NCT01333202

Brief Summary

The purpose of this study is to determine whether fresh lime alone is effective for smoking cessation.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2009

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2009

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2009

Completed
1.6 years until next milestone

First Submitted

Initial submission to the registry

April 6, 2011

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 11, 2011

Completed
Last Updated

April 11, 2011

Status Verified

August 1, 2010

Enrollment Period

6 months

First QC Date

April 6, 2011

Last Update Submit

April 8, 2011

Conditions

Keywords

Fresh limenicotine gumsmoking cessationcraving

Outcome Measures

Primary Outcomes (1)

  • continuous abstinence rate (CAR) of lime group and gum group

    CAR from week 9 through week 12 of treatment was defined as proportion of participants who self-reported having refrained from smoking any tobacco products and confirmed by exhaled CO concentration of 10 ppm or less at all previous measurement points between week 9 and week 12 of treatment.

    week 12

Secondary Outcomes (10)

  • Number of Participants with Adverse Events on each group

    week 12

  • 7-day point prevalence abstinence (PAR) of lime and gum groups

    week 4

  • 7-day point prevalence abstinence (PAR) of lime and gum groups

    week 8

  • 7-day point prevalence abstinence (PAR) of lime and gum groups

    week 12

  • continuous abstinence rates of the lime and gum groups

    week 24

  • +5 more secondary outcomes

Study Arms (2)

Fresh lime

EXPERIMENTAL

Those who were randomly assigned to receive fresh lime were instructed to use it every time they began to crave cigarettes and as often as they needed. Fresh lime needed to be washed and cut into several small pieces by 1st cutting each lime into quarters and then each quarter further into 4 pieces. When needed, subjects were told to suck each piece of lime and thereafter chew the lime skin. To maintain freshness, the remaining slices were to be covered with plastic wrap and stored in the refrigerator as soon as possible. All participants in this group had to report the number of fresh lime slices used per day in the self-report card.

Other: Fresh lime

Nicotine gum

ACTIVE COMPARATOR

The dosage of nicotine gum used in this group was primarily based on the participants' FTND scores. Those with FTND score of 4 or above were given 4-mg nicotine gum. The 2-mg gum was assigned only to light smokers. Appropriate gum use by "chew and park" technique was instructed to all subjects in this group. They were advised to use the gum whenever they began to crave a cigarette but not to exceed more than 20 pieces per day. All participants in this group also had to report the total number pieces of gum used per day in the self-report card. Like the lime use group, phone calls were also made every 2-3 days during the initial month of study to remind them of technique and record keeping.

Other: Fresh lime

Interventions

fresh lime were used every time the participants began to crave cigarettes and as often as they needed. To correctly use it, fresh lime needed to be washed and cut into several small pieces by 1st cutting each lime into quarters and then each quarter further into 4 pieces. When needed, subjects were told to suck each piece of lime and thereafter chew the lime skin. To maintain freshness, the remaining slices were to be covered with plastic wrap and stored in the refrigerator as soon as possible.

Also known as: Fresh lime (Citrus aurantifolia)
Fresh limeNicotine gum

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age over 18
  • Smoked regularly at least one year prior to study entry
  • Had the desire to quit smoking
  • Signed informed consent

You may not qualify if:

  • Having current dental problems
  • Active peptic ulcer disease
  • Psychiatric disorders
  • Citrus allergy
  • Pregnancy
  • Use of illicit drugs
  • Participation in another clinical trial and/or using any first-line smoking cessation aids within the past 30 days

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Panyananthaphikkhu Chonprathan Medical Center

Ban Plak Raet, Nondhaburi, 11120, Thailand

Location

Related Publications (3)

  • Rungruanghiranya S, Ekpanyaskul C, Hattapornsawan Y, Tundulawessa Y. Effect of nicotine polyestex gum on smoking cessation and quality of life. J Med Assoc Thai. 2008 Nov;91(11):1656-62.

  • Lykkesfeldt J, Prieme H, Loft S, Poulsen HE. Effect of smoking cessation on plasma ascorbic acid concentration. BMJ. 1996 Jul 13;313(7049):91. doi: 10.1136/bmj.313.7049.91. No abstract available.

  • Levin ED, Behm F, Carnahan E, LeClair R, Shipley R, Rose JE. Clinical trials using ascorbic acid aerosol to aid smoking cessation. Drug Alcohol Depend. 1993 Oct;33(3):211-23. doi: 10.1016/0376-8716(93)90108-3.

MeSH Terms

Conditions

Tobacco Use DisorderSmoking Cessation

Interventions

lime

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental DisordersHealth BehaviorBehavior

Study Officials

  • Suthat Rungruanghiranya, MD

    Faculty of Medicine, Srinakharinwirot University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

April 6, 2011

First Posted

April 11, 2011

Study Start

March 1, 2009

Primary Completion

September 1, 2009

Study Completion

September 1, 2009

Last Updated

April 11, 2011

Record last verified: 2010-08

Locations