CClinicalTrials.gg
RecruitingNCT05814055Updated Jan 27, 2026

The Potential of Kava in Enabling Tobacco Cessation - Its Holistic Effects in Managing Stress and Insomnia Associated With Abstinence

A Phase 2 interventional study of Placebo and AB-free kava in Smoking, sponsored by University of Florida. Recruiting at 1 site in United States. Open to participants aged 21 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-01-27.

Sponsored by University of Florida · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Started Jun 2024; still recruiting 2 years 4 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
21 Years to 75 Years
Sex
All
01

Study summary

This study will evaluate the compliance with a daily kava regimen among active smokers who have an intention to quit smoking. This study will also investigate whether kava use can facilitate tobacco cessation, reduce stress, and improve sleep.

02

Conditions studied

  • Smoking

Keywords

  • kava
  • smoking cessation
  • tobacco dependence
03

In context

Smoking

268 studies on the registry are indexed under Smoking; 136 are open to participants now.

This study's planned enrollment of 76 is below the median of 120 across 211 interventional studies indexed under Smoking.

Browse Smoking studies →

Lead sponsor

University of Florida is the lead sponsor of 1,254 studies on the registry; 201 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 136 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • adults aged 21 years or above (legal age for smoking in the U.S.) up to 75 years old;
  • self-reported smoking at least 5 cigarettes/day for the past year with INTENTION to quit at time of screening visit;
  • expired carbon monoxide level of more than 8 ppm at recruitment;
  • willingness to participate in the proposed study, as indicated by signed informed consent;
  • access to a functional telephone;
  • expected presence in the study's geographical area for the next 4 months;
  • not currently enrolled in any smoking cessation programs per self report; and
  • female subjects of childbearing potential will be required to practice acceptable methods of birth control (the acceptable methods of birth control include birth control pills, Birth Control Shot, Birth Control Implant, IUD, Diaphragm, and cervical cap).
  • if a participant takes kava dietary supplement, a 2-week washout period is needed for the participant to initiate this study or if a participant participated in a kava trial before, such as the kava JEK trial, the participant could be enrolled if the inclusion criteria above are met, including the 2-week washout period.

Exclusion criteria

Exclusion Criteria:

  • history of active cancer (other than non-melanoma skin cancer) within the past 2 years;
  • diagnosed with liver dysfunction or with previous liver diseases;
  • levels of alanine transaminase, aspartate transaminase, alkaline phosphatase or total bilirubin over limit of normal (ULN) range at prescreen;
  • inability to refrain from acetaminophen, alcohol (no more than one drink daily via self-report), or other potentially hepatotoxic substances;
  • are pregnant or nursing (lactating) or of childbearing age planning to become pregnant or unwilling to use adequate contraception during the study;
  • participant answered "Yes" to any of the Modified Ask Suicide Screening Questions questions 1 through 3, or refuses to answer all of the questions. If subject answers 'Yes' to question 4 but the most recent suicide attempt took place >12 months from screening visit then subject is still eligible.
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
76 participants (estimated)

Study arms

  • Experimental
    AB-free kava

    Drug: AB-free kava

  • Placebo comparator
    Placebo control

    Drug: Placebo

Interventions

  • DrugPlacebo

    Participants on this arm will take one placebo capsule orally three times daily for 4 weeks.

  • DrugAB-free kava

    Participants on this arm will take one kava capsule (each capsule contains 75 mg of kavalactones) orally three times daily for 4 weeks.

06

What researchers measure

Primary outcomes

  1. Subject Compliance with Intervention

    Evaluate subject compliance with the kava intervention, as measured by participant reported number of missed doses

    Time frame: 4 weeks

  2. Subject Compliance with Intervention

    Evaluate subject compliance with the kava intervention, as measured by detection of dihydromethysticin in participant urine by urine testing

    Time frame: 4 weeks

Secondary outcomes

  1. Tobacco cessation

    Examine whether kava has the potential to help facilitate tobacco cessation, as measured by participant reported number of cigarettes smoked

    Time frame: 12 weeks

  2. Tobacco cessation

    Examine whether kava has the potential to help facilitate tobacco cessation, as measured by the Fagerström Test for Nicotine Dependence (FTND)

    Time frame: 12 weeks

  3. Tobacco cessation

    Examine whether kava has the potential to help facilitate tobacco cessation, as measured by the Modified Cigarette Evaluation Questionnaire (mCEQ)

    Time frame: 12 weeks

  4. Tobacco cessation

    Examine whether kava has the potential to help facilitate tobacco cessation, as measured by the Brief Questionnaire on Smoking Urges (QSU-Brief)

    Time frame: 12 weeks

  5. Tobacco cessation

    Examine whether kava has the potential to help facilitate tobacco cessation, as measured by urinary total nicotine equivalents

    Time frame: 12 weeks

  6. Effect on stress

    Examine whether kava has the potential to reduce stress, as measured by the Perceived Stress Scale (PSS). The Perceived Stress Scale consists of 10 items that are each scored on a scale of 0-4. The maximum possible score for this instrument is 40 and the minimum score is 0. A higher score indicates greater perceived stress.

    Time frame: 12 weeks

  7. Effect on stress

    Examine whether kava has the potential to reduce stress, as measured by plasma PRKACA

    Time frame: 12 weeks

  8. Effect on stress

    Examine whether kava has the potential to reduce stress, as measured by plasma cortisol

    Time frame: 12 weeks

  9. Effect on stress

    Examine whether kava has the potential to reduce stress, as measured by urinary TCE

    Time frame: 12 weeks

  10. Effect on stress

    Examine whether kava has the potential to reduce stress, as measured by total cortisol equivalents

    Time frame: 12 weeks

  11. Effect on sleep

    Examine whether kava has the potential to improve sleep, as measured by the Insomnia Severity Scale. The Insomnia Severity Scale instrument consists of 7 items that are each scored on a scale of 0-4. The maximum possible score for this instrument is 28 and the minimum score is 0. A higher score indicates more severe insomnia.

    Time frame: 12 weeks

  12. Effect on sleep

    Examine whether kava has the potential to improve sleep, as measured by the Pittsburgh Sleep Quality Index (PSQI)

    Time frame: 12 weeks

  13. Effect on sleep

    Examine whether kava has the potential to improve sleep, as measured by urinary 6-hydroxymelatonin

    Time frame: 12 weeks

  14. Effect on sleep

    Examine whether kava has the potential to improve sleep, as measured by urinary N-acetyl serotonin

    Time frame: 12 weeks

  15. Effect on sleep

    Examine whether kava has the potential to improve sleep, as measured by urinary NAS

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
  • University of Florida
    Gainesville, Florida 32608, United States
    • Melissa Malham · Contact · UF-KavaStudy@ufl.edu · 352-294-5892
    • Ramzi Salloum, PhD · Principal investigator
    Recruiting
08

References and documents

Publications

  • Xing C, Malaty J, Malham MB, Orlando FA, Lynch A, Huo Z, Francois M, Firpi-Morell R, Fisher CL, Christou DD, Salloum RG. The potential of AB-free kava in enabling tobacco cessation via management of abstinence-related stress and insomnia: study protocol for a randomized clinical trial. BMC Complement Med Ther. 2024 Dec 21;24(1):422. doi: 10.1186/s12906-024-04722-9. PubMed 39709468 ↗

Study documents

  • Protocol and statistical analysis plan · Sep 10, 2024

Documents are hosted by the registry — open the source record to download them.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05814055
Lead sponsor
University of Florida
Collaborators
National Center for Complementary and Integrative Health (NCCIH), National Institutes of Health (NIH)
Responsible party
Sponsor
First posted
Apr 14, 2023
Start date
Jun 6, 2024
Primary completion
Jan 31, 2027 (estimated)
Completion
Oct 31, 2027 (estimated)
Last update
Jan 27, 2026

Study contacts

Ramzi G Dr. Salloum
Contact
rsalloum@ufl.edu
352-294-4997
Chengguo Dr. Xing
Contact
chengguoxing@cop.ufl.edu
352-294-8511
Ramzi Salloum, PhD
principal investigator · University of Florida

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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