Hot Flashes, Vasomotor Symptoms as a Sex Hormone-dependent Disorder in Women and Men
Conditions
Keywords
Driving performance,, Cognitive function
Brief summary
Researchers are looking for a better way to treat vasomotor symptoms (VMS), also known as hot flashes. Hot flashes are intense and sudden feelings of heat along with sweating and reddening of the skin. These are common for women going through the menopause but can also occur in men. Such symptoms are called VMS and are caused by changes in sex hormone levels. The study treatment, elinzanetant, is being tested for the treatment of VMS in both men and women. It works by blocking the activity of a substance called neurokinin, which is thought to play a role in starting hot flashes. Elinzanetant may cause lasting effects like sleepiness and tiredness. Such effects may make driving unsafe. The main purpose of this study is to learn how elinzanetant affects the ability to drive the next day in healthy women. For this, researchers will study participants' ability to keep a stable position within their lane while driving on a straight road on a computer-based driving test (also known as a driving simulator). In this study, participants will take 2 different doses of elinzanetant, another drug called zopiclone, and matching placebos to these drugs. Zopiclone helps treat sleeping problems. A placebo looks like a study drug but does not have any medicine in it. Participants will take elinzanetant, zopiclone, and their matching placebos by mouth. This study will have 4 treatment periods with each period lasting 6 days. In each period, participants will receive one of the following treatments in an order assigned to them randomly (by chance): * dose A of elinzanetant and a zopiclone placebo * dose B of elinzanetant and a zopiclone placebo * zopiclone 7.5 milligrams (mg) and elinzanetant placebo * elinzanetant placebo and zopiclone placebo Each participant will be in the study for around 15 weeks with up to 6 visits to the study site. Participants will visit the study site: * once before the treatment starts, so the study doctors and their team can check on their health and confirm if the participant can join the study * once in each of the 4 treatment periods for a 6-day stay at the study site with a gap of 14 days between each period. During each stay, they will take the assigned treatment from Days 1 to 5 and the driving test on Days 2 and 6 * once, 2 to 3 days after their last treatment so the study doctors and their team can check on their health During the study, the doctors and their study team will: * check participants' health by performing tests such as blood and urine tests, and checking heart health using an electrocardiogram (ECG) * check the participants' ability to drive and their brain function and level of sleepiness using different tests including a driving simulator test * check the level of the study drugs in participants' blood * ask the participants questions about how they are feeling and what adverse events they are having. An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events, irrespective of whether they think they are related to the study treatment or not.
Interventions
Oral administration of multiple doses of elinzanetant.
Oral administration
Oral administration
Oral administration
Sponsors
Study design
Eligibility
Inclusion criteria
* Females aged 40 to 65 years, inclusive, at signing of informed consent. * Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, blood pressure, pulse rate and electrocardiogram (ECG). * Participant has a regular sleep pattern, is not engaged in shift-work, and in general, has at least 7 hours of sleep each night (bedtime occurs between 21:00 and 24:00 hours). * Participant possesses a valid driver's license and is an active driver. Drives a minimum of 8,000 kilometers per year for the previous 3 years.
Exclusion criteria
* Relevant diseases within the last 4 weeks prior to the first administration of study intervention, including febrile illness. * A history within 2 years of, or current treatment for, a sleeping disorder (including excessive snoring, obstructive sleep apnea), or a chronic painful condition that interferes with the participant's sleep. * Abnormal finding in the physical examination, ECG, blood pressure, pulse rate or clinical laboratory results at Screening, that are considered clinically significant by the investigator. * Use of any medication of dietary supplement which may affect central nervous system (CNS) function and may confound the pharmacodynamic assessments of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Simulated driving performance as measured by SDLP using CRCDS-MiniSim | Approximately 9 hours after last dose | SDLP: standard deviation of lateral position. CRCDS-MiniSim: Cognitive Research Corporation's Driving Simulator-MiniSim. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lane Exceedance: Maximum Duration of Exceedance. | Approximately 9 hours after last dose | — |
| Lane Exceedance: Area of Exceedance. | Approximately 9 hours after last dose | — |
| Excessive Speed Count | Approximately 9 hours after last dose | — |
| Average Speed and Speed Deviation | Approximately 9 hours after last dose | — |
| Driving safety measures: Total number of excessive Ay (cornering speed threshold-exceeded) | Approximately 9 hours after last dose | — |
| Driving safety measures: Total number of collisions | Approximately 9 hours after last dose | — |
| Lane Exceedance: Number of Exceedance. | Approximately 9 hours after last dose | — |
| CogScreen Symbol Digit Coding Test: Number of Correct responses | Approximately 9 hours after last dose | CogScreen Symbol Digit Coding test is a computer analogue of the conventional digit symbol-substitution task found in the revised Wechsler intelligence scales. |
| CogScreen Symbol Digit Coding Test: Response Accuracy (percentage of correct responses) | Approximately 9 hours after last dose | — |
| CogScreen Symbol Digit Coding Test: Standard Deviation of Reaction Time | Approximately 9 hours after last dose | — |
| Karolinska Sleepiness Scale (KSS) Score | Approximately 9 hours after last dose | The KSS measures an individual's subjective level of sleepiness. Participants indicate their level of alertness versus sleepiness according to a 9-point scale, ranging from extremely alert to extremely sleepy - fighting sleep. |
| Participant's self-reported Readiness to Drive | Approximately 9 hours after last dose | Prior to driving, the participant will be asked a simple question as to whether they feel safe to drive (Right now do you feel safe to drive?). Participant will answer yes or no. |
| Self-report of motivation and appraisal of driving performance using VAS | Approximately 9 hours after last dose | Participants will record their response to each question by drawing a vertical line on a 100-mm horizontal, linear VAS printed on paper. For the self-assessment of driving performance, one end of the line is marked Not Satisfactory and the other end of the line is marked Satisfactory. For the motivation item, 1 end of the line is marked Not Motivated and the other end is marked Motivated. Scores on the 100-mm linear scale will be measured to the nearest millimeter from the left with a ruler. |
| Divided Attention: Correct responses; Omission Errors; Commission Errors; Reaction Time; Standard Deviation of Reaction Time | Approximately 9 hours after last dose | — |
Countries
Canada