Evidence map›Paper›PMID 42312188›Full record

Trial reportFrontiers in reproductive health2026

An examination into the safety and efficacy of Khapregesic®, a Khaya senegalensis preparation, on physical and psychological wellbeing in women experiencing menopausal symptoms: a randomised, double-blind, placebo-controlled trial.

Adrian L Lopresti, Stephen J Smith, Frederick R Ferdinands

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Adrian L LoprestiClinical Research Australia, Perth, WA, Australia.
Stephen J SmithClinical Research Australia, Perth, WA, Australia.
Frederick R FerdinandsBioactive Natural Health Pty Ltd., Perth, WA, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Khaya senegalensis is a tree species that has traditional use for the alleviation of menstrual and hormonal symptoms in women. Moreover, supplementation with a Khaya senegalensis preparation (Khapregesic®) was associated with significant and rapid improvements in menstrual pain, mood, sleep, and fatigue in women with menstrual distress over 28 days. The present study aimed to assess the safety and efficacy of Khapregesic® over the same intervention period in women reporting menopausal symptoms across the transition from perimenopause to post-menopause. Methods: In this 28-day, randomised, double-blind, placebo-controlled study, 140 peri- and postmenopausal women aged 42-62 years experiencing menopausal-related symptoms were supplemented with 2 grams daily of Khapregesic® or a matching placebo. Outcomes were assessed using validated self-report measures of menopausal symptoms (primary outcome: Greene Climacteric Scale), sleep disturbance/sleep-related impairment (PROMIS-Sleep Scale), fatigue (FACIT-Fatigue), vasomotor symptoms (hot flush rating scale), and digestive symptoms, alongside tolerability and safety monitoring. Results: There were no statistically significant group differences in change scores across the primary and secondary outcomes. However, stratified analyses by menopausal stage indicated in postmenopausal women ( Conclusions: Based on data from the full cohort, no statistically significant group effects were observed in this study. Subgroup analyses revealed positive improvements in post-menopausal but not perimenopausal women in mood/psychological symptoms, sleep disturbance, and fatigue. However, these secondary analyses should be considered tentative and require confirmation in future trials.

Indexed as

clinical trialfatigueherbalhot flushesKhaya senegalensismenopause

Identifiers

PMID42312188
PMCPMC13269224

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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.