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UK Regulator Approves First Non-Hormonal Pill for Menopausal Hot Flushes

The MHRA cleared Bayer’s elinzanetant for private prescription pending a National Institute for Health and Care Excellence evaluation for NHS funding.

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Overview

  • The MHRA has become the first regulator worldwide to approve Bayer’s elinzanetant for private prescription to treat moderate to severe menopausal hot flushes.
  • Elinzanetant provides a non-hormonal alternative to hormone replacement therapy by targeting overactive brain signals triggered by declining oestrogen to regulate body temperature.
  • Phase III Oasis trials in over 1,400 women showed up to a 65% drop in hot flush frequency at 12 weeks and more than 80% of participants achieved at least a 50% reduction by week 26 with improved sleep quality.
  • The medicine met MHRA standards for safety, quality and effectiveness, was well tolerated in clinical studies and will undergo ongoing post-marketing surveillance.
  • A forthcoming NICE appraisal will assess the pill’s cost-effectiveness and determine whether it will be adopted and reimbursed by the NHS.