Elinzanetant for the Treatment of Vasomotor Symptoms Associated With Menopause: OASIS 1 and 2 Randomized Clinical Trials

IMPORTANCE: Safe and effective nonhormonal treatments for menopausal vasomotor symptoms (VMS) are needed. OBJECTIVE: To evaluate the efficacy and safety of elinzanetant, a selective neurokinin-1,3 receptor antagonist, for the treatment of moderate to severe menopausal vasomotor symptoms. DESIGN, SET...

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Veröffentlicht in:JAMA : the journal of the American Medical Association 2024-10, Vol.332 (16), p.1343-1354
Hauptverfasser: Pinkerton, JoAnn V, Simon, James A, Joffe, Hadine, Maki, Pauline M, Nappi, Rossella E, Panay, Nick, Soares, Claudio N, Thurston, Rebecca C, Caetano, Cecilia, Haberland, Claudia, Haseli Mashhadi, Nazanin, Krahn, Ulrike, Mellinger, Uwe, Parke, Susanne, Seitz, Christian, Zuurman, Lineke
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container_issue 16
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container_title JAMA : the journal of the American Medical Association
container_volume 332
creator Pinkerton, JoAnn V
Simon, James A
Joffe, Hadine
Maki, Pauline M
Nappi, Rossella E
Panay, Nick
Soares, Claudio N
Thurston, Rebecca C
Caetano, Cecilia
Haberland, Claudia
Haseli Mashhadi, Nazanin
Krahn, Ulrike
Mellinger, Uwe
Parke, Susanne
Seitz, Christian
Zuurman, Lineke
description IMPORTANCE: Safe and effective nonhormonal treatments for menopausal vasomotor symptoms (VMS) are needed. OBJECTIVE: To evaluate the efficacy and safety of elinzanetant, a selective neurokinin-1,3 receptor antagonist, for the treatment of moderate to severe menopausal vasomotor symptoms. DESIGN, SETTING, AND PARTICIPANTS: Two randomized double-blind phase 3 trials (OASIS 1 and 2) included postmenopausal participants aged 40 to 65 years experiencing moderate to severe vasomotor symptoms (OASIS 1: 77 sites in the US, Europe, and Israel from August 27, 2021, to November 27, 2023, and OASIS 2: 77 sites in the US, Canada, and Europe from October 29, 2021, to October 10, 2023). INTERVENTION: Once daily oral elinzanetant, 120 mg, for 26 weeks or matching placebo for 12 weeks followed by elinzanetant, 120 mg, for 14 weeks. MAIN OUTCOMES AND MEASURES: Primary end points included mean change in frequency and severity of moderate to severe vasomotor symptoms from baseline to weeks 4 and 12, measured by the electronic hot flash daily diary. Secondary end points included Patient-Reported Outcomes Measurement Information System Sleep Disturbance Short Form 8b total T score and Menopause-Specific Quality of Life questionnaire total score from baseline to week 12. RESULTS: Eligible participants (mean [SD] age, OASIS 1: 54.6 [4.9] years; OASIS 2: 54.6 [4.8] years) were randomized to elinzanetant (OASIS 1: n = 199; OASIS 2: n = 200) or placebo (OASIS 1: n = 197; OASIS 2: n = 200). A total of 309 (78.0%) and 324 (81.0%) completed OASIS 1 and 2, respectively. For the elinzanetant and placebo groups, the baseline mean (SD) VMS per 24 hours were 13.4 (6.6) vs 14.3 (13.9) (OASIS 1) and 14.7 (11.1) v 16.2 (11.2) (OASIS 2). Baseline VMS severity was 2.6 (0.2) vs 2.5 (0.2) (OASIS 1) and 2.5 (0.2) vs 2.5 (0.2) (OASIS 2). Elinzanetant significantly reduced VMS frequency vs placebo at week 4 (OASIS 1: −3.3 [95% CI, −4.5 to −2.1], P 
doi_str_mv 10.1001/jama.2024.14618
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OBJECTIVE: To evaluate the efficacy and safety of elinzanetant, a selective neurokinin-1,3 receptor antagonist, for the treatment of moderate to severe menopausal vasomotor symptoms. DESIGN, SETTING, AND PARTICIPANTS: Two randomized double-blind phase 3 trials (OASIS 1 and 2) included postmenopausal participants aged 40 to 65 years experiencing moderate to severe vasomotor symptoms (OASIS 1: 77 sites in the US, Europe, and Israel from August 27, 2021, to November 27, 2023, and OASIS 2: 77 sites in the US, Canada, and Europe from October 29, 2021, to October 10, 2023). INTERVENTION: Once daily oral elinzanetant, 120 mg, for 26 weeks or matching placebo for 12 weeks followed by elinzanetant, 120 mg, for 14 weeks. MAIN OUTCOMES AND MEASURES: Primary end points included mean change in frequency and severity of moderate to severe vasomotor symptoms from baseline to weeks 4 and 12, measured by the electronic hot flash daily diary. Secondary end points included Patient-Reported Outcomes Measurement Information System Sleep Disturbance Short Form 8b total T score and Menopause-Specific Quality of Life questionnaire total score from baseline to week 12. RESULTS: Eligible participants (mean [SD] age, OASIS 1: 54.6 [4.9] years; OASIS 2: 54.6 [4.8] years) were randomized to elinzanetant (OASIS 1: n = 199; OASIS 2: n = 200) or placebo (OASIS 1: n = 197; OASIS 2: n = 200). A total of 309 (78.0%) and 324 (81.0%) completed OASIS 1 and 2, respectively. For the elinzanetant and placebo groups, the baseline mean (SD) VMS per 24 hours were 13.4 (6.6) vs 14.3 (13.9) (OASIS 1) and 14.7 (11.1) v 16.2 (11.2) (OASIS 2). Baseline VMS severity was 2.6 (0.2) vs 2.5 (0.2) (OASIS 1) and 2.5 (0.2) vs 2.5 (0.2) (OASIS 2). Elinzanetant significantly reduced VMS frequency vs placebo at week 4 (OASIS 1: −3.3 [95% CI, −4.5 to −2.1], P < .001; OASIS 2: −3.0 [95% CI, −4.4 to −1.7], P < .001) and at week 12 (OASIS 1: −3.2 [95% CI, −4.8 to −1.6], P < .001; OASIS 2: −3.2 [95% CI, −4.6 to −1.9], P < .001). Elinzanetant also improved VMS severity vs placebo at week 4 (OASIS 1: −0.3 [95% CI, −0.4 to −0.2], P < .001; OASIS 2: −0.2 [95 CI, −0.3 to −0.1], P < .001) and week 12 (OASIS 1: −0.4 [95% CI, −0.5 to −0.3], P < .001; OASIS 2: −0.3 [95% CI, −0.4 to −0.1], P < .001). Elinzanetant improved sleep disturbances and menopause-related quality of life at week 12, and the safety profile was favorable. CONCLUSIONS AND RELEVANCE: Elinzanetant was well tolerated and efficacious for moderate to severe menopausal VMS. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: OASIS 1: NCT05042362, OASIS 2: NCT05099159]]></description><identifier>ISSN: 0098-7484</identifier><identifier>ISSN: 1538-3598</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.2024.14618</identifier><identifier>PMID: 39172446</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Clinical trials ; Effectiveness ; Menopause ; Neurokinin ; Neurokinin NK1 receptors ; Placebos ; Post-menopause ; Quality of life ; Sleep</subject><ispartof>JAMA : the journal of the American Medical Association, 2024-10, Vol.332 (16), p.1343-1354</ispartof><rights>Copyright American Medical Association Oct 22-Oct 29, 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-a1436-6067686021583687a3afe47acf7aa7400b28edf5470f1e310c1ad4c25b25ee9f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.2024.14618$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2024.14618$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,776,780,3327,27901,27902,76458,76461</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39172446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pinkerton, JoAnn V</creatorcontrib><creatorcontrib>Simon, James A</creatorcontrib><creatorcontrib>Joffe, Hadine</creatorcontrib><creatorcontrib>Maki, Pauline M</creatorcontrib><creatorcontrib>Nappi, Rossella E</creatorcontrib><creatorcontrib>Panay, Nick</creatorcontrib><creatorcontrib>Soares, Claudio N</creatorcontrib><creatorcontrib>Thurston, Rebecca C</creatorcontrib><creatorcontrib>Caetano, Cecilia</creatorcontrib><creatorcontrib>Haberland, Claudia</creatorcontrib><creatorcontrib>Haseli Mashhadi, Nazanin</creatorcontrib><creatorcontrib>Krahn, Ulrike</creatorcontrib><creatorcontrib>Mellinger, Uwe</creatorcontrib><creatorcontrib>Parke, Susanne</creatorcontrib><creatorcontrib>Seitz, Christian</creatorcontrib><creatorcontrib>Zuurman, Lineke</creatorcontrib><title>Elinzanetant for the Treatment of Vasomotor Symptoms Associated With Menopause: OASIS 1 and 2 Randomized Clinical Trials</title><title>JAMA : the journal of the American Medical Association</title><addtitle>JAMA</addtitle><description><![CDATA[IMPORTANCE: Safe and effective nonhormonal treatments for menopausal vasomotor symptoms (VMS) are needed. OBJECTIVE: To evaluate the efficacy and safety of elinzanetant, a selective neurokinin-1,3 receptor antagonist, for the treatment of moderate to severe menopausal vasomotor symptoms. DESIGN, SETTING, AND PARTICIPANTS: Two randomized double-blind phase 3 trials (OASIS 1 and 2) included postmenopausal participants aged 40 to 65 years experiencing moderate to severe vasomotor symptoms (OASIS 1: 77 sites in the US, Europe, and Israel from August 27, 2021, to November 27, 2023, and OASIS 2: 77 sites in the US, Canada, and Europe from October 29, 2021, to October 10, 2023). INTERVENTION: Once daily oral elinzanetant, 120 mg, for 26 weeks or matching placebo for 12 weeks followed by elinzanetant, 120 mg, for 14 weeks. MAIN OUTCOMES AND MEASURES: Primary end points included mean change in frequency and severity of moderate to severe vasomotor symptoms from baseline to weeks 4 and 12, measured by the electronic hot flash daily diary. Secondary end points included Patient-Reported Outcomes Measurement Information System Sleep Disturbance Short Form 8b total T score and Menopause-Specific Quality of Life questionnaire total score from baseline to week 12. RESULTS: Eligible participants (mean [SD] age, OASIS 1: 54.6 [4.9] years; OASIS 2: 54.6 [4.8] years) were randomized to elinzanetant (OASIS 1: n = 199; OASIS 2: n = 200) or placebo (OASIS 1: n = 197; OASIS 2: n = 200). A total of 309 (78.0%) and 324 (81.0%) completed OASIS 1 and 2, respectively. For the elinzanetant and placebo groups, the baseline mean (SD) VMS per 24 hours were 13.4 (6.6) vs 14.3 (13.9) (OASIS 1) and 14.7 (11.1) v 16.2 (11.2) (OASIS 2). Baseline VMS severity was 2.6 (0.2) vs 2.5 (0.2) (OASIS 1) and 2.5 (0.2) vs 2.5 (0.2) (OASIS 2). Elinzanetant significantly reduced VMS frequency vs placebo at week 4 (OASIS 1: −3.3 [95% CI, −4.5 to −2.1], P < .001; OASIS 2: −3.0 [95% CI, −4.4 to −1.7], P < .001) and at week 12 (OASIS 1: −3.2 [95% CI, −4.8 to −1.6], P < .001; OASIS 2: −3.2 [95% CI, −4.6 to −1.9], P < .001). Elinzanetant also improved VMS severity vs placebo at week 4 (OASIS 1: −0.3 [95% CI, −0.4 to −0.2], P < .001; OASIS 2: −0.2 [95 CI, −0.3 to −0.1], P < .001) and week 12 (OASIS 1: −0.4 [95% CI, −0.5 to −0.3], P < .001; OASIS 2: −0.3 [95% CI, −0.4 to −0.1], P < .001). Elinzanetant improved sleep disturbances and menopause-related quality of life at week 12, and the safety profile was favorable. CONCLUSIONS AND RELEVANCE: Elinzanetant was well tolerated and efficacious for moderate to severe menopausal VMS. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: OASIS 1: NCT05042362, OASIS 2: NCT05099159]]></description><subject>Clinical trials</subject><subject>Effectiveness</subject><subject>Menopause</subject><subject>Neurokinin</subject><subject>Neurokinin NK1 receptors</subject><subject>Placebos</subject><subject>Post-menopause</subject><subject>Quality of life</subject><subject>Sleep</subject><issn>0098-7484</issn><issn>1538-3598</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpdkc1r3DAQxUVpaLZpz4UeiiCXXrzRt-TeliVNAwmBbtoexawtES-WtbVkaPLXR84mPWQuD2Z-80biIfSJkiUlhJ7tIMCSESaWVChq3qAFldxUXNbmLVoQUptKCyOO0fuUdqQU5fodOuY11UwItUD_zvtueIDBZRgy9nHE-c7h29FBDq50ose_IcUQcxlt7sM-x5DwKqXYdJBdi_90-Q5fuyHuYUruG75ZbS43mGIYWszwzyIxdA8FXJdDXQN9Me-gTx_QkS_iPj7rCfr1_fx2_aO6urm4XK-uKqCCq0oRpZVRhFFpuDIaOHgnNDReA2hByJYZ13opNPHUcUoaCq1omNwy6Vzt-Qn6evDdj_Hv5FK2oUuN6_vy5zgly0ktlaGs1gU9fYXu4jQO5XWWU06MkULO1NmBasaY0ui83Y9dgPHeUmLnUOwcip1DsU-hlI0vz77TNrj2P_-SQgE-H4B58WXKDGNaKf4IhXiPdw</recordid><startdate>20241022</startdate><enddate>20241022</enddate><creator>Pinkerton, JoAnn V</creator><creator>Simon, James A</creator><creator>Joffe, Hadine</creator><creator>Maki, Pauline M</creator><creator>Nappi, Rossella E</creator><creator>Panay, Nick</creator><creator>Soares, Claudio N</creator><creator>Thurston, Rebecca C</creator><creator>Caetano, Cecilia</creator><creator>Haberland, Claudia</creator><creator>Haseli Mashhadi, Nazanin</creator><creator>Krahn, Ulrike</creator><creator>Mellinger, Uwe</creator><creator>Parke, Susanne</creator><creator>Seitz, Christian</creator><creator>Zuurman, Lineke</creator><general>American Medical Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20241022</creationdate><title>Elinzanetant for the Treatment of Vasomotor Symptoms Associated With Menopause: OASIS 1 and 2 Randomized Clinical Trials</title><author>Pinkerton, JoAnn V ; Simon, James A ; Joffe, Hadine ; Maki, Pauline M ; Nappi, Rossella E ; Panay, Nick ; Soares, Claudio N ; Thurston, Rebecca C ; Caetano, Cecilia ; Haberland, Claudia ; Haseli Mashhadi, Nazanin ; Krahn, Ulrike ; Mellinger, Uwe ; Parke, Susanne ; Seitz, Christian ; Zuurman, Lineke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a1436-6067686021583687a3afe47acf7aa7400b28edf5470f1e310c1ad4c25b25ee9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Clinical trials</topic><topic>Effectiveness</topic><topic>Menopause</topic><topic>Neurokinin</topic><topic>Neurokinin NK1 receptors</topic><topic>Placebos</topic><topic>Post-menopause</topic><topic>Quality of life</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pinkerton, JoAnn V</creatorcontrib><creatorcontrib>Simon, James A</creatorcontrib><creatorcontrib>Joffe, Hadine</creatorcontrib><creatorcontrib>Maki, Pauline M</creatorcontrib><creatorcontrib>Nappi, Rossella E</creatorcontrib><creatorcontrib>Panay, Nick</creatorcontrib><creatorcontrib>Soares, Claudio N</creatorcontrib><creatorcontrib>Thurston, Rebecca C</creatorcontrib><creatorcontrib>Caetano, Cecilia</creatorcontrib><creatorcontrib>Haberland, Claudia</creatorcontrib><creatorcontrib>Haseli Mashhadi, Nazanin</creatorcontrib><creatorcontrib>Krahn, Ulrike</creatorcontrib><creatorcontrib>Mellinger, Uwe</creatorcontrib><creatorcontrib>Parke, Susanne</creatorcontrib><creatorcontrib>Seitz, Christian</creatorcontrib><creatorcontrib>Zuurman, Lineke</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; 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OBJECTIVE: To evaluate the efficacy and safety of elinzanetant, a selective neurokinin-1,3 receptor antagonist, for the treatment of moderate to severe menopausal vasomotor symptoms. DESIGN, SETTING, AND PARTICIPANTS: Two randomized double-blind phase 3 trials (OASIS 1 and 2) included postmenopausal participants aged 40 to 65 years experiencing moderate to severe vasomotor symptoms (OASIS 1: 77 sites in the US, Europe, and Israel from August 27, 2021, to November 27, 2023, and OASIS 2: 77 sites in the US, Canada, and Europe from October 29, 2021, to October 10, 2023). INTERVENTION: Once daily oral elinzanetant, 120 mg, for 26 weeks or matching placebo for 12 weeks followed by elinzanetant, 120 mg, for 14 weeks. MAIN OUTCOMES AND MEASURES: Primary end points included mean change in frequency and severity of moderate to severe vasomotor symptoms from baseline to weeks 4 and 12, measured by the electronic hot flash daily diary. Secondary end points included Patient-Reported Outcomes Measurement Information System Sleep Disturbance Short Form 8b total T score and Menopause-Specific Quality of Life questionnaire total score from baseline to week 12. RESULTS: Eligible participants (mean [SD] age, OASIS 1: 54.6 [4.9] years; OASIS 2: 54.6 [4.8] years) were randomized to elinzanetant (OASIS 1: n = 199; OASIS 2: n = 200) or placebo (OASIS 1: n = 197; OASIS 2: n = 200). A total of 309 (78.0%) and 324 (81.0%) completed OASIS 1 and 2, respectively. For the elinzanetant and placebo groups, the baseline mean (SD) VMS per 24 hours were 13.4 (6.6) vs 14.3 (13.9) (OASIS 1) and 14.7 (11.1) v 16.2 (11.2) (OASIS 2). Baseline VMS severity was 2.6 (0.2) vs 2.5 (0.2) (OASIS 1) and 2.5 (0.2) vs 2.5 (0.2) (OASIS 2). Elinzanetant significantly reduced VMS frequency vs placebo at week 4 (OASIS 1: −3.3 [95% CI, −4.5 to −2.1], P < .001; OASIS 2: −3.0 [95% CI, −4.4 to −1.7], P < .001) and at week 12 (OASIS 1: −3.2 [95% CI, −4.8 to −1.6], P < .001; OASIS 2: −3.2 [95% CI, −4.6 to −1.9], P < .001). Elinzanetant also improved VMS severity vs placebo at week 4 (OASIS 1: −0.3 [95% CI, −0.4 to −0.2], P < .001; OASIS 2: −0.2 [95 CI, −0.3 to −0.1], P < .001) and week 12 (OASIS 1: −0.4 [95% CI, −0.5 to −0.3], P < .001; OASIS 2: −0.3 [95% CI, −0.4 to −0.1], P < .001). Elinzanetant improved sleep disturbances and menopause-related quality of life at week 12, and the safety profile was favorable. CONCLUSIONS AND RELEVANCE: Elinzanetant was well tolerated and efficacious for moderate to severe menopausal VMS. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: OASIS 1: NCT05042362, OASIS 2: NCT05099159]]></abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>39172446</pmid><doi>10.1001/jama.2024.14618</doi><tpages>12</tpages></addata></record>
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identifier ISSN: 0098-7484
ispartof JAMA : the journal of the American Medical Association, 2024-10, Vol.332 (16), p.1343-1354
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source American Medical Association Journals
subjects Clinical trials
Effectiveness
Menopause
Neurokinin
Neurokinin NK1 receptors
Placebos
Post-menopause
Quality of life
Sleep
title Elinzanetant for the Treatment of Vasomotor Symptoms Associated With Menopause: OASIS 1 and 2 Randomized Clinical Trials
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