Zyban as an effective smoking cessation aid for patients following acute coronary syndrome (ACS): The ZESCA trial

ISRCTN ISRCTN75356261
DOI https://doi.org/10.1186/ISRCTN75356261
ClinicalTrials.gov number NCT00689611
Secondary identifying numbers MCT-64989
Submission date
29/07/2005
Registration date
29/07/2005
Last edited
11/04/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Mark Jeffrey Eisenberg
Scientific

Cardiology and Clinical Epidemiology
Sir Mortimer B Davis Jewish General Hospital
McGill University
3755 Cote Ste Catherine Road/Suite A118
Montreal, Quebec
H3T 1E2
Canada

Phone +1 (0)514 340 8222 ext. 3564
Email mark.eisenberg@mcgill.ca

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleZyban as an effective smoking cessation aid for patients following acute coronary syndrome (ACS): a randomised controlled trial
Study acronymZESCA
Study objectivesNicotine dependence in patients with a recent enzyme-positive acute coronary syndrome:
1. To examine the impact of sustained-release bupropion on smoking abstinence rates at one year following an enzyme-positive acute coronary syndrome
2. To examine the safety of sustained-release bupropion in patients following an ACS
Ethics approval(s)Research Ethics Committee, Jewish General Hospital, Montreal, 24/01/2005
Health condition(s) or problem(s) studiedAcute coronary syndrome
InterventionSustained-release bupropion versus placebo.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Bupropion
Primary outcome measureSmoking abstinence rates at 12 months post-ACS
Secondary outcome measures1. Cumulative side effects and safety of bupropion at 9 weeks
2. Composite clinical events (unstable angina, myocardial infarction [MI], seizure, death)
Overall study start date01/09/2005
Completion date01/04/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants1500
Key inclusion criteria1. Age: greater than or equal to 18 years
2. Active smoker (greater than or equal to 10 cigarettes per day, on average) for the past year
3. Suffered an ACS and planned hospitalization of greater than or equal to 48 hours
ACS is defined as positive Troponin T, Troponin I, or CK-MB levels and greater than or equal to one of the following:
3.1. Ischaemic symptoms (i.e. typical chest pain) for at least 20 minutes
3.2. Electrocardiogram (ECG) changes indicative of ischemia (ST-segment elevation or depression)
3.3. Development of pathological Q waves on the ECG
Note: If patient is to undergo percutaneous coronary intervention (PCI) and/or coronary artery bypass graft surgery (CABG), they are still eligible to be enrolled.
4. Motivated to quit smoking
Key exclusion criteria1. Current seizure disorder, history of seizures, or predisposition to seizures (e.g. history of brain tumour, severe head trauma, or stroke)
2. Current use of medications that lower seizure threshold e.g. amantadine, anti-depressants, anti-malarials, anti-psychotics, levodopa, lithium, quinalone antibiotics, ritonavir, systemic steroids, theophyllin, type 1C antiarrhythmics (e.g. encainide, flecainide, propafenone)
3. History of anorexia nervosa or bulimia
4. Current use of Wellbutrin or any other medications that contain bupropion
5. Pregnancy or lactation
Date of first enrolment01/09/2005
Date of final enrolment01/04/2010

Locations

Countries of recruitment

  • Canada

Study participating centre

McGill University
Montreal, Quebec
H3T 1E2
Canada

Sponsor information

Sir Mortimer B Davis Jewish General Hospital (Canada)
Hospital/treatment centre

3755 Côte Ste Catherine
Montreal, Quebec
H3T 1E2
Canada

Phone +1 (0)514 340 8222
Email meisenberg@epid.jgh.mcgill.ca
Website http://www.cihr-irsc.gc.ca
ROR logo "ROR" https://ror.org/056jjra10

Funders

Funder type

Research organisation

Canadian Institutes of Health Research
Government organisation / National government
Alternative name(s)
Instituts de Recherche en Santé du Canada, Canadian Institutes of Health Research (CIHR), CIHR_IRSC, Canadian Institutes of Health Research | Ottawa ON, CIHR, IRSC
Location
Canada

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results No No
Results article results 01/03/2014 11/04/2019 Yes No
Results article results 01/03/2014 11/04/2019 Yes No

Editorial Notes

11/04/2019: Publication reference added.
04/03/2009: The overall trial end date was changed from 30/09/2007 to 01/04/2010.