Evidence map›Paper›PMID 38818888›Full record

Trial reportThe Journal of international medical research2024

Efficacy and safety of fezolinetant for moderate to severe vasomotor symptoms associated with menopause among women in East Asia: a phase 3 randomized study (MOONLIGHT I).

Xiangyan Ruan, Wenpei Bai, Mulan Ren, Tak Kim, Ji Young Lee, Fei-Chi Chuang, Peng-Hui Wang, Weizhong He, Xiao Ma, Kentaro Miyazaki and 3 more

Abstract readRandomized Controlled TrialClinical 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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

Xiangyan RuanDepartment of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing.
Wenpei BaiDepartment of Obstetrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, Beijing.
Mulan RenDepartment of Obstetrics and Gynecology, Zhongda Hospital Southeast University, Jiangsu.
Tak KimDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Korea University Anam Hospital, Seoul.
Ji Young LeeDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Konkuk University Hospital, Seoul.
Fei-Chi ChuangDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City.
Peng-Hui WangDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei.
Weizhong HeAstellas Pharma Global Development, Inc., Northbrook, IL.
Xiao MaAstellas (China) Investment Co, Ltd, Beijing.
Kentaro MiyazakiAstellas Pharma, Inc., Tokyo.
Nan SongAstellas (China) Investment Co, Ltd, Beijing.
Xuegong WangAstellas Pharma Global Development, Inc., Northbrook, IL.
Qi YuDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College, Beijing.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of fezolinetant for moderate to severe vasomotor symptoms (VMS) associated with menopause in East Asian women.

methodsIn this phase 3, randomized, double-blind study, postmenopausal women with moderate to severe VMS (minimum average frequency in the 10 days before randomization, ≥7/day or 50/week) received fezolinetant 30 mg/day or placebo (weeks 1-12), followed by an open-label extension phase with fezolinetant 30 mg/day (weeks 13-24). The co-primary endpoints were the mean changes in the daily frequency and severity of VMS at weeks 4 and 12.

resultsAmong 301 participants, the difference in the least squares mean change (95% confidence interval) from baseline in the daily frequency of moderate to severe VMS versus placebo was -0.65 (-1.41 to 0.12) at week 4 and -0.55 (-1.35 to 0.26) at week 12. The differences in the least squares mean change from baseline in the VMS severity score versus placebo were -0.06 (-0.14 to 0.03) and -0.13 (-0.27 to 0.01) at weeks 4 and 12, respectively. Serious adverse events occurred in 0.7% of participants receiving fezolinetant in weeks 1 to 12, compared with 1.3% of those receiving placebo.

conclusionsFezolinetant was generally safe but did not reduce the frequency or severity of VMS versus placebo in postmenopausal women in this study.

Indexed as

Hot FlashesMenopauseAdultAsia, EasternDouble-Blind MethodFemaleHumansMiddle AgedSeverity of Illness IndexTreatment OutcomeVasomotor SystemAsiaEasternFezolinetant, vasomotor symptoms, hot flashes, receptorsmenopauseneurokinin 3nonhormonal therapy

Identifiers

PMID38818888
PMCPMC11143828

What OpenQuestion holds

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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.