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Trial registered on ANZCTR
Registration number
ACTRN12608000500358
Ethics application status
Approved
Date submitted
11/08/2008
Date registered
30/09/2008
Date last updated
24/07/2020
Date data sharing statement initially provided
24/07/2020
Date results provided
24/07/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
The efficacy of Hypericum perforatum extract (Ze117), nicotine patches and combination Hypericum perforatum/nicotine patches for smoking cessation.
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Scientific title
A clinical trial assessing the efficacy and neural mechanisms of Remotiv (Ze117), nicotine patches and combination Remotiv/nicotine patches for smoking cessation.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Smoking
3534
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Condition category
Condition code
Alternative and Complementary Medicine
3687
3687
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0
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Other alternative and complementary medicine
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Alternative and Complementary Medicine
3920
3920
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
There are 3 treatment arms:
Group 1: Remotiv (250mg Ze117; standardised to 500mcg Hypericin).
Group 2: Nicabate CQ (Committed Quitters) Clear (Registered TradeMark)
Group 3: Remotiv (250mg Ze117; standardised to 500mcg Hypericin) and Nicabate CQ Clear (Registered TradeMark) combination
The Remotiv (Registered TradeMark) group will undertake a 4 week wash-in treatment period prior to the quit date in order to achieve therapeutic benefits from the herb. Remotiv will be administered orally. Dosage - 1 tablet 2 times a day for the first 12 weeks and then 1 tablet per day for 2 weeks (week 13 and 14).
Group 2: Nicabate CQ clear (Registered TradeMark) - individuals in this group will be asked to commence treatment on their quit date. NicabateCQ is an over the counter pharmacy medicine and treatment consists of a 10 week step down process consisting of a single transdermal patch delivery of the following doses of nicotine over a 24 hour period:
Step 1: 21mg nicotine per day for 6 weeks (weeks 1-6)
Step 2: 14mg of nicotine per day for 2 weeks (weeks 7&8)
Step 3: 7mg of nicotine per day for 2 weeks (weeks 9&10).
The nicotine patch is applied in the morning after a smoke free night to a clean, non-hairy site anywhere on the upper body or arm.
Group 3: Remotiv/Nicabate CQ(Registered TradeMark) combination – Participants will begin taking the Remotiv treatment 4 weeks before their quit date (as per group 1). On the quit date (4 weeks after the Remotiv wash-in period), participants will commence treatment with nicotine patches (as per group 2) and will continue taking the Remotiv treatment for another 10 weeks.
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Intervention code [1]
3248
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Treatment: Other
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Comparator / control treatment
No treatment
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Control group
Active
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Outcomes
Primary outcome [1]
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Abstinence rates
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Assessment method [1]
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Timepoint [1]
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4 weeks pre-quit, quit date, 6 and 10 weeks post quit
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Secondary outcome [1]
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Patterns of brain activity will be measured using a technique called Steady State Topography (SST). This brain imaging technique is a non-invasive computerised tool. Small recording discs are placed on the scalp to measure brain function. A small quantity of a water-based conductive gel will be used to make electrical contact between the scalp surface and the recording discs. This will be washed-off once data collection has been completed. The application of recording discs does not involve any breaking or piercing of the skin. A pattern on a computer monitor will change while the participant concentrates on the centre of the pattern.
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Assessment method [1]
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Timepoint [1]
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Baseline and 10 weeks post quit date
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Eligibility
Key inclusion criteria
Smoking for at least 5 years; currently smoking at least 10 cigarettes per day;
Motivated to quit smoking; not currently (or in the past 6 months) taking Hypericum perforatum or anti-depressants
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
History of anxiety or depression; currently using nicotine replacement therapy; kidney or liver disease; high blood pressure; diabetes
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The treatment allocation was randomised by a researcher who is not directly involved in the trial.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Latin square
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
23/06/2008
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Actual
24/06/2008
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Date of last participant enrolment
Anticipated
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Actual
26/09/2008
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Date of last data collection
Anticipated
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Actual
14/12/2008
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Sample size
Target
60
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Accrual to date
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Final
74
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Flordis Herbal Medicines Ltd
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Address [1]
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PO Box 1027
Crows Nest
NSW 1585
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Swinburne University of Technology
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Address
Swinburne University of Technology
Brain Sciences Institute
PO Box 218
Hawthorn
Vic 3122
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Swinburne University Human Research Ethics Committee
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Ethics committee address [1]
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Swinburne University of Technology P O Box 218 Hawthorn VIC 3122
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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29/04/2008
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Ethics approval number [1]
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0607/218
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Summary
Brief summary
Only few studies have examined the use of Hypericum perforatum (HP) to assist in smoking cessation. In an animal study HP has been shown to decrease symptoms associated with smoking cessation. Research on humans has found preliminary evidence to suggest that HP increases long term abstinence rates and decreases anxiety. The proposed trial will expand on these animal and small human trials by conducting a randomized, open human trial with the following treatment arms; 1) HP extract (Remotiv; Ze117); 2) nicotine patches and a combination of Remotiv/nicotine patches treatments. The proposed study will provide scientifically valid data to date on whether HP is effective either alone or in combination with nicotine patches to help smokers quite smoking.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Christina Kure
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Address
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Swinburne University of Technology
P O Box 218
Hawthorn
Vic 3122
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Country
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Australia
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Phone
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+61 3 9214 4476
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Fax
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+61 3 9214 5525
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Con Stough
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Address
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Swinburne University of Technology
Brain Sciences Institute
P O Box 218
Hawthorn
Vic 3122
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Country
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Australia
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Phone
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+61 3 9214 8167
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Fax
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+61 3 9214 5525
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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