Smoking Clinical Trial
Official title:
Combination Pharmacotherapy With Chantix & Bupropion for Smoking Cessation (ChanBan)
The overarching goal of this line of research is to increase smoking abstinence rates using a combination of existing pharmacotherapies. The aim of the current study is to assess the safety and compliance as well as obtain preliminary estimates of efficacy and effect on craving and nicotine withdrawal of combination therapy with bupropion SR and varenicline. We will compare the efficacy estimates in this study with historical smoking abstinence rates with varenicline. To accomplish our aims, we will enroll 38 cigarette smokers in an open-label, phase II clinical trial.
Subjects will be eligible to participate if they: 1) are at least 18 years of age; 2) have
smoked 10 or more cigarettes per day for at least 6 months; and 3) are motivated to stop
smoking.
Subjects will be excluded if they have: 1) an 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) ever 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 or psychosis, bipolar disorder, bulimia
or anorexia nervosa); 7) have current depression as assessed by Center for Epidemiologic
Studies Depression (CES-D); 8) have active substance abuse other than nicotine; 9) have used
an investigational drug within the last 30 days; 10) are currently using a behavioral or
pharmacologic tobacco treatment and unwilling or unable to discontinue use; 11) use of
bupropion or varenicline in the previous 3 months; 12) current (past 14 days) use of
antipsychotic or antidepressant; 13) an allergy to bupropion or varenicline; 14) untreated
hypertension or baseline systolic blood pressure > 180 or diastolic > 100; 15) have another
member of their household already participating in this study.
The primary aims and hypotheses of this study are:
1. To obtain preliminary evidence of efficacy of 12 weeks of combination therapy with
bupropion SR and varenicline for increasing the point prevalence smoking abstinence
rates at 12 weeks among cigarette smokers.
Hypothesis: The combination of bupropion SR plus varenicline for 12 weeks will increase
the point prevalence smoking abstinence rates at 12 weeks among cigarettes smokers.
2. To obtain preliminary evidence of efficacy of combination therapy with bupropion SR and
varenicline for decreasing craving and nicotine withdrawal symptoms among cigarette
smokers trying to achieve smoking abstinence.
Hypothesis: 12 weeks of combination therapy with bupropion SR and varenicline will
significantly decrease craving and nicotine withdrawal among cigarette smokers trying to
achieve smoking abstinence.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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