Status:

COMPLETED

Varenicline for Smoking Cessation in Heavy Drinking Smokers

Lead Sponsor:

Yale University

Collaborating Sponsors:

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Conditions:

Nicotine Dependence

Smoking

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine whether extended pretreatment with varenicline (Chantix) is more efficacious for smoking cessation than standard pretreatment, how well varenicline is tolerat...

Detailed Description

Smoking rates are elevated among drinkers compared to non-drinkers (Marks et al., 1997). Moreover, there is some evidence that both smokers who drink alcohol are less successful quitting smoking (Leem...

Eligibility Criteria

Inclusion

  • Between the ages of 18 and 75.
  • Smoking 5 or more cigarettes per occasion at least 3 times per week.
  • Fewer than 3 months of smoking abstinence in the past year.
  • Motivated to stop smoking.
  • Report exceeding maximum weekly drinking limits every week in the past 4 weeks and exceeding maximum daily drinking limits on at least 1 occasion in the past 4 weeks. Weekly heavy drinking is defined as 8 or more drinks for women and 15 or more drinks for men. Daily heavy drinking is defined as 4 or more drinks for women and 5 or more drinks for men on an occasion.

Exclusion

  • Exhibit current, clinically significant physical disease or abnormality on the basis of medical history, physical examination, or routine laboratory evaluation
  • Any unexplained elevations in liver enzymes (i.e., transaminases, bilirubin)
  • Clinically significant cardiovascular disease
  • Uncontrolled hypertension
  • Hepatic or renal impairment
  • Severe chronic obstructive pulmonary disease
  • Diabetes mellitus requiring insulin or oral hypoglycemic medications.
  • Baseline systolic blood pressure higher than 150 mm Hg or diastolic blood pressure higher than 95 mm Hg
  • History of cancer (except treated basal cell or squamous cell carcinoma of the skin).
  • History of clinically significant allergic reactions.
  • Exhibit serious psychiatric illness (i.e., schizophrenia, bipolar disorder, severe major depression, panic disorder, borderline personality disorder, organic mood or mental disorders, or substantial suicide or violence risk) by history or psychological examination)
  • Have a current diagnosis of DSM-IV drug dependence other than nicotine or alcohol.
  • Have a current Diagnostic and Statistical Manual Diploma in Social Medicine IV (DSM-IV) diagnosis of alcohol dependence that is clinically severe defined by a) a history of seizures, delirium, or hallucinations during alcohol withdrawal, b) a Clinical Institute Withdrawal Assessment scale (Sullivan et al., 1989) score of \> 8, c) report drinking to avoid withdrawal symptoms, or d) have had prior treatment of withdrawal.
  • Use of another investigational drug within 30 days.
  • Intention to donate blood or blood products during the treatment phase of the study.
  • Use of tobacco products other than cigarettes or use of marijuana.
  • Use of nicotine replacement therapy, clonidine, varenicline, bupropion, or nortriptyline within the month prior to enrollment or intention to use medication that might interfere with study medication.
  • Body Mass Index (calculated as weight in kilograms divided by the square of height in meters) less than 15 or greater than 38 or weight less than 45 kg.
  • Females of childbearing potential who are pregnant, nursing, or not practicing effective contraception (oral, injectable, or implantable contraceptives, intrauterine device, or barrier method with spermicide).

Key Trial Info

Start Date :

October 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT00860028

Start Date

October 1 2008

End Date

May 1 2010

Last Update

August 13 2021

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Varenicline for Smoking Cessation in Heavy Drinking Smokers | DecenTrialz