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Fezolinetant impact on health-related quality of life for vasomotor symptoms due to the menopause: Pooled data from SKYLIGHT 1 and SKYLIGHT 2 randomised controlled trials

Endocrinologia
Imagem de arquivo, ilustrativa — não é do estudo. Folículo de Graaf com o cúmulo oóforo, em ovário humano. Ed Uthman · CC BY 2.0 · Wikimedia Commons

Ensaio clínico randomizadoNível 2 · Nova evidênciaBJOG : an international journal of obstetrics and gynaecology6 fev 202419 citações

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Resumo original em inglês

O que aconteceu

To assess the effect of fezolinetant treatment on health-related quality of life using pooled data from SKYLIGHT 1 and 2 studies.

Prespecified pooled analysis.

USA, Canada, Europe; 2019-2021.

1022 women aged ≥40 to ≤65 years with moderate-to-severe vasomotor symptoms (VMS; minimum average seven hot flushes/day), seeking treatment for VMS.

Women were randomised to 12-week double-blind treatment with once-daily placebo or fezolinetant 30 or 45 mg. Completers entered a 40-week, active extension (those receiving fezolinetant continued that dose; those receiving placebo re-randomised to fezolinetant received 30 or 45 mg).

O que encontraram

Mean changes from baseline to weeks 4 and 12 on Menopause-Specific Quality of Life (MENQoL) total and domain scores, Work Productivity and Activity Impairment questionnaire specific to VMS (WPAI-VMS) domain scores, Patient Global Impression of Change in VMS (PGI-C VMS); percentages achieving PGI-C VMS of 'much better' (PGI-C VMS responders). Mean reduction was estimated using mixed model repeated measures analysis of covariance.

Fezolinetant 45 mg mean reduction over placebo in MENQoL total score was -0.57 (95% confidence interval [CI] -0.75 to -0.39) at week 4 and -0.47 (95% CI -0.66 to -0.28) at week 12. Reductions were similar for 30 mg. MENQoL domain scores were also reduced and WPAI-VMS scores improved. Twice as many women receiving fezolinetant reported VMS were 'much better' than placebo based on PGI-C VMS assessment.

Por que isso importa

Fezolinetant treatment was associated with improvement in overall QoL, measured by MENQoL, and work productivity, measured by WPAI-VMS. A high proportion receiving fezolinetant felt VMS were 'much better' based on PGI-C VMS responder analysis.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

Fezolinetant impact on health-related quality of life for vasomotor symptoms due to the menopause: Pooled data from SKYLIGHT 1 and SKYLIGHT 2 randomised controlled trials

Antonio Cano, Rossella E Nappi, Nanette Santoro, Petra Stute, Martin Blogg, Marci L English, Antonia Morga, Ludmila Scrine, Emad Siddiqui, Faith D Ottery

Descritores MeSH

  • Hot Flashes
  • Menopause
  • Quality of Life
  • Female
  • Humans
  • Treatment Outcome
  • Middle Aged
  • Adult
  • Aged
  • Double-Blind Method

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