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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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
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.
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  • 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

Other trials in United States

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.

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 groups in NCT03709823
Study groupRoleWhat they receive
1.5 mg Cytisine, Commercial ScheduleExperimental1.5 mg cytisine dose using the commercial 25-day titration schedule + behavioral support
Receives: Drug: Cytisine; Behavioral: Behavioral support
3.0 mg Cytisine, Commercial ScheduleExperimental3.0 mg cytisine dose using the commercial 25-day titration schedule + behavioral support
Receives: Drug: Cytisine; Behavioral: Behavioral support
Placebo, Commercial SchedulePlacebo comparatorPlacebo tablets using the commercial 25-day titration schedule + behavioral support
Receives: Drug: Placebo Comparator; Behavioral: Behavioral support
1.5 mg Cytisine, TID ScheduleExperimental1.5 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 ScheduleExperimental3.0 mg cytisine dose for 25 days using a simplified TID schedule + behavioral support
Receives: Drug: Cytisine; Behavioral: Behavioral support
Placebo, TID SchedulePlacebo comparatorPlacebo 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.

  1. 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

  2. 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

  3. 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.

  1. First posted17 Oct 2018
  2. Study start13 Nov 2018
  3. Primary completion23 Apr 2019
  4. Study completion23 Apr 2019

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 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)
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
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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.

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