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Combining Varenicline and Bupropion for Smoking Cessation
This study is not yet open for participant recruitment.
Verified by M.D. Anderson Cancer Center, January 2010
First Received: July 20, 2009   Last Updated: January 4, 2010   History of Changes
Sponsor: M.D. Anderson Cancer Center
Collaborator: National Institutes of Health (NIH)
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00943618
  Purpose

Objectives:

  1. To evaluate the efficacy of varenicline plus bupropion (VB) vs. varenicline (V)or Placebo(P)alone for smoking cessation.
  2. To evaluate the effects of VB vs. V and P on measures of nicotine withdrawal, negative affect, smoking reinforcement and craving, and measures of cognitive performance.

Secondary Objectives:

  1. To evaluate the effects of VB vs. V and P on lapse progression.
  2. To evaluate the effects of VB vs. V and P on smoking reduction among those who fail to quit.

Condition Intervention Phase
Smoking Cessation
Drug: Varenicline
Drug: Bupropion
Other: Placebo
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Parallel Assignment, Efficacy Study
Official Title: Effectiveness of Varenicline vs. Varenicline Plus Bupropion or Placebo for Smoking Cessation

Resource links provided by NLM:


Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • Quit Rate [ Time Frame: Study visits once a week for 12 weeks, one pre-quit phone call, one support call three days after the quit date, and then phone calls by study staff 16, 20, 28, 32, 40, and 48 weeks after the quit date. ] [ Designated as safety issue: No ]

Estimated Enrollment: 350
Study Start Date: January 2010
Estimated Primary Completion Date: August 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Group 1: Active Comparator
Varenicline and Bupropion
Drug: Varenicline
On Days 1-3, 1 tablet by mouth in the morning. Beginning on Day 4, and then every day after that, 1 tablet by mouth in the morning and 1 tablet by mouth in the evening (for a total of 2 doses).
Drug: Bupropion
On Days 1-3, 1 tablet by mouth in the morning. Beginning on Day 4, and then every day after that, 1 tablet by mouth in the morning and 1 tablet by mouth in the evening (for a total of 2 doses).
Group 2: Placebo Comparator
Varenicline and Placebo
Drug: Varenicline
On Days 1-3, 1 tablet by mouth in the morning. Beginning on Day 4, and then every day after that, 1 tablet by mouth in the morning and 1 tablet by mouth in the evening (for a total of 2 doses).
Other: Placebo
On Days 1-3, 1 tablet by mouth of placebo that looks like the study drug in the morning. Beginning on Day 4, and then every day after that, 1 tablet by mouth in the morning and 1 tablet by mouth in the evening for a total of 2 doses of the placebo each day.
Group 3: Placebo Comparator
Placebo that looks like varenicline and a placebo that looks like bupropion.
Other: Placebo
On Days 1-3, 1 tablet by mouth of placebo that looks like the study drug in the morning. Beginning on Day 4, and then every day after that, 1 tablet by mouth in the morning and 1 tablet by mouth in the evening for a total of 2 doses of the placebo each day.

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   25 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Age: 25-65 years old
  2. Smoking 5 or more cigarettes per day, on average, within the two months preceding the screening visit and expired CO of 6ppm or greater.
  3. Able to follow verbal and written instructions in English and complete all aspects of the study
  4. Provide informed consent and agree to all assessments and study procedures
  5. Have an address and home telephone number where they may be reached
  6. Be the only participant in their household

Exclusion Criteria:

  1. Within the month immediately preceding the screening visit, use of any form of tobacco products other than cigarettes on 3 or more days within a week if the individual refuses to refrain from such tobacco use during the course of the study.
  2. Within the month immediately preceding the screening visit, use of marijuana in any form on 3 or more days within a week
  3. Within the two weeks immediately preceding the screening visit, involvement on more than 3 days in any formal smoking cessation activities
  4. Treatment on a continuous basis within 2 weeks before the screening visit: any contraindicated medication for Varenicline or Bupropion. Classes of contraindicated medications include, but are not limited to, antiasthmatics, antipsychotics, antidepressants, antihypertensives, antiarrhythmics, antineoplastics, antiseizures, and MAO inhibitors.
  5. Uncontrolled hypertension (systolic blood pressure greater than 150 or diastolic blood pressure greater than 95) or other major contraindications for Bupropion or Varenicline.
  6. Severe renal impairment (Creatinine Clearance less than 30 ml/min/1.73 m2).
  7. Laboratory evaluations outside normal limits and of potential clinical significance in the opinion of the investigator.
  8. Meet current criteria for psychiatric disorders or substance abuse.
  9. Individuals rated as moderate (6 - 9) to high (10 or greater) on suicidality as assessed by Module C of the MINI.
  10. Psychiatric hospitalization within 1 year of screening date.
  11. A positive urine pregnancy test during the screening period. Women who are two years post menopausal or who have had a partial or full hysterectomy will not be subject to a urine pregnancy test.
  12. Pregnant, breast-feeding or of childbearing potential and is not protected by a medically acceptable, effective method of birth control while enrolled in the study.
  13. Use of Varenicline or Bupropion within two weeks before the screening visit.
  14. History of hypersensitivity or allergic reaction to Varenicline, tricyclic antidepressant, Bupropion (Wellbutrin, Zyban) or similar chemical classes or any component of these formulations.
  15. Subject considered by the investigator as unsuitable candidate for receipt of an investigational drug, or unstable to be followed up throughout the entire duration of the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00943618

Contacts
Contact: Paul M Cinciripini, PhD 713-792-0919

Locations
United States, Texas
U.T. M.D. Anderson Cancer Center
Houston, Texas, United States, 77030
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Principal Investigator: Paul M Cinciripini, PhD U.T. M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: U.T. M.D. Anderson Cancer Center ( Paul Cinciripini, PhD / Professor )
Study ID Numbers: 2008-0850
Study First Received: July 20, 2009
Last Updated: January 4, 2010
ClinicalTrials.gov Identifier: NCT00943618     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by M.D. Anderson Cancer Center:
Smoking Cessation
Nicotine Withdrawal
Smoking Reduction
Varenicline
Chantix
Bupropion
Zyban

Additional relevant MeSH terms:
Dopamine Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Psychotropic Drugs
Pharmacologic Actions
Smoking
Habits
Therapeutic Uses
Bupropion
Dopamine Agents
Antidepressive Agents, Second-Generation
Central Nervous System Agents
Antidepressive Agents

ClinicalTrials.gov processed this record on February 08, 2010