New pill helps smokers kick the habit in major trial
NCT ID NCT05206370
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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792 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Mar 2023
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Accel Research Sites - DeLand Clinical Research Unit
DeLand, Florida, 32720, United States
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Affinity Health Corp
Oak Brook, Illinois, 60523, United States
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Alliance for Multispecialty Research, LLC
Fort Myers, Florida, 33912, United States
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Aventiv Research Inc
Columbus, Ohio, 43212, United States
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Clinical Research Associates, Inc.
Nashville, Tennessee, 37203, United States
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Global Medical Institutes LLC; Princeton Medical Institute
Princeton, New Jersey, 08540, United States
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Health Research of Hampton Toads, Inc
Newport News, Virginia, 23606, United States
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Intend Research
Norman, Oklahoma, 73069, United States
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Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216, United States
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MediSphere Medical Research Center, LLC
Evansville, Indiana, 47714, United States
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Trial Management Associates, LLC
Wilmington, North Carolina, 28403, United States
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Velocity Clinical Research, Inc.
Cleveland, Ohio, 44122, United States
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