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Efficacy and Safety of Bupropion for Treatment of Adolescent Smoking

Phase 2
Terminated
Conditions
Tobacco Dependence
Interventions
Registration Number
NCT00248118
Lead Sponsor
National Institute on Drug Abuse (NIDA)
Brief Summary

The purpose of this study is to determine: 1) the short-term clinical efficacy and safety of bupropion for helping adolescent tobacco smokers quit, and 2) The role of withdrawal symptoms in the maintenance of smoking in adolescents.

Detailed Description

This 10-week study consists of an unassisted (pretrial) acute tobacco withdrawal (AW) phase and a 7-week randomized double-blind placebo-controlled trial of bupropion (300 mg/day) for tobacco dependence. Neuropsychological examinations will be conducted at baseline, during acute withdrawal, and during treatment (incl. early withdrawal) with bupropion. We expect smoking cessation in approximately 25% of the active medication group and significant overall smoking reduction. We postulate that bupropion will also reduce the irritability, depressed mood and anxiety symptoms that typically occur during tobacco withdrawal. We expect to observe optimal cognitive performance, (i.e., attention, memory), and affective state during satiety, impairment during pre-treatment abstinence, and intermediate level cognitive performance in the abstinent active-treatment group. Because limited data are available on cognitive tasks in adolescent smokers, a non-smoking group will be included in order to establish the validity and appropriateness of our paradigm with a normative sample.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
72
Inclusion Criteria
  • More than 100 lbs
  • IQ greater than 80
  • General good health
  • Not pregnant
  • Non-Smoker: No cigarettes in last 6 months, less than 5 in lifetime
  • Smokers: Smoke more than 6 cigarettes per day for at least 6 months
Exclusion Criteria
  • Cardiac, Central Nervous System (CNS) or severe psychiatric disorder
  • Psychoactive medications (including nicotine replacement)
  • Substance use disorder

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboBupropionPlacebo pill
Active medicationBupropion300mg bupropion HCL
Primary Outcome Measures
NameTimeMethod
Bupropion will be safe and tolerable, increase cessation rates, and reduce smoke and nicotine exposure7 weeks
Secondary Outcome Measures
NameTimeMethod
Reduction of smoking-related urges and cravings.7 weeks

Trial Locations

Locations (1)

Teen Tobacco Addiction Research Clinic, NIDA Intramural Research Program

🇺🇸

Baltimore, Maryland, United States

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