Effectiveness of Bupropion for Treating Nicotine Dependence in Young People

Study Overview
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Brief Summary
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Little is known about the best ways to help young people stop smoking. Bupropion (a medication marketed as Wellbutrin or Zyban) has proved helpful in treating adult smokers. The purpose of this study is to determine if bupropion is also effective in treating smokers between the ages of 12 and 25 years old. This study also compares the effectiveness of bupropion used as a supplement to behavioral treatment versus behavioral treatment used alone. In addition, the study evaluates whether hormonal response to stress measured prior to the start of treatment predicts whether individuals respond well to treatment with medication.

Detailed Description
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Cigarette smoking and other forms of tobacco exposure are one of the leading preventable causes of morbidity and mortality in the United States. Most smokers begin smoking during adolescence, and though they seem motivated to quit smoking, they frequently fail. Although behavioral treatments are available, they have not been very successful in past studies. Depressed adults may have more difficulty quitting smoking than non depressed adults; this finding may also apply to depressed youth. The purpose of this study is to determine the effectiveness of bupropion in combination with standard behavioral treatment in helping young smokers quit, as compared to behavioral treatment alone. Finally, the study examines whether hormonal response to stress measured prior to treatment initiation predicts whether individuals respond well to treatment with bupropion. Participants in this double-blind study will be randomly assigned to receive either bupropion or placebo. Both groups will receive behavioral treatment. The trial will last for 9 weeks, with weekly study visits. Study visits will last 30 minutes to 1 hour and will include medication monitoring, self-reported and biological measures of smoking, and behavioral treatment. Participants will have follow-up visits six months after completion of treatment.

Official Title
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Stress Response and Smoking Cessation in Depressed Youth

Conditions
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Tobacco Use Cessation, Tobacco Use Disorder

Intervention / Treatment
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* Drug: Bupropion-SR
* Other: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Has smoked at least 10 cigarettes each day for 3 or more months Weighs at least 90 lbs Motivated to quit smoking and has had at least one previous failed attempt Speaks, reads, and writes English Either diagnosed as depressed OR no history of a psychiatric disorder Exclusion Criteria: History of bipolar disorder, eating disorder, schizophrenia, schizoaffective disorder, autism, or non-nicotine substance use disorder in the 6 months prior to study entry Currently suicidal or with a history of a suicide attempt in the 6 months prior to study entry Psychotic symptoms Use of psychotropic medication(s) Serious medical condition Prior use of bupropion for smoking cessation Currently using other smoking cessation treatments

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Bupropion (Wellbutrin-SR)<br>Using a double-blind, randomized, placebo-controlled design, smokers received active treatment with Bupropion-SR (150 mg. twice daily) in conjunction with cognitive-behavior therapy (weekly sessions) for smoking cessation over a 9-week period. | Drug: Bupropion-SR<br>* 150mg tablets taken orally twice daily for 9 weeks.<br>* Other names: Wellbutrin-SR;|
| Placebo Comparator: Matching Placebo<br>Using a double-blind, randomized, placebo-controlled design, smokers received treatment with a matching placebo (to Bupropion-SR 150 mg) twice daily in conjunction with cognitive-behavior therapy (weekly sessions) for smoking cessation over a 9-week period. | Other: Placebo<br>* Matching placebo (to Buproion-SR) twice daily for 9 weeks.<br>* Other names: Placebo match for Bupropion (Wellbutrin) SR;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smoking Behavior | Number of cigarettes smoked daily in the previous week | Nine weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Withdrawal Symptoms | Hughes-Hatsukami Withdrawal Scale | Nine weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adolescents, cigarettes, smoking, tobacco