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Smoking CessationPhase 3ECSMOKENCT03630614

Randomized Trial of Electronic Cigarettes With or Without Nicotine in Smoking Cessation.

A Phase 3 study testing Electronic cigarette without nicotine (ECwN) plus active varenicline tablets in people with Smoking Cessation and Smoking, Cigarette, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Background: Electronic cigarettes (EC) mainly containing nicotine (88-95 % of users) are widely and growingly used worldwide. It is estimated that there were 1.7 million daily users in France in 2016. Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Electronic cigarette without nicotine (ECwN) plus active varenicline tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
650 participants
Where
1 siteFrance
Study dates
17 Oct 2018to Dec 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Smokers smoking at least 10 cigarettes/day (factory made or roll-your-own) in the past year
  • Aged 18 to 70 years
  • Motivated to quit defined as a score > 5 on a visual rating scale ranging from 0 (not motivated at all) to 10 (extremely motivated)
  • Signed written informed consent
  • Understanding and speaking French
  • Women of childbearing age can be included if they use an effective contraceptive method: either hormonal contraception or an intrauterine device started at least one month before the first research visit
  • Individual affiliated to a health insurance system as defined by the sponsor (except Aide Médicale d'État =AME)
  • Previous failure of nicotine replacement therapy for smoking cessation

Who cannot join

  • any unstable disease condition within the last 3 months defined by the investigator as major change in symptoms or treatments such as 1.1.recent myocardial infarction, 1.2.unstable or worsening angina 1.3.severe cardiac arrhythmia 1.4.unstable or uncontrolled arterial hypertension 1.5.recent stroke 1.6.cerebrovascular disease 1.7.obliterative peripheral arterial disease 1.8.cardiac insufficiency 1.9.diabetes 1.10.hyperthyroidism 1.11.pheochromocytoma 1.12.severe hepatic insufficiency 1.13.history of seizures 1.14.severe depression 1.15.chronic obstructive pulmonary disease (COPD)
  • any life threatening condition with life-expectancy of less than 3 months
  • alcohol use disorder defined as a score ≥ 10 on the AUDIT-C questionnaire
  • abuse of or dependence on illegal drugs in the last 6 months revealed by the medical history
  • regular use of tobacco products other than cigarettes
  • current or previous (last 6 months) use of electronic cigarette
Show all 14Show fewer
  • pregnant women
  • breastfeeding women
  • protected adults
  • current or past 3 months participation in another interventional research
  • current or past (last 3 months) use of smoking cessation medication such as varenicline, bupropion, nicotine replacement therapies
  • known lactose intolerance (placebo tablets contain lactose)
  • hypersensitivity to the active substance or to any of the excipients
  • known severe renal failure

Trial locations and contacts

1 site in 1 country.

France1 site
  • Groupe Hospitalier Pitié-Salpétrière

    Paris, 75013

Other trials in France

About this study

Official title: A Randomized, Placebo Controlled, Double Blind, Double Dummy, Multicenter Trial Comparing Electronic Cigarettes With Nicotine to Varenicline and to Electronic Cigarettes Without Nicotine.

Background:

Electronic cigarettes (EC) mainly containing nicotine (88-95 % of users) are widely and growingly used worldwide. It is estimated that there were 1.7 million daily users in France in 2016. Although the number of publications about its use is increasing exponentially, there are no evidence based, unbiased, head-to-head comparison data about its efficacy as an aid to smoking cessation. As of today, only two head-to-head randomized studies have been published, both reported negative results at the main endpoint but they used first and second generation EC delivering nicotine with low or unknown bioavailability. Recent EC deliver nicotine with largely improved bioavailability.

Read more

One of the randomized studies compared EC with and without nicotine to nicotine patch and reported similar smoking cessation rate at main outcome. However, there is no published, double blind study comparing EC use with a well-studied, licensed smoking cessation medication.

Superiority of EC with nicotine compared to EC without nicotine and to a reference smoking cessation medication while collecting also straightforward information about safety, would allow proposing EC with nicotine to the large population of smokers who intend to quit and situate it among the approved smoking cessation treatments.

The clinical study's hypothesis:

EC containing nicotine can be considered as a nicotine replacement therapy having, probably, a better bioavailability of nicotine than the marketed pharmaceutical NRTs, first line medications of smoking cessation. It is therefore of interest to compare EC containing nicotine to EC without nicotine but also to a reference medication with demonstrated efficacy in smoking cessation. We hypothesize that EC with nicotine provides a higher smoking abstinence rate than EC without nicotine and may be as good as varenicline, our reference medication.

Read the detailed description

This is a randomized, placebo controlled, multicenter, double dummy, parallel groups, phase III type pivotal trial.

Included participants are randomly assigned to one of the 3 groups:

  1. Control group: Electronic cigarette without nicotine (ECwoN) plus placebo tablets of varenicline: placebo condition B) Experimental group: Electronic cigarette with nicotine (ECwN) plus placebo tablets of varenicline: ECwN condition C) Reference group: ECwoN plus varenicline tablets: varenicline condition Ratio: A:B:C= 1:3:3 Each participant uses an EC and 2x2 tablets per day. Group allocation is stratified by age at cut off of 45 years.

Enrolment is initiated by two ways:

  • Potential participants aware of the study register at the study's recruitment website; call in or send an email followed by a phone screen. The screening starts with the participant's information about the study's aims, constraints, benefits and risks. A maximum one week delay of reflection is allowed if the potential participant is asking for a delay to sign his/her consent form.

After screening, an appointment for the inclusion visit is provided at the closest investigation center.

  • Referred or self-referred potential participants consulting for smoking cessation are proposed an inclusion visit.

The participant is informed that in this study, the smoking cessation shall occur within 15 days following the signature of the written consent.

Baseline visit = inclusion visit = V0 The Inclusion visit can immediately follow the screening visit if the participant does not need time for reflection.

The investigator checks the inclusion and exclusion criteria and if the participant is conform to them, the investigator collects informed written consent from the participant and he/she is included in the trial. The randomization can immediately follow the inclusion.

A target quit date (TQD) is defined together with the participant. The TQD defines the date when the randomized participant stops smoking. This is the starting date of the post-quit period. Start of treatment should occur within 7 days after the randomization visit.

All treatments are launched one week before the TQD. During this period smoking conventional cigarettes is allowed.

Follow-up visits : Visit 1 to Visit 6 Target quit date (TQD) should occur between 7 and 15 days after randomization. The first post-quit date visit (Visit 1)is at Week 2 after TQD i.e. 3 weeks after treatment initiation = Day 21 after treatment initiation.

Visit 2 is at Week 4 after TQD i.e. 5 weeks after treatment initiation = Day 35 after treatment initiation.

Visit 3 is at Week 8 after TQD i.e. 9 weeks after treatment initiation = Day 63 after treatment initiation.

Visit 4 is at Week 10 after TQD i.e. 11 weeks after treatment initiation = Day 77 after treatment initiation.

Visit 5 is at Week 12 after TQD i.e. 13 weeks after treatment initiation = Day 91 after treatment initiation.

Visit 6 is at Week 24 after TQD i.e. 25 weeks after treatment initiation = Day 175 after treatment initiation.

The visits should be realized +/- 5 days with respect to the planned date of the visits.

End of study visit The end of research visit is the Visit 6, at week 24 after TQD. This visit is identical to the previous follow up visits.

Being tested
Electronic cigarette without nicotine (ECwN) plus active varenicline tablets, Electronic cigarette without nicotine (ECwoN) plus placebo tablets of varenicline, Electronic cigarette with nicotine (ECwN) plus placebo tablets of varenicline
Keywords
smokers, electronic cigarette, nicotine, varenicline, randomized, double blind, double dummy
Medical subject headings
Smoking Cessation, Cigarette Smoking, Vaping

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Electronic cigarette without nicotine (ECwN) plus active varenicline tabletsDrug

    Also called Vareniclin condition

    The ECwN group use EC liquids containing 0 mg/mL of nicotine. Because nicotine delivery can be adjusted according to the user's need, all participants are able to adjust their individual nicotine dose by varying the wattage of their EC, by varying puff frequency and puff volume similarly as they are doing (or used to do) with conventional cigarettes.

    EC device:

    Mini iStick kit (20 W) Eleaf Clearomiser :GS Air M with resistance of 1.5 ohm, the clearomiser's Pyrex window is of blue colour not allowing to distinguish an eventual coloration of the e-liquid containing nicotine. Liquids for EC use are delivered in white opaque 10 mL vials not allowing to distinguish the color of the liquid.

    Varenicline, Champix® 0.50 mg tablets Posology of vareniclin follows varenicline's monograph.

  • Electronic cigarette without nicotine (ECwoN) plus placebo tablets of vareniclineDrug

    Also called Placebo condition

    The ECwoN group receives EC liquids with 0 mg/mL of nicotine on a double blind manner (in identical non-transparent refill bottles of 10 mL).

    Placebo of varenciline The placebo of varenicline is presented as a capsular-shaped, biconvex, white film-coated tablet. Posology of varenicline or its placebo follows varenicline's monograph.

  • Electronic cigarette with nicotine (ECwN) plus placebo tablets of vareniclineDrug

    Also called Electronic cigarette condition

    The ECwN group use EC liquids containing 12 mg/mL of nicotine. Placebo of varenciline The placebo of varenicline is presented as a capsular-shaped, biconvex, white film-coated tablet. Posology of varenicline or its placebo follows varenicline's monograph.

Study groups in NCT03630614
Study groupRoleWhat they receive
Electronic cigarette conditionExperimentalElectronic cigarette with nicotine (ECwN) plus placebo tablets of varenicline
Receives: Drug: Electronic cigarette with nicotine (ECwN) plus placebo tablets of varenicline
Varenicline conditionActive comparatorReference group: Electronic cigarette without nicotine (ECwoN) plus active varenicline tablets
Receives: Drug: Electronic cigarette without nicotine (ECwN) plus active varenicline tablets
Placebo conditionPlacebo comparatorElectronic cigarette without nicotine (ECwoN) plus placebo tablets of varenicline
Receives: Drug: Electronic cigarette without nicotine (ECwoN) plus placebo tablets of varenicline

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Continuous smoking abstinence rate

    Abstinence from conventional/combustible cigarettes during the last 4 weeks (weeks 9 to 12) of the treatment period of 3 months defined at Visit 4 AND Visit 5 as self-report of no smoking during the previous 2 weeks confirmed by expired air CO ≤ 8 ppm.

    Measured: Weeks 9 to 12

Secondary outcomes (6)
  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]).

    The safety profile of electronic cigarette with nicotine comparatively to electronic cigarettes without nicotine and varenicline

    Measured: From randomisation up to end of study (Week 24 after target quit date).

  2. Point prevalence abstinence rate: 7-day smoking abstinence at each visit.

    Measured: From randomisation up to end of study (Week 24 after target quit date).

  3. Time to relapse to smoking after the predefined quit day.

    Measured: From randomisation up to end of study (Week 24 after target quit date).

  4. Change in cigarettes/day consumption

    Measured: From randomisation up to end of study (Week 24 after target quit date).

  5. French Tobacco Craving Questionnaire of 12 items (FTCQ-12)

    Change in craving for tobacco

    Measured: From randomisation up to end of study (Week 24 after target quit date).

  6. Minnesota Nicotine Withdrawal Scale

    Change in tobacco withdrawal symptoms

    Measured: From randomisation up to end of study (Week 24 after target quit date).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Aug 2018
  2. Study start17 Oct 2018
  3. Primary completionFeb 2029 (estimated)
  4. Study completionDec 2029 (estimated)

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized, placebo and reference treatment controlled, multicenter, double blind, double dummy, parallel group, pivotal, phase III trial.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
650 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03630614
Sponsor's protocol ID
P150952J
Other IDs
2017-003588-37, 2017
Acronym
ECSMOKE
Status last verified
Dec 2025
First submitted
9 Jul 2018
Last updated
29 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Berlin I, Dautzenberg B, Lehmann B, Palmyre J, Liegey E, De Rycke Y, Tubach F. Randomised, placebo-controlled, double-blind, double-dummy, multicentre trial comparing electronic cigarettes with nicotine to varenicline and to electronic cigarettes without nicotine: the ECSMOKE trial protocol. BMJ Open. 2019 May 24;9(5):e028832. doi: 10.1136/bmjopen-2018-028832.

    PubMed 31129603

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Electronic cigarette without nicotine (ECwN) plus active varenicline tablets in people with Smoking Cessation and Smoking, Cigarette, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

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 8 inclusion and 14 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: under way, not looking for participants, as of the sponsor's last update on 29 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Continuous smoking abstinence rate (time frame: Weeks 9 to 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 NCT03630614, which also lists 1 linked publication.

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 29 Dec 2025.

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