Actively Recruiting

Phase 2
Age: 40Years - 62Years
FEMALE
ID07042516

Safety and Efficacy of Asimadoline (TP0052), a Peripherally Restricted Selective Kappa Agonist, for the Treatment of Moderate to Severe Menopausal Symptoms in Midlife Women

Led by Tioga Pharmaceuticals · Updated on 2025-09-09

120

Participants Needed

1

Research Sites

7 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research evaluates the safety and effectiveness of asimadoline TP0052, a peripherally restricted selective kappa agonist, for treating moderate to severe menopausal vasomotor symptoms (VMS) in midlife women. It is a Phase 2a randomized, double-blind, placebo-controlled clinical trial focusing on women aged 40 to 62 who experience significant menopausal symptoms. The study aims to better understand how asimadoline affects these symptoms compared to placebo. Participants are randomly assigned to receive either asimadoline TP0052 or a placebo for 8 weeks. The asimadoline group takes 2.5 mg tablets twice daily, totaling 10 mg daily (two tablets on awakening and two before bed). Following the double-blind period, all participants receive asimadoline openly for an additional 4 weeks at the same dosage. This design allows researchers to compare effects during blinded treatment and observe safety and symptom changes during open-label administration. During the study, participants will record their vasomotor symptoms daily for 2 weeks before starting treatment. Researchers will monitor safety through adverse events, lab tests, and vital signs over the 8 weeks of blinded treatment. They will also assess changes in frequency and severity of symptoms. After treatment, a safety follow-up call is conducted. Overall participation includes screening, 8 weeks of blinded treatment, 4 weeks of open-label treatment, and safety monitoring.

CONDITIONS

Brief Title

Safety and Efficacy of Asimadoline (TP0052) in Patients With Vasomotor Symptoms (VMS).

Who Can Participate

Age: 40Years - 62Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female aged 40 to 62 years
  • Untreated patients newly diagnosed with vasomotor symptoms or with a history but no recent use of certain medications affecting VMS
  • Menopausal or late perimenopausal status defined by specific clinical and hormonal criteria
  • At least 40 moderate to severe vasomotor symptoms per week during screening
  • Generally good health based on medical history, blood pressure, and heart rate
  • Signed informed consent
Not Eligible

You will not qualify if you...

  • Use of hormone therapy or hormonal contraceptives (except levonorgestrel IUD) within 8 weeks before screening
  • Use of non-hormonal medications affecting VMS within 4 weeks before screening
  • Use of marijuana or cannabis-derived products affecting VMS within 4 weeks before screening
  • Use of supplements or herbal therapies known to affect VMS within 4 weeks before screening
  • Severe or unstable medical illnesses including stage 2 or greater hypertension, resting heart rate over 100, current cancer diagnosis (except non-melanoma skin cancer), abnormal breast or Pap smear findings, coronary artery or cerebrovascular disease
  • Substance use disorder, recent suicide attempt, major depressive episode, psychosis, or bipolar disorder history
  • Pregnancy, intending pregnancy, or breastfeeding
  • Participation in another drug or intervention trial
  • Unable or unwilling to complete study procedures
  • Known hypersensitivity to asimadoline TP0052
  • Chronic liver or kidney disease or uncontrolled seizure disorder
  • Use of medications that inhibit or are substrates of P-glycoprotein within 4 weeks before screening
  • Abnormal blood test results indicating liver, kidney, or blood count issues

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants receive Asimadoline or placebo tablets twice daily for 8 weeks to treat moderate to severe menopausal vasomotor symptoms.

Weekly visits for up to 8 weeks

Follow-up

Duration - 4 weeks

After initial treatment, participants in the Asimadoline group receive an additional 4 weeks of open-label Asimadoline treatment.

Weekly visits for 4 weeks

Trial Site Locations

Total: 1 location

1

Department of Gynecology & Obstetrics, Emory University School of Medicine

Atlanta, Georgia, United States, 30329

Actively Recruiting

Loading map...

Research Team

S

Standish Fleming, CEO, MBA

G

Garet Heintz, Regulatory Consultant and Agent, RAC

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

Similar Trials

The Effects of CL25216 on Vasomotor Symptoms in Women During...

Vasomotor Symptoms

Actively Recruiting

1 location

Randomized, Double-Blind, Placebo-Controlled Study to Evalua...

Joint Discomfort

Actively Recruiting

1 location

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here

Published Research Related To This Trial

Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women's Health Initiative randomized controlled trial.

Garnet L Anderson, Marian Limacher, Annlouise R Assaf...

https://pubmed.ncbi.nlm.nih.gov/15082697

Neurokinin B and dynorphin A in kisspeptin neurons of the arcuate nucleus participate in generation of periodic oscillation of neural activity driving pulsatile gonadotropin-releasing hormone secretion in the goat.

Yoshihiro Wakabayashi, Tomoaki Nakada, Ken Murata...

https://pubmed.ncbi.nlm.nih.gov/20181609

Effects of NT-814, a dual neurokinin 1 and 3 receptor antagonist, on vasomotor symptoms in postmenopausal women: a placebo-controlled, randomized trial.

Mike Trower, Richard A Anderson, Elizabeth Ballantyne...

https://pubmed.ncbi.nlm.nih.gov/32068688

Fezolinetant for treatment of moderate-to-severe vasomotor symptoms associated with menopause (SKYLIGHT 1): a phase 3 randomised controlled study.

Samuel Lederman, Faith D Ottery, Antonio Cano...

https://pubmed.ncbi.nlm.nih.gov/36924778

Efficacy and Safety of Fezolinetant in Moderate to Severe Vasomotor Symptoms Associated With Menopause: A Phase 3 RCT.

Kimball A Johnson, Nancy Martin, Rossella E Nappi...

https://pubmed.ncbi.nlm.nih.gov/36734148