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Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial()
Significance There are sex effects in abstinence outcomes across all smoking cessation medications, but there is limited information regarding sex effects on cessation-related neuropsychiatric adverse events (NPSAEs) or interactions with psychiatric status. METHODS: Secondary analysis of data from E...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372180/ https://www.ncbi.nlm.nih.gov/pubmed/37520849 http://dx.doi.org/10.1016/j.dadr.2023.100177 |
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author | McKee, Sherry A. Lawrence, David E. Saccone, Phillip McRae, Thomas Anthenelli, Robert M. |
author_facet | McKee, Sherry A. Lawrence, David E. Saccone, Phillip McRae, Thomas Anthenelli, Robert M. |
author_sort | McKee, Sherry A. |
collection | PubMed |
description | Significance There are sex effects in abstinence outcomes across all smoking cessation medications, but there is limited information regarding sex effects on cessation-related neuropsychiatric adverse events (NPSAEs) or interactions with psychiatric status. METHODS: Secondary analysis of data from EAGLES of 8144 adults who smoke cigarettes randomized to varenicline, bupropion, nicotine patch or placebo. Design characteristics included region (within/outside US), psychiatric cohort (absent/present), and treatment. Baseline variables included demographics, smoking history, prior use of study treatments, lifetime suicide-related history, and prior psychiatric co-morbidities and medication use. Design characteristics were forced into logistic regressions models, and then interactions among sex, design elements, and baseline characteristics were evaluated for NPSAEs and 6-month cessation outcomes. RESULTS: Findings demonstrated a significant interaction of sex and race (p < 0.02); Black women were more likely to report NPSAEs than Black men. For cessation outcomes, there were no significant interactions with psychiatric cohort and sex. Women vs men with higher baseline levels of smoking had lower odds of continuous abstinence. Women vs men who used varenicline previously had lower odds of continuous abstinence. For 6-month point prevalence, sex interacted with baseline cigarettes per day (p < 0.01) similar to the interaction for continuous abstinence. Sex interacted with medication (p < 0.03), such that women vs men had relatively greater success at achieving point prevalence abstinence on varenicline. CONCLUSIONS: Overall, results demonstrated important sex and racial differences in the incidence of NPSAEs, but psychiatric status did not interact with sex on cessation outcomes. Findings did support prior work demonstrating relative increased efficacy of varenicline for women. |
format | Online Article Text |
id | pubmed-10372180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-103721802023-07-28 Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial() McKee, Sherry A. Lawrence, David E. Saccone, Phillip McRae, Thomas Anthenelli, Robert M. Drug Alcohol Depend Rep Full Length Report Significance There are sex effects in abstinence outcomes across all smoking cessation medications, but there is limited information regarding sex effects on cessation-related neuropsychiatric adverse events (NPSAEs) or interactions with psychiatric status. METHODS: Secondary analysis of data from EAGLES of 8144 adults who smoke cigarettes randomized to varenicline, bupropion, nicotine patch or placebo. Design characteristics included region (within/outside US), psychiatric cohort (absent/present), and treatment. Baseline variables included demographics, smoking history, prior use of study treatments, lifetime suicide-related history, and prior psychiatric co-morbidities and medication use. Design characteristics were forced into logistic regressions models, and then interactions among sex, design elements, and baseline characteristics were evaluated for NPSAEs and 6-month cessation outcomes. RESULTS: Findings demonstrated a significant interaction of sex and race (p < 0.02); Black women were more likely to report NPSAEs than Black men. For cessation outcomes, there were no significant interactions with psychiatric cohort and sex. Women vs men with higher baseline levels of smoking had lower odds of continuous abstinence. Women vs men who used varenicline previously had lower odds of continuous abstinence. For 6-month point prevalence, sex interacted with baseline cigarettes per day (p < 0.01) similar to the interaction for continuous abstinence. Sex interacted with medication (p < 0.03), such that women vs men had relatively greater success at achieving point prevalence abstinence on varenicline. CONCLUSIONS: Overall, results demonstrated important sex and racial differences in the incidence of NPSAEs, but psychiatric status did not interact with sex on cessation outcomes. Findings did support prior work demonstrating relative increased efficacy of varenicline for women. Elsevier 2023-07-12 /pmc/articles/PMC10372180/ /pubmed/37520849 http://dx.doi.org/10.1016/j.dadr.2023.100177 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Full Length Report McKee, Sherry A. Lawrence, David E. Saccone, Phillip McRae, Thomas Anthenelli, Robert M. Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial() |
title | Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial() |
title_full | Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial() |
title_fullStr | Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial() |
title_full_unstemmed | Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial() |
title_short | Sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the EAGLES trial() |
title_sort | sex effects in predictors of smoking abstinence and neuropsychiatric adverse events in the eagles trial() |
topic | Full Length Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372180/ https://www.ncbi.nlm.nih.gov/pubmed/37520849 http://dx.doi.org/10.1016/j.dadr.2023.100177 |
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