About this trial
The proposed project will include enrollment of 200 daily tobacco cigarette users, ages 22+, from the San Diego community. Participants will be assessed on the VR Nicotine Cue Exposure paradigm then randomized (stratified on age and sex) to receive varenicline (target dose 1mg twice daily) or placebo (n per group=100; total N=200). Following eight days of titration, participants will be assessed again on the VR Nicotine Cue Exposure paradigm. They will then be followed via mobile assessments for eight days on target dose of varenicline, and 30-days post assessment by phone, to assess short-term nicotine use behaviors.
Eligibility criteria
Qualifiers
Provision of signed and dated informed consent form
Stated willingness to comply with all study procedures and availability for the duration of the study
Persons, aged 22+
Ability to take oral medication and be willing to adhere to the dosing regimen
Disqualifiers
Contraindications/conditions with special precautions for varenicline treatment (i.e., history of serious hypersensitivity or skin reactions to varenicline, history of severe renal impairment, seizures, severe cardiovascular disease, chronic or severe nausea, Stevens-Johnson syndrome, erythema multiforme, pregnancy or nursing)
Medical or psychiatric history affecting brain development (i.e., history and/or treatment of neurologic disorders, severe head trauma with loss of consciousness >2 minutes, or current severe Diagnostic and Statistical Manual 5th edition (DSM-5) psychiatric disorders other than tobacco use disorders)
Current suicidal ideation or history of suicide attempt or self-mutilatory acts in the past 12 months
Other recreational drug use in the past 30 days (besides alcohol and cannabis) verified by oral and urine fluid toxicology
Trial design
Treatments tested in this trial
- Varenicline Tartrate
- Placebo
Treatment groups
Sponsors and collaborators
University of California, San Diego
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator