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Trial ยท NCT01456936

Study Evaluating The Safety And Efficacy Of Varenicline and Bupropion For Smoking Cessation In Subjects With And Without A History Of Psychiatric Disorders

NCT01456936, Phase 4, Completed, Pfizer; results first posted 2016-05-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study Evaluating The Safety And Efficacy Of Varenicline and Bupropion For Smoking Cessation In Subjects With And Without A History Of Psychiatric Disorders. Trials, record NCT01456936. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01456936

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study Evaluating The Safety And Efficacy Of Varenicline and Bupropion For Smoking Cessation In Subjects With And Without A History Of Psychiatric Disorders
NCT number
NCT01456936
Status
Completed
Phases
Phase 4
Enrollment
8,144 participants, actual
Lead sponsor
Pfizer
Conditions
Smoking Cessation
Interventions
Placebo, varenicline tartrate, bupropion hydrochloride, Nicotine Replacement Therapy Patch
First posted
2011-10-21
Last updated
2016-06-10
Other registries' IDs
eudract:2010-022914-15
Results first posted
2016-05-02
Limitations and caveats
After database lock and unblinding, one additional participant in the NRT arm of psychiatric cohort was found who had a primary endpoint event (moderate suicidal ideation) which required hospitalization; this event is not included in any analyses.

Source ClinicalTrials.gov

Registered outcomes25

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOccurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The primary safety endpoint is the occurrence of at least one treatment emergent "severe" adverse event of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least one treatment emergent "moderate" or "severe" adverse event of: agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide.
PrimaryEstimated NPS AE Rate (%), by CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The primary safety endpoint is the occurrence of at least one treatment emergent "severe" adverse event of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least one treatment emergent "moderate" or "severe" adverse event of: agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide. Estimated NPS AE rate (%) was calculated based on least-squares means analysis.
SecondaryOccurrence of the Components of the NPS AE Primary Endpoint, Non-psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The safety endpoint is the occurrence of at least one treatment emergent "severe" adverse event of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least one treatment emergent "moderate" or "severe" adverse event of: agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide. Each of these 16 components is reported below.
SecondaryOccurrence of the Components of the NPS AE Primary Endpoint, Psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The safety endpoint is the occurrence of at least one treatment emergent "severe" adverse event of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least one treatment emergent "moderate" or "severe" adverse event of: agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide. Each of these 16 components is reported below.
SecondaryOccurrence of the Components of NPS AE Primary Endpoint (Overall)Treatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The NPS AE composite results (as previously described) are for the two cohorts combined and are presented below.
SecondaryOccurrence of Severe-only NPS AEs in the Primary Endpoint, by CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The primary safety endpoint is the occurrence of at least one treatment emergent "severe" adverse event of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least one treatment emergent "moderate" or "severe" adverse event of: agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide. Only those events rated as severe are reported; this excludes any moderate events in the primary NPS AE endpoint.
SecondaryOccurrence of the Components of the Observed Severe-only NPS AE Primary Endpoint, Non-psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The safety endpoint is the occurrence of at least one treatment emergent "severe" adverse event of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least one treatment emergent "moderate" or "severe" adverse event of: agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide. Only those events rated as severe are reported; this excludes any moderate events in the primary NPS AE endpoint.
SecondaryOccurrence of the Components of the Observed Severe-only NPS AE Primary Endpoint, Psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The safety endpoint is the occurrence of at least one treatment emergent "severe" adverse event of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least one treatment emergent "moderate" or "severe" adverse event of: agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide. Only those events rated as severe are reported; this excludes any moderate events in the primary NPS AE endpoint.
SecondaryOccurrence of the Components of Severe-only NPS AE Endpoint (Overall)Treatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.
The NPS AE endpoint was the occurrence of at least 1 treatment-emergent "severe" AE of anxiety, depression, feeling abnormal, or hostility and/or the occurrence of at least 1 treatment-emergent "severe" AE of agitation, aggression, delusions, hallucinations, homicidal ideation, mania, panic, paranoia, psychosis, suicidal ideation, suicidal behavior, or completed suicide. Only those events rated as severe are reported; this excludes any moderate events in the primary NPS AE endpoint.
SecondaryHospital Anxiety and Depression Scale (HADS) Total Score, Non-psychiatric History CohortBaseline to Week 24
The HADS is a subject self-reporting scale completed in person at clinic visits at Baseline and Weeks 1 through 6, 8, 10, 12, 13, 16, 20, and 24. It contains 14 individual item responses ranging in increasing severity from 0 (normal) to 3 (most severe) for a total range of 0 to 42. Of the 14 items, 7 assess anxiety and 7 assess depression, providing 2 subscales with ranges of 0 to 21. For each subscale, 0 to 7 is considered normal, while 15 to 21 represents severe symptoms.

Outcomes25

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOccurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.percentage of participantsNUMBER
PRIMARYEstimated NPS AE Rate (%), by CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.percentage of participantsLEAST_SQUARES_MEAN
SECONDARYOccurrence of the Components of the NPS AE Primary Endpoint, Non-psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.participantsNUMBER
SECONDARYOccurrence of the Components of the NPS AE Primary Endpoint, Psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.participantsNUMBER
SECONDARYOccurrence of the Components of NPS AE Primary Endpoint (Overall)Treatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.participantsNUMBER
SECONDARYOccurrence of Severe-only NPS AEs in the Primary Endpoint, by CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.percentage of participantsNUMBER
SECONDARYOccurrence of the Components of the Observed Severe-only NPS AE Primary Endpoint, Non-psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.participantsNUMBER
SECONDARYOccurrence of the Components of the Observed Severe-only NPS AE Primary Endpoint, Psychiatric History CohortTreatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.participantsNUMBER
SECONDARYOccurrence of the Components of Severe-only NPS AE Endpoint (Overall)Treatment emergent is first dose date to last dose date (up to 12 weeks) plus 30 days.The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.participantsNUMBER
SECONDARYHospital Anxiety and Depression Scale (HADS) Total Score, Non-psychiatric History CohortBaseline to Week 24The safety dataset included all participants who had received at least one partial dose of study medication (N=8058) and was used to analyze all safety endpoints.Units on a scaleMEAN

Results by group1,008

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointVarenicline 1.0 mg BIDNon-psychiatric cohort (N= 990, 989, 1006, 999)1.3percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointBupropion 150 mg BIDNon-psychiatric cohort (N= 990, 989, 1006, 999)2.2percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointNRT PatchNon-psychiatric cohort (N= 990, 989, 1006, 999)2.5percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointPlaceboNon-psychiatric cohort (N= 990, 989, 1006, 999)2.4percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointVarenicline 1.0 mg BIDPsychiatric cohort (N= 1026, 1017, 1016, 1015)6.5percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointBupropion 150 mg BIDPsychiatric cohort (N= 1026, 1017, 1016, 1015)6.7percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointNRT PatchPsychiatric cohort (N= 1026, 1017, 1016, 1015)5.2percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointPlaceboPsychiatric cohort (N= 1026, 1017, 1016, 1015)4.9percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointVarenicline 1.0 mg BIDOverall (N= 2016, 2006, 2022, 2014)4.0percentage of participants
Occurrence of Neuropsychiatric (NPS) Adverse Events (AE) - the Primary Study EndpointBupropion 150 mg BIDOverall (N= 2016, 2006, 2022, 2014)4.5percentage of participants

Participant flow16

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDVarenicline2,037
Overall StudySTARTEDBupropion2,034
Overall StudySTARTEDNRT Patch2,038
Overall StudySTARTEDPlacebo2,035
Overall StudyRandomized and TreatedVarenicline2,016
Overall StudyRandomized and TreatedBupropion2,006
Overall StudyRandomized and TreatedNRT Patch2,022
Overall StudyRandomized and TreatedPlacebo2,014
Overall StudyCOMPLETEDVarenicline1,598
Overall StudyCOMPLETEDBupropion1,586

Adverse events612

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDry mouthGastrointestinal disordersVarenicline 1.0 mg BID662,016
otherDry mouthGastrointestinal disordersBupropion1462,006
otherDry mouthGastrointestinal disordersNRT Patch592,022
otherDry mouthGastrointestinal disordersPlacebo642,014
otherNauseaGastrointestinal disordersVarenicline 1.0 mg BID5112,016
otherNauseaGastrointestinal disordersBupropion2012,006
otherNauseaGastrointestinal disordersNRT Patch1992,022
otherNauseaGastrointestinal disordersPlacebo1372,014
otherApplication site pruritusGeneral disordersVarenicline 1.0 mg BID222,016
otherApplication site pruritusGeneral disordersBupropion122,006

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityVarenicline 1.0 mg BID
Total, all-cause mortalityBupropion
Total, all-cause mortalityNRT Patch
Total, all-cause mortalityPlacebo
Total, other adverse eventsVarenicline 1.0 mg BID1,1582,016
Total, other adverse eventsBupropion1,0332,006
Total, other adverse eventsNRT Patch1,0032,022
Total, other adverse eventsPlacebo8842,014
Total, serious adverse eventsVarenicline 1.0 mg BID392,016
Total, serious adverse eventsBupropion482,006

Papers14

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27116918DERIVEDPubMed
29508470DERIVEDPubMed
30847828DERIVEDPubMed
31195244DERIVEDPubMed
31850603DERIVEDPubMed
33138708DERIVEDPubMed
33464316DERIVEDPubMed
33788933DERIVEDPubMed
33885203DERIVEDPubMed
34112520DERIVEDPubMed

1 to 10 of 14

See all 14 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01456936

GET https://conductscience.org/api/trials/v1/NCT01456936/registered?page=2