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New pill helps smokers kick the habit in major trial

NCT ID NCT05206370

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This phase 3 trial tested cytisinicline, a plant-based pill, in 792 adult smokers who wanted to quit. Participants took the pill or a placebo for 6 or 12 weeks, plus brief behavioral support. The study measured smoking abstinence using carbon monoxide tests. Results showed that cytisinicline helped more people quit smoking compared to placebo, offering a potential new option for smoking cessation.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Cytisinicline (also known as cytisine), a plant-based pill to reduce nicotine cravings
What this could lead to
If successful, this could provide a new, affordable, and effective medication to help people quit smoking, reducing smoking-related diseases.
What could go wrong
This is a completed phase 3 trial, but results may not apply to all smokers. Long-term abstinence beyond 24 weeks is not yet confirmed, and side effects like nausea or insomnia are possible.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

792 people

The number who actually took part.

Started

Jan 2022

Finished

Mar 2023

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Male or female subjects, age ≥ 18 years. 2. Current daily cigarette smokers (averaging at least 10 cigarettes per day upon completing a 7-day screening smoking diary) and who intend to quit smoking. 3. Expired air carbon monoxide (CO) ≥ 10 ppm. 4. Failed at least one previous attempt to stop smoking with or without therapeutic support. 5. Willing to initiate study treatment on the day after randomization and set a quit date within 5-7 days of starting treatment. 6. Willing to actively participate in the study's smoking cessation behavioral support provided throughout the study. 7. Able to fully understand all study requirements, willing to participate, and comply with dosing schedule. 8. Sign the Informed Consent Form. Exclusion Criteria: 1. More than 1 study participant in same household during the 12-week treatment period. 2. Previous cytisinicline treatment in a prior clinical study or any other cytisine usage. 3. Known hypersensitivity to cytisinicline or any of the excipients. 4. Positive urinary drugs of abuse screen, determined within 28 days before the first dose of cytisinicline. 5. Clinically significant abnormal serum chemistry or hematology values within 28 days of randomization (ie, requiring treatment or monitoring). 6. Clinically significant abnormalities in 12-lead ECG determined after minimum of 5 minutes in supine position within 28 days of randomization (ie, requiring treatment or further assessment). 7. Recent history (within 3 months) of acute myocardial infarction, unstable angina, stroke, cerebrovascular incident, or hospitalization for congestive heart failure. 8. Current uncontrolled hypertension (blood pressure ≥160/100 mmHg). 9. Currently psychotic or having had a psychotic event within 3 months. If any subject becomes psychotic during the study, they must be removed from treatment and/or additional study visits. 10. Currently having suicidal ideation or risk for suicide ("Yes" to either question 4 or question 5 OR "Yes" to any suicidal behavior question on the Columbia Suicide Severity Rating Scale \[C-SSRS\] with clear suicidal intent or previous attempt). 11. Current symptoms of moderate to severe depression (depression score ≥11on the HADS). 12. Renal impairment defined as a creatinine clearance (CrCl) \<60 mL/min (estimated with the Cockroft-Gault equation). 13. Hepatic impairment defined as alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>2.0 x the upper limit of normal (ULN). 14. Women who are pregnant or breast-feeding. 15. Male or female subjects of childbearing potential who do not agree to use acceptable methods of birth control during the study treatment period. 16. Participation in a clinical study with an investigational drug in the 4 weeks prior to randomization. 17. Treatment with other smoking cessation medications (bupropion, varenicline, nortriptyline, or any nicotine replacement therapy \[NRT\]) in the 4 weeks prior to randomization or planned use of these other smoking cessation medications during the study. 18. Use within the 2 weeks prior to randomization or planned use during the study of non-cigarette and/or noncombustible nicotine products (pipe tobacco, cigars, snuff, smokeless tobacco, hookah, e-cigarettes/vaping) or marijuana smoking or vaping. 19. Any other reason that the investigator views the subject should not participate or would be unable to fulfill the requirements for the study.

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Conditions

The condition(s) this trial relates to.

Smoking Cessation

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Accel Research Sites - DeLand Clinical Research Unit

    DeLand, Florida, 32720, United States

  • Affinity Health Corp

    Oak Brook, Illinois, 60523, United States

  • Alliance for Multispecialty Research, LLC

    Fort Myers, Florida, 33912, United States

  • Aventiv Research Inc

    Columbus, Ohio, 43212, United States

  • Clinical Research Associates, Inc.

    Nashville, Tennessee, 37203, United States

  • Global Medical Institutes LLC; Princeton Medical Institute

    Princeton, New Jersey, 08540, United States

  • Health Research of Hampton Toads, Inc

    Newport News, Virginia, 23606, United States

  • Intend Research

    Norman, Oklahoma, 73069, United States

  • Jacksonville Center for Clinical Research

    Jacksonville, Florida, 32216, United States

  • MediSphere Medical Research Center, LLC

    Evansville, Indiana, 47714, United States

  • Trial Management Associates, LLC

    Wilmington, North Carolina, 28403, United States

  • Velocity Clinical Research, Inc.

    Cleveland, Ohio, 44122, United States

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