Nicotine Dependence
Conditions
Keywords
Varenicline, Working memory
Brief summary
The goal of the proposed study is to validate an experimental paradigm to assess medication effects on smoking relapse following a brief (3-day) monitored period of smoking abstinence and a programmed cigarette lapse.
Detailed description
The proposed human experiment will test the validity of a novel paradigm that may provide a method for distinguishing compounds that are likely to have efficacy from those that are not, before they are tested in more costly large-scale clinical trials. Specifically, in a within-subject (cross-over) behavioral pharmacology investigation of 60 smokers, we will test the effects of varenicline versus placebo on smoking behavior in the natural environment following a 3-day period of monitored abstinence and a programmed cigarette lapse. A positive signal for varenicline effects in this study would provide support for the sensitivity of the paradigm. In addition, following completion of all assessments, participants will be followed in a 13-week open-label varenicline smoking cessation trial to determine whether response to varenicline in the laboratory study predicts clinical response in the open-label trial.
Interventions
Participants will take placebo pills for 21-days using the same regimen as the varenicline study period.
Day 1 - Day 3 0.5mg once daily Day 4 - Day 7 0.5mg twice daily Day 8 - End of Treatment 1.0mg twice daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Eligible participants will be 68 (34 male and 34 female) smokers aged 18-65, who smoke ≥ 10 cigarettes per day, provide a baseline CO reading ≥ 10 ppm and who plan to live in the area for the next 6-months.
Exclusion criteria
* Smoking Behavior 1. Use of chewing tobacco or snuff 2. Current enrollment or plans to enroll in another smoking cessation program in the next 5 months 3. Plan to use other nicotine substitutes or smoking cessation treatments in the next 5 months 4. Provide a baseline CO reading \< 10 ppm Alcohol/Drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Days of abstinence following the programmed lapse | 7 days |
Countries
United States