Evidence map›Paper›PMID 32318647›Full record

ArticleJournal of the Endocrine Society2020

Neurokinin 3 Receptor Antagonists Do Not Increase FSH or Estradiol Secretion in Menopausal Women.

Julia K Prague, Ali Abbara, Alexander N Comninos, Channa N Jayasena, Claire E Higham, Jo Adaway, Brian G Keevil, Johannes D Veldhuis, Waljit S Dhillo

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02668185 (Neurokinin 3 Receptor Antagonism as a Novel Treatment for Menopausal Hot Flushes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 30% 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.

NCT02668185 phase2completednot on this map

Neurokinin 3 Receptor Antagonism as a Novel Treatment for Menopausal Hot Flushes

TypeinterventionalSponsorImperial College LondonRan2016 to 2017Enrolled37ConditionsMenopausal FlushingArmsNK3R antagonist - AZD4901, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 2 countries.

Julia K PragueSection of Endocrinology & Investigative Medicine, Imperial College, London, UK.
Ali AbbaraSection of Endocrinology & Investigative Medicine, Imperial College, London, UK.
Alexander N ComninosSection of Endocrinology & Investigative Medicine, Imperial College, London, UK.
Channa N JayasenaSection of Endocrinology & Investigative Medicine, Imperial College, London, UK.
Claire E HighamDepartment of Endocrinology, The Christie NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Jo AdawayBiochemistry Department, Wythenshawe Hospital, Wythenshawe, UK.ORCID 0000-0003-4352-3410
Brian G KeevilBiochemistry Department, Wythenshawe Hospital, Wythenshawe, UK.
Johannes D VeldhuisMayo Clinic, Rochester, MN, UK.
Waljit S DhilloSection of Endocrinology & Investigative Medicine, Imperial College, London, UK.ORCID 0000-0001-5950-4316
Imperial College London · GBManchester Academic Health Science Centre · GBMayo Clinic in Arizona · US

Funding

Department of Health CS-2018-18-ST2-002Department of Health PDF-2017-10-098Medical Research Council MR/M024954/1
6 · The paper itself

Abstract

backgroundNeurokinin 3 receptor (NK3R) antagonism is a promising novel treatment for menopausal flashes. However, to avoid adverse hormonal effects it is clinically important to first confirm whether gonadotropin and estradiol concentrations change as a result of their administration.

methodsSingle-center, randomized, double-blind, placebo-controlled, crossover trial of an oral NK3R antagonist (MLE4901) in 28 women aged 40 to 62 years, experiencing >7 hot flashes/24 h; some bothersome or severe (Clinicaltrials.gov, NCT02668185). Weekly serum gonadotropins and estradiol levels were measured using commercially available automated immunoassays a priori. Serum estradiol was also measured post hoc using a highly sensitive direct assay by liquid chromatography tandem mass spectrometry. Hormone levels were compared by the paired sample

resultsMean (standard deviation) serum follicle-stimulating hormone (FSH) concentration was not significantly increased when taking MLE4901 (72.07 ± 19.81 IU/L) compared to placebo (70.03 ± 19.56 IU/L), IMPLICATION: NK3R antagonists do not increase serum estradiol or FSH despite their reduction in hot flashes. This is clinically significant and highly reassuring for women who have a contraindication to conventional hormone therapy such as prior/existing breast cancer and/or thromboembolism.

Indexed as

breast cancerestradiolflashesmenopauseNK3R antagonists

Identifiers

PMID32318647
PMCPMC7159071
OpenAlexW2989337457

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.