Evidence map›Paper›PMID 19407666›Full record

Trial reportMenopause (New York, N.Y.)

Effect of L-methionine on hot flashes in postmenopausal women: a randomized controlled trial.

Thomas Guttuso, Michael P McDermott, Phillip Ng, Karl Kieburtz

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Menopause (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Nighttime awakenings responding to gabapentin therapy in late premenopausal women: a case series.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2012
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Thomas GuttusoUniversity at Buffalo, Buffalo, NY 14214, USA. tguttuso@buffalo.edu
Michael P McDermott
Phillip Ng
Karl Kieburtz
University of Rochester · USUniversity at Buffalo, State University of New York · US

Funding

UNIVERSITY OF ROCHESTER'S RESEARCH ASSOCIATE ORGANIZATIONUL1RR024160 · NCRR · UNIVERSITY OF ROCHESTER · PI PEARSON, THOMAS ARTHUR · 2006 to 2011
$38.7M
The University of Rochester's Clinical and Translational Science InstituteKL2RR024136 · NCRR · UNIVERSITY OF ROCHESTER · PI PEARSON, THOMAS ARTHUR · 2006 to 2011
$4.3M
The University of Rochester's Clinical and Translational Science InstituteTL1RR024135 · NCRR · UNIVERSITY OF ROCHESTER · PI PEARSON, THOMAS ARTHUR · 2006 to 2011
$3.7M
Effects of Amino Acid Therapy on Hot Flashes in Postmenopausal WomenK23AT001709 · NCCIH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI GUTTUSO, THOMAS J · 2003 to 2007
$666k
NCCIH NIH HHS 1K23-AT-1709-01NCCIH NIH HHS K23 AT001709NCRR NIH HHS KL2 RR024136NCRR NIH HHS TL1 RR024135NCRR NIH HHS UL1 RR024160
6 · The paper itself

Abstract

objectiveBased on a common mechanism of action with gabapentin, we investigated the effects of L-methionine on hot flashes in postmenopausal women.

methodsAfter a 1-week baseline period, 51 postmenopausal women experiencing at least five moderate-severe hot flashes per day were randomized to one of three groups in a 13:13:25 ratio: placebo/placebo, placebo/L-methionine, or L-methionine/L-methionine, respectively (phase 1/phase 2). Phase 1 was 12 weeks long, and phase 2 was 8 weeks long. Participants took 1 g PO BID in phase 1 and 2 g PO BID in phase 2 of either L-methionine or placebo. All participants also took folate 1 mg and methylcobalamin 0.5 mg a day to help minimize the L-methionine-induced elevation in serum homocysteine. The primary outcome variable was the percent change in hot flash composite score from baseline to week 12 obtained from participants' daily hot flash diaries.

resultsIn phases 1 and 2, there were no significant differences between the L-methionine and placebo groups for any of the hot flash outcome measures. At week 12, there was a mean of 37.4% decrease in hot flash composite score compared with baseline in the L-methionine group and a mean of 33.4% decrease in the placebo group (P = 0.60). There were expected significant increases in fasting serum homocysteine (1.7 and 5.8 micromol/L) and fasting serum methionine (13.9 and 22.3 micromol/L) at weeks 12 and 20, respectively, associated with the two doses of L-methionine therapy relative to placebo therapy.

conclusionsL-methionine therapy seems to be ineffective in the treatment of hot flashes in postmenopausal women.

Indexed as

Severity of Illness IndexAminesAnalysis of VarianceCyclohexanecarboxylic AcidsDrug Administration ScheduleFemaleGabapentingamma-Aminobutyric AcidHomocysteineHot FlashesHumansIntestinal AbsorptionMedical RecordsMethionineMiddle AgedPostmenopauseAminesCyclohexanecarboxylic AcidsGabapentingamma-Aminobutyric AcidHomocysteineMethionine

Identifiers

PMID19407666
PMCPMC2743859
OpenAlexW2040016059

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.