransmitters that are important in regulating body weight, it is reasonable to
hypothesize that it may decrease post-cessation weight gain in overweight and obese smokers
who quit smoking. To date, there have been no studies that compare sibutramine to a placebo,
as a way to reduce post-cessation weight gain among overweight and obese smokers who take
part in a behavioral smoking cessation program. Therefore, whether sibutramine is effective
at reducing post-cessation weight gain in these smokers is unknown. Further, given the
neuropharmacologic effects of sibutramine, it is reasonable to speculate that this
medication could also be effective in helping individuals quit smoking both initially and in
the long term. It is possible that the use of sibutramine, as compared to placebo, may
result in a decrease in post-cessation weight gain in overweight and obese individuals who
quit smoking. The use of sibutramine may also result in an increase in smoking cessation
rates.
DESIGN NARRATIVE:
This study tests the hypothesis that the use of sibutramine, as compared to placebo, will
result in a decrease in post-cessation weight gain in overweight and obese individuals who
quit smoking, and result in an increase in smoking cessation rates. Participants will be
randomly assigned to one of the following two groups: 1) sibutramine plus a behavioral
smoking cessation program; or 2) placebo sibutramine plus a behavioral smoking cessation
program. Assessments will include post-cessation weight change and smoking cessation rates
measured during the study and 9 months following the end of the study.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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