Smoking CessationPhase 2NCT03709823
Trial of Cytisine in Adult Smokers
A Phase 2 study testing Cytisine and Behavioral support in people with Smoking Cessation, run by Achieve Life Sciences at 8 sites in United States.
Trial summary
This placebo-controlled Phase 2b trial is being conducted at sites within the United States (US) to evaluate the effectiveness cytisine dosage (1.5 mg, 3.0 mg) and administration schedule (commercial titration versus simplified 3 times daily [TID] schedule) within a 25-day treatment period. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Smoking Cessation
- What is being tested?
- Cytisine and Behavioral support
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 254 participants
- Where
- 8 sitesUnited States
- Study dates
- 13 Nov 2018to 23 Apr 2019
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female subjects, age ≥ 18 years.
- Current daily cigarette smokers (averaging ≥ 10 cigarettes per day upon completing a 7-day screening diary) and who intend to quit smoking.
- Expired air carbon monoxide (CO) ≥ 10 parts per million (ppm).
- Failed at least one previous attempt to stop smoking with or without therapeutic support.
- Willing to initiate study treatment on the day after randomization and set a quit date that is 5-7 days after starting treatment.
- Willing to actively participate in the study's smoking cessation behavioral support provided throughout the study.
- Able to fully understand all study requirements, willing to participate, comply with dosing schedule, and sign the Informed Consent Form.
Who cannot join
- Known hypersensitivity to cytisine or any of the excipients.
- Positive urinary drugs of abuse screen, determined within 28 days before the first dose of cytisine.
- Clinically significant abnormal serum chemistry or hematology values within 28 days of randomization (i.e. requiring treatment).
- Clinically significant abnormalities in 12-lead electrocardiogram (ECG) determined after minimum of 5 minutes in supine position within 28 days of randomization (i.e. requiring treatment or further assessment).
- Body mass index (BMI) classification for being underweight (< 18.5 kg/m^2) or having ≥ Class 2 obesity (≥ 35 kg/m^2).
- Recent history (within 3 months) of acute myocardial infarction, unstable angina, stroke, cerebrovascular incident or hospitalization for congestive heart failure.
Show all 15Show fewer
- Current uncontrolled hypertension (blood pressure ≥ 160/100 mmHg).
- Documented diagnosis of schizophrenia or bipolar psychiatric illness; currently psychotic; having suicidal ideation (Suicide Behaviors Questionnaire-Revised [SBQ-R] score ≥ 7); or current symptoms of moderate to severe depression (Hospital Anxiety and Depression Scale [HADS] score ≥ 11).
- Renal impairment defined as a creatinine clearance (CrCl) < 60 mL/min (estimated with the Cockroft-Gault equation) or hepatic impairment defined as alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.0 times the upper limit of normal (ULN).
- Women who are pregnant or breast-feeding.
- Male or Female subjects of child bearing potential who do not agree to use acceptable methods of birth control during the study treatment period.
- Participation in a clinical study with an investigational drug within 4 weeks of randomization.
- Treatment with other smoking cessation medications (bupropion, varenicline, nortriptyline, or any nicotine replacement therapy [NRT]) within 4 weeks of randomization or planned use of these other smoking cessation medications during the study.
- Use within 2 weeks of randomization or planned use during the study of non-cigarette nicotine products (e-cigarettes, pipe tobacco, cigars, snuff, chewing tobacco, hookah) or marijuana vaping or smoking.
- Any other reason that the investigator views the subject should not participate or would be unable to fulfill the requirements for the study.
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
United States8 sites
Los Angeles Clinical Trials
Burbank, California, 91505
FutureSearch Trails of Dallas, LP
Dallas, Texas, 57231
Center for Pharmaceutical Research, LLC
Kansas City, Missouri, 64114
Volunteer Research Group
Knoxville, Tennessee, 37920
Central Kentucky Research Associates, LLC
Lexington, Kentucky, 40509
Coastal Carolina Research Center, Inc
Mt. Pleasant, South Carolina, 29464
Rochester Clinical Research, Inc
Rochester, New York, 14609
Clinical Research Consortium
Tempe, Arizona, 85283
About this study
Official title: A Multicenter, Double-blind, Randomized, Placebo-controlled Phase 2b Trial of Cytisine in Adult Smokers
This placebo-controlled Phase 2b trial is being conducted at sites within the United States (US) to evaluate the effectiveness cytisine dosage (1.5 mg, 3.0 mg) and administration schedule (commercial titration versus simplified 3 times daily [TID] schedule) within a 25-day treatment period.
- Conditions
- Smoking Cessation
- Being tested
- Cytisine, Placebo Comparator, Behavioral support
- Medical subject headings
- Smoking Cessation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CytisineDrug
film coated tablet containing 1.5 mg cytisine in a single tablet
Placebo ComparatorDrug
1.5 mg cellulose powder to match final weight of the cytisine tablet
Behavioral supportBehavioural
12 behavioral support sessions by a qualified staff member plus supportive literature and online resources
| Study group | Role | What they receive |
|---|---|---|
| 1.5 mg Cytisine, Commercial Schedule | Experimental | 1.5 mg cytisine dose using the commercial 25-day titration schedule + behavioral support Receives: Drug: Cytisine; Behavioral: Behavioral support |
| 3.0 mg Cytisine, Commercial Schedule | Experimental | 3.0 mg cytisine dose using the commercial 25-day titration schedule + behavioral support Receives: Drug: Cytisine; Behavioral: Behavioral support |
| Placebo, Commercial Schedule | Placebo comparator | Placebo tablets using the commercial 25-day titration schedule + behavioral support Receives: Drug: Placebo Comparator; Behavioral: Behavioral support |
| 1.5 mg Cytisine, TID Schedule | Experimental | 1.5 mg cytisine dose for 25 days using a simplified 3 times daily (TID) schedule + behavioral support Receives: Drug: Cytisine; Behavioral: Behavioral support |
| 3.0 mg Cytisine, TID Schedule | Experimental | 3.0 mg cytisine dose for 25 days using a simplified TID schedule + behavioral support Receives: Drug: Cytisine; Behavioral: Behavioral support |
| Placebo, TID Schedule | Placebo comparator | Placebo tablets for 25 days using a simplified TID schedule + behavioral support Receives: Drug: Placebo Comparator; Behavioral: Behavioral support |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary Efficacy Analysis of Primary Outcome Measure: Percentage of Expected Cigarettes Smoked Per Participant During Study Treatment
The daily cigarette counts (number of cigarettes smoked in the past 24 hours) were self-reported by participants in the diary. Percentage of expected cigarettes smoked was computed for each participant at the end of treatment (cigarette score), based on daily cigarette counts during treatment vs the screening period. The percentage of expected cigarettes smoked was computed as Y = (100 x N) / (T x R) where N represents total number of cigarettes smoked each day over the treatment period from Day 1 to Day 25; T represents number of post-randomization days where number of cigarettes smoked is recorded; and R represents the average number of cigarettes smoked daily over the 7-day screening period as baseline. T*R represents the total number of cigarettes that would have been smoked without intervention over the number of recorded days. Separate statistical analyses were performed for the two cytisine administration schedules (commercial and TID).
Measured: Day 1 through Day 25
Sensitivity Analysis of Primary Outcome Measure: Analysis for Percentage of Expected Cigarettes Smoked Versus Pooled Placebo Arms, Commercial Schedule
The daily cigarette counts (number of cigarettes smoked in the past 24 hours) were self-reported by participants in the diary. Percentage of expected cigarettes smoked was computed for each participant at the end of treatment (cigarette score), based on daily cigarette counts during treatment vs the screening period. (See Outcome Measure 1 description for details.) The sensitivity analysis of the primary outcome measure was only performed if results of "Statistical Analysis 5" for Outcome Measure 1 demonstrated the placebo treatment arms (commercial and TID) were not significantly different, and so could be pooled. Separate statistical analyses were performed for the two cytisine administration schedules (commercial and TID).
Measured: Day 1 through Day 25
Sensitivity Analysis of Primary Outcome Measure: Analysis for Percentage of Expected Cigarettes Smoked Versus Pooled Placebo Arms, TID Schedule
The daily cigarette counts (number of cigarettes smoked in the past 24 hours) were self-reported by participants in the diary. Percentage of expected cigarettes smoked was computed for each participant at the end of treatment (cigarette score), based on daily cigarette counts during treatment vs the screening period. (See Outcome Measure 1 description for details.) The sensitivity analysis of the primary outcome measure was only performed if results of "Statistical Analysis 5" for Outcome Measure 1 demonstrated the placebo treatment arms (commercial and TID) were not significantly different, and so could be pooled. Separate statistical analyses were performed for the two cytisine administration schedules (commercial and TID).
Measured: Day 1 through Day 25
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2018
- Study start13 Nov 2018
- Primary completion23 Apr 2019
- Study completion23 Apr 2019
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.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 254 participants (actual)
Sponsor and investigators
- Lead sponsor
- Achieve Life Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Mitchell Nides, PhD, Principal investigator, Los Angeles Clinical Trials
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03709823
- Sponsor's protocol ID
- ACH-CYT-09
- Status last verified
- May 2020
- First submitted
- 15 Oct 2018
- Last updated
- 18 May 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Double-blind, Randomized, Placebo-controlled Phase 2b Trial of Cytisine in Adult Smokers
- ClinicalTrials.gov ID
- NCT03709823
- Acronym / sponsor ID
- ACH-CYT-09
- Conditions
- Smoking Cessation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 254 participants (actual)
- Lead sponsor
- Achieve Life SciencesIndustry (pharma, biotech, devices)
- Study start
- 13 Nov 2018 (actual)
- Primary completion
- 23 Apr 2019 (actual)
- Study completion
- 23 Apr 2019 (actual)
- First posted
- 17 Oct 2018 (actual)
- Results
- Posted 18 May 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This placebo-controlled Phase 2b trial is being conducted at sites within the United States (US) to evaluate the effectiveness cytisine dosage (1.5 mg, 3.0 mg) and administration schedule (commercial titration versus simplified 3 times daily [TID] schedule) within a 25-day treatment period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| 1.5 mg Cytisine, Commercial Schedule | Experimental | Drug: Cytisine, Behavioral: Behavioral support1.5 mg cytisine dose using the commercial 25-day titration schedule + behavioral support |
| 3.0 mg Cytisine, Commercial Schedule | Experimental | Drug: Cytisine, Behavioral: Behavioral support3.0 mg cytisine dose using the commercial 25-day titration schedule + behavioral support |
| Placebo, Commercial Schedule | Placebo comparator | Drug: Placebo Comparator, Behavioral: Behavioral supportPlacebo tablets using the commercial 25-day titration schedule + behavioral support |
| 1.5 mg Cytisine, TID Schedule | Experimental | Drug: Cytisine, Behavioral: Behavioral support1.5 mg cytisine dose for 25 days using a simplified 3 times daily (TID) schedule + behavioral support |
| 3.0 mg Cytisine, TID Schedule | Experimental | Drug: Cytisine, Behavioral: Behavioral support3.0 mg cytisine dose for 25 days using a simplified TID schedule + behavioral support |
| Placebo, TID Schedule | Placebo comparator | Drug: Placebo Comparator, Behavioral: Behavioral supportPlacebo tablets for 25 days using a simplified TID schedule + behavioral support |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Male or female subjects, age ≥ 18 years.
- Current daily cigarette smokers (averaging ≥ 10 cigarettes per day upon completing a 7-day screening diary) and who intend to quit smoking.
- Expired air carbon monoxide (CO) ≥ 10 parts per million (ppm).
- Failed at least one previous attempt to stop smoking with or without therapeutic support.
- Willing to initiate study treatment on the day after randomization and set a quit date that is 5-7 days after starting treatment.
Key exclusion criteria (15 listed)
- Known hypersensitivity to cytisine or any of the excipients.
- Positive urinary drugs of abuse screen, determined within 28 days before the first dose of cytisine.
- Clinically significant abnormal serum chemistry or hematology values within 28 days of randomization (i.e. requiring treatment).
- Clinically significant abnormalities in 12-lead electrocardiogram (ECG) determined after minimum of 5 minutes in supine position within 28 days of randomization (i.e. requiring treatment or further assessment).
- Body mass index (BMI) classification for being underweight (< 18.5 kg/m^2) or having ≥ Class 2 obesity (≥ 35 kg/m^2).
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 |
|---|---|---|
| Cytisinefilm coated tablet containing 1.5 mg cytisine in a single tablet | Drug | 1.5 mg Cytisine, Commercial Schedule, 1.5 mg Cytisine, TID Schedule, 3.0 mg Cytisine, Commercial Schedule, 3.0 mg Cytisine, TID Schedule |
| Placebo Comparator1.5 mg cellulose powder to match final weight of the cytisine tablet | Drug | Placebo, Commercial Schedule, Placebo, TID Schedule |
| Behavioral support12 behavioral support sessions by a qualified staff member plus supportive literature and online resources | Behavioural | 1.5 mg Cytisine, Commercial Schedule, 1.5 mg Cytisine, TID Schedule, 3.0 mg Cytisine, Commercial Schedule, 3.0 mg Cytisine, TID Schedule, Placebo, Commercial Schedule, Placebo, TID Schedule |
Primary outcome
Primary Efficacy Analysis of Primary Outcome Measure: Percentage of Expected Cigarettes Smoked Per Participant During Study Treatment
Time frame: Day 1 through Day 25
The daily cigarette counts (number of cigarettes smoked in the past 24 hours) were self-reported by participants in the diary. Percentage of expected cigarettes smoked was computed for each participant at the end of treatment (cigarette score), based on daily cigarette counts during treatment vs the screening period. The percentage of expected cigarettes smoked was computed as Y = (100 x N) / (T x R) where N represents total number of cigarettes smoked each day over the treatment period from Day 1 to Day 25; T represents number of post-randomization days where number of cigarettes smoked is recorded; and R represents the average number of cigarettes smoked daily over the 7-day screening period as baseline. T*R represents the total number of cigarettes that would have been smoked without intervention over the number of recorded days. Separate statistical analyses were performed for the two cytisine administration schedules (commercial and TID).
Sensitivity Analysis of Primary Outcome Measure: Analysis for Percentage of Expected Cigarettes Smoked Versus Pooled Placebo Arms, Commercial Schedule
Time frame: Day 1 through Day 25
The daily cigarette counts (number of cigarettes smoked in the past 24 hours) were self-reported by participants in the diary. Percentage of expected cigarettes smoked was computed for each participant at the end of treatment (cigarette score), based on daily cigarette counts during treatment vs the screening period. (See Outcome Measure 1 description for details.) The sensitivity analysis of the primary outcome measure was only performed if results of "Statistical Analysis 5" for Outcome Measure 1 demonstrated the placebo treatment arms (commercial and TID) were not significantly different, and so could be pooled. Separate statistical analyses were performed for the two cytisine administration schedules (commercial and TID).
Sensitivity Analysis of Primary Outcome Measure: Analysis for Percentage of Expected Cigarettes Smoked Versus Pooled Placebo Arms, TID Schedule
Time frame: Day 1 through Day 25
The daily cigarette counts (number of cigarettes smoked in the past 24 hours) were self-reported by participants in the diary. Percentage of expected cigarettes smoked was computed for each participant at the end of treatment (cigarette score), based on daily cigarette counts during treatment vs the screening period. (See Outcome Measure 1 description for details.) The sensitivity analysis of the primary outcome measure was only performed if results of "Statistical Analysis 5" for Outcome Measure 1 demonstrated the placebo treatment arms (commercial and TID) were not significantly different, and so could be pooled. Separate statistical analyses were performed for the two cytisine administration schedules (commercial and TID).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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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.
Mitchell Nides, PhD principal investigator
Los Angeles Clinical Trials
8 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 Cytisine and Behavioral support in people with Smoking Cessation, run by Achieve Life Sciences at 8 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 7 inclusion and 15 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 18 May 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 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 18 May 2020). 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?
Primary Efficacy Analysis of Primary Outcome Measure: Percentage of Expected Cigarettes Smoked Per Participant During Study Treatment (time frame: Day 1 through Day 25). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 May 2020.