Study ID | Period | Placebo | Varenicline | Bupropion | NRT |
VARENICLINE trials | |||||
Anthenelli 2013 | During treatment or within 30 days of last dose | Intentional self injury; Depression with suicidal ideation; Agitation; Depression |
Psychotic disorder and depression; Suicidal ideation |
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Post‐treatment to week 52 | Intentional self injury 2 other SAEs |
2 deaths: overdose of clonazepam and morphine sulfate; Accidental fall 3 other SAEs |
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Aubin 2008 |
During treatment or within 30 days of last dose |
Depression*; Constipation |
Bile duct ca, sepsis; Gastrointestinal bleed; MI (2); Chest pain (2); Salivary gland tumour; Aggravation of old knee trauma |
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Acute ethanol intoxication; Suicidal ideation*; No deaths reported |
Abdominal cyst; No deaths reported |
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Baker 2016 | Post‐treatment to week 52 | Hospitalised due to allergic reaction to varenicline | None reported | ||
Bolliger 2011 |
During treatment or within 30 days of last dose |
Thyroid neoplasm; Appendicitis, peritonitis, diverticulitis; No deaths reported |
Abortion (possibly *); Hypersensitivity; Overdose; Bronchitis and asthma; Nasal septum deviation; Suicidal ideation + depressed mood; Suicidal ideation*; Tachycardia, bradychardia +dyspnoea; Panic attack; Injury; Appendicitis No deaths reported |
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Carson 2014 | During treatment |
(active control: counselling): Depressive episodes x 2; Agitation; 4 N‐STEMI (died); 2 lung ca (died) 1 stroke (died) |
Atrial fibrillation; Depressive episodes x 3; Aggression; 1 arrhythmia (died) 1 bradycardia (died) 2 respiratory/COPD (died) 2 N‐STEMI (died) |
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Post‐treatment to 52 weeks | Depressive episode | ||||
Chengappa 2014 | During treatment | Alcohol intoxication; Exacerbation of asthma; Pregnancy; |
Exacerbation of anxiety; Rash; Agitation, hostility, alcohol abuse, drug abuse*; Hypoxia, asthma with COPD; Tremulousness, grogginess, left‐arm weakness; |
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Post‐treatment to 52 weeks | Chest pain, left‐hand numbness | Pneuomonia | |||
Cincripini 2013 | Diabetes; Chest pain* |
Chest pain; Psychiatric hospitalisation |
Bilateral mammoplasty; Facial paralysis; Syncope* |
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EAGLES 2016 |
During treatment or within 30 days of last dose (Detail of SAES given in ClinicalTrials.gov posted results) |
16 (non‐psych) 25 (psych) 2 deaths (suicide, non‐psych; pulmonary embolism, psych) |
16 (non‐psych) 23 (psych) 2 deaths (heroin OD non‐psych; CV event, psych) |
19 (non‐psych) 29 (psych) |
21 (non‐psych) 24 (psych) |
> 30 days after last dose | 2 deaths (RTA, non‐psych; MI, non‐psych) | 1 death (lung cancer, psych) | 3 deaths (prostate cancer, non‐psych; oesophageal adenoma, psych; sepsis, psych) | ||
Ebbert 2015 | During treatment or within 30 days of last dose | 10 x suicidal ideation | 6 x suicidal ideation | ||
Post‐treatment to week 52 | 18 other SAEs | 10 other SAEs | |||
Eisenberg 2016 | Within 30 days of treatment | 3 MIs 5 unstable anginas Ischaemic cardiomyopathy Sick sinus syndrome Ruptured pseudoaneurysm Bowel obstruction COPD Rheumatoid arthritis Road traffic accident Melena Non‐cardiac chest pain Allergic reaction |
2 deaths (1 cardiac, 1 sudden death undefined) 3 MIs Unstable angina Depression Pulmonary embolism TIA Arrythmia and ICD implant 2 gastric bleeds 2 suspected unstable anginas (ruled out) Peroneal embolus with septic cellulitis Bowel surgery Dehydration Syncope Wound infection |
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Evins 2014 | Randomization phase | Sepsis (died); MI; Depressed mod and discontinuation of meds; Suicidal ideation; Worsened psychosis; Worsened psychosis and MJ intoxication; Manic symptoms |
Pancreatitis; Hyperglycaemia; Depressed mood; Worsened psychotic symptoms |
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Gonzales 2006 |
During treatment or within 7 days of last dose |
Lung cancer; Acute MI; Acute exacerbation of schizophrenia; Chest pain (2); UTI Atrial fibrillation |
Abdominal pain; Atrial fibrillation*; Pneumonia; Possible stroke |
Cholecystitis, septic shock; Headache; Grand mal seizure* |
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Post‐treatment to week 52 | Mediastinal mass; Fall, fractured elbow, collapsed lung, death unexplained; I death (as above) |
Non‐cardiac chest pain; Acute appendicitis; No deaths reported |
Appendicitis; UTI; No deaths reported |
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Gonzales 2014 | During treatment or within 30 days of last dose | Acute coronary syndrome; Ligament rupture; Hyperventilation; Drug sensitivity |
Knee arthroplasty; pyelonephritis; Intervertebral disc protrusion; Ankle fracture; Chest pain*; Drug sensitivity to amoxicillin; Drug sensitivity to hair dye |
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Post‐treatment to week 52 | Acute on chronic alcoholism (died) | ||||
Jorenby 2006 |
During treatment or within 7 days of last dose |
Ruptured ovarian cyst; Ischaemic heart disease; Ruptured appendix; Pneumonia; Allergic reaction |
Lung or brain cancer; Acute coronary syndrome; Chest pain; Dehydration, periorbital cellulitis; Acute psychosis, emotional lability; Vertigo, raised BP, chest pain* |
Ectopic pregnancy; Angiodoema*; Gunshot wound; Post‐op bleeding; Lower Leg pain; Breast cancer (female) |
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Post‐treatment to week 52 | Appendicitis; No deaths reported |
Staphylococcal cellulitis; Acute psychosis; No deaths reported |
Occlusion coronary artery; Miscarriage; 1 death (RTA) |
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Nahvi 2014a | During treatment | Chest pain; Alcohol detoxification |
Hypoglycaemia; Alcohol and cocaine rehab; Knee replacement |
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Post‐treatment to 24 weeks | Total hip relacement | Alcohol rehab, acute cholecystitis; Asthma exacerbation |
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Nakamura 2007 |
During treatment | Subarachnoid haemorrhage; Contusion; Foot fracture |
0.25 mg bid: Gastroenteritis; Cholecystitis*; Gastric cancer; Cholecystitis, peritonitis; Herpes Zoster 0.5mg bid: Haemorrhoids, intestinal prolapse; Pituitary haemorrhage; 1 mg bid: Neurosensory deafness; Angina pectoris*, intervertebral disc protrusion, MS; 1 death (RTA) |
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NCT00828113 | During treatment | Road traffic accident | |||
More than 30 days after treatment | Bladder surgery | ||||
Niaura 2008 |
Post‐treatment or within 30 days of last dose | None reported No deaths reported |
MI; Ventricular fibrillation; Spontaneous abortion; No deaths reported |
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Nides 2006 |
During treatment | None reported No deaths reported |
Transient ischaemic attack*, transient loss of vision*; No deaths reported |
Syncope, possible seizure*; Grand mal convulsion*; Bloody diarrhoea*; No deaths reported |
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Oncken 2006 |
During treatment | Syncope | Syncope; Duodenal ulcer; Cholesteatoma; Generalised tonic‐clonic seizure; Unstable angina; Paroxysmal supraventricular tachycardia; Cholelithiasis; Aseptic meningitis; Relapsing MS |
None reported | |
Post‐treatment | Suicide attempt; No deaths reported |
Carcinoid colon cancer; Diabetes (> 30d post‐treat); No deaths reported |
None reported No deaths reported |
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Rennard 2011 | During treatment and within 30 days of last dose | Suicidal ideation | Intervertebral disc protrusion x 2; Carotid artery stenosis; Syncope; PAOD; Ureteric calculus |
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Rigotti 2010 |
During treatment | Atrial fibrillation*; Congestive cardiac failure*; Chest pain*; Acute coronary syndrome*; + 17 others 1 death (unrelated) |
Chest pain*; MI*; Gingival bleeding*; CVA*; + 19 others |
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Post‐treatment to week 52 | 4 deaths (unrelated) | 2 deaths (unrelated) | |||
Stein 2013 | During and post‐treatment | Rashes x 2 | Heart attack | ||
Steinberg 2011 | During and post‐treatment to week 24 | 5 events (no detail) No deaths |
6 events (no detail) No deaths |
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Tashkin 2010 |
During treatment or within 28 days of last dose | Bronchitis; CVA; Cholelithiasis; Lung cancer; Pneumonia; Musculoskeletal pain; Acute MI; Appendicitis; COPD; Chest pain; Anxiety |
Acute MI; Vocal cord polyp; Hyperkeratosis; Back pain; Angina pectoris; CVA; Cellulitis; |
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Post‐treatment | COPD; Pneumonia; Palpitations; Chest pain; 1 death (amyotrophic lateral sclerosis) |
L Ventricular dysfunction; Aortic valve stenosis; COPD; Chest pain; Laryngeal cancer; 2 deaths (1 cardiac, I RTA) |
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Tønnesen 2013 | Post‐treatment | Rectal cancer with ileostomy, peritonitis; Gall stone; Malignant melanoma; Exacerbation of COPD |
Stroke; Severe constipation; Bradycardia; Cardiac arrest; Probable dengue fever |
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Tonstad 2006 |
Open‐label phase (during treatment) | R Breast indeterminate path; Suicidal ideation; Menorrhagia; Glandular adenocarcinoma; Diminshed vision; Accidental injury; Headache; Abdominal pain*; Acute psychosis*; Acute pancreatitis; Neopharyngeal carcinoma; Raised AST, ALT, LDH, CPK; Grand mal convulsion; Atrial fibrillation; Ureteral stones; Persistent epistaxis; Worsening kidney stones; Loss of teeth, dislocated shoulder |
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Open‐label phase (post‐treatment) | MI; Miscarriage |
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Double‐blind phase (during treatment) | Increased dysmenorrhoea; Appendicitis; Spinal cord compression; Abdominal pain |
Injury to tibial artery; Uterine & bladder prolapse, suspected MI; Alcohol poisoning, costal fracture; Transient vision loss*; MI |
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Double‐blind phase (post‐ treatment) | Acute cholecystitis; No deaths reported |
Colon cancer; Tumour; Ovarian tumour; Cerebral infarct, deep cerebral vein thrombosis; Supraventricular tachycardia; 3 deaths (unrelated) |
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Tsai 2007 | During treatment or within 28 days of last dose | 3 RTAs; No deaths reported |
Unstable angina*; Acute pyelonephritis; Peritonitis, acute appendicitis; No deaths reported |
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Tsukahara 2010 |
None reported | None reported | |||
Wang 2009 |
During treatment or within 7 days of last dose | Intestinal ulcer; 1 not described; No deaths reported |
None reported No deaths reported |
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Williams 2007 |
Up to week 52 | Vertebral compression fracture; DVT, pulmonary embolism; Worsening coronary artery disease; No deaths reported |
Coronary artery disease; Herniated disc; Bilateral subcapsular cataracts* Chest pain, hypoglycaemia; Sinus bradycardia, hypotension, ventricular bigeminy, coronary angioplasty; Stroke; Cardiac catheterization; Tachycardia; Suspected GI bleed; Saphenous vein occlusion, ischaemia; MI, DVT; Ileus; Chest wall pain; Non‐cardiac chest pain, chronic bronchitis, pneumonia, chest pain; Spinal stenosis; No deaths reported |
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Williams 2012 | During treatment and within 30 days of last dose | Hyperglycaemia; Breast cancer; Aggression; Suicidal ideation; No deaths |
Chest pain; Convulsion; "Psychiatric symptom"; Suicidal ideation; Suicidal attempt; Asthma; 1 death |
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CYTISINE trials | |||||
Scharfenberg 1971 | CYTISINE | Not reported | Not reported | ||
Vinnikov 2008 | CYTISINE | None reported | None reported | ||
Walker 2014 | 56 events in 45 people (see Table S5 in NEJM supplementary data) |
45 events in 39 people (see Table S5 in NEJM supplementary data) |
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West 2011 | CYTISINE | COPD (died); Stroke (died); Lung cancer (died) |
Stroke; Tracheal cancer; Cardiac arrest (died); Lung cancer (died); |
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DIANICLINE trial | |||||
Tonstad 2011 | DIANICLINE | Subileus; Thrombophlebitis; SVT; No deaths reported |
Appendicitis; Severe asthma; MI; No deaths reported |
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* Possibly, probably or definitely attributable to study medication Abbreviations: ALT: Alanine transaminase; AST: Aspartate transaminase; BP: blood pressure; COPD: Chronic Obstructive Pulmonary Disease; CPK: Creatine phosphokinase; CVA: cerebrovascular accident; DVT: deep vein thrombosis; LDH: Lactate dehydrogenase; MI: myocardial infarction; MS: Multiple Sclerosis; N/STEMI: non‐ST‐elevation myocardial infarction; PAOD: peripheral arterial occlusive disease; RTA: road traffic accident; SVT: supraventricular tachycardia; UTI: urinary tract infection |