Smoking CessationPhase 2NCT02044874
A Study to Evaluate the Effect of Lorcaserin Hydrochloride on Smoking Cessation
A Phase 2 study testing APD356-lorcaserin hydrochloride in people with Smoking Cessation, run by Arena Pharmaceuticals at 31 sites in United States.
Trial summary
In smokers who are motivated to stop smoking, treatment with lorcaserin compared with placebo will provide greater abstinence as measured by the last 4 weeks of treatment (Weeks 9-12). The target quit date was Day 15. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Smoking Cessation
- What is being tested?
- APD356-lorcaserin hydrochloride
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 603 participants
- Where
- 31 sitesUnited States
- Study dates
- Mar 2014to Nov 2014
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males or females aged 18-65 years, inclusive
- ≥10 cigarettes per day with no period of abstinence longer than 3 months in the past year and who are motivated to quit smoking
- Able to give signed informed consent
- Eligible female patients will be:
- non-pregnant
- non-lactating
Show all 10Show fewer
- agree to use an acceptable method of effective contraception during the study
- Eligible male patients agree to use contraception when sexually active with a female partner who is not using an acceptable method of birth control
- Body weight of ≥50 kg (110 pounds), inclusive
- Considered to be in stable health in the opinion of the investigator
Who cannot join
- Patients who meet any of the following criteria will be excluded from the study.
- Prior or current use of lorcaserin HCl
- Prior participation in any study of a nicotine vaccination
- Use of other therapies for smoking cessation is not allowed within 3 months of screening through study exit
- Use of tobacco products other than cigarettes
- Prior use of fenfluramine or dexfenfluramine
Show all 17Show fewer
- Serious or unstable medical condition or clinically significant new illness within the 6 months prior to screening
- Previous participation in any clinical study within 6 weeks prior to the screening visit
- History of severe allergies, severe drug or excipient allergy or hypersensitivity
- History of significant cardiovascular condition
- History of other significant medical conditions
- Significant risk of suicide
- Anticipated use of any agents that are associated with valvulopathy and/or pulmonary hypertension
- Positive test result for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
- Recent history of alcohol or drug/solvent abuse
- Concurrent participation in the study by more than one member of the same household
- Not suitable to participate in the study in the opinion of the investigator
Trial locations and contacts
31 sites in 1 country.
31 sites in 1 country
United States31 sites
Benchmark Research
Austin, Texas, 78705
Integrative Clinical Trials
Brooklyn, New York, 11229
Neurobehavioral Clinical Research
Canton, Ohio, 44718
KRK Medical Research
Dallas, Texas, 75230
Midwest Clinical Research Center
Dayton, Ohio, 45417
iResearch Atlanta
Decatur, Georgia, 30030
Avail Clinical Research
DeLand, Florida, 32720
Duke University
Durham, North Carolina, 27705
Pharmacology Research Institute
Encino, California, 91316
Synergy Escondido
Escondido, California, 92025
Clinical Neuroscience Solutions, Inc.
Jacksonville, Florida, 32256
Clinical Trial Center
Jenkintown, Pennsylvania, 19046
Center for Pharmaceutical Research
Kansas City, Missouri, 64114
Meridien Research
Lakeland, Florida, 33805
Clinical Research Center of Nevada
Las Vegas, Nevada, 89104
Compass Research East
Leesburg, Florida, 34748
Lincoln Research
Lincoln, Rhode Island, 02865
Pharmacology Research Institute
Los Alamitos, California, 90720
Clinical Neuroscience Solutions, Inc.
Memphis, Tennessee, 38119
Coastal Carolina Research Center
Mt. Pleasant, South Carolina, 29464
Clinical Research Associates, Inc.
Nashville, Tennessee, 37203
Pharmacology Research Institute
Newport Beach, California, 92660
Quality Clinical Research Inc.
Omaha, Nebraska, 68114
Clinical Neuroscience Solutions, Inc.
Orlando, Florida, 32806
Compass Research
Orlando, Florida, 32806
Compass Research East
Oviedo, Florida, 32765
PMG Research Inc.
Raleigh, North Carolina, 27609
Desert Valley Research
Rancho Mirage, California, 92270
Meridien Research
Tampa, Florida, 33606
PMG Research Inc.
Wilmington, North Carolina, 28401
PMG Research Inc.
Winston-Salem, North Carolina, 27103
About this study
Official title: A 12-Week, Multicenter, Double-blind, Randomized, Placebo-controlled Parallel-group Phase 2 Dose Selection Study of Lorcaserin Hydrochloride, an Oral 5-HT2C Receptor Agonist for Smoking Cessation
In smokers who are motivated to stop smoking, treatment with lorcaserin compared with placebo will provide greater abstinence as measured by the last 4 weeks of treatment (Weeks 9-12). The target quit date was Day 15.
- Conditions
- Smoking Cessation
- Being tested
- APD356-lorcaserin hydrochloride, Placebo
- Medical subject headings
- Smoking Cessation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
APD356-lorcaserin hydrochlorideDrug
Also called Belviq
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| APD356 10 mg b.i.d. | Experimental | APD356 - lorcaserin hydrochloride 10 mg tablet administered twice daily for 12 weeks Receives: Drug: APD356-lorcaserin hydrochloride |
| APD356 10 mg q.d. | Experimental | APD356 - lorcaserin hydrochloride 10 mg tablet administered once daily and one matching placebo tablet administered once daily for 12 weeks Receives: Drug: APD356-lorcaserin hydrochloride |
| Placebo 10 mg b.i.d | Placebo comparator | Placebo tablet matching the APD356-lorcaserin hydrochloride 10 mg tablet administered twice daily for 12 weeks Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Abstinence for the Last 4 Weeks of Treatment From Weeks 9-12
Primary efficacy was assessed as the CO (carbon monoxide)-confirmed continuous abstinence rate for the last 4 weeks of treatment (Month 3: Weeks 9 through 12), defined as no reported smoking (not even a puff) or other nicotine use, verified by end expiratory CO levels <= 10 ppm.
Measured: Week 9 - Week 12
Secondary outcomes (4)
Abstinence During Weeks 3-12
The CO (carbon monoxide)-confirmed continuous abstinence rate for Weeks 3 through 12, defined as no reported smoking (not even a puff) or other nicotine use, verified by end expiratory CO levels <= 10 ppm
Measured: Week 3 to Week 12
The 7 Day Point Prevalence or Weekly Abstinence at Week 8
The CO (carbon monoxide)-confirmed continuous abstinence rate at for the 7-day period preceding the Week 8 visit, defined as no reported smoking (not even a puff) or other nicotine use, verified by end expiratory CO levels <= 10 ppm
Measured: Week 8
The 7 Day Point Prevalence or Weekly Abstinence at Week 12
The CO (carbon monoxide)-confirmed continuous abstinence rate at for the 7-day period preceding the Week 12 visit, defined as no reported smoking (not even a puff) or other nicotine use, verified by end expiratory CO levels <= 10 ppm
Measured: Week 12
Body Weight
Change in body weight from Week 1 (baseline) to Week 12
Measured: Baseline to Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2014 (estimated)
- Study startMar 2014
- Primary completionNov 2014
- Study completionNov 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Smoking CessationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 603 participants (actual)
Sponsor and investigators
- Lead sponsor
- Arena Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Donald Anderson, M.D., Principal investigator, Desert Valley Research; Rancho Mirage, California
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02044874
- Sponsor's protocol ID
- APD356-035
- Status last verified
- Mar 2019
- First submitted
- 21 Jan 2014
- Last updated
- 16 Apr 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Hartmann-Boyce J, Theodoulou A, Farley A, Hajek P, Lycett D, Jones LL, Kudlek L, Heath L, Hajizadeh A, Schenkels M, Aveyard P. Interventions for preventing weight gain after smoking cessation. Cochrane Database Syst Rev. 2021 Oct 6;10(10):CD006219. doi: 10.1002/14651858.CD006219.pub4.
PubMed 34611902Shanahan WR, Rose JE, Glicklich A, Stubbe S, Sanchez-Kam M. Lorcaserin for Smoking Cessation and Associated Weight Gain: A Randomized 12-Week Clinical Trial. Nicotine Tob Res. 2017 Aug 1;19(8):944-951. doi: 10.1093/ntr/ntw301.
PubMed 27815511
Study at a glance
From the registry record, last updated by the sponsor on 16 Apr 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 12-Week, Multicenter, Double-blind, Randomized, Placebo-controlled Parallel-group Phase 2 Dose Selection Study of Lorcaserin Hydrochloride, an Oral 5-HT2C Receptor Agonist for Smoking Cessation
- ClinicalTrials.gov ID
- NCT02044874
- Acronym / sponsor ID
- APD356-035
- Conditions
- Smoking Cessation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 603 participants (actual)
- Lead sponsor
- Arena PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Mar 2014
- Primary completion
- Nov 2014 (actual)
- Study completion
- Nov 2014 (actual)
- First posted
- 24 Jan 2014 (estimated)
- Results
- Posted 16 Apr 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In smokers who are motivated to stop smoking, treatment with lorcaserin compared with placebo will provide greater abstinence as measured by the last 4 weeks of treatment (Weeks 9-12). The target quit date was Day 15.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| APD356 10 mg b.i.d. | Experimental | Drug: APD356-lorcaserin hydrochlorideAPD356 - lorcaserin hydrochloride 10 mg tablet administered twice daily for 12 weeks |
| APD356 10 mg q.d. | Experimental | Drug: APD356-lorcaserin hydrochlorideAPD356 - lorcaserin hydrochloride 10 mg tablet administered once daily and one matching placebo tablet administered once daily for 12 weeks |
| Placebo 10 mg b.i.d | Placebo comparator | Drug: PlaceboPlacebo tablet matching the APD356-lorcaserin hydrochloride 10 mg tablet administered twice daily for 12 weeks |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Males or females aged 18-65 years, inclusive
- ≥10 cigarettes per day with no period of abstinence longer than 3 months in the past year and who are motivated to quit smoking
- Able to give signed informed consent
- Eligible female patients will be:
- Eligible male patients agree to use contraception when sexually active with a female partner who is not using an acceptable method of birth control
Key exclusion criteria (17 listed)
- Patients who meet any of the following criteria will be excluded from the study.
- Prior or current use of lorcaserin HCl
- Prior participation in any study of a nicotine vaccination
- Use of other therapies for smoking cessation is not allowed within 3 months of screening through study exit
- Use of tobacco products other than cigarettes
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| APD356-lorcaserin hydrochlorideAlso: Belviq | Drug | APD356 10 mg b.i.d., APD356 10 mg q.d. |
| Placebo | Drug | Placebo 10 mg b.i.d |
Primary outcome
Percentage of Participants With Abstinence for the Last 4 Weeks of Treatment From Weeks 9-12
Time frame: Week 9 - Week 12
Primary efficacy was assessed as the CO (carbon monoxide)-confirmed continuous abstinence rate for the last 4 weeks of treatment (Month 3: Weeks 9 through 12), defined as no reported smoking (not even a puff) or other nicotine use, verified by end expiratory CO levels <= 10 ppm.
4 secondary outcomes
Abstinence During Weeks 3-12
Time frame: Week 3 to Week 12
The 7 Day Point Prevalence or Weekly Abstinence at Week 8
Time frame: Week 8
The 7 Day Point Prevalence or Weekly Abstinence at Week 12
Time frame: Week 12
Body Weight
Time frame: Baseline to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Apr 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34611902Hartmann-Boyce J, Theodoulou A, Farley A, Hajek P, Lycett D, Jones LL, Kudlek L, Heath L, Hajizadeh A, Schenkels M, Aveyard P. Interventions for preventing weight gain after smoking cessation. Cochrane Database Syst Rev. 2021 Oct 6;10(10):CD006219. doi: 10.1002/14651858.CD006219.pub4.
- Derived from this study: PubMed 27815511Shanahan WR, Rose JE, Glicklich A, Stubbe S, Sanchez-Kam M. Lorcaserin for Smoking Cessation and Associated Weight Gain: A Randomized 12-Week Clinical Trial. Nicotine Tob Res. 2017 Aug 1;19(8):944-951. doi: 10.1093/ntr/ntw301.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Donald Anderson, M.D. principal investigator
Desert Valley Research; Rancho Mirage, California
31 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing APD356-lorcaserin hydrochloride in people with Smoking Cessation, run by Arena Pharmaceuticals at 31 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 16 Apr 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Abstinence for the Last 4 Weeks of Treatment From Weeks 9-12 (time frame: Week 9 - Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02044874, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Apr 2019.