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A Pooled Analysis of the Data From Two Studies of Ammonium Succinate for Menopausal Symptoms

Clinical Efficacy of an Ammonium Succinate-based Dietary Supplement in Women With Menopausal Symptoms: a Pooled Analysis of the Data From Two Randomized, Multicenter, Double-blinded Placebo-controlled Clinical Trials.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03043690
Enrollment
227
Registered
2017-02-06
Start date
2017-02-11
Completion date
2017-05-30
Last updated
2017-10-20

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

Conditions

Menopause Related Conditions

Keywords

menopause, ammonium succinate

Brief summary

This study is a pooled statistical analysis of the data from 2 studies concerning efficacy of ammonium-succinate based dietary supplement. In both studies group 1 took the ammonium-succinate based dietary supplement and the group 2 took placebo.

Detailed description

Both studies were conducted previously and were randomized, double-blind and placebo-controlled. They followed very similar protocols, were of nearly identical design, had common inclusion and exclusion criteria. Both studies achieved statistical significance for ammonium succinate-based dietary supplement on most of pre-specified endpoints of Greene Climacteric Scale symptoms severity reduction at week 12. Nevertheless, some minor variation in the patient population, both within the studies (e.g., between different centres, as well as seasonal variability) and between the studies can be expected. Naturally occuring estrogen deficiency over the course of the menopausal transition and postmenopause causes hot flushes and other psychosomatic and vasomotor symptoms. Menopausal hormone therapy is a method of choice, however in many cases it is contraindicated or unacceptable for other reasons. Many alternatives exist, generally acting via estrogen receptors (ER). The dietary supplement tested in the aforementioned studies contains ammonium succinate, which does not bind to ER, instead acting by supporting the Krebs cycle. It does not have phytoestrogenic ingredients.

Interventions

DIETARY_SUPPLEMENTAmmonium succinate

2 capsules of ammonium succinate-based dietary supplement (one white, 200 mg, and one orange, 200 mg), once a day, in the morning with a meal, for 90 days.

OTHERPlacebo

2 capsules of ammonium succinate-based dietary supplement (one white, 200 mg, and one orange, 200 mg), once a day, in the morning with a meal, for 90 days.

Sponsors

I.M. Sechenov First Moscow State Medical University
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
42 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

* vasomotor and psychosomatic complaints * ability to comply to study protocol * signed informed consent

Exclusion criteria

* cancer (current or prior, based on medical history) * conditions requiring planned hospitalization in the next 6 months; * endocrine diseases with abnormal hormonal secretion (hypercorticism, hyperprplactinemia, hypersomatotropism, thyroid disorders et c.); * any surgeries within 1 year of the screening; * hormone therapy within 6 months of the screening; * psychiatric diseases; * diabetes mellitus; * taking other supplements or medications that may affect the climacteric syndrome

Design outcomes

Primary

MeasureTime frameDescription
Loss of interest in sex symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Breathing difficulties symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Hot flushes symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Sweating at night symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Heart beating quickly and strongly symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Feeling tense or nervous symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Difficulty in sleeping symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Excitable symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Attacks of panic symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Difficulty in concentrating symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Feeling tired or lacking in energy symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Loss of interest in most things symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Feeling unhappy or depressed symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Crying spells symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Irritability symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Feeling dizzy or faint symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Pressure or tightness in head or body symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Parts of body feeling numb or tingling symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Headaches symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Muscle or joint pains symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms
Loss of feeling in hands or feet symptom (Greene Climacteric Scale)Week 12Statistically significant reduction in designated symptom severity, compared between arms

Secondary

MeasureTime frameDescription
Spilberger-Hanin (Personal anxiety)Week 12The decrease of personal anxiety, measured as statistically significant reduction of the score in corresponding subscale
Spilberger-Hanin (Actual anxiety)Week 12The decrease of actual anxiety, measured as statistically significant reduction of the score in corresponding subscale. Actual anxiety as a sum of situational and personal anxiety scores was introduced by Hanin in his modification of original State-Trait Anxiety Inventory.
Spilberger-Hanin (Situational anxiety)Week 12The decrease of situational anxiety, measured as statistically significant reduction of the score in corresponding subscale

Countries

Russia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026