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TU 025 Keishi Bukuryo Gan for Post-menopausal Hot Flash Management

This study has been completed.
Tsumura and Company, Tokyo, Japan
University of Minnesota - Clinical and Translational Science Institute
Information provided by:
Plotnikoff, Gregory A., M.D. Identifier:
First received: July 4, 2005
Last updated: October 25, 2010
Last verified: July 2005
This study tests to see if TU 025 Keishi Bukuryo Gan reduces the frequency and severity of hot flashes in post-menopausal American women. This study will also estimate the best dose amount and determine the common short-term side effects and risks.

Condition Intervention Phase
Hot Flashes Menopause Drug: TU 025 Keishi Bukuryo Gan Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: TU 025 Keishi Bukuryo Gan for Post-Menopausal Hot Flash Management

Resource links provided by NLM:

Further study details as provided by Plotnikoff, Gregory A., M.D.:

Primary Outcome Measures:
  • frequency and severity of hot flashes by Mayo Hot Flash Diary

Secondary Outcome Measures:
  • sleep quality by the Pittsburgh Questionnaire
  • bodyweight/BMI by standard measurements
  • quality of menopausal life by Greene Climacteric Scale
  • lipid profile by laboratory test
  • liver function profile by laboratory test
  • hormone profile by laboratory test

Estimated Enrollment: 180
Study Start Date: November 2004
Estimated Study Completion Date: February 2006
Detailed Description:

Menopause is a natural transition in a woman's hormonal state associated with the cessation of ovulation and menstruation. For approximately 80% of peri-menopausal women, menopause may be defined by the experience of uncomfortable symptoms such as hot flashes, night sweats, dyspareunia, urinary frequency, sleep disturbance, fatigue, depression and anxiety.

Hot flashes are the most common complaint of perimenopausal and postmenopausal Western women. Approximately 10-20% of postmenopausal women find such symptoms nearly intolerable. Nearly one-third of postmenopausal women experience disruptive hot flashes for 5 years after natural menopause and approximately 20% experience hot flashes for 15 years.

Menopause has been understood as an estrogen deficiency state from which women are placed at great risk for osteoporosis, colon cancer and heart disease. For symptom management, as well as for disease prevention, the medical response for 20 years has been hormone replacement therapy (HRT). In recent years, as many as 38% of US women between ages 50 and 74 years were using HRT.

For menopause hormone therapy, in 2005, counseling patients from an evidence-based perspective means informing patients of the significantly increased risk of dementia, breast cancer,endometrial cancer,venous thromboembolism and gallbladder disease. Additionally, physicians must also state that hormone therapy increases the risk of cardiovascular events (heart attack or strokes) in women with or without pre-existing heart disease. Furthermore, well-done studies demonstrate that hormone therapy does not enhance health-related quality of life.

For this reason, there is great interest in non-hormonal alternatives for menopausal hot flash management. The current standard of care, based on controlled clinical trials in women with breast cancer, is the use of SSRI anti-depressants such as venlafaxine. However, many women seek other options.

In Japan, TJ25 Keishi Bukuryo Gan is a leading non-hormonal prescription agent for management of menopausal hot flashes. However, no clinical data exists on its effectiveness in American women.

This is a pilot phase II clinical study to estimate the effectiveness of TU-25 Keishi Bukuryo Gan for reduction of both the severity and the frequency of hot flashes in healthy postmenopausal American women. This study will also estimate the best dose and determine the common short-term side effects and risks.


Ages Eligible for Study:   45 Years to 58 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Post-menopausal women aged 45-58 with an adequate hot flash frequency severity score. Post-menopause is defined as amenorrhea for at least 12 months, or post-hysterectomy for more than one year with follicle-stimulating hormone levels greater than or equal to 40 mIU/mL and estradiol (E2) levels of less than or equal to 20 pg/mL, or greater than two months post oophorectomy.
  • All subjects must be up to date with both pap and mammogram screening by the US Preventative Services Taskforce Guidelines for the length of the trial.
  • All subjects on any prescription medication need the approval of their prescribing physician for participation in the trial.

Exclusion Criteria:

  • Concurrent hot flash therapies (prescription medications including hormones, antidepressants, SERMs, gabapentin or over the counter supplements)
  • Moderately severe disease state(s) or diseases that affect absorption/metabolism, or diseases that mimic menopausal hot flashes.
  • Inability to swallow vitamin size pills
  • Beck depression inventory score greater than 11
  • Greater than 10 cigarettes per day
  • Abnormal liver function
  • Treated or untreated hypertension greater than 160/90.
  • BMI greater than 36
  • Inability to give consent or commit to the length of the trial
  • Known hypersensitivity to ingredients
  • Physician judgment
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00119418

United States, Minnesota
University of Minnesota General Clinical Research Center
Minneapolis, Minnesota, United States, 55455
Sponsors and Collaborators
Plotnikoff, Gregory A., M.D.
Tsumura and Company, Tokyo, Japan
University of Minnesota - Clinical and Translational Science Institute
  More Information

Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00119418     History of Changes
Other Study ID Numbers: 0402M56292
M01-RR00400 NIH
Study First Received: July 4, 2005
Last Updated: October 25, 2010

Keywords provided by Plotnikoff, Gregory A., M.D.:
hot flash
herbal medicine
alternative medicine

Additional relevant MeSH terms:
Hot Flashes
Signs and Symptoms processed this record on July 19, 2017