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Fezolinetant

Phase 3

Hot Flashes | Small molecule | Endocrine |China Pharma Holdings, Inc.|Last Updated: Jan 31, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment302

FDA Designations

No designations recorded

Clinical trial landscape

Fezolinetant · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT04234204A Study to Find Out if Fezolinetant Helps Reduce Moderate to Severe Hot Flashes in Women in Asia Going Through MenopauseHot Flashes
COMPLETED302 Analytics
PHASE3COMPLETED
A Study to Find Out if Fezolinetant Helps Reduce Moderate to Severe Hot Flashes in Women in Asia Going Through Menopause
Hot FlashesUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean change from baseline in the frequency of moderate to severe vasomotor symptoms (VMS)
Baseline to Week 4

Frequency of moderate or severe VMS events will be calculated as the sum of moderate or severe VMS events per day.

Mean change from baseline in the frequency of moderate to severe VMS
Baseline to Week 12

Frequency of moderate or severe VMS events will be calculated as the sum of moderate or severe VMS events per day.

Mean change from baseline in the severity of moderate to severe VMS
Baseline to Week 4

The severity of VMS will be calculated using a weighted average of VMS events.

Number of participants with Adverse Events (AEs)
Up to day 41

Adverse events (AEs) will be coded using medical dictionary for regulatory activities (MedDRA). An AE is any untoward medical occurrence in a participant administered a study drug and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medical product whether or not considered related to the medical product. An AE is considered "serious" if, in the view of either the investigator or sponsor, the event: results in death, is life-threatening, results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, results in congenital anomaly or birth defect, requires hospitalization or prolongation to hospitalization, or other medically important event.

Number of participants with laboratory value abnormalities and/or adverse events (AEs)
Up to day 41

Number of participants with potentially clinically significant laboratory values.

Number of participants with vital sign abnormalities and/or adverse events (AEs)
Up to day 41

Number of participants with potentially clinically significant vital sign values.

Number of participants with rountine 12 lead electrocardiogram (ECG) abnormalities and/or Adverse Events (AEs)
Up to day 41

Number of participants with potentially clinically significant ECG values.

Pharmacokinetics (PK) of fezolinetant in plasma: AUC24
Up to day 7

Area under the concentration-time curve from the time of dosing to 24 hours (AUC24) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: AUCinf
Up to day 7

AUC from the time of dosing extrapolated to time infinity (AUCinf) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: AUCinf(%extrap)
Up to day 7

Percentage of extrapolated section of AUCinf (AUCinf(%extrap)) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: AUClast
Up to day 7

Area under the concentration time curve from the time of dosing to the last measurable concentration (AUClast) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: Ctrough
Up to day 16

Concentration immediately prior to dosing at multiple dosing (trough concentration) (Ctrough) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: AUCtau
Up to day 16

AUC from the time of dosing to the start of the next dosing interval (AUCtau) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: CL/F
Up to day 16

Apparent total clearance after extra-vascular dosing (CL/F) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: Cmax
Up to day 16

Maximum concentration (Cmax) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: PTR
Up to day 16

Peak-trough ratio (PTR) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: Rac(AUC)
Up to day 16

Accumulation ratio calculated using AUC (Rac(AUC)) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: Rac(Cmax)
Up to day 16

Accumulation ratio calculated using Cmax (Rac(Cmax)) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: t1/2
Up to day 16

Terminal elimination half-life (t1/2) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: tmax
Up to day 16

Time of the maximum concentration (tmax) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: Vz/F
Up to day 16

Apparent volume of distribution during the terminal elimination phase after extra-vascular dosing (Vz/F) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of fezolinetant in plasma: Tlag
Up to day 16

Time-lag (Tlag) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: AUC24
Up to day 7

Area under the concentration-time curve from the time of dosing to 24 hours (AUC24) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: AUCinf
Up to day 7

Area under the concentration time curve from the time of dosing extrapolated to time infinity (AUCinf) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: AUCinf(%extrap)
Up to day 7

Percentage of extrapolated section of AUCinf (AUCinf(%extrap)) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: AUClast
Up to day 7

Area under the concentration time curve from the time of dosing to the last measurable concentration (AUClast) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: Ctrough
Up to day 16

Concentration immediately prior to dosing at multiple dosing (trough concentration) (Ctrough) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: AUCtau
Up to day 16

AUC from the time of dosing to the start of the next dosing interval (AUCtau) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: Cmax
Up to day 16

Maximum concentration (Cmax) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: PTR
Up to day 16

Peak-trough ratio (PTR) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: Rac(AUC)
Up to day 16

Accumulation ratio calculated using AUC (Rac(AUC)) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: Rac(Cmax)
Up to day 16

Accumulation ratio calculated using Cmax (Rac(Cmax)) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: t1/2
Up to day 16

Terminal elimination half-life (t1/2) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: tmax
Up to day 16

Time of the maximum concentration (tmax) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: MPR
Up to day 16

Metabolite to parent ratio (MPR) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Pharmacokinetics (PK) of ES259564 in plasma: Tlag
Up to day 16

Time-lag (Tlag) will be recorded from the pharmacokinetic (PK) plasma samples collected.

Secondary Endpoints

Mean change from baseline to each week in the frequency of moderate and severe VMS
Baseline to Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 11, 12
Mean change from baseline to each week in the severity of moderate and severe VMS
Baseline to Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 11, 12
Mean percent reduction from baseline to each week in the frequency of moderate and severe VMS
Baseline to Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 11, 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fezolinetant groupEXPERIMENTALParticipants will receive fezolinetant once daily for 24 weeks.
Placebo groupPLACEBO_COMPARATORParticipants will receive matching placebo for 12 weeks, and then receive fezolinetant for 12 weeks once daily.
fezolinetantEXPERIMENTALA single oral dose of fezolinetant will be administered with water under fasting conditions on day 1 (low dose), day 4 (medium dose) and day 7 (high dose). From day 10 to day 15, the medium dose of fezolinetant will be administered with water after breakfast once daily. On day 16, the medium dose of fezolinetant will be administered with water under fasting conditions.

Interventions

NameTypeDescription
FezolinetantDRUGOral
PlaceboDRUGOral
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Eligibility Criteria

Age Range40 Years to 65 Years
SexFEMALE
Healthy VolunteersNo
Study Sites48

Inclusion Criteria: * Participant has a body mass index ≥16 kg/m\^2 and ≤38 kg/m\^2 (extremes included) at screening visit. * Participant must be seeking treatment or relief for vasomotor symptoms (VMS) associated with menopause and confirmed as menopausal per 1 of the following criteria at the scr...

Countries:ChinaSouth KoreaTaiwan
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Frequently asked questions about Fezolinetant

What is Fezolinetant used for?

Fezolinetant is an investigational small molecule being developed for the treatment of moderate to severe hot flashes in women going through menopause. It is also being studied in healthy volunteers for pharmacokinetic and safety evaluation. The drug is in Phase 3 clinical development for the hot flashes indication.

Who makes Fezolinetant?

Fezolinetant is being developed by China Pharma Holdings, Inc. (ticker: CPHI). The company is conducting clinical trials for the drug in Asia, including China, South Korea, and Taiwan.

What phase is Fezolinetant in?

Fezolinetant is in Phase 3 clinical development for the treatment of moderate to severe hot flashes in menopausal women. It is an investigational drug and has not been approved by regulatory authorities. A Phase 1 study in healthy volunteers has also been completed.

What clinical trials is Fezolinetant in?

Fezolinetant has been studied in two completed clinical trials. NCT04234204 is a Phase 3, randomized, double-blind, placebo-controlled study in 302 women aged 40 years and older with hot flashes in China, South Korea, and Taiwan. NCT04793204 is a Phase 1 study in 16 healthy Chinese female subjects.

Is Fezolinetant the same as any other drug?

No alternative names for Fezolinetant have been reported. The drug is identified by its generic name Fezolinetant in clinical trials and development records.