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Could Elinzanetant offer a new solution for menopausal vasomotor symptoms?

Menopause Menopause
Menopause Menopause

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Elinzanetant markedly reduces the frequency and severity of menopausal vasomotor symptoms while improving sleep and quality of life.

In a study issued in “JAMA”, Elinzanetant (120 mg) proved to be an effective and well-tolerated non-hormonal treatment for moderate-to-severe vasomotor symptoms (VMS) related to menopause. It also improved disturbed sleep patterns and menopause-linked quality of life, with an acceptable safety profile.  

There is a critical demand for safe and effective nonhormonal therapies to address menopausal VMS. Hence, Elinzanetant (a selective neurokinin-1,3 receptor antagonist) was examined for its usefulness in postmenopausal subjects (aged 40 to 65) experiencing moderate-to-severe VMS. In two trials (OASIS 1 and OASIS 2), volunteers were assigned to receive either once-daily oral

Elinzanetant (OASIS 1: n = 199; OASIS 2: n = 200) or placebo (OASIS 1: n = 197; OASIS 2: n = 200).
In the trials, the enrolled subjects were given Elinzanetant (120 mg) for 26 weeks or a matching placebo for the first 12 weeks. This was followed by Elinzanetant (120 mg) for the next 14 weeks. A total of 309 (78.0%) subjects completed OASIS 1, and 324 (81.0%) completed OASIS 2. Baseline VMS frequency was 13.4 (Standard deviation [SD]: 6.6) for Elinzanetant and 14.3 (SD: 13.9) for placebo in OASIS 1; 14.7 (SD: 11.1) for Elinzanetant and 16.2 (SD: 11.2) for placebo in OASIS 2.

Elinzanetant markedly decreased VMS frequency in the 4th week (OASIS 1: −3.3; OASIS 2: −3.0) and in the 12th week (OASIS 1: −3.2; OASIS 2: −3.2). VMS severity improved at 4th week (OASIS 1: −0.3; OASIS 2: −0.2) and 12th week (OASIS 1: −0.4; OASIS 2: −0.3). Elinzanetant also ameliorated sleep irregularities and quality of life at 12th week, with a good safety profile. These findings highlight Elinzanetant’s potential for tackling menopausal symptoms.

Source:

JAMA Journal

Article:

Elinzanetant for the Treatment of Vasomotor Symptoms Associated with Menopause

Authors:

Joann V. Pinkerton et al.

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