Impact of Varenicline on Blood-Oxygen-Level Dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Activation on Smokers (GRAND)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 21
- 试验地点
- 1
- 主要终点
- Change in Post-Resist Craving
研究概览
简要总结
The purpose of this study is to evaluate the impact of varenicline treatment on cue induced craving to smoking using brain imaging. The investigators hypothesize that participants will report reduced urges to smoke and will have less activation in parts of the brain associated with craving.
详细描述
Treatment with varenicline reduces overall subjective cigarette craving and smoking reward in nicotine-dependent smokers. This preliminary study will explore the impact of varenicline treatment on smoking cue-induced craving and associated regional brain activation using BOLD fMRI. Twenty healthy smokers (10 males, 10 females) will undergo two BOLD fMRI scans with the presentation of smoking-related and neutral cues at baseline and after five weeks of treatment with open-label varenicline. The investigators hypothesize that participants will report reduced urges to smoke on the Questionnaire of Smoking Urges-Brief and have less activation of the brain areas associated with craving during the fMRI after 5 weeks of varenicline and smoking cessation counseling compared to the baseline scan.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 21 - 60 treatment-seeking right handed smokers.
- •Meet criteria for primary nicotine dependence confirmed by FTND and smoked at least 70% of days in the last 30 days prior to assessment.
- •General good health confirmed by history & physical.
- •Able to read and understand questionnaires and informed consent.
- •Motivated to quit, willing to set a target quit date (TQD) and abstain from smoking after TDQ.
- •Participants must have a negative urine drug screen (UDS) and pregnancy test prior to imaging sessions and beginning varenicline treatment.
- •Female participants will use a reliable method of birth control throughout the study.
- •Demonstrate subjective response to cues in a laboratory cue reactivity session.
排除标准
- •Currently meets DSM-IV criteria for any other psychoactive substance dependence disorder except nicotine dependence.
- •Any psychoactive substance abuse within the last 30 days as evidenced by subject report or urine drug screen.
- •Use of other tobacco products.
- •Current use of nicotine replacement therapy, bupropion, or other smoking cessation treatment.
- •Previous failed attempt on varenicline.
- •Meets DSM-IV criteria for current axis I disorders of major depression, panic disorder, obsessive compulsive disorder, post-traumatic stress syndrome, bipolar affective disorder, schizophrenia, or any other psychotic disorder or organic mental disorder.
- •Current suicidal ideation with plan or homicidal ideation.
- •Need for maintenance or acute treatment with any psychoactive medication including anti-seizure medications which could potentially interfere with fMRI.
- •Clinically significant medical problems that would impair participation or limit ability to participate in scan.
- •Sexually active females of child-bearing potential who are pregnant, nursing, or who are not using a reliable form of birth control.
- •Has current charges pending for a violent crime (not including DUI related offenses).
- •Persons with ferrous metal implants or pacemaker since fMRI will be used.
研究组 & 干预措施
Abstinent
All participants received varenicline. A priori determined analysis was between participants who quit smoking and those who continued to smoke.
This arm was abstinent after 5 weeks of varenicline treatment..
干预措施: varenicline (Drug)
Non-abstinent
All participants received varenicline. A priori determined analysis was between participants who quit smoking and those who continued to smoke.
This arm was participants who continued to smoke after 5 weeks of varenicline treatment.
干预措施: varenicline (Drug)
结局指标
主要结局
Change in Post-Resist Craving
时间窗: 5 weeks
Change in Post-resist task craving between Scan 1, pre-medication, and Scan 2, post- medication, as measured on a 0-10 Likert scale. The Within Sessions Rating scale (Range 0-10) measures craving with 0 indicating Not at All and 10 indicating Extremely. Change scores were calculate by subtracting the craving score immediately following the pre-medication scan from the craving score immediately following the post-medication scan.
次要结局
未报告次要终点