Varenicline versus transdermal nicotine patch for smoking cessation: results from a randomised open-label trial
2008

Varenicline vs Nicotine Patch for Quitting Smoking

Sample size: 757 publication Evidence: high

Author Information

Author(s): H-J Aubin, A Bobak, J R Britton, C Oncken, C B Billing Jr, J Gong, K E Williams, K R Reeves

Primary Institution: Hôpital Emile Roux, Assistance Publique-Hopitaux de Paris, France

Hypothesis

Does varenicline provide a higher smoking cessation rate compared to transdermal nicotine replacement therapy?

Conclusion

Varenicline resulted in higher smoking abstinence rates and reduced cravings compared to transdermal nicotine replacement therapy.

Supporting Evidence

  • Varenicline showed a continuous abstinence rate of 55.9% compared to 43.2% for NRT.
  • Varenicline significantly reduced cravings and withdrawal symptoms compared to NRT.
  • The most common side effect of varenicline was nausea, reported by 37.2% of participants.

Takeaway

This study found that a new medicine called varenicline helps people stop smoking better than a nicotine patch.

Methodology

A 52-week, open-label, randomised, multicentre, phase 3 trial comparing varenicline and transdermal nicotine replacement therapy.

Potential Biases

Differential dropout rates may have influenced the results.

Limitations

The open-label design may have introduced bias, and the treatment durations were different.

Participant Demographics

Participants were smokers aged 18-75, with a mean age of 42.9 years, and included both males and females.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 1.26 to 2.28

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1136/thx.2007.090647

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