AzTrials
AzTrials

MenopauseNCT04516304

A Nutritional Supplement on Vasomotor Symptoms in Women

A study testing S-equol in people with Menopause, run by Pharmavite LLC at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Vasomotor symptoms (VMS), such as flushes, sweating, and sleep disturbances, are experienced by up to 80% of women during the menopausal transition. Night sweats, which are hot flushes that occur at night, can be particularly bothersome in women and contribute to disturbed sleep. Read more about this study

Who is it for?
Ages 40 to 65 years, women onlyHealthy volunteers can take part
Conditions the study is for
Menopause
What is being tested?
S-equol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
118 participants
Where
1 siteUnited States
Study dates
27 Mar 2019to 22 May 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 65 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subject is a perimenopausal or menopausal female experiencing specific menopausal-related VMS.
  • Subject has a BMI of ≥18.5 to ≤38.0 kg/m2 at Visit 1 (week -3).
  • At screening visit (Visit 1; week -3), subject reports to have 4 or more moderate to severe hot flushes/night sweats during 24 h prior to the visit. At Visit 3 (week -1), subject has ≥25 moderate to severe hot flushes/night sweats per week for one week between Visit 2 and 3 (weeks -2 and -1). At Visit 4 (week 0), subject has an average ≥28 moderate to severe hot flushes/night sweats per week for 2 weeks before Visit 4 (week 0).
  • Subject is willing to maintain habitual diet (with the exception of restricted foods/beverages), physical activity patterns, and body weight during the study period.
  • Subject is willing to abstain from using products (other than study product) that contains estrogen, progestin, or progesterone within 30 d prior to Visit 1 (week -3) and throughout the study trial.
  • If a smoker, subject is willing to maintain current smoking habits.
  • Subject has no health conditions that would prevent her from fulfilling the study requirements as judged by the Clinical Investigator on the basis of medical history and routine laboratory test results.
  • Subject understands the study procedures and signs forms providing informed consent to participate in the study and authorizes the release of relevant protected health information to the Clinical Investigator.

Who cannot join

  • Subject has abnormal laboratory test results of clinical importance at Visit 1 (week -3) at the discretion of the Investigator.
  • Subject has a history or presence of clinically important pulmonary (including uncontrolled asthma), cardiac (including, but not limited to, atherosclerotic disease, history of myocardial infarction, peripheral arterial disease, stroke), hepatic, renal, endocrine, hematologic, immunologic (including chronic inflammatory conditions), neurologic (such as Alzheimer's or Parkinson's disease), psychiatric (including depression and/or anxiety disorders) or biliary disorders, that, in the opinion of the Clinical Investigator, could interfere with the interpretation of the study results.
  • Subject has a history or presence of any gastrointestinal condition that could potentially interfere with absorption of the study product (e.g., inflammatory bowel syndrome, celiac disease, history of gastric bypass surgery).
  • Subject has a history of estrogen-dependent neoplasia, atypical ductual hyperplasia of the breast, or undiagnosed vaginal bleeding.
  • Subject has a history of endometrial hyperplasia, melanoma, or uterine/endometrial breast or ovarian cancer.
  • Subject has uncontrolled hypertension (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg) as defined by the blood pressure measured at Visit 1 (week -3). One re-test will be allowed on a separate day for subjects whose blood pressure exceeds either of these cut points at Visit 1, in the judgment of the Clinical Investigator.
Show all 16Show fewer
  • Subject has a history of any major trauma or major surgical event within two months of Visit 1 (week -3).
  • Subject has a history or presence of cancer in the prior 2 years to Visit 1 (week -3), except for non-melanoma skin cancer.
  • Subject has a contraindication to estrogen and/or progestin therapy or allergy/sensitivity to the use of estradiol and/or progesterone, soy, or any components in the study product.
  • Subject has used estrogen alone or estrogen/progestin, selective estrogen receptor modulator, testosterone, or estrogen/testosterone within 30 d prior to Visit 1 (week -3).
  • Subject has used any prescription or over-the-counter products/supplements (e.g., soy products, herbal supplements) that have potential to alter progesterone or estrogen activity or is being used to treat VMS within 30 d prior to Visit 1 (week -3).
  • Subject has self-described extreme or irregular dietary habits, in the opinion of the Clinical Investigator or has been diagnosed with an eating disorder.
  • Subject has elective hospitalizations planned (e.g., elective cosmetic procedures) during the study period.
  • Subject has been exposed to any non-registered drug product or has participated in another intervention study within 30 d prior to Visit 1 (week -3).
  • Subject has a recent history of (within 12 months of screening; Visit 1; week -3) or strong potential for alcohol or substance abuse. Alcohol abuse is defined as >14 drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1½ oz distilled spirits).
  • Individual has a condition the Clinical Investigator believes would interfere with his ability to provide informed consent, comply with the study protocol, which might confound the interpretation of the study results, or put the subject at undue risk.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Biofortis Clinical Research

    Addison, Illinois, 60601

Other trials in United States

About this study

Official title: A Double-Blind, Randomized, Placebo-Controlled Study to Assess a Nutritional Supplement on Vasomotor Symptoms In Perimenopausal and Menopausal Women

Vasomotor symptoms (VMS), such as flushes, sweating, and sleep disturbances, are experienced by up to 80% of women during the menopausal transition. Night sweats, which are hot flushes that occur at night, can be particularly bothersome in women and contribute to disturbed sleep. These symptoms occur mainly during the 1-3 years prior to menopause (late perimenopause) and early menopause (~4 years after menstruation ceases). Many women look to supplements for the management of menopausal symptoms. Soy isoflavones and their metabolites are one category of dietary supplements that have been extensively studied for the management of VMS. The most active soy isoflavone is S-equol, which is not found directly in soy, but rather is the metabolite that is produced by gut microflora from consumption of the soy isoflavone daidzein. However, only 20-30% of US women are actually able to produce S-equol from the consumption of daidzein. Equelle® is a currently available dietary supplement that has S-equol as its active component, which allows the delivery of the active soy isoflavone metabolite directly without dependence on the gut microflora metabolism. The intention of this study is to assess the effect of a product containing S-equol on the management of VMS in normally healthy women.

Condition or disease: Vasomotor Symptoms

Read more

Intervention/treatment:

Dietary Supplement: S-equol Dietary Supplement: Placebo

Read the detailed description

This is a randomized, placebo-controlled, double-blind, parallel study, which will include a screening visit (Visit 1; week -3), a 2-week run-in period for baseline determination and assessment of placebo response (Visit 2; week -2; and Visit 3; week -1), one baseline visit (Visit 4; week 0), and three test visits (Visits 5, 6, and 7; weeks 4, 8, and 12).

At Visit 1 (week -3), after subjects have provided informed consent, medical history will be reviewed, and clinic visit procedures will be performed, including assessments of prior/current medication/supplement use, evaluations of inclusion/exclusion criteria, and a last menses query. Fasting (10-14 h) blood samples will be collected for assessment of FSH and estradiol levels. The Soy Food Frequency Questionnaire will be administered and subjects will be instructed to maintain their habitual diets (with the exception of avoiding soy foods) and physical activity patterns throughout the study period. Additionally, subjects will be dispensed the Insomnia Severity Index Questionnaire (ISIQ) and the VMS Diary to assess insomnia and VMS, respectively.

At Visit 2 (week -2), eligible subjects will be instructed to start the run-in placebo product for two weeks. Subjects will be also instructed to continue daily recording in the VMS Diary. At Visit 3 (week -1), the VMS Diary will be collected/reviewed to assess response to the run-in placebo product. Subjects who continue to meet the inclusion/exclusion criteria will be allowed to continue with the study and will be dispensed a sleep tracking device to wear for sleep/wake pattern evaluation.

At Visit 4 (week 0), eligible subjects will be randomized to one of the study products (Active or Placebo) and instructed to consume with water for 12 weeks. Additionally, the Pittsburg Sleep Quality Index (PSQI), RAND-36 Questionnaire, Profile of Mood States (POMS), Day-to-Day Impact of Vaginal Aging Questionnaire (DIVQ), Chalder Fatigue Scale, and Menopause-Specific Quality of Life (MENQOL) Questionnaire will be administered. The VMS Diary and ISIQ will be collected and reviewed.

At Visits 5 and 6 (weeks 4 and 8), the VMS Diary and ISIQ will be collected/reviewed, and the PSQI and MENQOL will be administered. Subjects will return to the clinic prior to Visit 7 (week 12) to receive the sleep tracking device to wear for sleep/wake pattern evaluation one week (7 d) prior to Visit 7 (week 12).

At Visit 7 (week 12), the VMS Diary and ISIQ will be collected and reviewed. The PSQI, RAND-36, POMS, DIVQ, Chalder Fatigue Scale, and MENQOL will be administered and study product will be collected/reviewed, and compliance will be determined. Additionally, the sleep tracker will be collected, and data will be downloaded for evaluation.

Conditions
Menopause
Being tested
Placebo, S-equol
Keywords
menopause

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDietary supplement

    4 tablets/d (2 in the morning and 2 in the evening)

  • S-equolDietary supplement

    4 tablets/d (2 in the morning and 2 in the evening), providing 10 mg S-equol total a day Other Names: •Equelle®

Study groups in NCT04516304
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo
Receives: Dietary Supplement: Placebo; Dietary Supplement: S-equol
ExperimentalExperimentalS-equol
Receives: Dietary Supplement: Placebo; Dietary Supplement: S-equol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Vasomotor symptoms

    Daily frequency of vasomotor symptoms, including hot flushes and night sweats

    Measured: [Time Frame: Change from baseline to Week 12]

Secondary outcomes (23)
  1. Vasomotor symptom

    Daily frequency of vasomotor symptoms, including hot flushes and night sweats

    Measured: [Time Frame: Change from baseline to Weeks 4 and 8]

  2. Hot Flush

    Daily frequency of hot flush

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  3. Night Sweat

    Daily frequency of night sweat

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  4. Vasomotor symptom severity - number

    Average number of moderate-to-severe VMS episode per day

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  5. Vasomotor symptom severity - total score

    Average of VMS severity total score

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  6. Hot flush symptom severity - number

    Average number of moderate-to-severe hot flush episode per day

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  7. Hot flush severity - total score

    Average of hot flush severity total score

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  8. Night sweat severity - number

    Average number of moderate-to-severe night sweat episode per day

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  9. Night sweat severity - total score

    Average night sweat severity total score

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  10. Insomnia score

    Average insomnia score per day obtained from Insomnia severity questionnaire (ISIQ)

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  11. Sleep duration

    Average sleep duration per day, obtained from sleep tracker

    Measured: [Time Frame: Change from baseline to Week 12]

  12. Actual sleep duration

    Average actual sleep duration per day obtained from sleep tracker

    Measured: [Time Frame: Change from baseline to Week 12]

  13. Sleep efficiency

    Average sleep efficiency per day obtained from sleep tracker

    Measured: [Time Frame: Change from baseline to Week 12]

  14. Sleep onset latency

    Average sleep onset latency per day obtained from sleep tracker

    Measured: [Time Frame: Change from baseline to Week 12]

  15. Latency to persistent sleep

    Average latency to persistent sleep per day obtained from sleep tracker

    Measured: [Time Frame: Change from baseline to Week 12]

  16. Wake after sleep onset

    Average wake after sleep onset per day obtained from sleep tracker

    Measured: [Time Frame: Change from baseline to Week 12]

  17. Fatigue

    Average fatigue score obtained from Chalder fatigue scale. Higher scores mean a worse outcome.

    Measured: [Time Frame: Change from baseline to Week 12]

  18. Sleep quality

    Average sleep quality obtained from Pittsburgh sleep quality index

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  19. Vaginal bothersome score

    Average bothersome score obtained from Vaginal bothersome symptoms diary

    Measured: [Time Frame: Change from baseline to Week 12]

  20. Vaginal aging score

    Average vaginal aging score obtained from Day-to-day impact vaginal aging questionnaire

    Measured: [Time Frame: Change from baseline to Week 12]

  21. Menopause-specific quality of life

    Average score obtained from Menopause-specific quality of life

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

  22. General quality of life

    Average score obtained from RAND-36 questionnaire

    Measured: [Time Frame: Change from baseline to Week 12]

  23. Mood

    Average score obtained from Profile of mood states (POMS)

    Measured: [Time Frame: Change from baseline to Weeks 4, 8, and 12]

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Aug 2020
  2. Study start27 Mar 2019
  3. Primary completion22 May 2020
  4. Study completion22 May 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04516304
Sponsor's protocol ID
BIO-1811
Status last verified
Apr 2024
First submitted
13 Aug 2020
Last updated
4 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing S-equol in people with Menopause, run by Pharmavite LLC at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Vasomotor symptoms (time frame: [Time Frame: Change from baseline to Week 12]). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in