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Trial ยท NCT04003155

A Study to Find Out if Fezolinetant Helps Reduce Moderate to Severe Hot Flashes in Women Going Through Menopause

NCT04003155, Phase 3, Completed, Astellas Pharma Global Development, Inc.; results first posted 2022-08-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Find Out if Fezolinetant Helps Reduce Moderate to Severe Hot Flashes in Women Going Through Menopause. Trials, record NCT04003155. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04003155

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Find Out if Fezolinetant Helps Reduce Moderate to Severe Hot Flashes in Women Going Through Menopause
NCT number
NCT04003155
Status
Completed
Phases
Phase 3
Enrollment
527 participants, actual
Lead sponsor
Astellas Pharma Global Development, Inc.
Conditions
Hot Flashes
Interventions
fezolinetant, placebo
First posted
2019-07-01
Last updated
2024-11-04
Other registries' IDs
eudract:2018-003528-35
Results first posted
2022-08-12

Source ClinicalTrials.gov

Registered outcomes14

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 4Baseline and week 4
The frequency of moderate to severe VMS was the number of moderate to severe VMS per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Baseline was the average number of moderate to severe VMS per 24 hours based on the non-missing values in the 10 days immediately prior to randomization.
PrimaryChange From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 12Baseline and week 12
The frequency of moderate to severe VMS was the number of moderate to severe VMS per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Baseline was the average number of moderate to severe VMS per 24 hours based on the non-missing values in the 10 days immediately prior to randomization.
PrimaryChange From Baseline in The Mean Severity of Moderate to Severe VMS at Week 4Baseline and week 4
Severity of moderate to severe VMS per day at post baseline visit was calculated as follows: \[(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)\]/Total number of daily mild/moderate/severe hot flashes Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Severity was zero for participants that had no mild or moderate or severe VMS. Higher scores indicates greater severity.
PrimaryChange From Baseline in The Mean Severity of Moderate to Severe VMS at Week 12Baseline and week 12
Severity of moderate to severe VMS per day at post baseline visit was calculated as follows: \[(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)\]/Total number of daily mild/moderate/severe hot flashes Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Severity was zero for participants that had no mild or moderate or severe VMS. Higher scores indicates greater severity.
SecondaryChange From Baseline in The Mean Patient-reported Outcomes Measurement Information System Sleep Disturbance - Short Form 8b (PROMIS SD SF 8b) Total Score at Week 12Baseline and week 12
The PROMIS SD SF 8b assesses self-reported sleep disturbance over the past 7 days and includes perceptions of restless sleep; satisfaction with sleep; refreshing sleep; difficulties sleeping, getting to sleep or staying asleep; amount of sleep; and sleep quality. Because it assesses the participants experience of sleep disturbance, the measure does not focus on specific sleep-disorder symptoms or ask patients to report objective measures of sleep (e.g., total amount of sleep, time to fall asleep and amount of wakefulness during sleep). Responses to each of the 8 items range from 1 (no disturbed sleep) to 5 (disturbed sleep), and the range of possible summed raw scores is 8 to 40. Higher scores on the PROMIS SD SF 8b indicate more of the disturbed sleep.
SecondaryChange From Baseline in The Mean Frequency of Moderate, and Severe VMS to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 5, 6, 7, 8, 9, 10 and 11
The frequency of moderate to severe VMS was the number of moderate to severe VMS per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Baseline was the average number of moderate to severe VMS per 24 hours based on the non-missing values in the 10 days immediately prior to randomization.
SecondaryChange From Baseline in The Mean Severity of Moderate, and Severe VMS to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 5, 6, 7, 8, 9, 10 and 11
Severity of moderate to severe VMS per day at post baseline visit was calculated as follows: \[(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)\]/Total number of daily mild/moderate/severe hot flashes Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Severity was zero for participants that had no mild or moderate or severe VMS. Higher scores indicates greater severity.
SecondaryMean Percent Change in The Frequency of Moderate And Severe VMS From Baseline to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12
The frequency of moderate to severe VMS was the number of moderate to severe VMS per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Baseline was the average number of moderate to severe VMS per 24 hours based on the non-missing values in the 10 days immediately prior to randomization.
SecondaryNumber of Participants With Percent Reduction of >=50% in the Mean Frequency of Moderate and Severe VMS From Baseline to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12
The frequency of moderate to severe VMS was the number of moderate to severe VMS per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Baseline was the average number of moderate to severe VMS per 24 hours based on the non-missing values in the 10 days immediately prior to randomization. Participant has \>=50% reduction from baseline to each post baseline week for the frequency of moderate to severe VMS.
SecondaryNumber of Participants With Mean Percent Reduction of 100% in The Mean Frequency of Moderate, and Severe VMS From Baseline to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12
The frequency of moderate to severe VMS was the number of moderate to severe VMS per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. Moderate VMS was defined as sensation of heat with sweating/dampness, but participant was able to continue activity. If at night, participant woke up because she was feeling hot and/or was sweating, but no action was necessary other than rearranging the bed sheets. Severe VMS was defined as sensation of intense heat with sweating, caused disruption of activity. If at night, participant woke up hot and was sweating and needed to take action (e.g., remove layers of clothes, open the window, or get out of bed). Baseline was the average number of moderate to severe VMS per 24 hours based on the non-missing values in the 10 days immediately prior to randomization. Participant has 100% reduction from baseline to each post baseline week for the frequency of moderate to severe VMS.

Outcomes14

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 4Baseline and week 4
Full analysis set (FAS) consisted of all participants who were randomized and received at least 1 dose of study intervention. The randomized treatment for each participant was used for summaries by treatment group based on the FAS, even if a participant erroneously received a different treatment. Participants with available data at specified time point were included.
VMS per dayLEAST_SQUARES_MEAN
PRIMARYChange From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 12Baseline and week 12FAS population with available data at specified time point.VMS per dayLEAST_SQUARES_MEAN
PRIMARYChange From Baseline in The Mean Severity of Moderate to Severe VMS at Week 4Baseline and week 4FAS population with available data at specified time point.Score on a scaleLEAST_SQUARES_MEAN
PRIMARYChange From Baseline in The Mean Severity of Moderate to Severe VMS at Week 12Baseline and week 12FAS population with available data at specified time point.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in The Mean Patient-reported Outcomes Measurement Information System Sleep Disturbance - Short Form 8b (PROMIS SD SF 8b) Total Score at Week 12Baseline and week 12FAS population with available data at specified time point.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in The Mean Frequency of Moderate, and Severe VMS to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 5, 6, 7, 8, 9, 10 and 11FAS population with available data at specified time point.VMS per dayLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in The Mean Severity of Moderate, and Severe VMS to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 5, 6, 7, 8, 9, 10 and 11FAS population with available data at specified time point.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Percent Change in The Frequency of Moderate And Severe VMS From Baseline to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12FAS population with available data at specified time point.Percent changeLEAST_SQUARES_MEAN
SECONDARYNumber of Participants With Percent Reduction of >=50% in the Mean Frequency of Moderate and Severe VMS From Baseline to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12FAS PopulationParticipantsNUMBER
SECONDARYNumber of Participants With Mean Percent Reduction of 100% in The Mean Frequency of Moderate, and Severe VMS From Baseline to Each Study Week Up to Week 12Baseline and weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12FAS PopulationParticipantsNUMBER

Results by group425

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 4Double-blind Period: Placebo-3.32Standard Error 0.29VMS per day
Change From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 4Double-blind Period: Fezolinetant 30 mg-5.19Standard Error 0.30VMS per day
Change From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 4Double-blind Period: Fezolinetant 45 mg-5.39Standard Error 0.30VMS per day
Change From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 12Double-blind Period: Placebo-3.90Standard Error 0.31VMS per day
Change From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 12Double-blind Period: Fezolinetant 30 mg-6.28Standard Error 0.32VMS per day
Change From Baseline in The Mean Frequency of Moderate to Severe VMS at Week 12Double-blind Period: Fezolinetant 45 mg-6.44Standard Error 0.31VMS per day
Change From Baseline in The Mean Severity of Moderate to Severe VMS at Week 4Double-blind Period: Placebo-0.27Standard Error 0.04Score on a scale
Change From Baseline in The Mean Severity of Moderate to Severe VMS at Week 4Double-blind Period: Fezolinetant 30 mg-0.42Standard Error 0.04Score on a scale
Change From Baseline in The Mean Severity of Moderate to Severe VMS at Week 4Double-blind Period: Fezolinetant 45 mg-0.46Standard Error 0.04Score on a scale
Change From Baseline in The Mean Severity of Moderate to Severe VMS at Week 12Double-blind Period: Placebo-0.37Standard Error 0.05Score on a scale

Participant flow45

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Double-Blind (DB) Period (12 Weeks)STARTEDDouble-blind Period: Placebo175
Double-Blind (DB) Period (12 Weeks)STARTEDDouble-blind Period: Fezolinetant 30 mg/Extension Period: Fezolinetant 30 mg176
Double-Blind (DB) Period (12 Weeks)STARTEDDouble-blind Period: Fezolinetant 45 mg/Extension Period: Fezolinetant 45 mg176
Double-Blind (DB) Period (12 Weeks)STARTEDDouble-blind Period: Placebo/Extension Period: Fezolinetant 30 mg0
Double-Blind (DB) Period (12 Weeks)STARTEDDouble-blind Period: Placebo/Extension Period: Fezolinetant 45 mg0
Double-Blind (DB) Period (12 Weeks)Full Analysis SetDouble-blind Period: Placebo175
Double-Blind (DB) Period (12 Weeks)Full Analysis SetDouble-blind Period: Fezolinetant 30 mg/Extension Period: Fezolinetant 30 mg173
Double-Blind (DB) Period (12 Weeks)Full Analysis SetDouble-blind Period: Fezolinetant 45 mg/Extension Period: Fezolinetant 45 mg174
Double-Blind (DB) Period (12 Weeks)Full Analysis SetDouble-blind Period: Placebo/Extension Period: Fezolinetant 30 mg0
Double-Blind (DB) Period (12 Weeks)Full Analysis SetDouble-blind Period: Placebo/Extension Period: Fezolinetant 45 mg0

Adverse events145

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCOVID-19Infections and infestationsDouble-blind Period: Placebo01750
otherCOVID-19Infections and infestationsDouble-blind Period: Fezolinetant 30 mg/Extension Period: Fezolinetant 30 mg91749
otherCOVID-19Infections and infestationsDouble-blind Period: Fezolinetant 45 mg/Extension Period: Fezolinetant 45 mg1117311
otherCOVID-19Infections and infestationsDouble-blind Period: Placebo/Extension Period: Fezolinetant 30 mg4764
otherCOVID-19Infections and infestationsDouble-blind Period: Placebo/Extension Period: Fezolinetant 45 mg6766
otherUrinary tract infectionInfections and infestationsDouble-blind Period: Placebo31753
otherUrinary tract infectionInfections and infestationsDouble-blind Period: Fezolinetant 30 mg/Extension Period: Fezolinetant 30 mg31746
otherUrinary tract infectionInfections and infestationsDouble-blind Period: Fezolinetant 45 mg/Extension Period: Fezolinetant 45 mg91739
otherUrinary tract infectionInfections and infestationsDouble-blind Period: Placebo/Extension Period: Fezolinetant 30 mg2762
otherUrinary tract infectionInfections and infestationsDouble-blind Period: Placebo/Extension Period: Fezolinetant 45 mg1762

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDouble-blind Period: Placebo0175
Total, all-cause mortalityDouble-blind Period: Fezolinetant 30 mg/Extension Period: Fezolinetant 30 mg0174
Total, all-cause mortalityDouble-blind Period: Fezolinetant 45 mg/Extension Period: Fezolinetant 45 mg0173
Total, all-cause mortalityDouble-blind Period: Placebo/Extension Period: Fezolinetant 30 mg076
Total, all-cause mortalityDouble-blind Period: Placebo/Extension Period: Fezolinetant 45 mg076
Total, other adverse eventsDouble-blind Period: Placebo24175
Total, other adverse eventsDouble-blind Period: Fezolinetant 30 mg/Extension Period: Fezolinetant 30 mg38174
Total, other adverse eventsDouble-blind Period: Fezolinetant 45 mg/Extension Period: Fezolinetant 45 mg45173
Total, other adverse eventsDouble-blind Period: Placebo/Extension Period: Fezolinetant 30 mg1876
Total, other adverse eventsDouble-blind Period: Placebo/Extension Period: Fezolinetant 45 mg1476

Papers8

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
36924778DERIVEDPubMed
37870510DERIVEDPubMed
37990323DERIVEDPubMed
38396203DERIVEDPubMed
38775925DERIVEDPubMed
39739195DERIVEDPubMed
40044127DERIVEDPubMed
41259888DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04003155

GET https://conductscience.org/api/trials/v1/NCT04003155/results?page=2