Cardiovascular Diseases Clinical Trial
To test whether adding fluoxetine pharmacotherapy to behavioral cessation treatment improves the depression-prone smoker's ability to quit.
DESIGN NARRATIVE:
The research was a treatment-matching study to test whether adding fluoxetine
pharmacotherapy to behavioral cessation treatment improved the depression-prone smoker's
ability to quit. The investigators randomized 144 smokers with a prior history of depression
and 206 smokers who lack such a history to a double-blind treatment with either 60 mg
fluoxetine or placebo, while they underwent cognitive behavioral treatment to quit smoking.
The main study outcome was biologically verified abstinence 6 months after treatment. The
administration of placebo and fluoxetine began 3 weeks before the quit smoke date and
continued for 2 months post-quit date (totaling 11 weeks on drug/placebo). Cognitive
behavioral treatment were weekly before quitting and biweekly after quitting. There were
monthly follow-up evaluations for six months after the quit date. The research tested both
the Selective Benefit Hypothesis and the Generalized Benefit Hypothesis of fluoxetine's
effects. The hypothesis of the mechanism of action was that the drug diminished compulsive
smoking behavior, obsessional cigarette craving, and nicotine withdrawal dysphoria that
occurred independently of depressive vulnerability.
The study completion date listed in this record was obtained from the "End Date" entered in
the Protocol Registration and Results System (PRS) record.
;
Masking: Double-Blind, Primary Purpose: Prevention
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