The investigational supplier elinzanetant importantly reduces basking flashes and nighttime sweats for post-menopausal women, a large, world objective proceedings has found.
The OASIS-3 proceedings enrolled much than 600 postmenopausal women, ages 40 to 65, astatine 83 sites successful North America and Europe. Participants were fixed either 120 mg of elinzanetant aliases a harmless placebo regular for 52 weeks.
Elinzanetant recipients saw a much than 73% simplification successful nan wave and severity of "vasomotor symptoms" – hot flashes and nighttime sweats – by week 12, nan researchers report. The proceedings besides recovered secondary benefits specified arsenic a simplification successful slumber disturbances and wide improvements successful reported value of life, though nan study did not person capable scope to measure these secondary benefits fully.
The supplier had nary harmful effects connected nan liver aliases bony density, nan researchers determined.
Elinzanetant, nan first dual neurokinin-1 and 3 receptor antagonist to complete Phase 3 testing, has shown promising results. This yearlong study not only confirmed nan first findings of accelerated and important simplification successful nan wave and severity of basking flashes and nighttime sweats but besides provided grounds that these effects were sustained complete a year, offering dream for longer-term relief. For those dealing pinch mean to terrible VMS owed to menopause, nan curen options person been limited, particularly for those who cannot aliases take not to acquisition hormone therapy. The disruptive quality of these bothersome basking flashes, peculiarly erstwhile they are much severe, tin importantly impact women's regular lives, some astatine activity and astatine home, underscoring nan urgent request for effective non-hormonal treatments."
JoAnn V. Pinkerton, MD, researcher, UVA Health's head of midlife wellness and emeritus executive head of nan North American Menopause Society
About elinzanetant
Hot flashes are caused by decreased estrogen levels during menopause and, for immoderate women, years after. Hormone therapy tin switch estrogen, but this tin travel pinch broadside effects specified arsenic bosom tenderness, bloating, headaches and spotting. Less commonly, semipermanent hormone therapy tin origin strokes aliases summation nan consequence of definite cancers. Women besides whitethorn beryllium incapable to return nan curen because they person a history of definite aesculapian conditions, specified arsenic humor clots aliases cancer.
Elinzanetant, connected nan different hand, is simply a nonhormonal supplier that contains nary estrogen, truthful it could connection an important caller action for women who cannot aliases do not wish to person existing curen options.
The supplier had shown committedness successful nan erstwhile OASIS-1 and -2 objective trials, but OASIS-3 put elinzanetant to nan trial astatine a overmuch larger standard and for an full year. "Outcomes from this 52-week study were accordant pinch those observed successful nan 26-week OASIS-1 and OASIS-2 trials, contributing to nan robustness of nan findings and indicating nan sustained use and information of elinzanetant successful a wide organization pinch VMS [vasomotor symptoms] complete a prolonged long of use," nan researchers constitute successful a caller technological insubstantial outlining their findings.
The drug's astir commonly reported broadside effects were sleepiness, fatigue and headache. The researchers besides looked astatine mammograms and measures specified arsenic endometrial thickness for imaginable information concerns but recovered none.
"In nan OASIS-4 proceedings of postmenopausal women pinch bothersome basking flashes connected endocrine therapy for bosom cancer, akin results were recovered pinch elinzanetant providing safe, effective alleviation of basking flashes," Pinkerton said. "What is truthful breathtaking is that pinch elinzanetant, we perchance person a caller curen action that tin beryllium utilized first-line for mean to terrible basking flashes whether owed to menopause aliases bosom crab endocrine therapy."
The national Food and Drug Administration would request to o.k. elinzanetant earlier it could go disposable for patients. The agency delayed a determination connected nan supplier successful July, telling nan drug's maker, Bayer, that it needed much clip to reappraisal nan company's application, which included information from nan OASIS-3 trial.
Findings published
Pinkerton and her co-authors have published nan OASIS-3 results successful JAMA Internal Medicine. The article is unfastened access, meaning it is free to read.
A afloat database of nan authors and their disclosures is included successful nan paper. The proceedings was funded by Bayer.
Source:
Journal reference:
Panay, N., et al. (2025). Elinzanetant for nan Treatment of Vasomotor Symptoms Associated With Menopause. JAMA Internal Medicine. doi.org/10.1001/jamainternmed.2025.4421
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