Evidence map›Paper›PMID 38818887›Full record

Trial reportThe Journal of international medical research2024

Long-term safety of fezolinetant in Chinese women with vasomotor symptoms associated with menopause: the phase 3 open-label MOONLIGHT 3 clinical trial.

Qi Yu, Fang Ming, Jiezhi Ma, Yiling Cai, Liping Wang, Mulan Ren, Jun Zhang, Xiao Ma, Kentaro Miyazaki, Weizhong He and 1 more

Abstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in The Journal of international medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Management of menopausal hot flushes. Recommendations from the Spanish Menopause Society.European journal of obstetrics & gynecology and reproductive biology: X · 2025
    Review
  6. Article
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

11 authors.

Qi YuDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College, Beijing, China.
Fang MingDepartment of Obstetrics and Gynecology, Liuzhou People's Hospital, Guangxi, China.
Jiezhi MaDepartment of Obstetrics and Gynecology, The Third Xiangya Hospital of Central South University, Hunan, China.
Yiling CaiDepartment of Obstetrics and Gynecology, Chengdu Women's & Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Liping WangDepartment of Obstetrics and Gynecology, Jinlin Province FAW General Hospital, Jilin, China.
Mulan RenDepartment of Obstetrics and Gynecology, Zhongda Hospital Southeast University, Jiangsu, China.
Jun ZhangAstellas (China) Investment Co, Ltd, Beijing, China.
Xiao MaAstellas (China) Investment Co, Ltd, Beijing, China.
Kentaro MiyazakiAstellas Pharma, Inc., Tokyo, Japan.
Weizhong HeAstellas Pharma Global Development, Inc., Northbrook, IL, USA.
Xuegong WangAstellas Pharma Global Development, Inc., Northbrook, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to assess long-term safety and tolerability of fezolinetant, a nonhormonal neurokinin 3 receptor antagonist, among Chinese women with vasomotor symptoms associated with menopause participating in the MOONLIGHT 3 trial.

methodsIn this phase 3 open-label study, women in menopause aged 40-65 years received fezolinetant 30 mg once daily for 52 weeks. The primary endpoint was frequency and severity of treatment-emergent adverse events (TEAEs), assessed at every visit through week 52 and one follow-up visit at week 55.

resultsOverall, 150 women were enrolled (mean age, 54 years) and 105 completed treatment. The frequency of TEAEs was 88.7%. Most TEAEs were mild (63.3%) or moderate (22.7%). The most common TEAE was upper respiratory tract infection (16.0%), followed by dizziness, headache, and protein urine present (10.7% each). There was no clinically relevant change (mean ± standard deviation) in endometrial thickness (baseline, 2.95 ± 1.11 mm; week 52, 2.94 ± 1.18 mm). Alanine aminotransferase and/or aspartate aminotransferase levels >3 times the upper limit of normal were reported in 1.4% of women; no Hy's Law cases occurred.

conclusionsFezolinetant 30 mg once daily was generally safe and well tolerated over a 52-week period among women in China with vasomotor symptoms associated with menopause.

Indexed as

Hot FlashesMenopauseAdultAgedChinaEast Asian PeopleFemaleHeterocyclic Compounds, 2-RingHumansMiddle AgedThiadiazolesTreatment OutcomeVasomotor SystemfezolinetantHeterocyclic Compounds, 2-RingThiadiazolesChinaFezolinetanthot flashes, receptorsmenopauseneurokinin 3nonhormonal therapyvasomotor symptoms

Identifiers

PMID38818887
PMCPMC11143821

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Registered trials

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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.