ClinicalTrials.gg
Not yet recruitingNCT07274475SHRECCUpdated Mar 19, 2026

Smoking Harm Reduction Using E-cigarettes and Cytisine

An interventional study of E-cigarette e-liquid and Cytisine in Tobacco Smoking, Harm Reduction and Nicotine, sponsored by Centre for Addiction and Mental Health. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Centre for Addiction and Mental Health · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
6,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Smoking remains the leading cause of preventable death globally, with high prevalence in disadvantaged populations despite access to free nicotine replacement therapy (NRT) and counseling through Ontario's STOP Program. This study aims to evaluate the acceptability, feasibility, and comparative effectiveness of e-cigarettes and cytisine as harm-reduction tools for individuals who continue to smoke despite standard treatments. Over four years, 6,000 STOP participants who smoke ≥5 cigarettes daily at six months post-treatment will be randomized to receive either an e-cigarette starter kit or a 28-day cytisine supply. Data will be collected via REDCap and include biomarkers (NNAL, PAH), self-reported smoking behavior, nicotine dependence, and quality of life. Statistical analyses will assess changes and compare outcomes between groups. Results will inform public health strategies and enhance equitable cessation support for underserved populations.

02

Conditions studied

  • Tobacco Smoking
  • Harm Reduction
  • Nicotine

Keywords

  • Cytisine
  • E-cigarettes
  • Smoking cessation
  • treatment-resistant
  • Addiction
  • Clinical intervention
03

In context

Tobacco Smoking

264 studies on the registry are indexed under Tobacco Smoking; 42 are open to participants now.

This study's planned enrollment of 6,000 is above the median of 119 across 229 interventional studies indexed under Tobacco Smoking.

Browse Tobacco Smoking studies →

Lead sponsor

Centre for Addiction and Mental Health is the lead sponsor of 339 studies on the registry; 51 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Willingness to comply with all study procedures, for the full duration of the study period (12 months);
  2. Age 18 years or older;
  3. Currently smoking 5 or more cigarettes daily; and
  4. Must have regular access to a phone and email to receive study communications and complete study monitoring.

Exclusion criteria

Exclusion Criteria:

  1. Individuals who smoke only occasionally or have quit smoking prior to the 6-month follow-up;
  2. Daily or almost daily users of e-cigarettes for the past 30 days;
  3. Presence of medical or psychiatric conditions that may interfere with safe participation or compliance with the study protocol, including severe cardiovascular disorders, renal impairment or respiratory conditions;
  4. Known allergy or to any components of the e-cigarettes, e-liquids, or cytisine;
  5. Pregnant or breastfeeding, or planning to become pregnant within the next 12 months; or
  6. Current use of pharmacological smoking cessation aids or participation in other smoking cessation clinical trials.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
6,000 participants (estimated)

Study arms

  • Active comparator
    Cytisine group

    Participants treated with Cytisine for smoking cessation

    Dietary Supplement: Cytisine

  • Active comparator
    E-cigarette group

    Participants treated with E-cigarettes for smoking cessation

    Device: E-cigarette e-liquid

Interventions

  • DeviceE-cigarette e-liquid

    E-cigarette used as a smoking cessation intervention

  • Dietary supplementCytisine

    Cytisine used as a smoking cessation intervention

06

What researchers measure

Primary outcomes

  1. Voucher redemption rates as measures of feasibility for e-cigarettes and cytisine

    To test the feasibility of e-cigarettes and cytisine as alternatives to standard evidence-based treatment in a group of individuals who were unable to quit using standard evidence-based treatment of NRT and counselling.

    Time frame: From enrollment to the 12-month follow-up

Secondary outcomes

  1. Effectiveness of e-cigarettes and cytisine for smoking cessation measured by change in cigarettes per day

    The objective is to compare the effectiveness of e-cigarettes and cytisine. The main effectiveness outcome is change from baseline in cigarettes per day (CPD) at end of treatment. Researchers will dichotomize this variable to assess the proportion of participants in each group that achieve ≥ 50% reduction in CPD.

    Time frame: From enrollment to the 12-month follow-up

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for May 2026; primary completion for Jan 2028, 20 months later.

Of 112 non-industry interventional studies with no phase under Tobacco Smoking, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 35. This study's planned 20 months is below that.

Counting every sponsor, half of 151 studies reached it within 16 months; a quarter within 4 and three quarters within 31.

How these figures are worked out, and which studies are left out of them.

Registered
May 29, 2025
First posted
Dec 10, 2025
StartEst.
May 1, 2026
Primary completionEst.
Jan 2028
CompletionEst.
Mar 2028
Last update
Mar 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07274475
Responsible party
Laurie Zawertailo (Senior Scientist, Centre for Addiction and Mental Health) — Principal investigator
First posted
Dec 10, 2025
Start date
May 1, 2026 (estimated)
Primary completion
Jan 2028 (estimated)
Completion
Mar 2028 (estimated)
Last update
Mar 19, 2026

Study contacts

Laurie Zawertailo, Ph.D
Contact
laurie.zawertailo@camh.ca
416-5358501 ext. 77422

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Cytisine

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