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Neuropeptide treatment for hot flushes during the menopause

Neurokinin 3 Receptor Antagonism as a Novel Treatment for Menopausal Hot Flushes

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2015-001553-32-GB
Enrollment
30
Registered
2015-07-30
Start date
2015-10-09
Completion date
Unknown
Last updated
2019-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

menopausal hot flushes MedDRA version: 18.0 Level: LLT Classification code 10027311 Term: Menopause flushing System Organ Class: 100000004872

Interventions

Product Code: AZD4901 Pharmaceutical Form: Film-coated tablet CAS Number: 941690-55-7 Current Sponsor code: AZD4901 Other descriptive na

Sponsors

Imperial College, Joint Research Compliance Office
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Menopausal women (=12 months since last menstrual period or bilateral oophorectomy or with an FSH level =20 mIU/mL and an estradiol level 7HF/day some of which are reported as severe or bothersome who have not been on treatment for menopausal symptoms for the preceding 8 weeks. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1.Significant illness, as judged by the Investigator, within 2 weeks of first study visit. 2.Volunteer has clinical, laboratory, or ECG evidence of uncontrolled hypertension (defined as systolic blood pressure of = 160 mmHg and/or diastolic blood pressure of =100 mmHg); uncontrolled diabetes; or significant pulmonary, renal, hepatic, endocrine, or other systemic disease in the opinion of the Investigator. 3.Patient has a history of Gilbert's syndrome, infectious hepatitis, or other significant hepatic disease (e.g. chronic hepatitis, cirrhosis, autoimmune hepatitis, primary sclerosing cholangitis, non-alcoholic steatohepatitis, or hereditary liver disease) in the opinion of the Investigator. 4.Patient has a history of surgery which in the opinion of the investigator could cause malabsorption (e.g. gastric or small intestinal surgery or gastric bypass surgery or banding), or patient has a disease that causes malabsorption. 5.Clinically significant abnormal ECG and/or abnormalities in ECG at screening as judged by the Investigator. 6.A marked prolongation of QT/QTc interval (e.g. repeated demonstration of a QTc interval > 450 ms). 7.Confirmed history of ischaemic heart disease. 8.Past (within 1 year of enrolment) or present alcohol or substance abuse 9.Has received another new chemical entity (defined as a compound which has not been approved for marketing) or has participated in any other clinical study that included drug treatment within at least 3 months of the first administration of AZD4901 in this study. The period of exclusion begins 3 months after the final dose. (Note: patients consented and screened, but not randomised in a previous study are not excluded.) 10.Patient has a history of neoplastic disease within 5 years prior to signing informed consent or is currently on ongoing treatment to prevent cancer recurrence. 11.Involvement in the planning and/or conduct of the study (applies to any AstraZeneca employee and their close relatives and/or staff at the study site directly involved in the study, regardless of their role in accordance with their internal procedures) 12.Inability to understand or cooperate with the requirements of the study 13.Patient is legally or mentally incapacitated 14.Patient has significant psychiatric disease or treatment for psychiatric disease e.g. SSRI’s which in the opinion of the Investigator may influence the results of the study. 15.Patient has abnormal screening laboratory values as per the guidelines listed below or other clinically significant, unexplained laboratory abnormality according to the Investigator: -Aspartate aminotransferase (AST) >1.5 times ULN -Alanine aminotransferase (ALT) > 1.5 times ULN -Total bilirubin >1.5 times ULN -Serum creatinine >2.0 times ULN 16.Clinically relevant disease and abnormalities (past or present), which in the opinion of the Investigator, may either put the patient at risk to participate in this study or may influence the results of the study or the patient’s ability to participate in the study. 17.Patient has a history of hyperthyroidism or hypothyroidism or abnormal screening thyroid tests,

Design outcomes

Primary

MeasureTime frame
Main Objective: To investigate if AZD4901 is effective in reducing the frequency of menopausal hot flushes by mean Hot Flush (HF) frequency per day (HF/day). ; Secondary Objective: average mean HF frequency HF severity HF bother HF interference A general menopausal symptom scale score (MENQOL questionnaire, Hilditch 1996) will be recorded daily on waking Skin conductance monitor data. Modified Medication Adherence Questionnaire to assess compliance (Morisky 1986) will be recorded twice daily. Gonadotrophins & Oestradiol. Blood will be taken at each weekly visit throughout entire study period to measure gonadotrophins & Oestradiol. Mean LH ±FSH during 8h blood sampling studies. These visits will be voluntary and subject to patient’s consent and availability ;Primary end point(s): Mean HF frequency per day (HF/day). ;Timepoint(s) of evaluation of this end point: 28 days

Secondary

MeasureTime frame
Secondary end point(s): average mean HF frequency HF severity HF bother HF interference A general menopausal symptom scale score (MENQOL questionnaire, Hilditch 1996) will be recorded daily on waking Skin conductance monitor data. Modified Medication Adherence Questionnaire to assess compliance (Morisky 1986) will be recorded twice daily. Gonadotrophins & Oestradiol. Blood will be taken at each weekly visit throughout entire study period to measure gonadotrophins & Oestradiol. Mean LH ±FSH during 8h blood sampling studies. These visits will be voluntary and subject to patient’s consent and availability ;Timepoint(s) of evaluation of this end point: 28 days

Countries

United Kingdom

Contacts

Public ContactResearch Governance Manager

Imperial College London

becky.ward@imperial.ac.uk442033110205

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Mar 10, 2026