Neurokinin 3 Receptor Antagonists Do Not Increase FSH or Estradiol Secretion in Menopausal Women.

NK3R antagonists breast cancer estradiol flashes menopause

Journal

Journal of the Endocrine Society
ISSN: 2472-1972
Titre abrégé: J Endocr Soc
Pays: United States
ID NLM: 101697997

Informations de publication

Date de publication:
01 Feb 2020
Historique:
received: 08 07 2019
accepted: 13 11 2019
entrez: 23 4 2020
pubmed: 23 4 2020
medline: 23 4 2020
Statut: epublish

Résumé

Neurokinin 3 receptor (NK3R) antagonism is a promising novel treatment for menopausal flashes. However, to avoid adverse hormonal effects it is clinically important to first confirm whether gonadotropin and estradiol concentrations change as a result of their administration. Single-center, randomized, double-blind, placebo-controlled, crossover trial of an oral NK3R antagonist (MLE4901) in 28 women aged 40 to 62 years, experiencing >7 hot flashes/24 h; some bothersome or severe (Clinicaltrials.gov, NCT02668185). Weekly serum gonadotropins and estradiol levels were measured using commercially available automated immunoassays a priori. Serum estradiol was also measured post hoc using a highly sensitive direct assay by liquid chromatography tandem mass spectrometry. Hormone levels were compared by the paired sample Mean (standard deviation) serum follicle-stimulating hormone (FSH) concentration was not significantly increased when taking MLE4901 (72.07 ± 19.81 IU/L) compared to placebo (70.03 ± 19.56 IU/L), NK3R antagonists do not increase serum estradiol or FSH despite their reduction in hot flashes. This is clinically significant and highly reassuring for women who have a contraindication to conventional hormone therapy such as prior/existing breast cancer and/or thromboembolism.

Sections du résumé

BACKGROUND BACKGROUND
Neurokinin 3 receptor (NK3R) antagonism is a promising novel treatment for menopausal flashes. However, to avoid adverse hormonal effects it is clinically important to first confirm whether gonadotropin and estradiol concentrations change as a result of their administration.
METHODS METHODS
Single-center, randomized, double-blind, placebo-controlled, crossover trial of an oral NK3R antagonist (MLE4901) in 28 women aged 40 to 62 years, experiencing >7 hot flashes/24 h; some bothersome or severe (Clinicaltrials.gov, NCT02668185). Weekly serum gonadotropins and estradiol levels were measured using commercially available automated immunoassays a priori. Serum estradiol was also measured post hoc using a highly sensitive direct assay by liquid chromatography tandem mass spectrometry. Hormone levels were compared by the paired sample
RESULTS RESULTS
Mean (standard deviation) serum follicle-stimulating hormone (FSH) concentration was not significantly increased when taking MLE4901 (72.07 ± 19.81 IU/L) compared to placebo (70.03 ± 19.56 IU/L),
IMPLICATION CONCLUSIONS
NK3R antagonists do not increase serum estradiol or FSH despite their reduction in hot flashes. This is clinically significant and highly reassuring for women who have a contraindication to conventional hormone therapy such as prior/existing breast cancer and/or thromboembolism.

Identifiants

pubmed: 32318647
doi: 10.1210/jendso/bvz009
pii: bvz009
pmc: PMC7159071
doi:

Banques de données

ClinicalTrials.gov
['NCT02668185']

Types de publication

Journal Article

Langues

eng

Pagination

bvz009

Subventions

Organisme : Department of Health
ID : CS-2018-18-ST2-002
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/M024954/1
Pays : United Kingdom
Organisme : Department of Health
ID : PDF-2017-10-098
Pays : United Kingdom

Informations de copyright

© Endocrine Society 2019.

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Auteurs

Julia K Prague (JK)

Section of Endocrinology & Investigative Medicine, Imperial College, London, UK.

Ali Abbara (A)

Section of Endocrinology & Investigative Medicine, Imperial College, London, UK.

Alexander N Comninos (AN)

Section of Endocrinology & Investigative Medicine, Imperial College, London, UK.

Channa N Jayasena (CN)

Section of Endocrinology & Investigative Medicine, Imperial College, London, UK.

Claire E Higham (CE)

Department of Endocrinology, The Christie NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

Jo Adaway (J)

Biochemistry Department, Wythenshawe Hospital, Wythenshawe, UK.
School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

Brian G Keevil (BG)

Biochemistry Department, Wythenshawe Hospital, Wythenshawe, UK.
School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

Johannes D Veldhuis (JD)

Mayo Clinic, Rochester, MN, UK.

Waljit S Dhillo (WS)

Section of Endocrinology & Investigative Medicine, Imperial College, London, UK.

Classifications MeSH