Evidence map›Paper›PMID 26669628›Full record

Trial reportClimacteric : the journal of the International Menopause Society2016

Effect of ospemifene on moderate or severe symptoms of vulvar and vaginal atrophy.

N Bruyniks, R E Nappi, C Castelo-Branco, T J de Villiers, J Simon

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Climacteric : the journal of the International Menopause Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.4field-weighted citation impact, top 7% 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, 29 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  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

5 authors at 4 institutions in 4 countries.

N Bruyniksa BrInPhar Ltd , Iver Heath , UK ;
R E Nappib Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS S Matteo Foundation , University of Pavia , Pavia , Italy ;
C Castelo-Brancoc Clinic Institute of Gynecology, Obstetrics and Neonatology, Hospital Clinic and Faculty of Medicine , University of Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer , Barcelona , Spain ;
T J de Villiersd Mediclinic Panorama and Department of Obstetrics and Gynecology, Faculty of Health Sciences , Stellenbosch University , Parow , South Africa ;
J Simone Department of Obstetrics and Gynecology , George Washington University, Women's Health & Research Consultants® , Washington DC , USA.
George Washington University · USStellenbosch University · ZAUniversitat de Barcelona · ESUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether assessment of all moderate-to-severe symptoms at baseline gives a more accurate evaluation of the treatment effect of ospemifene in vulvovaginal atrophy (VVA) than the most bothersome symptom (MBS) approach.

methodsData were pooled from two pivotal phase-III clinical trials evaluating the efficacy and safety of oral ospemifene 60 mg/day for the treatment of symptoms of VVA (n = 1463 subjects). Symptoms of vaginal dryness, dyspareunia, and vaginal and/or vulvar irritation/itching reported as moderate or severe at baseline were evaluated. Clinically relevant differences between ospemifene and placebo were analyzed using a four-point severity scoring system and presented as improvement, substantial improvement, or relief.

resultsSubjects in these studies reported statistically significant improvement, substantial improvement, and relief for vaginal dryness (p < 0.00001), dyspareunia (p < 0.001) and statistically significant improvement and relief for vaginal and/or vulvar irritation/itching (p < 0.01) from baseline to week 12 with ospemifene compared with placebo. A similar trend was observed for women who reported substantial improvement of vaginal and/or vulvar irritation/itching.

conclusionsFor drug registration purposes, the use of the MBS model is appealing because of its simplicity and ease of scientific validation. However, the MBS model may underestimate the total magnitude of the clinical benefit of ospemifene treatment for symptomatic women suffering from VVA.

Indexed as

AdultAgedAged, 80 and overAtrophyDouble-Blind MethodDyspareuniaFemaleHumansMiddle AgedPostmenopausePruritusSelective Estrogen Receptor ModulatorsTamoxifenTreatment OutcomeVaginaVaginal DiseasesOspemifeneSelective Estrogen Receptor ModulatorsTamoxifenospemifenerandomized clinical trialsVulvar and vaginal atrophy

Identifiers

PMID26669628
PMCPMC4720043
OpenAlexW2232019656

What OpenQuestion holds

Textmetadata
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.