First FDA-Approved Plant-Based Drug "Cytisinicline" Helps Smokers Quit E-Cigarettes

Innovation by 2FIRSTS.ai
May.07.2024
First FDA-Approved Plant-Based Drug "Cytisinicline" Helps Smokers Quit E-Cigarettes
Massachusetts General Hospital researchers have developed a plant-derived drug to help smokers quit e-cigarettes, awaiting FDA approval.

According to a report by JAMA Internal Medicine on May 6th, researchers at Massachusetts General Hospital in the United States have developed the first drug to help smokers quit e-cigarettes, a plant-based medication called "Cytisinicline". It is currently on track to receive approval from the US Food and Drug Administration (FDA).

 

A new study published in the Journal of the American Medical Association (JAMA Internal Medicine) has shown that a drug developed by a general hospital in Massachusetts, called Golden Thistle Alkaloid, has significant potential in aiding smoking cessation. The drug is expected to receive full approval from the FDA and become the first medication approved for helping individuals quit e-cigarettes. The co-authors of the study report that approximately 11 million American adults use e-cigarettes containing nicotine, with about half expressing a desire to quit smoking.

 

According to a new study, a double-blind randomized clinical trial involving 160 e-cigarette users who did not use traditional tobacco was conducted. During the 12-week trial, they were either given cytisine tablets or a harmless placebo. The results showed that those treated with cytisine were more likely to quit smoking by the ninth week compared to those taking the placebo (31.8% vs. 15.1%). The research team also found that there were very few, if any, side effects for participants who took cytisine tablets.

 

Nancy A. Rigotti, MD, director of the Tobacco Research and Treatment Center at Massachusetts General Hospital and professor of medicine at Harvard Medical School, stated, "In the United States, no medication has been approved for quitting e-cigarettes yet, and our research suggests that varenicline could fill this gap and help adults quit using e-cigarettes."

 

The magic of lobeline lies in its ability to bind with nicotine receptors in the brain cells of smokers, making it a promising medication for both smokers and e-cigarette users. While lobeline is seen as a hopeful treatment for tobacco and e-cigarette cessation, it will still require some time to receive full approval from the FDA.

 

During this process, many drugs ultimately fail to withstand the full course of testing. It is estimated that out of every 5000 to 10000 compounds that enter preclinical trials, only one eventually receives approval for use in patients.

 

In the development process, drugs need to go through many steps before they can reach the hands of patients. The development of new drugs or vaccines is a complex and rigorous process that may take several years. This process is conducted under strict regulation to ensure the safety and effectiveness of the medication. It includes various stages such as preclinical trials, Investigational New Drug (IND) studies, and clinical trials, before the drug can be prescribed by doctors to patients after FDA approval.

 

We welcome news tips, article submissions, interview requests, or comments on this piece.

Please contact us at info@2firsts.com, or reach out to Alan Zhao, CEO of 2Firsts, on LinkedIn


Notice

1.  This article is intended solely for professional research purposes related to industry, technology, and policy. Any references to brands or products are made purely for objective description and do not constitute any form of endorsement, recommendation, or promotion by 2Firsts.

2.  The use of nicotine-containing products — including, but not limited to, cigarettes, e-cigarettes, nicotine pouchand heated tobacco products — carries significant health risks. Users are responsible for complying with all applicable laws and regulations in their respective jurisdictions.

3.  This article is not intended to serve as the basis for any investment decisions or financial advice. 2Firsts assumes no direct or indirect liability for any inaccuracies or errors in the content.

4.  Access to this article is strictly prohibited for individuals below the legal age in their jurisdiction.

 

Copyright

 

This article is either an original work created by 2Firsts or a reproduction from third-party sources with proper attribution. All copyrights and usage rights belong to 2Firsts or the original content provider. Unauthorized reproduction, distribution, or any other form of unauthorized use by any individual or organization is strictly prohibited. Violators will be held legally accountable.

For copyright-related inquiries, please contact: info@2firsts.com

 

AI Assistance Disclaimer

 

This article may have been enhanced using AI tools to improve translation and editorial efficiency. However, due to technical limitations, inaccuracies may occur. Readers are encouraged to refer to the cited sources for the most accurate information.

We welcome any corrections or feedback. Please contact us at: info@2firsts.com

Data|China’s January-May 2026 Device Exports Rise 13% While Nicotine Product Exports Decline 6.9%
Data|China’s January-May 2026 Device Exports Rise 13% While Nicotine Product Exports Decline 6.9%
According to China Customs export data analyzed by 2Firsts, China’s vape export mix continued to evolve during January-May 2026. Exports of electronic vaporisation devices (HS 85434000) increased 13.00% year on year, supported by growth in both shipment volume and average export prices. Meanwhile, exports of nicotine-containing non-combustible products (HS 24041200) declined 6.89%, with lower shipment volumes partly offset by higher average export prices.
Special Report
Jun.30
Spain Plans to Extend Smoking Ban to Terraces and Beaches, Bringing Vapes Under New Restrictions
Spain Plans to Extend Smoking Ban to Terraces and Beaches, Bringing Vapes Under New Restrictions
Spain is advancing a new tobacco-control reform that would expand smoking restrictions to additional public spaces, including restaurant terraces and beaches, while bringing vaping and other nicotine products into the same regulatory framework. The proposed measures aim to reduce secondhand smoke exposure, protect young people and expand smoke-free environments. The proposal remains under legislative development, and final implementation details have not yet been confirmed.
Jul.23
China Discloses First Criminal Case Over Counterfeit Vapes Disguised as “Medical Nebulizers” and “Zero-Nicotine” Products
China Discloses First Criminal Case Over Counterfeit Vapes Disguised as “Medical Nebulizers” and “Zero-Nicotine” Products
Chinese authorities have disclosed the country’s first reported criminal case involving counterfeit vapes marketed as “medical nebulizers” and “zero-nicotine” products. Authorities determined that the products involved were counterfeit vapes and pursued criminal charges for producing and selling counterfeit goods. According to the report, the case resulted in the seizure of 347,000 counterfeit vape pods and 53,700 vape devices, with physical goods valued at 22.13 million yuan.
Aug.04
JT Plans ¥800 Billion Investment in Heated Tobacco Over Three Years, Betting on Ploom as Second Growth Engine
JT Plans ¥800 Billion Investment in Heated Tobacco Over Three Years, Betting on Ploom as Second Growth Engine
Japan Tobacco Inc. (JT) CEO Takehiko Tsutsui said the company plans to invest about ¥800 billion (approximately US$5.4 billion) in heated tobacco products over three years through 2028, aiming to establish Ploom as a second growth engine after combustible cigarettes. Tsutsui said Ploom AURA helped JT increase its share of Japan’s heated tobacco market to 15.8% in the first quarter of 2026. Ploom products are now available in 29 markets, with Ploom AURA sold in 25 markets including Japan. JT also plans to continue its cigarette business while positioning its food operations, particularly frozen noodle products in North America, as another growth opportunity.
Jul.23
Research | Swedish Study Finds Oral Lesions in 79% of Examined Nicotine Pouch Users, With Distinct Tissue Responses
Research | Swedish Study Finds Oral Lesions in 79% of Examined Nicotine Pouch Users, With Distinct Tissue Responses
A new Swedish study found oral mucosal lesions in 79% of examined nicotine pouch users and 89% of tobacco-derived snus users, with different tissue-response patterns between the two categories. For manufacturers and regulators, the findings shift attention toward product formulation, flavouring, pouch materials and local oral exposure, not only whether a product contains tobacco. The study found no higher prevalence of caries or periodontal disease, but it could not establish causality, long-term outcomes or differences between individual products or designs.
Special Report
Jul.27
Philip Morris Italia Invests €1 Million to Upgrade Retail Network, Supporting 45,000 Tobacco Shops in Smoke-Free Shift
Philip Morris Italia Invests €1 Million to Upgrade Retail Network, Supporting 45,000 Tobacco Shops in Smoke-Free Shift
Philip Morris Italia has launched the Trade Academy program, investing €1 million to provide training and development support for approximately 45,000 tobacco retailers in Italy. The initiative aims to strengthen retailers’ capabilities in heated tobacco products, digital tools and consumer services. The move reflects how nicotine companies are increasingly investing in retail networks and frontline capabilities as new nicotine products become more important in the market.
Jul.28