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Fezolinetant: First Approval

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Abstract

Fezolinetant (VEOZAH™) is an oral, small molecule, neurokinin 3 receptor (NK3R) antagonist, which is being developed by Astellas Pharma Inc. for the treatment of moderate to severe vasomotor symptoms (VMS) or hot flashes due to menopause. Inhibiting NK3R-mediated signalling in the central nervous system is a non-hormonal strategy to modulate the activity of neurones that are associated with thermoregulation, thereby reducing the frequency and severity of VMS. Fezolinetant received its first approval in the USA in May 2023 for the treatment of moderate to severe VMS due to menopause. This article summarizes the milestones in the development of fezolinetant leading to this first approval in this indication.

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References

  1. US Food & Drug Administration. FDA approves novel drug to treat moderate to severe hot flashes caused by menopause [media release]. 12 May 2023. https://www.fda.gov/.

  2. Depypere H, Lademacher C, Siddiqui E, et al. Fezolinetant in the treatment of vasomotor symptoms associated with menopause. Expert Opin Investig Drugs. 2021;30(7):681–94.

    Article  CAS  PubMed  Google Scholar 

  3. Skorupskaite K, Anderson RA. Hypothalamic neurokinin signalling and its application in reproductive medicine. Pharmacol Ther. 2022;230(107960):1–11.

    Google Scholar 

  4. Astellas Pharma US Inc. VEOZAHTM (fezolinetant): US prescribing information. 2023. https://dailymed.nlm.nih.gov/. Accessed 23 Jun 2023.

  5. Euroscreen SA. Euroscreen initiates phase I clinical trial for ESN364 [media release]. 18 Dec 2013. http://www.euroscreen.com.

  6. Ogeda. New identity reflects Ogeda's successful transition to GPCR drug discovery development [media release]. 19 Oct 2016. http://www.ogeda.com.

  7. Astellas Pharma Inc. Astellas completes acquisition of Ogeda SA [media release]. 16 May 2017. http://www.astellas.com.

  8. Tahara A, Takamatsu H, Ohtake A, et al. Effects of neurokinin 3 receptor antagonist fezolinetant on hot flash-like symptoms in ovariectomized rats. Eur J Pharmacol. 2021;905(174207):1–9.

    Google Scholar 

  9. Lederman S, Ottery FD, Cano A, et al. Fezolinetant for treatment of moderate-to-severe vasomotor symptoms associated with menopause (SKYLIGHT 1): a phase 3 randomised controlled study. Lancet. 2023;401(10382):1091–102.

    Article  CAS  PubMed  Google Scholar 

  10. Johnson KA, Martin N, Nappi RE, et al. Efficacy and safety of fezolinetant in moderate-to-severe vasomotor symptoms associated with menopause: a phase 3 RCT. J Clin Endocrinol Metab. 2023;108(8):1981–97.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Astellas Pharma Inc. Astellas announces topline 12-week results from phase 3 study of fezolinetant for the nonhormonal treatment of vasomotor symptoms in women in Asia [media release]. 14 Mar 2022. http://www.astellas.com.

  12. Astellas Pharma Inc. Phase 3b trial of fezolinetant shows positive topline results for treatment of VMS due to menopause [media release]. 27 Jun 2023. https://www.astellas.com/.

  13. Fraser GL, Lederman S, Waldbaum A, et al. A phase 2b, randomized, placebo-controlled, double-blind, dose-ranging study of the neurokinin 3 receptor antagonist fezolinetant for vasomotor symptoms associated with menopause. Menopause. 2020;27(4):382–92.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Depypere H, Timmerman D, Donders G, et al. Treatment of menopausal vasomotor symptoms with fezolinetant, a neurokinin 3 receptor antagonist: a phase 2a trial. J Clin Endocrinol Metab. 2019;104(12):5893–905.

    Article  PubMed  Google Scholar 

  15. Neal-Perry G, Cano A, Lederman S, et al. Safety of fezolinetant for vasomotor symptoms associated with menopause: a randomized controlled trial. Obstet Gynecol. 2023;141(4):737–47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Arnold Lee.

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The preparation of this review was not supported by any external funding.

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During the peer review process the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from any comments received were made by the authors on the basis of scientific completeness and accuracy. A. Lee is a salaried employee of Adis International Ltd/Springer Nature, and declares no relevant conflicts of interest. All authors contributed to the review and are responsible for the article content.

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This profile has been extracted and modified from the AdisInsight database. AdisInsight tracks drug development worldwide through the entire development process, from discovery, through pre-clinical and clinical studies to market launch and beyond.

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Lee, A. Fezolinetant: First Approval. Drugs 83, 1137–1141 (2023). https://doi.org/10.1007/s40265-023-01917-1

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  • DOI: https://doi.org/10.1007/s40265-023-01917-1

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