A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in Pakistan

Background Hookah tobacco smoking has increased worldwide yet there is little evidence for the efficacy of pharmacological therapies to achieve abstinence among hookah smokers. Our objective was to assess the efficacy of varenicline when added to behavioural support for hookah tobacco cessation. Me...

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Main Authors: Omara Dogar, Mona Kanaan, Raana Zahid, Sonia Mansoor, Mohammad Jawad, Jasjit S Ahluwalia, Kamran Siddiqi
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/A-double-blind-placebo-controlled-randomized-trial-of-varenicline-in-hookah-tobacco,84550,0,2.html
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author Omara Dogar
Mona Kanaan
Raana Zahid
Sonia Mansoor
Mohammad Jawad
Jasjit S Ahluwalia
Kamran Siddiqi
author_facet Omara Dogar
Mona Kanaan
Raana Zahid
Sonia Mansoor
Mohammad Jawad
Jasjit S Ahluwalia
Kamran Siddiqi
author_sort Omara Dogar
collection DOAJ
description Background Hookah tobacco smoking has increased worldwide yet there is little evidence for the efficacy of pharmacological therapies to achieve abstinence among hookah smokers. Our objective was to assess the efficacy of varenicline when added to behavioural support for hookah tobacco cessation. Methods In 2016, we conducted a double-blind, placebo controlled, randomized trial in Pakistan enrolling 510 daily hookah users who were willing to quit. All participants received behavioural support and either varenicline or placebo at randomisation. The primary outcome was 25 weeks continuous abstinence biochemically verified by a carbon monoxide level of < 10 ppm. Results Among the 510 trial participants, 429 (84%) were male and 81 (16%) female; 249 (49%) smoked only hookah and 261 (51%) smoked both hookah and cigarettes. 21 participants withdrew from treatment mainly due to adverse events. We recently completed the last follow-up (25 weeks) on May 23 rd , 2017 with a 93% (475/510) retention rate. The data will remain blinded for treatment allocation until the primary analysis is complete. [Trial Flow Chart] Conclusions We will report our primary outcome results at the '17th World conference on Tobacco or Health' in Cape Town for the first ever trial of varenicline among hookah smokers. The findings of this pharmacotherapy trial will have major implications for knowledge translation, practice and policy regarding hookah tobacco use.
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spelling doaj.art-ba3e7693ce324887beceeea9dc7009a02022-12-21T23:38:25ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8455084550A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in PakistanOmara Dogar0Mona Kanaan1Raana Zahid2Sonia Mansoor3Mohammad Jawad4Jasjit S Ahluwalia5Kamran Siddiqi6University of York, United KingdomUniversity of York, United KingdomThe Initiative, PakistanThe Initiative, PakistanImperial College London, United KingdomIndependent Consultant, United States of AmericaUniversity of York, United KingdomBackground Hookah tobacco smoking has increased worldwide yet there is little evidence for the efficacy of pharmacological therapies to achieve abstinence among hookah smokers. Our objective was to assess the efficacy of varenicline when added to behavioural support for hookah tobacco cessation. Methods In 2016, we conducted a double-blind, placebo controlled, randomized trial in Pakistan enrolling 510 daily hookah users who were willing to quit. All participants received behavioural support and either varenicline or placebo at randomisation. The primary outcome was 25 weeks continuous abstinence biochemically verified by a carbon monoxide level of < 10 ppm. Results Among the 510 trial participants, 429 (84%) were male and 81 (16%) female; 249 (49%) smoked only hookah and 261 (51%) smoked both hookah and cigarettes. 21 participants withdrew from treatment mainly due to adverse events. We recently completed the last follow-up (25 weeks) on May 23 rd , 2017 with a 93% (475/510) retention rate. The data will remain blinded for treatment allocation until the primary analysis is complete. [Trial Flow Chart] Conclusions We will report our primary outcome results at the '17th World conference on Tobacco or Health' in Cape Town for the first ever trial of varenicline among hookah smokers. The findings of this pharmacotherapy trial will have major implications for knowledge translation, practice and policy regarding hookah tobacco use.http://www.journalssystem.com/tid/A-double-blind-placebo-controlled-randomized-trial-of-varenicline-in-hookah-tobacco,84550,0,2.htmlWCTOH
spellingShingle Omara Dogar
Mona Kanaan
Raana Zahid
Sonia Mansoor
Mohammad Jawad
Jasjit S Ahluwalia
Kamran Siddiqi
A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in Pakistan
Tobacco Induced Diseases
WCTOH
title A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in Pakistan
title_full A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in Pakistan
title_fullStr A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in Pakistan
title_full_unstemmed A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in Pakistan
title_short A double-blind, placebo-controlled, randomized trial of varenicline in hookah tobacco smokers in Pakistan
title_sort double blind placebo controlled randomized trial of varenicline in hookah tobacco smokers in pakistan
topic WCTOH
url http://www.journalssystem.com/tid/A-double-blind-placebo-controlled-randomized-trial-of-varenicline-in-hookah-tobacco,84550,0,2.html
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