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. 2016 May 9;2016(5):CD006103. doi: 10.1002/14651858.CD006103.pub7
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
Post‐treatment to week 52 Intentional self injury
2 other SAEs
2 deaths: overdose of clonazepam and morphine sulfate;
Accidental fall
3 other SAEs
 
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
  Acute ethanol intoxication;
Suicidal ideation*;
No deaths reported
  Abdominal cyst;
No deaths reported
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
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)
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;
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*
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
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
 
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*
 
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
 
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
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)
 
Post‐treatment to week 52 Appendicitis;
No deaths reported
Staphylococcal cellulitis;
Acute psychosis;
No deaths reported
Occlusion coronary artery;
Miscarriage;
1 death (RTA)
 
Nahvi 2014a During treatment Chest pain;
Alcohol detoxification
Hypoglycaemia;
Alcohol and cocaine rehab;
Knee replacement
Post‐treatment to 24 weeks Total hip relacement Alcohol rehab, acute cholecystitis;
Asthma exacerbation
 
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)
   
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
   
 
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
 
 
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
 
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
 
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
 
   
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
 
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;
 
   
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)
   
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
 
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
   
Open‐label phase (post‐treatment)   MI;
Miscarriage
   
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
   
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)
   
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
   
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
   
 
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
   
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
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)
West 2011 CYTISINE COPD (died);
Stroke (died);
Lung cancer (died)
Stroke;
Tracheal cancer;
Cardiac arrest (died);
Lung cancer (died);
DIANICLINE trial
Tonstad 2011 DIANICLINE Subileus;
Thrombophlebitis;
SVT;
No deaths reported
Appendicitis;
Severe asthma;
MI;
No deaths reported
* 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