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. 2023 Jun 19;2023(6):CD013308. doi: 10.1002/14651858.CD013308.pub2

Dale 1995.

Study characteristics
Methods Study design: parallel RCT
Country: USA
Recruitment: community volunteers and smoking clinic attenders
Participants 71 smokers stratified according to light, moderate and heavy smoking rates, and motivated to quit
44% men, average age 48, average cigarettes per day: 26
Interventions 1) 11 mg/24‐hour nicotine patch
2) 22 mg/24‐hour nicotine patch
3) 44 mg/24‐hour nicotine patch
4) Placebo patch for 1 week followed by 11 or 22 mg patch for 7 weeks
Duration of patch use: 8 weeks
Outcomes PPA at 12 months
Validation: blood cotinine
Adverse events: measured daily for 6 days post‐baseline (treatment continued for 6 weeks)
Notes This study was supported by Lederle Laboratories, Pearl River, NY. RH, IC and KO have worked on clinical research studies funded in part by Lederle Laboratories, Elan Pharmaceutical Research Corporation, Burroughs‐Wellcome and Kabi.
Conflicts of interest: RH has received honoraria for educational activities from CibaGeigy Corporation, Marion Merrell Dow, Inc, and McNeil Pharmaceuticals. KO has received honoraria for educational activities from Elan Pharmaceutical Research Corporation.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "subjects ... were randomly assigned"
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias)
All outcomes Low risk Quote: "To blind the subjects, staff, and investigators, each subject simultaneously wore three patches during the 6‐day inpatient phase"
Incomplete outcome data (attrition bias)
All outcomes Low risk Apart from one light smoker dropping out from 44 mg group for nicotine toxicity in week 1, apparently no dropouts.