Reproductive endocrinology

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

JAMAPublished Randomised controlled trial

Authors' conclusion

Elinzanetant was well tolerated and efficacious for moderate to severe menopausal VMS.

Study context

Population
Postmenopausal women aged 40–65 years with moderate to severe vasomotor symptoms (VMS); OASIS 1: 77 sites in US, Europe, Israel; OASIS 2: 77 sites in US, Canada, Europe; mean age 54.6 years309 and 324 completed
Comparison
Elinzanetant 120 mg once daily vs placebo
  • Elinzanetantn = OASIS 1: 199; OASIS 2: 200
  • Placebon = OASIS 1: 197; OASIS 2: 200reference
Primary endpoint
Mean change in frequency and severity of moderate to severe VMS (electronic hot flash daily diary)
Follow-up
Baseline to weeks 4 and 12
Methodological detailstwo trials (OASIS 1 and 2), double-blind, placebo-controlled, phase 3, multicentre
  • Two trials (OASIS 1 and 2)
  • Double-blind
  • Placebo-controlled
  • Phase 3
  • Multicentre

Primary result

As reported in the abstract

Change in VMS frequency and severity, elinzanetant vs placebo · weeks 4 and 12
Each group vs placeboEstimateP value
Elinzanetant
difference in VMS frequency, OASIS 1, week 4 −3.3(95% CI −4.5 to −2.1)
P < 0.001
Elinzanetant
difference in VMS frequency, OASIS 2, week 4 −3.0(95% CI −4.4 to −1.7)
P < 0.001
Elinzanetant
difference in VMS frequency, OASIS 1, week 12 −3.2(95% CI −4.8 to −1.6)
P < 0.001
Elinzanetant
difference in VMS frequency, OASIS 2, week 12 −3.2(95% CI −4.6 to −1.9)
P < 0.001
Elinzanetant
difference in VMS severity, OASIS 1, week 4 −0.3(95% CI −0.4 to −0.2)
P < 0.001
Elinzanetant
difference in VMS severity, OASIS 2, week 4 −0.2(95 CI −0.3 to −0.1)
P < 0.001
Elinzanetant
difference in VMS severity, OASIS 1, week 12 −0.4(95% CI −0.5 to −0.3)
P < 0.001
Elinzanetant
difference in VMS severity, OASIS 2, week 12 −0.3(95% CI −0.4 to −0.1)
P < 0.001

Secondary outcomes

OutcomeElinzanetantPlacebo
Baseline VMS frequency per 24 h, OASIS 1Mean13.4 (SD 6.6)14.3 (SD 13.9)
Baseline VMS frequency per 24 h, OASIS 2Mean14.7 (SD 11.1)16.2 (SD 11.2)
Baseline VMS severity, OASIS 12.6 (SD 0.2)2.5 (SD 0.2)
Baseline VMS severity, OASIS 22.5 (SD 0.2)2.5 (SD 0.2)

Sleep disturbance (PROMIS SD-SF 8b) and menopause-specific QoL (MENQOL) · week 12

Elinzanetant improved sleep disturbances and menopause-related quality of life at week 12

Safety

The safety profile was favorable

Original publication

Elinzanetant for the Treatment of Vasomotor Symptoms Associated With Menopause: OASIS 1 and 2 Randomized Clinical Trials. JAMA. Published 22 August 2024. doi:10.1001/jama.2024.14618

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.