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A pragmatic randomised controlled trial to test the efficacy of nortriptyline plus nicotine replacement therapy (NRT) versus a placebo plus NRT in helping smokers to stop and testing the role of noradrenergic and dopaminergic genetic variants in smoking cessation
ISRCTN ISRCTN57852484
ClinicalTrials.gov identifier
Public title A pragmatic randomised controlled trial to test the efficacy of nortriptyline plus nicotine replacement therapy (NRT) versus a placebo plus NRT in helping smokers to stop and testing the role of noradrenergic and dopaminergic genetic variants in smoking cessation
Scientific title
Acronym SCANAG - Smoking Cessation and Nortriptyline and Genetics
Serial number at source MREC/03/7/053
Study hypothesis 1. To show whether nortriptyline plus NRT is more effective than NRT alone in smoking cessation
2. To explore whether allelic variants coding for components of the noradrenergic pathways interact with pharmacological treatment and are related to withdrawal severity and successful quitting
3. To test a previous exploratory finding that allelic variants coding for components of the dopaminergic pathways interact with NRT to predict quitting success
Lay summary Not provided at time of registration
Ethics approval Ethics approval received from the local medical ethics committee (ref: MREC/03/7/053).
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Smoking cessation
Participants - inclusion criteria 1. Smoked at least 10 cigarettes per day on average over the past year.
2. Want to quit
3. Prepared to use NRT and the trial drug
4. Using an NHS stop smoking service
Participants - exclusion criteria 1. Pregnant or breast feeding or planning to do so in the next 3 months
2. Not clinically suitable to use NRT according to data sheet
3. Not clinically suitable to use nortriptyline according to data sheet
Anticipated start date 01/08/2003
Anticipated end date 31/07/2005
Status of trial Completed
Patient information material
Target number of participants 900
Interventions NRT plus nortriptyline/placebo.
Primary outcome measure(s) Six months of continuous abstinence biochemically confirmed.
Secondary outcome measure(s) 1. Seven-day point prevalence
2. Twelve-month continuous abstinence
Sources of funding Cancer Research UK (CRUK) (UK) (ref: C9278/A3461)
Trial website http://www.scanag.bham.ac.uk
Publications Results in http://www.ncbi.nlm.nih.gov/pubmed/18441375
Contact name Dr  Paul  Aveyard
  Address Department of Primary Care & General Practice
University of Birmingham
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Tel +44 (0)121 414 8529
  Email p.n.aveyard@bham.ac.uk
Sponsor University of Birmingham (UK)
  Address Dr Brendan Laverty
Research & Enterprise Services
University of Birmingham
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Tel +44 (0)121 414 8529
  Email p.n.aveyard@bham.ac.uk
  Sponsor website: http://www.scanag.bham.ac.uk
Date applied 05/07/2005
Last edited 21/12/2011
Date ISRCTN assigned 25/07/2005
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