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Corresponding Author
Michelle J. Zaso
Clinical and Research Institute on Addictions, University at Buffalo–The State University of New York, Buffalo, New York, USA
Correspondence
Michelle J. Zaso, Ph.D., Clinical and Research Institute on Addictions, University at Buffalo–The State University of New York, 1021 Main Street, Buffalo, NY 14203-1016, USA.
Email: [email protected]
Search for more papers by this authorChristian S. Hendershot
Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Search for more papers by this authorCorresponding Author
Michelle J. Zaso
Clinical and Research Institute on Addictions, University at Buffalo–The State University of New York, Buffalo, New York, USA
Correspondence
Michelle J. Zaso, Ph.D., Clinical and Research Institute on Addictions, University at Buffalo–The State University of New York, 1021 Main Street, Buffalo, NY 14203-1016, USA.
Email: [email protected]
Search for more papers by this authorChristian S. Hendershot
Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Search for more papers by this authorAbstract
Human laboratory studies are widely used to evaluate behavioural mechanisms of pharmacotherapy effects. Results from human laboratory studies examining smoking cessation pharmacotherapies have not been examined in aggregate. The current meta-analysis aimed to synthesize data from randomized, placebo-controlled human laboratory studies on the effects of non-nicotine pharmacotherapies on outcomes relevant for smoking cessation. Literature searches identified 15 human laboratory studies of varenicline (n?=?697) and 9 studies of bupropion (n?=?313) with sufficient data for inclusion. Studies involved acute or subacute pharmacotherapy treatment with administration durations ranging from a single dose to 8?weeks. Primary outcomes examined were craving, withdrawal and behavioural indices of smoking. Varenicline significantly reduced craving (Hedge's g?=??0.36[?0.54,?0.17], p?<?0.001), withdrawal (g?=??0.25[?0.41,?0.09], p?=?0.003) and behavioural indices of smoking (g?=??0.36[?0.63,?0.08], p?=?0.01) relative to placebo. In contrast, results were inconclusive regarding bupropion's effects on craving (g?=??0.13[?0.32,0.05], p?=?0.15), withdrawal (g?=??0.15[?0.44,0.14], p?=?0.31) and behavioural indices of smoking (g?=??0.05[?0.35,0.24], p?=?0.73) relative to placebo. Findings provide meta-analytic support that short-term varenicline treatment decreases craving, withdrawal symptoms and smoking behaviour under controlled laboratory conditions. However, findings also suggest the ability of human laboratory paradigms to detect pharmacotherapy effects may differ by treatment type. Pharmacotherapy discovery and evaluation efforts utilizing human laboratory methods should aim to align study designs and laboratory procedures with presumed therapeutic mechanisms when possible.
CONFLICT OF INTEREST
The authors have no relevant conflicts of interest to declare.
Open Research
DATA AVAILABILITY STATEMENT
Data are available from the corresponding author upon reasonable request.
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