About this trial
The goal of this clinical trial is to learn whether a study drug called fezolinetant impacts cardiovascular and cognitive health in women who have moderate to severe menopausal hot flashes and night sweats.
Researchers will compare fezolinetant to a placebo. A placebo is a pill that looks like the study drug but does not contain any active medicine. This comparison helps researchers understand whether fezolinetant works better than no treatment.
Participants will:
Be randomly assigned to take either fezolinetant (45 mg) or a placebo once a day for 12 weeks.
Visit the research clinic for regular checkups and tests during the study. Complete tests that measure blood vessel function and cognition.
Participants and study staff will not know which treatment each participant receives during the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Born female
Age ≥40 - ≤65 years at the time of the screening visit
Body Mass Index (BMI) ≥18 to ≤38 kg/m2
Seeking treatment or relief for moderate to severe VMS associated with menopause
Disqualifiers
Pregnancy/lactation (past 6 months)
Any treatment for hot flashes with demonstrated efficacy for hot flashes
Currently using systemic sex-hormone medications.
Currently using cytochrome P450 1A2 (CYP1A2) inhibitors (as listed according to the FDA).
Trial design
Parallel
Treatments tested in this trial
Placebo
DrugThe placebo tablet will be an identical tablet appearing to active medication. The placebo tablets contain the following inactive ingredients: ferric oxide, hydroxypropyl cellulose, hypromellose, low-substituted hydroxypropyl cellulose, magnesium stearate, mannitol, microcrystalline cellulose, polyethylene glycol, talc, and titanium dioxide).
Fezolinetant
DrugFezolinetant is a white powder. It is very slightly soluble in water (0.29 mg/mL). Fezolinetant tablets that will be used in this study are round, light red film-coated tablets with no marking on the tablets. Each fezolinetant tablet for oral use contains 45 mg of fezolinetant and the following inactive ingredients: ferric oxide, hydroxypropyl cellulose, hypromellose, low-substituted hydroxypropyl cellulose, magnesium stearate, mannitol, microcrystalline cellulose, polyethylene glycol, talc, and titanium dioxide.
Treatment groups
Trial outcomes
Primary outcomes
Flow-Mediated Dilation
Endothelial function assessed by flow-mediated dilation
Verbal Memory Performance
Verbal memory performance on the California Verbal Learning Test
Secondary outcomes
Endothelial Biomarkers
Blood-based endothelial function biomarkers
Brain Activation during Verbal Encoding
Memory circuitry as measured by changes in brain activation during performance of a functional magnetic resonance imaging (fMRI) task of verbal encoding
Functional Connectivity during recall
Memory circuitry as measured by changes in functional connectivity during performance of a functional magnetic resonance imaging (fMRI) task of verbal recall
Subjective Vasomotor Hot Flash Diary
frequency of subjectively assessed VMS using a digital hot flash diary
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Rebecca Thurston
Lead sponsor
University of Pittsburgh
Sponsor institution
Astellas Pharma Global Development, Inc.
Collaborator
This trial is not recruiting at the moment. You can still explore other options: