Evidence map›Paper›PMID 21900849›Full record

Trial reportMenopause (New York, N.Y.)2012

A phase III, randomized, placebo-controlled, double-blind trial of flaxseed for the treatment of hot flashes: North Central Cancer Treatment Group N08C7.

Sandhya Pruthi, Rui Qin, Shelby A Terstreip, Heshan Liu, Charles L Loprinzi, Tushar R C Shah, Kenneth F Tucker, Shaker R Dakhil, Martin J Bury, Robert L Carolla and 3 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Menopause (New York, N.Y.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00956813 (Phase III, Randomized, Placebo-controlled, Double-Blind Trial of Flaxseed for the Treatment of Hot Flashes), which is not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 8% 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.

NCT00956813 phase3completednot on this map

Phase III, Randomized, Placebo-controlled, Double-Blind Trial of Flaxseed for the Treatment of Hot Flashes

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2009 to 2013Enrolled210ConditionsBreast Cancer, Hot Flashes, Menopausal Symptoms, Unspecified Adult Solid Tumor, Protocol SpecificArmsflaxseed, placebo
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Variation in menopausal vasomotor symptoms outcomes in clinical trials: a systematic review.BJOG : an international journal of obstetrics and gynaecology · 2020
    Pooled it
  2. Guideline
  3. Efficacy of phytoestrogens for menopausal symptoms: a meta-analysis and systematic review.Climacteric : the journal of the International Menopause Society · 2015
    Pooled it
  4. Phytoestrogens for menopausal vasomotor symptoms.The Cochrane database of systematic reviews · 2013
    Pooled it
  5. Phase II evaluation of S-adenosyl-L-methionine (SAMe) for the treatment of hot flashes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Article
  11. Bioinformatics and Chemoinformatics Analysis Explored the Role ofJournal of medical signals and sensors · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Lignan exposure: a worldwide perspective.European journal of nutrition · 2022
    Review
  17. Review
  18. Review
  19. Article
  20. 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

13 authors at 9 institutions in 2 countries.

Sandhya PruthiMayo Clinic Rochester, Rochester, MN 55905, USA.
Rui Qin
Shelby A Terstreip
Heshan Liu
Charles L Loprinzi
Tushar R C Shah
Kenneth F Tucker
Shaker R Dakhil
Martin J Bury
Robert L Carolla
Preston D Steen
Jacqueline Vuky
Debra L Barton
Mayo Clinic · USMichigan Cancer Research Consortium · USCancer Research for the Ozarks · USCARE Hospitals · INFargo VA Health Care System · USGrand Rapids Community College · USVirginia Mason Medical Center · USWichita Clinic · USWinnMed · US

Funding

TRANSLATIONAL RESEARCHU10CA025224 · NCI · MAYO CLINIC ROCHESTER · PI BUCKNER, JAN C · 1985 to 2013
$85.0M
SUPPLEMENTU10CA037404 · NCI · MAYO CLINIC ROCHESTER · PI LOPRINZI, CHARLES L · 1985 to 2014
$34.8M
COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035431 · NCI · VIA CHRISTI REGIONAL MEDICAL CENTER · PI DAKHIL, SHAKER R · 1985 to 2014
$24.0M
W METRO-MINNEAPOLIS COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035267 · NCI · PARK NICOLLET INSTITUTE · PI LEACH, JOSEPH · 1985 to 2014
$23.2M
UPSTATE CAROLINA COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035119 · NCI · SPARTANBURG REGIONAL MEDICAL CENTER · PI BEARDEN, JAMES D · 1985 to 2013
$21.5M
MICHIGAN CANCER RESEARCH CONSORTIUM CCOPU10CA063848 · NCI · SAINT JOSEPH MERCY HEALTH SYSTEM · PI STELLA, PHILIP J · 1994 to 2014
$17.2M
MISSOURI VALLEY CANCER CONSORTIUM CCOPU10CA063849 · NCI · MISSOURI VALLEY CANCER CONSORTIUM, INC. · PI SOORI, GAMINI · 1994 to 2014
$11.3M
Illinois Oncology Research Association Community Clinical Oncology ProgramU10CA035113 · NCI · ONCOLOGY-HEMATOLOGY ASSOC-CENTRAL ILL · PI LE-LINDQWISTER, NGUYET A. · 1985 to 2014
$10.8M
DULUTH COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035269 · NCI · ESSENTIA INSTITUTE OF RURAL HEALTH · PI NIKCEVICH, DANIEL A · 1985 to 2014
$10.7M
TOLEDO COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035415 · NCI · TOLEDO COMMUNITY HOSPITAL ONCOLOGY PROG · PI MOWAT, REX BRADLEY · 1985 to 2014
$9.9M
ST LUKE'S HOSPITALS CCOPU10CA037417 · NCI · ST. LUKE'S HOSPITALS-MERITCARE · PI STEEN, PRESTON D · 1985 to 2014
$7.3M
GEISINGER CLINICAL ONCOLOGY PROGRAMU10CA035448 · NCI · WEIS CENTER FOR RESEARCH-GEISINGER CLINC · PI GORAK, EDWARD J. · 1985 to 2014
$6.9M
NCI NIH HHS CA-25224NCI NIH HHS CA-35113NCI NIH HHS CA-35267NCI NIH HHS CA-35269NCI NIH HHS CA-35415NCI NIH HHS CA-35448NCI NIH HHS CA-37404NCI NIH HHS CA-37417NCI NIH HHS CA-63848NCI NIH HHS CA-63849NCI NIH HHS K05 CA124477NCI NIH HHS N01 CA035119NCI NIH HHS N01 CA035431NCI NIH HHS U10 CA025224NCI NIH HHS U10 CA035113NCI NIH HHS U10 CA035119NCI NIH HHS U10 CA035267NCI NIH HHS U10 CA035269NCI NIH HHS U10 CA035415NCI NIH HHS U10 CA035431NCI NIH HHS U10 CA035448NCI NIH HHS U10 CA037404NCI NIH HHS U10 CA037417NCI NIH HHS U10 CA063848NCI NIH HHS U10 CA063849
6 · The paper itself

Abstract

objectivePreliminary data suggest that flaxseed, a rich source of dietary lignans, may be a potentially effective treatment of hot flashes. A phase III, randomized, placebo, controlled trial was conducted to evaluate the efficacy of flaxseed in reducing hot flashes.

methodsPostmenopausal women with or without breast cancer were randomly assigned to a flaxseed bar (providing 410 mg of lignans) for 6 weeks versus a placebo bar. Participants completed daily, prospective, hot flash diaries during the baseline week, and then ate one study bar per day for 6 weeks while recording their daily hot flashes. The intraparticipant difference in hot flash activity between baseline and the last treatment week was the primary endpoint. Adverse effects were evaluated through a self-report and the Common Terminology Criteria assessment.

resultsA total of 188 women were enrolled in this trial. The mean hot flash score was reduced 4.9 in the flaxseed group and 3.5 in the placebo group (P = 0.29). In both groups, slightly more than a third of the women received a 50% reduction in their hot flash score. Only one adverse effect was significantly different between groups, grade 1 pruritus, which was more common in the placebo group (8% vs 1%). Both groups reported abdominal distension, flatulence, diarrhea, and nausea. Adherence and ability to detect treatment assignment did not differ between groups.

conclusionsThe results of this trial do not support the use of 410 mg of lignans for the reduction of hot flashes. The bars were fairly well tolerated, with both groups reporting gastrointestinal effects, probably due to the fiber content.

Indexed as

FlaxDiarrheaDietary FiberDouble-Blind MethodFemaleFlatulenceHot FlashesHumansLignansMenopauseMiddle AgedNauseaPlacebosProspective StudiesTreatment OutcomeDietary FiberLignansPlacebos

Identifiers

PMID21900849
PMCPMC3246070
OpenAlexW40302413

What OpenQuestion holds

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Registered trials

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.