CClinicalTrials.gg
CompletedNCT00129246Updated Dec 3, 2020Results posted

Low-Dose Naltrexone Combined With Bupropion to Stop Smoking With Less Weight Gain

A Phase 1/2 interventional study of Naltrexone and Bupropion in Smoking and Nicotine Dependence, sponsored by Yale University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-03.

Sponsored by Yale University · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will test a combination of the drugs naltrexone and bupropion with weight-concerned smokers to investigate whether or not this combination of drugs improves smoking cessation quit rates and minimizes post quit weight gain.

Read the detailed description

This is an open label smoking cessation clinical trial of 25 mg naltrexone with 300 mg bupropion sustained-release (SR) in six male and fourteen female participants. This pilot study is being conducted to determine:

  • effect size estimates for smoking cessation and post-cessation weight gain, which will be used to compute the sample size needed for a large-scale clinical trial; and
  • compliance with a combination of 25 mg naltrexone and 300 mg bupropion SR. In addition to examining the sample in this study, the investigators plan to compare this sample to a sample of matched controls.
02

Conditions studied

  • Smoking
  • Nicotine Dependence

Keywords

  • Tobacco
  • Smoking
  • Weight
  • Weight perception
  • Naltrexone
  • Bupropion
03

In context

Weight Gain

405 studies on the registry are indexed under Weight Gain; 52 are open to participants now.

This study's enrollment of 40 is below the median of 83 across 324 interventional studies indexed under Weight Gain.

Browse Weight Gain studies →

Lead sponsor

Yale University is the lead sponsor of 1,724 studies on the registry; 298 are open to participants now.

Of its 210 completed or terminated interventional studies of FDA-regulated products, 126 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Ages 18 and older
  • Willingness and ability to give written consent
  • Smoking at least 10 cigarettes per day for at least 1 year
  • Baseline expired carbon-monoxide level of at least 10 ppm
  • Weigh at least 100 lbs.
  • English-speaking
  • One person per household
  • At least 1 prior quit attempt
  • Concern about gaining weight. This will be assessed using a questionnaire that will provide a rating system to determine qualified participants.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or nursing women or women attempting to conceive
  • Serious current neurologic, psychiatric or medical illness, including unstable cardiac, hepatic, or renal disease and diabetes and hypertension
  • Current alcohol dependence
  • Current use of opiates, and/or a urine toxicology screen positive for opiates
  • Chronic pain conditions necessitating opioid treatment (naltrexone, an opioid antagonist will make these medications ineffective)
  • Evidence of significant hepatocellular injury as evidenced by AST or ALT >3 x normal or elevated bilirubin
  • History of cirrhosis
  • Body mass index (BMI) greater than 35
  • History of anorexia nervosa or bulimia
  • Current major depression
  • Currently taking Toprol-XL (or metoprolol succinate)
  • History of seizure disorder or serious brain injury
  • Current use of smokeless tobacco, pipes, cigars, nicotine gum, nicotine patch, nicotine inhaler, nicotine lozenge, nicotine nasal spray, or bupropion
  • Previous hypersensitivity to bupropion
  • Patients requiring concomitant therapy with any psychotropic drug
  • Participation in the Framing Messages for Smoking Cessation With Bupropion study (HIC#: 10880)
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    Bupropion only

    The placebo comparator was a group of matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen in a similar 7-week study investigation compared to naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day).

    Drug: Bupropion

  • Experimental
    Naltrexone +Bupropion

    The active comparator in this 7-week open label study investigation was naltrexone hydrochloride (25 mg/day) in combination with bupropion hydrochloride SR (300 mg/day) compared to matched controls who received an identical psychosocial intervention and bupropion SR treatment regimen (bupropion only).

    Drug: Naltrexone · Drug: Bupropion

Interventions

  • DrugNaltrexone

    Participants received naltrexone hydrochloride on the sixth day of bupropion treatment, and the initial dose was 12.5 mg, followed by 25 mg daily for the duration of the 7-week treatment.

  • DrugBupropion

    Starting with the baseline visit, all participants received 150 mg of bupropion SR once per day for 3 days, then twice per day for the duration of the 7-week treatment period.

06

What researchers measure

Primary outcomes

  1. Smoking Cessation

    Smoking cessation is defined as the number of patients that displayed continuous 6-week abstinence from the quit date.

    Time frame: Week 6

  2. Point Prevalence Abstinence

    Point prevalence abstinence is defined as the number of patients reporting point prevalence abstinence over the last 7 days.

    Time frame: Week 6

  3. Weight Gain

    Weight gain for for the entire sample in pounds at 6 weeks.

    Time frame: Week 6

Secondary outcomes

  1. Weight Gain Abstinent Participants

    Weight gain (in pounds) for the patients that were continuously abstinent at 6 weeks.

    Time frame: Week 6

07

Results

Posted Feb 5, 2013

Participant flow

Participant flow — Overall Study
MilestoneBupropion OnlyNaltrexone +Bupropion
Started2020
Completed2020
Not completed00

Outcome measures

PrimarySmoking Cessation

Smoking cessation is defined as the number of patients that displayed continuous 6-week abstinence from the quit date.

Time frame:
Week 6
Reported as:
Number · participants
Smoking Cessation
participantsBupropion OnlyNaltrexone +Bupropion
Smoking Cessation66
PrimaryPoint Prevalence Abstinence

Point prevalence abstinence is defined as the number of patients reporting point prevalence abstinence over the last 7 days.

Time frame:
Week 6
Reported as:
Number · participants
Point Prevalence Abstinence
participantsBupropion OnlyNaltrexone +Bupropion
Point Prevalence Abstinence88
SecondaryWeight Gain Abstinent Participants

Weight gain (in pounds) for the patients that were continuously abstinent at 6 weeks.

Time frame:
Week 6
Reported as:
Mean · lbs
Weight Gain Abstinent Participants
lbsBupropion OnlyNaltrexone +Bupropion
Weight Gain Abstinent Participants3.17 ± 2.041.67 ± 3.17
PrimaryWeight Gain

Weight gain for for the entire sample in pounds at 6 weeks.

Time frame:
Week 6
Reported as:
Mean · lbs
Weight Gain
lbsBupropion OnlyNaltrexone +Bupropion
Weight Gain1.25 ± 2.900.28 ± 3.88

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Bupropion Only—0/20 (0%)8/20 (40%)
Naltrexone +Bupropion—0/20 (0%)9/20 (45%)
Most frequent other events
Showing 10 of 15
Most frequent other events
EventBupropion OnlyNaltrexone +Bupropion
NauseaGastrointestinal disorders1/205/20
InsomniaPsychiatric disorders5/203/20
Nervousness/anxietyPsychiatric disorders2/204/20
Dry mouthGeneral disorders4/204/20
HeadacheNervous system disorders0/202/20
PruritusSkin and subcutaneous tissue disorders2/200/20
IrritabilityPsychiatric disorders2/202/20
ConstipationGastrointestinal disorders0/202/20
SweatingSkin and subcutaneous tissue disorders1/202/20
VomitingGastrointestinal disorders1/201/20

Baseline characteristics

Age, Continuous
Age, Continuous(years)Bupropion OnlyNaltrexone +BupropionTotal
Mean42.3 ± 12.343.0 ± 11.242.7 ± 11.6
Sex: Female, Male
Sex: Female, Male(Participants)Bupropion OnlyNaltrexone +BupropionTotal
Female141428
Male6612
08

Study locations

1 site
  • Yale University School of Medicine Substance Abuse Treatment Unit
    New Haven, Connecticut 06511, United States
09

References and documents

Publications

  • Toll BA, Leary V, Wu R, Salovey P, Meandzija B, O'Malley SS. A preliminary investigation of naltrexone augmentation of bupropion to stop smoking with less weight gain. Addict Behav. 2008 Jan;33(1):173-9. doi: 10.1016/j.addbeh.2007.05.012. Epub 2007 Jun 2. PubMed 17587504 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 3, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00129246
Lead sponsor
Yale University
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Responsible party
Sponsor
First posted
Aug 11, 2005
Start date
Dec 2004
Completion
Dec 2005
Results posted
Feb 5, 2013
Last update
Dec 3, 2020

Study contacts

Benjamin Toll, Ph.D.
principal investigator · Yale University School of Medicine Department of Psychiatry
View the source record on ClinicalTrials.gov ↗

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