ClinicalTrials.gg
CompletedNCT00560833Updated Apr 2, 2019Results posted

Dose-Finding Safety and Efficacy Trial of Org50081 (Esmirtazapine) in the Treatment of Vasomotor Symptoms (46101/P06459/MK-8265-012)

A Phase 3 interventional study of esmirtazapine and Placebo in Menopause and Vasomotor Symptoms, sponsored by Merck Sharp & Dohme LLC. Completed. Open to female participants aged 40 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-04-02.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 1 month after the study started (first participant enrolled Oct 2004, registered Nov 2007).
Phase
Phase 3
Study type
Interventional
Enrollment
943
Allocation
Randomized
Ages
40 Years to 65 Years
Sex
Female
01

Study summary

The most direct treatment of vasomotor symptions (hot flushes) may be by means of 5-HT2A receptor antagonist. Mirtazapine is a potent blocker of 5-HT2A receptors and was found to be effective in reducing the number and intensity of hot flushes in preliminary trials. Also several Selective Serotonin Reuptake Inhibitors (SSRIs) and other similar compounds have been investigated to manage hot flushes, confirming the role of the serotonergic system. In the present trial, the efficacy and safety of four different doses of esmirtazapine compared to placebo was investigated in women with moderate to severe vasomotor symptoms associated with the menopause. The primary study hypothesis was that esmirtazapine would show superior efficacy to placebo.

02

Conditions studied

  • Menopause
  • Vasomotor Symptoms
03

In context

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,160 studies on the registry; 134 are open to participants now.

Of its 497 completed or terminated interventional studies of FDA-regulated products, 369 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • postmenopausal women, defined as:
  • 12 months of spontaneous amenorrhea;
  • OR 6 months of spontaneous amenorrhea with serum Follicle Stimulating Hormone

(FSH) levels >40 mIU/mL;

  • OR 6 weeks post surgical bilateral oophorectomy with or without hysterectomy.
  • In case the menopausal status of a subject was unclear because of a hysterectomy, the serum FSH level had to be >40 mIU/mL. If the date of the last menstruation was not clear because of perimenopausal hormone use, then the subject had to have a serum FSH level >40 mIU/mL after completion of a washout period (see exclusion criteria below); be >= 40 and \<= 65 years of age;
  • have a body mass index (BMI) >= 18 and \<= 32 kg/m\^2;
  • minimum of 7 moderate to severe hot flushes per day or 50 per week, as quantified from daily diary recordings during at least 7 days preceding randomization to trial medication;
  • able to handle the electronic diary device after training and having at least 80% compliance on complete daily diary entries during the period prior to randomization;
  • give voluntary written Informed Consent (IC) after the scope and nature of the investigation had been explained, before screening evaluations.

Exclusion criteria

Exclusion Criteria:

  • history or presence of any malignancy, except non-melanoma skin cancers
  • any clinically unstable or uncontrolled renal, hepatic, endocrine,

respiratory, hematological, neurological, cardiovascular, or cerebrovascular disease that would put the subject at safety risk or mask measure of efficacy

  • history of seizures or epilepsy; history or presence of clinically significant depression or other psychiatric disorder which, in the opinion of the investigator, might compromise or confound the participant's participation in the trial; abnormal clinically relevant vaginal bleeding
  • any clinically relevant (opinion of investigator) abnormal finding during physical, gynecological and breast examination at screening; abnormal, clinically significant results of mammography. Mammography had to have been performed within the last 9 months prior to screening, otherwise it had to be done before inclusion into the trial. For non-US sites, if local laws or guidelines did not allow or advise such frequent mammograms, the documented local laws or guidelines were to be followed; abnormal cervical smear test results (corresponding to Pap III and higher, including Low-Grade Squamous Intraepithelial Lesion (LSIL), High-Grade Squamous Intraepithelial Lesion (HSIL), Cervical Intraepithelial Neoplasia (CIN) 1 and higher). A cervical smear had to have been performed within the last 9 months prior to screening, otherwise it had to be done before inclusion into the trial; hematological or biochemical values at screening outside the reference ranges considered clinically relevant in the opinion of the investigator
  • high blood pressure (BP) (sitting systolic BP >170 mmHg and/or diastolic BP >100 mmHg)
  • use of any drug product containing estrogens, progestins, androgens, or tibolone prior to screening (and up to and including randomization) within specified time frames
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
943 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Participants receive placebo, encapsulated tablets, orally (PO), once daily (QD) for up to 12 weeks

    Drug: Placebo

  • Experimental
    Esmirtazapine 2.25 mg

    Participants receive esmirtazapine 2.25 mg, encapsulated tablets, PO, QD for up to 12 weeks

    Drug: esmirtazapine

  • Experimental
    Esmirtazapine 4.5 mg

    Participants receive esmirtazapine 4.5 mg, encapsulated tablets, PO, QD for up to 12 weeks

    Drug: esmirtazapine

  • Experimental
    Esmirtazapine 9 mg

    Participants receive esmirtazapine 9 mg, encapsulated tablets, PO, QD for up to 12 weeks

    Drug: esmirtazapine

  • Experimental
    Esmirtazapine 18 mg

    Participants receive esmirtazapine 18 mg, encapsulated tablets, PO, QD for up to 12 weeks

    Drug: esmirtazapine

Interventions

  • Also known as: Esmirtazapine maleate, SCH 900265, Org 50081

  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. Change From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 4

    Participants recorded the frequency of vasomotor symptoms (hot flushes) on an electronic diary card (LogPad®) on a daily basis during screening and treatment. Frequency score A was based on the number of moderate hot flushes + the number of severe hot flushes in one day. Baseline average was derived from, at most, 7 completely observed pre-treatment days. Weekly averages during treatment were calculated if at least 4 days with non-missing data were completely observed; if less than 4 days were completely observed, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

    Time frame: Baseline and Week 4

  2. Change From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 12

    Participants recorded the frequency of vasomotor symptoms (hot flushes) on a LogPad on a daily basis during screening and treatment. Frequency score A was based on the number of moderate hot flushes + the number of severe hot flushes in one day. Baseline average was derived from, at most, 7 completely observed pre-treatment days. Weekly averages during treatment were calculated if at least 4 days with non-missing data were completely observed; if less than 4 days were completely observed, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

    Time frame: Baseline and Week 12

  3. Change From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 4

    Participants recorded the severity of hot flushes on a LogPad on a daily basis during screening and treatment. The severity of hot flushes was defined as: mild (sensation of heat without sweating); moderate (sensation of heat with sweating, able to continue activity); and severe (sensation of heat with sweating, causing cessation of activity). Severity score A was calculated as the number of moderate hot flushes x 2 + the number of severe hot flushes x 3, divided by the total number of moderate and severe hot flushes. If no hot flushes were experienced, this was to be recorded as 'no sensation of heat'. Baseline values were based on, at most, 7 completely observed pre-treatment days. If less than 4 days were completely observed during treatment, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

    Time frame: Baseline and Week 4

  4. Change From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 12

    Participants recorded the severity of hot flushes on a LogPad on a daily basis during screening and treatment. The severity of hot flushes was defined as: mild (sensation of heat without sweating); moderate (sensation of heat with sweating, able to continue activity); and severe (sensation of heat with sweating, causing cessation of activity). Severity score A was calculated as the number of moderate hot flushes x 2 + the number of severe hot flushes x 3, divided by the total number of moderate and severe hot flushes. If no hot flushes were experienced, this was to be recorded as 'no sensation of heat'. Baseline values were based on, at most, 7 completely observed pre-treatment days. If less than 4 days were completely observed during treatment, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

    Time frame: Baseline and Week 12

Secondary outcomes

  1. Change From Baseline in Vasomotor Symptoms Score Per Women's Health Questionnaire (WHQ) at Week 12

    The WHQ is a 36-item, user-friendly, and rapid way of assessing nine domains of physical and emotional health for mid-aged women. Participants self-administered the WHQ questionnaire; scoring is based on a 4-point scale as follows: 'Yes definitely=1', 'Yes sometimes=2', 'No not much=3' and 'No not at all=4'. Each score is transformed to a value '1' for scores '1' and '2' and to a value '0' for scores '3' and '4'. Vasomotor symptoms encompass Items 19 and 27 of the 36 total items. The transformed sums of items 19+27 are divided by 2 to get the score; therefore, the domain ranges from 0 to 1, where lower values are better.

    Time frame: Baseline and Week 12

07

Results

Posted Jun 30, 2014

Participant flow

Participant flow — Overall Study
MilestonePlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
Started317155160155156
Treated317154160155155
Completed273129121124114
Not completed4426393142
Withdrew: Adverse event1610252335
Withdrew: Lost to follow-up00100
Withdrew: Lack of efficacy229644
Withdrew: Participant uncooperative55442
Withdrew: Other11300
Withdrew: Never received drug01001

Outcome measures

PrimaryChange From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 4

Participants recorded the frequency of vasomotor symptoms (hot flushes) on an electronic diary card (LogPad®) on a daily basis during screening and treatment. Frequency score A was based on the number of moderate hot flushes + the number of severe hot flushes in one day. Baseline average was derived from, at most, 7 completely observed pre-treatment days. Weekly averages during treatment were calculated if at least 4 days with non-missing data were completely observed; if less than 4 days were completely observed, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

Time frame:
Baseline and Week 4
Reported as:
Mean · Number of events
Change From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 4
Number of eventsPlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
Change From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 4-3.9 ± 4.2-5.6 ± 3.8-6.0 ± 3.6-6.0 ± 4.0-6.0 ± 4.4
Statistical analysis
  • Placebo vs Esmirtazapine 2.25 mg · ANCOVA · p = <0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -1.4 · 95% CI -2.3 to -0.4
  • Placebo vs Esmirtazapine 4.5 mg · ANCOVA · p = <0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -2.2 · 95% CI -3.1 to -1.2
  • Placebo vs Esmirtazapine 9 mg · ANCOVA · p = <0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -1.9 · 95% CI -2.9 to -1.0
  • Placebo vs Esmirtazapine 18mg · ANCOVA · p = <0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -1.9 · 95% CI -2.9 to -1.0
SecondaryChange From Baseline in Vasomotor Symptoms Score Per Women's Health Questionnaire (WHQ) at Week 12

The WHQ is a 36-item, user-friendly, and rapid way of assessing nine domains of physical and emotional health for mid-aged women. Participants self-administered the WHQ questionnaire; scoring is based on a 4-point scale as follows: 'Yes definitely=1', 'Yes sometimes=2', 'No not much=3' and 'No not at all=4'. Each score is transformed to a value '1' for scores '1' and '2' and to a value '0' for scores '3' and '4'. Vasomotor symptoms encompass Items 19 and 27 of the 36 total items. The transformed sums of items 19+27 are divided by 2 to get the score; therefore, the domain ranges from 0 to 1, where lower values are better.

Time frame:
Baseline and Week 12
Reported as:
Mean · Score on a scale
Change From Baseline in Vasomotor Symptoms Score Per Women's Health Questionnaire (WHQ) at Week 12
Score on a scalePlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
Baseline0.984 ± 0.0880.993 ± 0.0600.985 ± 0.0850.981 ± 0.1140.985 ± 0.085
Change from baseline-0.151 ± 0.329-0.235 ± 0.355-0.256 ± 0.355-0.256 ± 0.372-0.246 ± 0.385
PrimaryChange From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 12

Participants recorded the frequency of vasomotor symptoms (hot flushes) on a LogPad on a daily basis during screening and treatment. Frequency score A was based on the number of moderate hot flushes + the number of severe hot flushes in one day. Baseline average was derived from, at most, 7 completely observed pre-treatment days. Weekly averages during treatment were calculated if at least 4 days with non-missing data were completely observed; if less than 4 days were completely observed, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

Time frame:
Baseline and Week 12
Reported as:
Mean · number of events
Change From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 12
number of eventsPlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
Change From Baseline in Average Daily Frequency of Vasomotor Symptoms (Frequency Score A) at Week 12-4.9 ± 4.8-6.2 ± 5.1-6.7 ± 3.9-6.9 ± 4.4-6.5 ± 4.4
Statistical analysis
  • Placebo vs Esmirtazapine 2.25 mg · ANCOVA · p = 0.06 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -1.0 · 95% CI -2.0 to 0.0
  • Placebo vs Esmirtazapine 4.5 mg · ANCOVA · p = <0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -2.0 · 95% CI -3.0 to -0.9
  • Placebo vs Esmirtazapine 9 mg · ANCOVA · p = <0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -1.9 · 95% CI -2.9 to -0.9
  • Placebo vs Esmirtazapine 18mg · ANCOVA · p = <0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -1.5 · 95% CI -2.6 to -0.5
PrimaryChange From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 4

Participants recorded the severity of hot flushes on a LogPad on a daily basis during screening and treatment. The severity of hot flushes was defined as: mild (sensation of heat without sweating); moderate (sensation of heat with sweating, able to continue activity); and severe (sensation of heat with sweating, causing cessation of activity). Severity score A was calculated as the number of moderate hot flushes x 2 + the number of severe hot flushes x 3, divided by the total number of moderate and severe hot flushes. If no hot flushes were experienced, this was to be recorded as 'no sensation of heat'. Baseline values were based on, at most, 7 completely observed pre-treatment days. If less than 4 days were completely observed during treatment, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

Time frame:
Baseline and Week 4
Reported as:
Mean · score on a scale
Change From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 4
score on a scalePlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
Change From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 4-0.09 ± 0.23-0.11 ± 0.22-0.15 ± 0.25-0.16 ± 0.24-0.15 ± 0.24
Statistical analysis
  • Placebo vs Esmirtazapine 2.25 mg · ANCOVA · p = 0.62 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -0.03 · 95% CI -0.09 to 0.03
  • Placebo vs Esmirtazapine 4.5 mg · ANCOVA · p = 0.02 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -0.06 · 95% CI -0.12 to -0.01
  • Placebo vs Esmirtazapine 9 mg · ANCOVA · p = 0.01 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -0.07 · 95% CI -0.13 to -0.01
  • Placebo vs Esmirtazapine 18mg · ANCOVA · p = 0.02 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -0.06 · 95% CI -0.12 to -0.01
PrimaryChange From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 12

Participants recorded the severity of hot flushes on a LogPad on a daily basis during screening and treatment. The severity of hot flushes was defined as: mild (sensation of heat without sweating); moderate (sensation of heat with sweating, able to continue activity); and severe (sensation of heat with sweating, causing cessation of activity). Severity score A was calculated as the number of moderate hot flushes x 2 + the number of severe hot flushes x 3, divided by the total number of moderate and severe hot flushes. If no hot flushes were experienced, this was to be recorded as 'no sensation of heat'. Baseline values were based on, at most, 7 completely observed pre-treatment days. If less than 4 days were completely observed during treatment, the averages of the previous week were carried forward (last observation carried forward, or LOCF). If the number of days observed in Week 1 were not sufficient, baseline values were carried forward.

Time frame:
Baseline and Week 12
Reported as:
Mean · score on a scale
Change From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 12
score on a scalePlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
Change From Baseline in Average Daily Severity of Moderate/Severe Vasomotor Symptoms (Severity Score A) at Week 12-0.12 ± 0.28-0.10 ± 0.27-0.15 ± 0.29-0.18 ± 0.26-0.17 ± 0.26
Statistical analysis
  • Placebo vs Esmirtazapine 2.25 mg · ANCOVA · p = 1.0 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): 0.01 · 95% CI -0.06 to 0.07
  • Placebo vs Esmirtazapine 4.5 mg · ANCOVA · p = 0.72 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -0.03 · 95% CI -0.09 to 0.04
  • Placebo vs Esmirtazapine 9 mg · ANCOVA · p = 0.13 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -0.06 · 95% CI -0.12 to 0.01
  • Placebo vs Esmirtazapine 18mg · ANCOVA · p = 0.15 (Dunnet-adjusted from ANCOVA with factors for treatment and (pooled) center and a covariate for baseline value.) · Mean difference (final values): -0.05 · 95% CI -0.12 to 0.01

Adverse events

Collected over Non-serious adverse events were collected up to 7 days after the last dose of study drug; serious adverse events were collected for up to 30 days after the last dose of study drug.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—2/317 (0.6%)128/317 (40.4%)
Esmirtazapine 2.25 mg—1/154 (0.6%)93/154 (60.4%)
Esmirtazapine 4.5 mg—3/160 (1.9%)99/160 (61.9%)
Esmirtazapine 9 mg—2/155 (1.3%)102/155 (65.8%)
Esmirtazapine 18mg—0/155 (0%)123/155 (79.4%)
Most frequent serious events
Most frequent serious events
EventPlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
Appendicitis perforatedGastrointestinal disorders0/3171/1540/1600/1550/155
Oedema peripheralGeneral disorders0/3170/1540/1601/1550/155
Vaginal lesionReproductive system and breast disorders0/3170/1540/1601/1550/155
Large intestine perforationGastrointestinal disorders0/3170/1541/1600/1550/155
Diabetic ketoacidosisMetabolism and nutrition disorders0/3170/1541/1600/1550/155
Conversion disorderPsychiatric disorders0/3170/1541/1600/1550/155
PyelonephritisInfections and infestations1/3170/1540/1600/1550/155
ScarSkin and subcutaneous tissue disorders1/3170/1540/1600/1550/155
Most frequent other events
Showing 10 of 14
Most frequent other events
EventPlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmirtazapine 18mg
SomnolenceNervous system disorders19/31733/15437/16044/15550/155
Weight increasedInvestigations18/31725/15424/16032/15545/155
Increased appetiteMetabolism and nutrition disorders13/31712/15421/16014/15528/155
HeadacheNervous system disorders54/31711/15413/16014/15519/155
Dry mouthGastrointestinal disorders6/3179/1547/16018/15522/155
FatigueGeneral disorders11/31719/15419/16019/15520/155
ArthralgiaMusculoskeletal and connective tissue disorders16/3175/1549/16014/1555/155
DizzinessNervous system disorders12/3176/15412/1606/15514/155
LethargyNervous system disorders1/3177/15414/1605/1554/155
InsomniaPsychiatric disorders13/3176/15410/1606/15513/155

Baseline characteristics

All participants who received any study drug (placebo or esmertazapine), whether or not randomized.

Age, Continuous
Age, Continuous(Years)PlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmertazapine 18 mgTotal
Mean54.0 ± 4.453.4 ± 4.454.1 ± 4.254.9 ± 4.854.1 ± 4.554.1 ± 4.4
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboEsmirtazapine 2.25 mgEsmirtazapine 4.5 mgEsmirtazapine 9 mgEsmertazapine 18 mgTotal
Female317154160155155941
Male000000
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Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Birkhaeuser M, Bitzer J, Braat S, Ramos Y. Esmirtazapine treatment of postmenopausal vasomotor symptoms: two randomized controlled trials. Climacteric. 2019 Jun;22(3):312-322. doi: 10.1080/13697137.2018.1561664. Epub 2019 Feb 4. PubMed 30712391 ↗

Individual participant data

Plan to share: Yes — http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Data sharing details ↗ · engagezone.msd.com

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00560833
Responsible party
Sponsor
First posted
Nov 20, 2007
Start date
Oct 15, 2004
Primary completion
Jan 15, 2006
Completion
Jan 15, 2006
Results posted
Jun 30, 2014
Last update
Apr 2, 2019

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Mirtazapine

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