New pill could cool menopause hot flashes without hormones
NCT ID NCT05030584
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a daily pill called elinzanetant for treating hot flashes in 628 postmenopausal women. The drug blocks a protein thought to trigger hot flashes. Participants took either elinzanetant or a placebo for 52 weeks and recorded their hot flashes in a diary. The main goal was to see if the drug reduced the number and severity of hot flashes after 12 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- elinzanetant
- What this could lead to
- If it works, this could offer a new non-hormonal option to reduce hot flashes and improve sleep for postmenopausal women.
- What could go wrong
- This is a completed Phase 3 trial, but results are not yet published. The drug may not prove significantly better than placebo, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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628 people
The number who actually took part.
- Started
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Aug 2021
- Finished
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Feb 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 65 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Postmenopausal, defined as: 1. at least 12 months of spontaneous amenorrhea prior to signing of informed consent, or 2. at least 6 months of spontaneous amenorrhea prior to signing of informed consent with serum follicle-stimulating hormone (FSH) levels \> 40 mIU/mL and a serum estradiol concentration of \< 30 pg/mL, or 3. at least 6 months after hysterectomy at signing of informed consent with serum FSH levels \> 40 mIU/mL and a serum estradiol concentration of \< 30 pg/mL, or 4. surgical bilateral oophorectomy with or without hysterectomy at least 6 weeks prior to signing of informed consent. * Moderate to severe hot flash (HF) associated with the menopause and seeking treatment for this condition. * Participant has completed Hot Flash Daily Diary (HFDD) for at least 11 days during the two weeks preceding baseline visit and is showing eligibility with respect to previous inclusion criterion during this time period. Exclusion Criteria: * Any clinically significant prior or ongoing history of arrhythmias, heart block and QT prolongation either determined through clinical history or on ECG evaluation. * Any active ongoing condition that could cause difficulty in interpreting vasomotor symptoms (VMS) such as: infection that could cause pyrexia, pheochromocytoma, carcinoid syndrome. * Current or history (except complete remission for 5 years or more) of any malignancy (except basal and squamous cell skin tumors). Women receiving adjuvant endocrine therapy (e.g. tamoxifen, aromatase inhibitors, GnRH analogues) cannot be enrolled in this study. * Uncontrolled or treatment-resistant hypertension. Women with mild hypertension can be included in the study if they are medically cleared prior to study participation. * Untreated hyperthyroidism or hypothyroidism. * Treated hyperthyroidism with no abnormal increase of thyroid function laboratory parameters and no relevant clinical signs for \> 6 months before signing of informed consent is acceptable. * Treated hypothyroidism with normal thyroid function test results during screening and a stable (for ≥ 3 months before signing of informed consent) dose of replacement therapy is acceptable. * Any unexplained post-menopausal uterine bleeding * Clinically relevant abnormal findings on mammogram. * Abnormal liver parameters. * Disordered proliferative endometrium, endometrial hyperplasia, polyp, or endometrial cancer diagnosed based on endometrial biopsy during screening.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AMR - Las Vegas
Las Vegas, Nevada, 89119, United States
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Advances in Health, INC. | Houston, TX
Houston, Texas, 77030, United States
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Affiliated Clinical Research, Inc. | Las Vegas, NV
Las Vegas, Nevada, 89113, United States
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Alpha Recherche Clinique | Lebourgneuf
Québec, G2J 0C4, Canada
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Boca Midwifery
Boca Raton, Florida, 33486, United States
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Boeson Research | Great Falls, MT
Great Falls, Montana, 59405, United States
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Boeson Research | Missoula, MT
Missoula, Montana, 59804, United States
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CHU Saint-Pierre/UMC Sint-Pieter
Bruxelles - Brussel, 1000, Belgium
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CHU de Liege | CHR Citadel - Department of Gyneacology and Obstetrics
Liège, 4000, Belgium
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CLINICAL MEDICAL RESEARCH Sp. z o. o.
Katowice, 40-156, Poland
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Centrum Badawcze Wspolczesnej Terapii
Warsaw, 02-679, Poland
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Centrum Medyczne Angelius Provita
Katowice, 40-611, Poland
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ClinOhio Research Services, LLC. | Columbus, OH
Columbus, Ohio, 43213, United States
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Clinical Research Philadelphia | Philadelphia, PA
Philadelphia, Pennsylvania, 19114, United States
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Coastal Connecticut Research | New London, CT
New London, Connecticut, 06320, United States
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Diagnostic-Consultative Center Alexandrovska | Sofia, Bulgaria
Sofia, 1431, Bulgaria
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Eastern Virginia Medical School | OB/GYN Clinical Research Center
Norfolk, Virginia, 23507, United States
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Elite Clinical Network (ECN) | Las Vegas Clinical Trials, LLC
North Las Vegas, Nevada, 89030, United States
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Elligo Health Research | Medical Colleagues of Texas
Hurst, Texas, 76054, United States
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Elligo Health Research | Protenium Clinical Research
Katy, Texas, 77493, United States
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Empire Clinical Research | Pomona, CA
Pomona, California, 91767, United States
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Femicare vzw | Tienen, BE
Tienen, 3300, Belgium
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Gabinet Ginekologiczny Janusz Tomaszewski
Bialystok, 15-224, Poland
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HUS / Naistenklinikka
Helsinki, 29, Finland
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HWC Women's Research Center | Englewood, OH
Englewood, Ohio, 45322, United States
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Helix Biomedics LLC | Boynton Beach, FL
Boynton Beach, Florida, 33435, United States
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Hospital Clinico San Carlos | Women´s Health Institute
Madrid, 28040, Spain
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Hospital Clinico Universitario | Gynecology and Obstetrics Department
Valencia, 46010, Spain
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Hospital Universitario 12 de Octubre | Department of Obstetrics and Gynecology
Madrid, 28041, Spain
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Hospital Universitario La Zarzuela - Ginecologia
Aravaca, Madrid, 28023, Spain
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Hospital de la Santa Creu i Sant Pau | Gynecology Department
Barcelona, 8041, Spain
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IWK Health Centre | Department of Obstetrics and Gynaecology
Halifax, Nova Scotia, B3K 6R8, Canada
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Imperial College Healthcare NHS Trust| Queen Charlotte's and Chelsea Hospital - Gynaecology
London, W12 0NN, United Kingdom
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Instituto Palacios | Investigation Research Unit - Gynecology department
Madrid, 28009, Spain
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IntimMedicine | Washington, DC
Washington D.C., District of Columbia, 20036, United States
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Investigators Research Group, LLC
Brownsburg, Indiana, 46112, United States
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Johns Hopkins Hospital - Gynecology and Obstetrics
Baltimore, Maryland, 21287, United States
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Liverpool Women's NHS Foundation Trust | Liverpool Women's Hospital - Gynaecology
Liverpool, L8 7SS, United Kingdom
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Lääkärikeskus Gyneko, Gynaecological Medical Center | Oulu, Finland
Oulu, 90100, Finland
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M3 Wake Research | Raleigh, NC
Raleigh, North Carolina, 27612, United States
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MAC Clinical Research | Greater Manchester Early Phase - Clinical Research Centre
Manchester, M13 9NQ, United Kingdom
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MAC Clinical Research | Lancashire - Clinical Research Centre
Blackpool, FY2 0JH, United Kingdom
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Manna Research (Burlington North)
Burlington, Ontario, L7M 4Y1, Canada
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Manna Research (Montreal)
Pointe-Claire, Quebec, H9R 4S3, Canada
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Manna Research (Ottawa)
Nepean, Ontario, K2J 4A7, Canada
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Manna Research (Quebec)
Lévis, Quebec, G6W 0M5, Canada
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Marvel Clinical Research | Huntington Beach, CA
Huntington Beach, California, 92647, United States
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Maximos Ob/Gyn
League City, Texas, 77573, United States
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Medical Center Panacea OOD | Sofia, Bulgaria
Sofia, 1606, Bulgaria
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Medical Centre Asklepii OOD | Dupnitsa, Bulgaria
Dupnitsa, 2600, Bulgaria
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Mehilainen | Mehilainen Kuopio
Kuopio, 70100, Finland
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Mesa Obstetricians and Gynecologists | Research Department
Mesa, Arizona, 85206, United States
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Mobile ObGyn, P.C. | Mobile, AL
Mobile, Alabama, 36608, United States
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Multiprofile Hospital for Active Treatment Niamed OOD | Department of Obstetrics and Gynecology
Stara Zagora, 6000, Bulgaria
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Multiprofile Hospital for Active Treatment Plovdiv | Obstetrics and Gynecology
Plovdiv, 4000, Bulgaria
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Multiprofile Hospital for Active Treatment Samokov | Gynecology Department
Samokov, 2000, Bulgaria
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Multiprofile Hospital for Active Treatment for Women's Health Nadezhda | Department of Obstetrics and Gynecology
Sofia, 1330, Bulgaria
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Multiprofile Hospital for Active Treatment | Avis Medica - Obstetrics and Gynecology
Pleven, 5800, Bulgaria
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NHS Greater Glasgow and Clyde | Glasgow Royal Infirmary - Gynaecology
Glasgow, G4 0SF, United Kingdom
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National Institute of Clinical Research - Garden Grove
Garden Grove, California, 92844, United States
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Ottawa Hospital-Riverside Campus
Ottawa, Ontario, K1H 7W9, Canada
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Paramount Research Solutions | College Park Location
College Park, Georgia, 30349, United States
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Physician Care Clinical Research LLC | Sarasota, FL
Sarasota, Florida, 34239, United States
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Pihlajalinna Lääkärikeskus Oy, Savo-Karjala
Joensuu, 80100, Finland
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SBAGAL Dr. Dimitar Stamatov | Varna, Bulgaria
Varna, 9000, Bulgaria
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Sanos Clinic | Gandrup, Denmark
Gandrup, 9362, Denmark
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Sanos Clinic | Herlev, Denmark
Herlev, 2730, Denmark
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Sanos Clinic | Syddanmark, Vejle, Denmark
Vejle, 7100, Denmark
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Seattle Clinical Research Center
Seattle, Washington, 98105, United States
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Southern Clinical Research Associates
Metairie, Louisiana, 70001, United States
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Southern Clinical Research, LLC
Zachary, Louisiana, 70791, United States
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Spec.Hospital for obstetrics and gynecology Selena OOD
Plovdiv, 4002, Bulgaria
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Specialized Hospital for Active Treatment of Oncological Diseases Sofia Region | Oncological Gynecology Department
Sofia, 1233, Bulgaria
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Suncoast Clinical Research - New Port Richey
Trinity, Florida, 34655, United States
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Suncoast Clinical Research - Palm Harbor
Palm Harbor, Florida, 34684, United States
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Terveystalo | Terveystalo Tampere Research Unit
Tampere, 33100, Finland
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Tidewater Clinical Research - Norfolk
Norfolk, Virginia, 23502, United States
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Twoja Przychodnia - Szczecinskie Centrum Medyczne
Szczecin, 71-500, Poland
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UF Health Women's Specialists - Emerson
Jacksonville, Florida, 32207, United States
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UTHealth Womens Research Program | Memorial City
Houston, Texas, 77054, United States
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UZ Gent
Ghent, 9000, Belgium
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UZ Leuven Gasthuisberg
Leuven, 3000, Belgium
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Venus Gynecology, LLC | Myrtle Beach, SC
Myrtle Beach, South Carolina, 29572, United States
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Viable Clinical Research | Mississauga, Canada
Scarborough Village, Ontario, M1P 2T7, Canada
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Virgen del Rocio University Hospital | Gynecology Unit
Seville, 41013, Spain
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Vita Longa Sp. z o.o.
Katowice, 40-748, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Non-Hormonal pill targets hot flashes in menopause
- Talking therapy may cool hot flushes for NHS workers
- A cool wristband takes on hot flashes — no drugs needed
- Could a cold shower cool menopausal hot flashes?
- Hot flashes linked to heart risk? mayo clinic investigates
- New drug fezolinetant tested for hot flash relief in everyday life