Trial Outcomes & Findings for St. John's Wort for Tobacco Cessation (NCT NCT00405912)

NCT ID: NCT00405912

Last Updated: 2011-04-19

Results Overview

Point prevalence tobacco abstinence was adjudicated if the following conditions were met:(a) self-reported tobacco abstinence for the previous 7 days with a negative response to the question "Have you used any type of tobacco,even a puff, in the past 7 days?" and (b) Expired Carbon Monoxide equal or less then 8 parts per million.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

118 participants

Primary outcome timeframe

12 weeks following start of medication

Results posted on

2011-04-19

Participant Flow

Recruitment began on 06/01/2006 and completed on 11/08/2007. Interested subjects who passed a phone prescreen were seen at a medical clinic (Mayo Clinic in Rochester, MN and Franciscan Skemp Medical Center in Lacrosse, WI) for consenting and additional study procedures to determine eligibility.

Participant milestones

Participant milestones
Measure
Placebo
The placebo pill was identical in appearance to the active medication. Dosage consisted of 1 pill by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 900 mg /Day
St. John's Wort at a dose of 300 mg by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 1800 mg /Day
St. John's Wort was initiated at a dose of 300 mg by mouth three times a day. The dose was increased after the first week to the target doses of 600 mg three times a day. This dose was continued for the next 11 weeks. The medication was stopped at the end of 12 weeks.
Overall Study
STARTED
39
40
39
Overall Study
COMPLETED
23
21
23
Overall Study
NOT COMPLETED
16
19
16

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
The placebo pill was identical in appearance to the active medication. Dosage consisted of 1 pill by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 900 mg /Day
St. John's Wort at a dose of 300 mg by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 1800 mg /Day
St. John's Wort was initiated at a dose of 300 mg by mouth three times a day. The dose was increased after the first week to the target doses of 600 mg three times a day. This dose was continued for the next 11 weeks. The medication was stopped at the end of 12 weeks.
Overall Study
Withdrawal by Subject
12
11
12
Overall Study
Lost to Follow-up
4
8
4

Baseline Characteristics

St. John's Wort for Tobacco Cessation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=39 Participants
The placebo pill was identical in appearance to the active medication. Dosage consisted of 1 pill by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 900 mg /Day
n=40 Participants
St. John's Wort at a dose of 300 mg by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 1800 mg /Day
n=39 Participants
St. John's Wort was initiated at a dose of 300 mg by mouth three times a day. The dose was increased after the first week to the target doses of 600 mg three times a day. This dose was continued for the next 11 weeks. The medication was stopped at the end of 12 weeks.
Total
n=118 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
38 Participants
n=5 Participants
38 Participants
n=7 Participants
38 Participants
n=5 Participants
114 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Age Continuous
39.4 years
STANDARD_DEVIATION 13.0 • n=5 Participants
38.3 years
STANDARD_DEVIATION 11.9 • n=7 Participants
35.0 years
STANDARD_DEVIATION 12.2 • n=5 Participants
37.6 years
STANDARD_DEVIATION 12.4 • n=4 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
18 Participants
n=7 Participants
21 Participants
n=5 Participants
65 Participants
n=4 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
22 Participants
n=7 Participants
18 Participants
n=5 Participants
53 Participants
n=4 Participants
cigarettes per day
19.4 cigarettes per day
STANDARD_DEVIATION 7.3 • n=5 Participants
19.1 cigarettes per day
STANDARD_DEVIATION 7.2 • n=7 Participants
21.0 cigarettes per day
STANDARD_DEVIATION 5.2 • n=5 Participants
19.8 cigarettes per day
STANDARD_DEVIATION 6.6 • n=4 Participants

PRIMARY outcome

Timeframe: 12 weeks following start of medication

Point prevalence tobacco abstinence was adjudicated if the following conditions were met:(a) self-reported tobacco abstinence for the previous 7 days with a negative response to the question "Have you used any type of tobacco,even a puff, in the past 7 days?" and (b) Expired Carbon Monoxide equal or less then 8 parts per million.

Outcome measures

Outcome measures
Measure
Placebo
n=39 Participants
The placebo pill was identical in appearance to the active medication. Dosage consisted of 1 pill by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 900 mg /Day
n=40 Participants
St. John's Wort at a dose of 300 mg by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 1800 mg /Day
n=39 Participants
St. John's Wort was initiated at a dose of 300 mg by mouth three times a day. The dose was increased after the first week to the target doses of 600 mg three times a day. This dose was continued for the next 11 weeks. The medication was stopped at the end of 12 weeks.
Biochemically Confirmed 7-day Point Prevalence Abstinence From Tobacco
7 participants
8 participants
6 participants

SECONDARY outcome

Timeframe: 24 weeks after the start of medication

tobacco abstience during the 12-week course of SJW in two different oral doses of 300-mg three times a day or 600-mg three times a day compared to placebo at six months.

Outcome measures

Outcome measures
Measure
Placebo
n=39 Participants
The placebo pill was identical in appearance to the active medication. Dosage consisted of 1 pill by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 900 mg /Day
n=40 Participants
St. John's Wort at a dose of 300 mg by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 1800 mg /Day
n=39 Participants
St. John's Wort was initiated at a dose of 300 mg by mouth three times a day. The dose was increased after the first week to the target doses of 600 mg three times a day. This dose was continued for the next 11 weeks. The medication was stopped at the end of 12 weeks.
Number of Subjects With Prolonged Abstinence From Tobacco
0 participants
1 participants
2 participants

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

St. John's Wort - 900 mg /Day

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

St. John's Wort - 1800 mg /Day

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=39 participants at risk
The placebo pill was identical in appearance to the active medication. Dosage consisted of 1 pill by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 900 mg /Day
n=40 participants at risk
St. John's Wort at a dose of 300 mg by mouth three times per day. The medication was stopped at the end of 12 weeks.
St. John's Wort - 1800 mg /Day
n=39 participants at risk
St. John's Wort was initiated at a dose of 300 mg by mouth three times a day. The dose was increased after the first week to the target doses of 600 mg three times a day. This dose was continued for the next 11 weeks. The medication was stopped at the end of 12 weeks.
Gastrointestinal disorders
abdominal bloating
0.00%
0/39
0.00%
0/40
2.6%
1/39
Psychiatric disorders
anxiety
2.6%
1/39
0.00%
0/40
0.00%
0/39
General disorders
dizziness
2.6%
1/39
0.00%
0/40
0.00%
0/39
General disorders
dry mouth
0.00%
0/39
0.00%
0/40
2.6%
1/39
General disorders
erectile dysfunction
0.00%
0/39
0.00%
0/40
2.6%
1/39
General disorders
fatigue
2.6%
1/39
2.5%
1/40
2.6%
1/39
General disorders
headache
2.6%
1/39
0.00%
0/40
2.6%
1/39
General disorders
increased anger
0.00%
0/39
2.5%
1/40
0.00%
0/39
General disorders
increased sweating
2.6%
1/39
0.00%
0/40
0.00%
0/39
General disorders
insomnia
2.6%
1/39
10.0%
4/40
2.6%
1/39
General disorders
sleep disturbance
0.00%
0/39
5.0%
2/40
0.00%
0/39
General disorders
sunburn
0.00%
0/39
2.5%
1/40
0.00%
0/39
General disorders
trouble concentrating
2.6%
1/39
0.00%
0/40
0.00%
0/39
General disorders
vivid dreams
0.00%
0/39
2.5%
1/40
2.6%
1/39

Additional Information

Dr. Amit Sood

Mayo Clinic

Phone: 507-266-1944

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place