Evidence map›Paper›PMID 42520241›Full record

Trial reportSleep2026

Elinzanetant in postmenopausal women with sleep disturbance: results from the randomized, phase II NIRVANA study.

Fiona C Baker, Hadine Joffe, Claudio N Soares, Pauline M Maki, Malek Bajbouj, Rossella E Nappi, Gary Zammit, Cecilia Caetano, Ulrike Krahn, Huda Shalhoub and 3 more

Abstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

13 authors.

Fiona C BakerCenter for Health Sciences, SRI International, Menlo Park, CA, United States.ORCID 0000-0001-9602-6165
Hadine JoffeBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
Claudio N SoaresDepartment of Psychiatry, Queen's University, Kingston, ON, Canada.
Pauline M MakiDepartment of Psychiatry, Psychology, and Obstetrics & Gynecology, University of Illinois Chicago, Chicago, IL, United States.
Malek BajboujDepartment of Psychiatry, Charité Universitätsmedizin Berlin, Berlin, Germany.
Rossella E NappiDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Gary ZammitClinilabs Drug Development Corporation, Eatontown, NJ, United States.
Cecilia CaetanoBayer Consumer Care AG, Basel, Switzerland.
Ulrike KrahnBayer AG, Wuppertal, Germany.
Huda ShalhoubBayer AG, Berlin, Germany.
Frank KramerBayer AG, Wuppertal, Germany.
Hoi-Shen RadcliffeBayer PLC, Reading, United Kingdom.
Christian SeitzBayer AG, Berlin, Germany.ORCID 0000-0003-2315-9148

Funding

Bayer CC AG
6 · The paper itself

Abstract

STUDY

objectivesMenopausal sleep disturbances can negatively impact quality of life. Elinzanetant, a dual neurokinin (NK)-1/NK-3 receptor antagonist, reduced self-reported sleep disturbance in postmenopausal women with moderate-to-severe vasomotor symptoms (VMS) in Phase III OASIS trials. NIRVANA explored elinzanetant's effect on multimodal measures of objective and subjective sleep disturbance in postmenopausal women. MATERIALS AND

methodsPostmenopausal women (N = 110; 40-65 years) with moderate-to-severe VMS (≥20/week) and sleep disturbance (polysomnography [PSG] wakefulness after sleep onset [WASO] ≥30 min) were randomized 1:1 to receive elinzanetant 120 mg or placebo for 12 weeks. Sleep disturbance was assessed using PSG; daily Sleep Diary; and nightly contactless home-monitoring (Sleepiz One+ subgroup). The effect of elinzanetant versus placebo was analyzed using mixed-model repeated measures.

resultsElinzanetant was estimated to reduce PSG WASO at Week 4 versus placebo (least square [LS]-mean difference = -22.50 minutes, 90% CI: -35.47, -9.52). Minimal group differences between treatment arms were estimated at Week 12 for PSG WASO (LS-mean difference = -0.94 minutes, 90% CI: -13.96, 12.09). When including all available PSG data across the 12-week period, post hoc random coefficient modeling indicated treatment effects favoring elinzanetant for WASO, total sleep time, sleep efficiency, latency to persistent sleep, number of awakenings, arousal index, and % Stage N2 sleep. Treatment effects on WASO and awakenings favoring elinzanetant were observed with Sleepiz One+ and Sleep Diary across 12 weeks.

conclusionIn this sleep-focused study, elinzanetant reduced WASO at Week 4 and led to estimated improvements in sleep continuity over 12 weeks, supported by multimodal subjective and objective sleep outcomes.

Indexed as

PostmenopauseSleep Wake DisordersAdultAgedDouble-Blind MethodFemaleHot FlashesHumansMiddle AgedPolysomnographyTreatment Outcomeclinical trials researchelinzanetantmenopauseneurokininneurokinin-targeted therapyNIRVANAsleep disturbancesthermoregulationvasomotor symptomsWomen’s health

Identifiers

PMID42520241
PMCPMC13658252

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.