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Evaluating whether app-based advice on stop-smoking medicines helps people quit smoking

Effectiveness of digital recommendations for cytisine and varenicline on medication use and smoking cessation in adults using a smoking cessation app: a randomised controlled trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14344683
Enrollment
878
Registered
2025-10-14
Start date
2025-11-01
Completion date
Unknown
Last updated
2026-02-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Smoking cessation Mental and Behavioural Disorders

Interventions

This will be a three-arm individually randomised controlled effectiveness trial. Those who are eligible and consent to participate in the trial will be randomised after completing the baseline quest

Sponsors

University College London
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Aged between 18 and 65 years old (as cytisine is available for prescription in UK to adults 18-65 years old) 2. Able to consent 3. Residing in the UK 4. English speaking 5. Current cigarette smoker 6. Willing to be followed up by email and complete online questionnaires after two and seven months 7. Interested in making a quit attempt within the next month 8. Have downloaded and signed up to the Smoke Free app within the past week during the recruitment period, and have set a quit date no more than 30 days in the future

Exclusion criteria

Exclusion criteria: 1. Current enrolment in another smoking cessation programme/study 2. Current use of smoking cessation medication 3. Varenicline and/or cytisine use in the previous 12 months 4. Pregnant/breastfeeding/planning to get pregnant 5. Self-reported moderate/severe renal impairment 6. Treatment for active/latent tuberculosis 7. Experience of a heart attack, stroke or severe angina within the previous two weeks 8. Uncontrolled high blood pressure (> 150 mmHg systolic, > 100 mmHg diastolic) 9. History of seizures

Design outcomes

Primary

MeasureTime frame
1. The percentage of participants reporting medication use (varenicline or cytisine use) measured using an online questionnaire at the 2-month follow-up 2. The percentage of participants reporting varenicline or cytisine use among those recommended one of them measured using an online questionnaire at the 2-month follow-up

Secondary

MeasureTime frame
Current secondary outcomes as of 06/02/2026: The following secondary outcome measures assess the percentage of participants reporting: 1. Attempts to obtain stop-smoking medication in the past two months, assessed using an online questionnaire at the 2-month follow-up 2. Continuous abstinence for one month measured using an online questionnaire at 2-month follow-up 3. Biochemically-verified continuous smoking abstinence for 6 months measured using data from a CO monitor at the 7-month follow-up by a) group allocation and b) by use of recommended medication Previous secondary outcomes: The following secondary outcome measures assess the percentage of participants reporting: 1. Continuous abstinence for one month measured using an online questionnaire at 2-month follow-up. 2. Biochemically-verified continuous smoking abstinence for six months measured using data from a CO monitor at the 7-month follow-up by a) group allocation and b) by use of recommended medication

Countries

United Kingdom

Contacts

Public ContactDimitra Kale
dimitra.kale.09@ucl.ac.uk+44 (0)2076798653

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 19, 2026