PMID- 22852580 OWN - NLM STAT- MEDLINE DCOM- 20130219 LR - 20211021 IS - 1179-6901 (Electronic) IS - 1174-5886 (Print) IS - 1174-5886 (Linking) VI - 12 IP - 3 DP - 2012 Sep 1 TI - Efficacy of a non-hormonal treatment, BRN-01, on menopausal hot flashes: a multicenter, randomized, double-blind, placebo-controlled trial. PG - 107-19 LID - 10.2165/11640240-000000000-00000 [doi] AB - BACKGROUND: Homeopathic medicines have a place among the non-hormonal therapies for the treatment of hot flashes during the menopause. OBJECTIVE: The objective of this study was to evaluate the efficacy of the non-hormonal treatment BRN-01 in reducing hot flashes in menopausal women. STUDY DESIGN: This was a multicenter, randomized, double-blind, placebo-controlled study carried out between June 2010 and July 2011. SETTING: The study was conducted in 35 active centers in France (gynecologists in private practice). PATIENTS: One hundred and eight menopausal women, >/= 50 years of age, were enrolled in the study. The eligibility criteria included menopause for <24 months and >/= 5 hot flashes per day with a significant negative effect on the women's professional and/or personal life. INTERVENTION: Treatment was either BRN-01 tablets, a registered homeopathic medicine containing Actaea racemosa (4 centesimal dilutions [4CH]), Arnica montana (4CH), Glonoinum (4CH), Lachesis mutus (5CH), and Sanguinaria canadensis (4CH), or identical placebo tablets, prepared by Laboratoires Boiron according to European Pharmacopoeia standards. Oral treatment (2 to 4 tablets per day) was started on day 3 after study enrollment and was continued for 12 weeks. MAIN OUTCOME MEASURE: The main outcome measure was the hot flash score (HFS) compared before, during, and after treatment. Secondary outcome criteria were the quality of life (QoL) [measured using the Hot Flash Related Daily Interference Scale (HFRDIS)], severity of symptoms (measured using the Menopause Rating Scale), evolution of the mean dosage, and compliance. All adverse events (AEs) were recorded. RESULTS: One hundred and one women were included in the final analysis (intent-to-treat population: BRN-01, n = 50; placebo, n = 51). The global HFS over the 12 weeks, assessed as the area under the curve (AUC) adjusted for baseline values, was significantly lower in the BRN-01 group than in the placebo group (mean +/- SD 88.2 +/- 6.5 versus 107.2 +/- 6.4; p = 0.0411). BRN-01 was well tolerated; the frequency of AEs was similar in the two treatment groups, and no serious AEs were attributable to BRN-01. CONCLUSION: BRN-01 seemed to have a significant effect on the HFS, compared with placebo. According to the results of this clinical trial, BRN-01 may be considered a new therapeutic option with a safe profile for hot flashes in menopausal women who do not want or are not able to take hormone replacement therapy or other recognized treatments for this indication. Trial registration number (EudraCT): 2009-016959-21. FAU - Colau, Jean-Claude AU - Colau JC AD - Department of Gynaecology, Hospital Foch, Suresnes, France. FAU - Vincent, Stephane AU - Vincent S FAU - Marijnen, Philippe AU - Marijnen P FAU - Allaert, Francois-Andre AU - Allaert FA LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - New Zealand TA - Drugs R D JT - Drugs in R&D JID - 100883647 RN - 0 (Materia Medica) SB - IM MH - Double-Blind Method MH - Female MH - France MH - Hot Flashes/*drug therapy MH - Humans MH - Materia Medica/*therapeutic use MH - Menopause/*drug effects MH - Middle Aged MH - Quality of Life MH - Treatment Outcome PMC - PMC3585763 EDAT- 2012/08/03 06:00 MHDA- 2013/02/21 06:00 PMCR- 2012/12/18 CRDT- 2012/08/03 06:00 PHST- 2012/08/03 06:00 [entrez] PHST- 2012/08/03 06:00 [pubmed] PHST- 2013/02/21 06:00 [medline] PHST- 2012/12/18 00:00 [pmc-release] AID - 12030107 [pii] AID - 10.2165/11640240-000000000-00000 [doi] PST - ppublish SO - Drugs R D. 2012 Sep 1;12(3):107-19. doi: 10.2165/11640240-000000000-00000.