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Combination Bupropion / Varenicline for Smoking Cessation in Male Smokers

Combination Bupropion / Varenicline for Smoking Cessation in Male Smokers

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01806779
Acronym
ConNic5
Enrollment
376
Registered
2013-03-07
Start date
2013-03-31
Completion date
2015-03-31
Last updated
2016-01-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nicotine Dependence

Keywords

Nicotine addiction, Cigarette smoking, Smoking cessation, Zyban, Chantix, Nicotine patches, varenicline, bupropion

Brief summary

Previous results from the investigators' Center have shown that combination treatment with Chantix and Zyban is more successful in helping men quit smoking. The investigators hope to replicate these findings with this study.

Interventions

DRUGZyban

All participants will receive 21 mg/24 h dose nicotine (nic.) patches for 1 week.

Sponsors

National Institute on Drug Abuse (NIDA)
CollaboratorNIH
Philip Morris USA, Inc.
CollaboratorINDUSTRY
Duke University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)

Eligibility

Sex/Gender
MALE
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Have no known serious medical conditions; * Male; * Are 18-65 years old; * Smoke an average of at least 10 cigarettes per day; * Have smoked at least one cumulative year; * Have an expired air carbon monoxide (CO) reading of at least 10ppm; * Able to read and understand English; * Express a desire to quit smoking in the next thirty days. Potential subjects must agree to use acceptable contraception. Potential subjects must agree to avoid the following: * participation in any other nicotine-related modification strategy outside of this protocol; * use of tobacco products other than cigarettes, including pipe tobacco, cigars, e-cigarettes, snuff, and chewing tobacco; * use of experimental (investigational) drugs or devices; * use of illegal drugs; * use of opiate medications.

Exclusion criteria

* Hypertension; * Hypotension with symptoms; * Coronary heart disease; * Lifetime history of heart attack; * Cardiac rhythm disorder (irregular heart rhythm); * Chest pains (unless history, exam, and electrocardiogram (ECG) clearly indicate a non-cardiac source); * Cardiac (heart) disorder (including but not limited to valvular heart disease, heart murmur, heart failure); * History of skin allergy; * Active skin disorder (e.g., psoriasis) within the last five years; * Liver or kidney disorder (except kidney stones, gallstones); * Gastrointestinal problems or disease other than gastroesophageal reflux or heartburn; * Active ulcers in the past 30 days; * Currently symptomatic lung disorder/disease (including but not limited to Chronic obstructive pulmonary disease (COPD), emphysema, and asthma); * Brain abnormality (including but not limited to stroke, brain tumor, and seizure disorder); * Migraine headaches that occur more frequently than once per week; * Recent, unexplained fainting spells; * Problems giving blood samples; * Diabetes treated with insulin; non-insulin treated diabetes (unless glucose is less than 180mg/dcl and HbA1c is less than 7%); * Current cancer or treatment for cancer in the past six months (except basal or squamous cell skin cancer); * Other major medical condition; * Current psychiatric disease (with the exception of anxiety disorders, Obsessive Compulsive Disorder (OCD) and ADHD); * Suicidal ideation (within the past 10 years) or lifetime occurrence of attempted suicide; * Current depression; * Bulimia or anorexia; * Use of opiate medications for pain or sleep (non-opiate medication for pain or sleep will be allowed) within the past 14 days; * Smoking more than one cigar a month. * Alcohol abuse; * Significant adverse reaction to nicotine patches, bupropion / Wellbutrin / Zyban or Chantix / varenicline in the past. * Current participation or recent participation (in the past 30 days) in another smoking study at our Center or another research facility. * Current participation in another research study. Use (within the past 30 days) of: * Illegal drugs (or if the urine drug screen is positive for tetrahydrocannabinol (THC), Cocaine, Amphetamine, Opiates, Methamphetamines, phencyclidine (PCP), Benzodiazepines, or Barbiturates), * Experimental (investigational) drugs; * Psychiatric medications including antidepressants, anti-psychotics or any other medications that are known to affect smoking cessation (e.g. clonidine); * Smokeless tobacco (chewing tobacco, snuff), pipes or e-cigarettes; * Wellbutrin, bupropion, Zyban, Chantix, varenicline, nicotine replacement therapy or any other smoking cessation aid.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Completing Continuous Four-week Abstinence From Smoking Between the 8-week and 11-week Post Quit Day VisitsPeriod between 8-week and 11-week visits post target Quit DayThis will be determined by a composite of self-report at the 11-week study visit of no smoking between the 8-week and 11-week visits and expired air carbon monoxide (CO) \<10 ppm (measured at the 11-week study visit). An intent-to-treat criterion will be used, whereby drop-outs are considered to be non-abstinent.

Secondary

MeasureTime frameDescription
Number of Participants Completing Seven-day Point Abstinence From Smoking at 6 Months Post Quit Day6 months post Quit DayThis will be determined by a self-report of no smoking for the previous seven days when called for 6-month follow-up confirmed by expired air CO.
Number of Participants Completing Continuous Abstinence From Smoking Between Quit Day and 11-week Post Quit Day VisitQuit Day to 11-week post Quit Day study visitThis will be determined by a composite of self-report of no smoking between study visits at the 1-week, 3-week, 7-week and 11-week post Quit Day study visits and expired air carbon monoxide (CO) \<10 ppm (measured at those study visits). An intent-to-treat criterion will be used, whereby drop-outs are considered to be non-abstinent.

Other

MeasureTime frameDescription
Change in Smoking Withdrawal SymptomsQuit Day and 1 week, 3 weeks, 7 Weeks, 11 Weeks and 6 months post Quit DayWithdrawal symptoms will be assessed by questionnaire on Quit Day, Week 1, Week 3, Week 7 and Week 11 post target quit date and 6 months post quit Follow-Up (if applicable) using the Shiffman-Jarvik questionnaire, which consists of 33-items rated from 1 to 7, where 1= not at all, 2= very little, 3= a little, 4= moderately, 5= a lot, 6= quite a lot, and 7= extremely. The 33 items are grouped into 8 subscales: Craving, Negative Affect, Appetite, Arousal, Somatic - Anxiety, Somatic - G.I., Somatic - Respiratory Tract, and Habit Withdrawal. The range of scores for each subscale will be 1-7, with higher scores indicating more of the withdrawal symptom having been experienced.

Countries

United States

Participant flow

Recruitment details

Recruitment began on 3/4/2013 and ended on 9/7/2014. Of the 376 subjects (subjs.) consented during this period, 197 subjects met all study criteria.

Pre-assignment details

Of the 376 subjs. enrolled, 179 were withdrawn by study staff or withdrew voluntarily from further participation prior to the 1st study visit (V1). 197 subjs. met all study criteria, attended V1 & given NRT for 1 week; 176 subjs. attended V2 & completed SE quest.; 2 subjs. dropped out during this visit before randomization; 174 subjs. randomized.

Participants by arm

ArmCount
Chantix
For the first 3 days after being switched from Nicotine Replacement Therapy (NRT, occurring at one week after initiation of nicotine patch treatment, one week before the target Quit Day), smokers in this group will receive treatment with Chantix at a dose of 0.5 mg once per day followed by 0.5 mg twice a day for the remaining 4 days of that week. Subsequently, the dose will be 1 mg twice per day, and will remain at that dose for the remainder of the 12-week active treatment duration. Chantix Nicotine patches: All participants will receive 21 mg/24 h dose nicotine patches for 1 week.
90
Chantix + Zyban
For the first 3 days after being switched from NRT (occurring at one week after initiation of nicotine patch treatment, one week before the target Quit Day), smokers in this group will receive treatment with Chantix at a dose of 0.5 mg once per day followed by 0.5 mg twice a day for the remaining 4 days of that week plus Zyban at a dose of 150mg once per day. Subsequently, the dose of Chantix will be 1 mg twice per day and the dose of Zyban will be 150 mg twice per day for the remainder of the 12-week active treatment duration. Chantix Zyban Nicotine patches: All participants will receive 21 mg/24 h dose nicotine patches for 1 week.
84
Total174

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLack of Efficacy110
Overall StudyLost to Follow-up19200
Overall StudyPhysician Decision201
Overall StudyWithdrawal by Subject202322

Baseline characteristics

CharacteristicChantixChantix + ZybanTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
90 Participants84 Participants174 Participants
Age, Continuous44.75 years
STANDARD_DEVIATION 11.381
43.12 years
STANDARD_DEVIATION 10.562
43.96 years
STANDARD_DEVIATION 10.992
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants1 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
88 Participants83 Participants171 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Black or African American
20 Participants26 Participants46 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants0 Participants3 Participants
Race (NIH/OMB)
White
66 Participants57 Participants123 Participants
Region of Enrollment
United States
90 participants84 participants174 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
90 Participants84 Participants174 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
39 / 8753 / 8357 / 176
serious
Total, serious adverse events
3 / 902 / 840 / 197

Outcome results

Primary

Number of Participants Completing Continuous Four-week Abstinence From Smoking Between the 8-week and 11-week Post Quit Day Visits

This will be determined by a composite of self-report at the 11-week study visit of no smoking between the 8-week and 11-week visits and expired air carbon monoxide (CO) \<10 ppm (measured at the 11-week study visit). An intent-to-treat criterion will be used, whereby drop-outs are considered to be non-abstinent.

Time frame: Period between 8-week and 11-week visits post target Quit Day

ArmMeasureValue (NUMBER)
ChantixNumber of Participants Completing Continuous Four-week Abstinence From Smoking Between the 8-week and 11-week Post Quit Day Visits41 participants
Chantix + ZybanNumber of Participants Completing Continuous Four-week Abstinence From Smoking Between the 8-week and 11-week Post Quit Day Visits38 participants
Secondary

Number of Participants Completing Continuous Abstinence From Smoking Between Quit Day and 11-week Post Quit Day Visit

This will be determined by a composite of self-report of no smoking between study visits at the 1-week, 3-week, 7-week and 11-week post Quit Day study visits and expired air carbon monoxide (CO) \<10 ppm (measured at those study visits). An intent-to-treat criterion will be used, whereby drop-outs are considered to be non-abstinent.

Time frame: Quit Day to 11-week post Quit Day study visit

ArmMeasureValue (NUMBER)
ChantixNumber of Participants Completing Continuous Abstinence From Smoking Between Quit Day and 11-week Post Quit Day Visit21 participants
Chantix + ZybanNumber of Participants Completing Continuous Abstinence From Smoking Between Quit Day and 11-week Post Quit Day Visit15 participants
Secondary

Number of Participants Completing Seven-day Point Abstinence From Smoking at 6 Months Post Quit Day

This will be determined by a self-report of no smoking for the previous seven days when called for 6-month follow-up confirmed by expired air CO.

Time frame: 6 months post Quit Day

ArmMeasureValue (NUMBER)
ChantixNumber of Participants Completing Seven-day Point Abstinence From Smoking at 6 Months Post Quit Day21 participants
Chantix + ZybanNumber of Participants Completing Seven-day Point Abstinence From Smoking at 6 Months Post Quit Day19 participants
Other Pre-specified

Change in Smoking Withdrawal Symptoms

Withdrawal symptoms will be assessed by questionnaire on Quit Day, Week 1, Week 3, Week 7 and Week 11 post target quit date and 6 months post quit Follow-Up (if applicable) using the Shiffman-Jarvik questionnaire, which consists of 33-items rated from 1 to 7, where 1= not at all, 2= very little, 3= a little, 4= moderately, 5= a lot, 6= quite a lot, and 7= extremely. The 33 items are grouped into 8 subscales: Craving, Negative Affect, Appetite, Arousal, Somatic - Anxiety, Somatic - G.I., Somatic - Respiratory Tract, and Habit Withdrawal. The range of scores for each subscale will be 1-7, with higher scores indicating more of the withdrawal symptom having been experienced.

Time frame: Quit Day and 1 week, 3 weeks, 7 Weeks, 11 Weeks and 6 months post Quit Day

Population: A total of 163 subjects (Chantix n=82, Chantix+Zyban n=81) attended the first post-quit visit. However, ten subjects (5 in each condition) failed to complete or return their Quit Day withdrawal questionnaires; therefore change scores could only be calculated for 153 subjects (Chantix n=77, Chantix+Zyban n=76).

ArmMeasureGroupValue (MEAN)Dispersion
ChantixChange in Smoking Withdrawal SymptomsAnxiety -- % change 7 weeks from Quit Day-11.82 percentage of changeStandard Error 3.25
ChantixChange in Smoking Withdrawal SymptomsAppetite -- % change 7 weeks from Quit Day-9.30 percentage of changeStandard Error 5.981
ChantixChange in Smoking Withdrawal SymptomsAnxiety -- % change 11 weeks from Quit Day-9.34 percentage of changeStandard Error 3.526
ChantixChange in Smoking Withdrawal SymptomsNegative Affect -- % change 1 week from Quit Day-11.45 percentage of changeStandard Error 2.551
ChantixChange in Smoking Withdrawal SymptomsAnxiety -- % change 6 months from Quit Day-66.77 percentage of changeStandard Error 3.269
ChantixChange in Smoking Withdrawal SymptomsAppetite -- % change 11 weeks from Quit Day-16.20 percentage of changeStandard Error 7.153
ChantixChange in Smoking Withdrawal SymptomsGastrointestinal -- % change 1 week from Quit Day-0.69 percentage of changeStandard Error 3.72
ChantixChange in Smoking Withdrawal SymptomsNegative Affect -- % change 11 weeks from Quit Day-15.06 percentage of changeStandard Error 3.396
ChantixChange in Smoking Withdrawal SymptomsGastrointestinal -- % change 3 weeks from Quit Day-5.14 percentage of changeStandard Error 2.994
ChantixChange in Smoking Withdrawal SymptomsAppetite -- % change 6 months from Quit Day-33.88 percentage of changeStandard Error 10.872
ChantixChange in Smoking Withdrawal SymptomsGastrointestinal -- % change 7 weeks from Quit Day-7.67 percentage of changeStandard Error 3.231
ChantixChange in Smoking Withdrawal SymptomsCraving -- % change 6 months from Quit Day-42.96 percentage of changeStandard Error 6.563
ChantixChange in Smoking Withdrawal SymptomsGastrointestinal - % change 11 weeks from Quit Day-8.05 percentage of changeStandard Error 3.357
ChantixChange in Smoking Withdrawal SymptomsArousal -- % change 1 week from Quit Day8.03 percentage of changeStandard Error 5.62
ChantixChange in Smoking Withdrawal SymptomsGastrointestinal - % change 6 months from Quit Day-67.72 percentage of changeStandard Error 3.245
ChantixChange in Smoking Withdrawal SymptomsNegative Affect -- % change 6 months from Quit Day-8.55 percentage of changeStandard Error 10.707
ChantixChange in Smoking Withdrawal SymptomsRespiratory -- % change 1 week from Quit Day1.41 percentage of changeStandard Error 3.113
ChantixChange in Smoking Withdrawal SymptomsArousal -- % change 3 weeks from Quit Day5.87 percentage of changeStandard Error 5.675
ChantixChange in Smoking Withdrawal SymptomsRespiratory -- % change 3 weeks from Quit Day-1.12 percentage of changeStandard Error 4.694
ChantixChange in Smoking Withdrawal SymptomsNegative Affect -- % change 3 weeks from Quit Day-9.74 percentage of changeStandard Error 2.494
ChantixChange in Smoking Withdrawal SymptomsRespiratory -- % change 7 weeks from Quit Day0.92 percentage of changeStandard Error 6.534
ChantixChange in Smoking Withdrawal SymptomsArousal -- % change 7 weeks from Quit Day6.94 percentage of changeStandard Error 6.763
ChantixChange in Smoking Withdrawal SymptomsRespiratory -- % change 11 weeks from Quit Day-4.36 percentage of changeStandard Error 6.014
ChantixChange in Smoking Withdrawal SymptomsAppetite -- % change 1 week from Quit Day-10.53 percentage of changeStandard Error 3.148
ChantixChange in Smoking Withdrawal SymptomsRespiratory -- % change 6 months from Quit Day-65.87 percentage of changeStandard Error 3.293
ChantixChange in Smoking Withdrawal SymptomsArousal -- % change 11 weeks from Quit Day7.33 percentage of changeStandard Error 6.117
ChantixChange in Smoking Withdrawal SymptomsHabit -- % change 1 week from Quit Day-5.15 percentage of changeStandard Error 4.878
ChantixChange in Smoking Withdrawal SymptomsCraving -- % change 7 weeks from Quit Day-30.94 percentage of changeStandard Error 3.124
ChantixChange in Smoking Withdrawal SymptomsHabit -- % change 3 weeks from Quit Day-17.67 percentage of changeStandard Error 4.959
ChantixChange in Smoking Withdrawal SymptomsArousal -- % change 6 months from Quit Day19.80 percentage of changeStandard Error 15.516
ChantixChange in Smoking Withdrawal SymptomsHabit -- % change 7 weeks from Quit Day-14.46 percentage of changeStandard Error 6.666
ChantixChange in Smoking Withdrawal SymptomsAppetite -- % change 3 weeks from Quit Day-11.04 percentage of changeStandard Error 5.065
ChantixChange in Smoking Withdrawal SymptomsHabit -- % change 11 weeks from Quit Day-16.61 percentage of changeStandard Error 6.601
ChantixChange in Smoking Withdrawal SymptomsAnxiety -- % change 1 week from Quit Day-8.22 percentage of changeStandard Error 3.48
ChantixChange in Smoking Withdrawal SymptomsCraving -- % change 1 week from Quit Day-18.15 percentage of changeStandard Error 2.354
ChantixChange in Smoking Withdrawal SymptomsAnxiety -- % change 3 weeks from Quit Day-8.66 percentage of changeStandard Error 4.001
ChantixChange in Smoking Withdrawal SymptomsCraving -- % change 11 weeks from Quit Day-26.97 percentage of changeStandard Error 4.471
ChantixChange in Smoking Withdrawal SymptomsNegative Affect -- % change 7 weeks from Quit Day-10.16 percentage of changeStandard Error 2.885
ChantixChange in Smoking Withdrawal SymptomsHabit -- % change 6 months from Quit Day-56.97 percentage of changeStandard Error 4.807
ChantixChange in Smoking Withdrawal SymptomsCraving -- % change 3 weeks from Quit Day-27.06 percentage of changeStandard Error 3.52
Chantix + ZybanChange in Smoking Withdrawal SymptomsHabit -- % change 6 months from Quit Day-53.40 percentage of changeStandard Error 5.905
Chantix + ZybanChange in Smoking Withdrawal SymptomsCraving -- % change 3 weeks from Quit Day-28.64 percentage of changeStandard Error 4.439
Chantix + ZybanChange in Smoking Withdrawal SymptomsCraving -- % change 7 weeks from Quit Day-28.75 percentage of changeStandard Error 5.104
Chantix + ZybanChange in Smoking Withdrawal SymptomsCraving -- % change 11 weeks from Quit Day-30.82 percentage of changeStandard Error 5.201
Chantix + ZybanChange in Smoking Withdrawal SymptomsCraving -- % change 6 months from Quit Day-33.52 percentage of changeStandard Error 9.02
Chantix + ZybanChange in Smoking Withdrawal SymptomsNegative Affect -- % change 1 week from Quit Day-7.15 percentage of changeStandard Error 2.791
Chantix + ZybanChange in Smoking Withdrawal SymptomsNegative Affect -- % change 3 weeks from Quit Day-4.72 percentage of changeStandard Error 4.23
Chantix + ZybanChange in Smoking Withdrawal SymptomsNegative Affect -- % change 7 weeks from Quit Day-10.88 percentage of changeStandard Error 4.177
Chantix + ZybanChange in Smoking Withdrawal SymptomsNegative Affect -- % change 11 weeks from Quit Day-8.52 percentage of changeStandard Error 4.567
Chantix + ZybanChange in Smoking Withdrawal SymptomsNegative Affect -- % change 6 months from Quit Day21.96 percentage of changeStandard Error 19.66
Chantix + ZybanChange in Smoking Withdrawal SymptomsAppetite -- % change 1 week from Quit Day-4.40 percentage of changeStandard Error 3.224
Chantix + ZybanChange in Smoking Withdrawal SymptomsAppetite -- % change 3 weeks from Quit Day-4.42 percentage of changeStandard Error 5.553
Chantix + ZybanChange in Smoking Withdrawal SymptomsAppetite -- % change 7 weeks from Quit Day-11.66 percentage of changeStandard Error 6.403
Chantix + ZybanChange in Smoking Withdrawal SymptomsAppetite -- % change 11 weeks from Quit Day-8.64 percentage of changeStandard Error 8.199
Chantix + ZybanChange in Smoking Withdrawal SymptomsAppetite -- % change 6 months from Quit Day-35.44 percentage of changeStandard Error 15.819
Chantix + ZybanChange in Smoking Withdrawal SymptomsArousal -- % change 1 week from Quit Day10.72 percentage of changeStandard Error 3.716
Chantix + ZybanChange in Smoking Withdrawal SymptomsArousal -- % change 3 weeks from Quit Day-4.40 percentage of changeStandard Error 3.643
Chantix + ZybanChange in Smoking Withdrawal SymptomsArousal -- % change 7 weeks from Quit Day-4.03 percentage of changeStandard Error 3.95
Chantix + ZybanChange in Smoking Withdrawal SymptomsArousal -- % change 11 weeks from Quit Day-1.56 percentage of changeStandard Error 3.928
Chantix + ZybanChange in Smoking Withdrawal SymptomsArousal -- % change 6 months from Quit Day49.01 percentage of changeStandard Error 32.352
Chantix + ZybanChange in Smoking Withdrawal SymptomsAnxiety -- % change 3 weeks from Quit Day-14.40 percentage of changeStandard Error 3.517
Chantix + ZybanChange in Smoking Withdrawal SymptomsAnxiety -- % change 7 weeks from Quit Day-12.50 percentage of changeStandard Error 5
Chantix + ZybanChange in Smoking Withdrawal SymptomsAnxiety -- % change 11 weeks from Quit Day-19.83 percentage of changeStandard Error 3.768
Chantix + ZybanChange in Smoking Withdrawal SymptomsAnxiety -- % change 6 months from Quit Day-57.15 percentage of changeStandard Error 6.064
Chantix + ZybanChange in Smoking Withdrawal SymptomsGastrointestinal -- % change 1 week from Quit Day-7.78 percentage of changeStandard Error 2.692
Chantix + ZybanChange in Smoking Withdrawal SymptomsGastrointestinal -- % change 3 weeks from Quit Day-10.07 percentage of changeStandard Error 2.791
Chantix + ZybanChange in Smoking Withdrawal SymptomsGastrointestinal -- % change 7 weeks from Quit Day-8.44 percentage of changeStandard Error 4.777
Chantix + ZybanChange in Smoking Withdrawal SymptomsGastrointestinal - % change 11 weeks from Quit Day-9.60 percentage of changeStandard Error 3.897
Chantix + ZybanChange in Smoking Withdrawal SymptomsGastrointestinal - % change 6 months from Quit Day-56.61 percentage of changeStandard Error 6.026
Chantix + ZybanChange in Smoking Withdrawal SymptomsRespiratory -- % change 1 week from Quit Day-7.47 percentage of changeStandard Error 2.887
Chantix + ZybanChange in Smoking Withdrawal SymptomsRespiratory -- % change 3 weeks from Quit Day-8.81 percentage of changeStandard Error 3.697
Chantix + ZybanChange in Smoking Withdrawal SymptomsRespiratory -- % change 7 weeks from Quit Day-18.04 percentage of changeStandard Error 4.12
Chantix + ZybanChange in Smoking Withdrawal SymptomsRespiratory -- % change 11 weeks from Quit Day-19.67 percentage of changeStandard Error 4.507
Chantix + ZybanChange in Smoking Withdrawal SymptomsRespiratory -- % change 6 months from Quit Day-55.77 percentage of changeStandard Error 6.618
Chantix + ZybanChange in Smoking Withdrawal SymptomsHabit -- % change 1 week from Quit Day1.64 percentage of changeStandard Error 5.12
Chantix + ZybanChange in Smoking Withdrawal SymptomsHabit -- % change 3 weeks from Quit Day-16.07 percentage of changeStandard Error 3.735
Chantix + ZybanChange in Smoking Withdrawal SymptomsHabit -- % change 7 weeks from Quit Day-20.55 percentage of changeStandard Error 4.868
Chantix + ZybanChange in Smoking Withdrawal SymptomsHabit -- % change 11 weeks from Quit Day-24.78 percentage of changeStandard Error 6.085
Chantix + ZybanChange in Smoking Withdrawal SymptomsCraving -- % change 1 week from Quit Day-15.49 percentage of changeStandard Error 3.117
Chantix + ZybanChange in Smoking Withdrawal SymptomsAnxiety -- % change 1 week from Quit Day-12.26 percentage of changeStandard Error 2.78

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026