Evidence map›Paper›PMID 33110038›Full record

ArticleMenopause (New York, N.Y.)2020

A selective serotonin receptor agonist for weight loss and management of menopausal vasomotor symptoms in overweight midlife women: a pilot study.

Ekta Kapoor, Stephanie Faubion, Ryan T Hurt, Karen Fischer, Darrell Schroeder, Shawn Fokken, Ivana T Croghan

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Menopause (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05346445 (Citalopram Improves Vasomotor and Urogenital Syndromes in Mexican Patients With Post-menopause), 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
–field-weighted citation impact
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.

NCT05346445 nacompletednot on this mapstarted 2021, after this paper: background citation

Citalopram Improves Vasomotor and Urogenital Syndromes in Mexican Patients With Post-menopause

TypeinterventionalSponsorHospital Regional 1o de OctubreRan2021 to 2021Enrolled91ConditionsPostmenopause, Hot FlashesArmsFluoxetine 20 MG, Citalopram 20mg
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ekta KapoorDepartment of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN.
Stephanie FaubionDepartment of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN.
Ryan T HurtDepartment of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN.
Karen FischerDepartment of Health Sciences Research, Division of Biostatistics and Informatics, Mayo Clinic, Rochester, MN.
Darrell SchroederDepartment of Health Sciences Research, Division of Biostatistics and Informatics, Mayo Clinic, Rochester, MN.
Shawn FokkenDepartment of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN.
Ivana T CroghanDepartment of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN.

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Sex-Specific Effects of Endocrine Disruption on Aging and Alzheimer's DiseaseU54AG044170 · NIA · MAYO CLINIC ROCHESTER · PI KAPOOR, EKTA · 2018 to 2022
$7.7M
NCATS NIH HHS UL1 TR002377NIA NIH HHS U54 AG044170
6 · The paper itself

Abstract

objectiveWeight gain and vasomotor symptoms (VMS) are common complaints in midlife women going through the menopause transition. A selective serotonin 2C (5-HT2C) receptor agonist, lorcaserin, which was previously approved by the Food and Drug Administration for weight loss, has unreported observational evidence suggesting improvement in VMS with its use. The goal of this pilot study was to evaluate the efficacy of lorcaserin for weight loss and management of VMS in overweight midlife women.

methodsThis was a 24-week open label pilot study of 20 overweight midlife women, aged 45-60 years, who were experiencing severe VMS. Participants received lorcaserin at the standard dose of 10 mg twice daily for 12 weeks, followed by 12 weeks of observation off the drug. The primary outcomes were changes in weight and subjectively reported VMS.

resultsAt the end of 12 weeks, mean change in weight was -2.4 kg (90% CI, -3.2 to -1.7, P < 0.001). However, the participants returned to the baseline weight at 24 weeks. Participants also reported significant subjective improvement in VMS, with a mean ± SD change in self-reported hot flash frequency from baseline to week 12 of -5.4 ± 3.9 (decrease of 1.4 standard deviations). There was a rapid increase in the frequency of VMS within 2 weeks of discontinuation of lorcaserin with a tendency to approach the baseline frequency of VMS.

conclusionsIn addition to its weight loss-inducing effect, 5-HT2C receptor modulation may have an additional beneficial effect on VMS in midlife women. A treatment option that targets both weight and VMS in midlife women is attractive. : Video Summary:http://links.lww.com/MENO/A622.

Indexed as

Hot FlashesWeight LossFemaleHumansMenopauseMiddle AgedOverweightPilot ProjectsSerotonin Receptor AgonistsSerotonin Receptor Agonists

Identifiers

PMID33110038
PMCPMC7676489

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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.