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. 2014 Jan 8;2014(1):CD000031. doi: 10.1002/14651858.CD000031.pub4

Stapleton 2013.

Methods BUPROPION
Randomized controlled trial
Setting: Smoking cessation clinics, UK
Recruitment: People attending smoking cessation clinics
Participants 1071 daily smokers; 47% M, av age 41, av CPD 20, >25% history of depression
Interventions 1. Bupropion for 8 weeks, started prior to TQD (exact period NS), 150 mg/d for first 6d, then 300 mg for remainder
2. Bupropion (as above) + NRT (choice of single product, 12 weeks started on TQD, dosage determined on individual basis)
3. NRT only (as above)
All groups: 7 weekly behavioural support sessions as per standard service protocol. Mainly group, 60‐90 mins each
Outcomes Prolongued abstinence at 6m
Validation: CO < 10 ppm
Notes Funding: Department of Health for England. Study medication provided free of charge by Pfizer UK, GSK UK and Novartis UK.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computerized. “Randomization and packaging was organized by an independent statistician at the host site.”
Allocation concealment (selection bias) Low risk “On enrolment, participants selected their envelope from a large batch and signed it before breaking the seal to reveal their allocation.”
Blinding (performance bias and detection bias) 
 All outcomes High risk Open label, no blinding.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 61.5% followed up at both 1 and 6m, no significant difference between groups. Prolonged abstinence only imputed for 16% of total.