Researchers are looking for a better way to treat vasomotor symptoms (VMS), also known as hot flashes. Hot flashes are intense and sudden feelings of heat along with sweating and reddening of the skin. These are common for women going through the menopause but can also occur in men. Such symptoms are called VMS and are caused by changes in sex hormone levels. The study treatment, elinzanetant, is being tested for the treatment of VMS in both men and women. It works by blocking the activity of a substance called neurokinin, which is thought to play a role in starting hot flashes. Elinzanetant may cause lasting effects like sleepiness and tiredness. Such effects may make driving unsafe. The main purpose of this study is to learn how elinzanetant affects the ability to drive the next day in healthy women. For this, researchers will study participants' ability to keep a stable position within their lane while driving on a straight road on a computer-based driving test (also known as a driving simulator). In this study, participants will take 2 different doses of elinzanetant, another drug called zopiclone, and matching placebos to these drugs. Zopiclone helps treat sleeping problems. A placebo looks like a study drug but does not have any medicine in it. Participants will take elinzanetant, zopiclone, and their matching placebos by mouth. This study will have 4 treatment periods with each period lasting 6 days. In each period, participants will receive one of the following treatments in an order assigned to them randomly (by chance): * dose A of elinzanetant and a zopiclone placebo * dose B of elinzanetant and a zopiclone placebo * zopiclone 7.5 milligrams (mg) and elinzanetant placebo * elinzanetant placebo and zopiclone placebo Each participant will be in the study for around 15 weeks with up to 6 visits to the study site. Participants will visit the study site: * once before the treatment starts, so the study doctors and their team can check on their health and confirm if the participant can join the study * once in each of the 4 treatment periods for a 6-day stay at the study site with a gap of 14 days between each period. During each stay, they will take the assigned treatment from Days 1 to 5 and the driving test on Days 2 and 6 * once, 2 to 3 days after their last treatment so the study doctors and their team can check on their health During the study, the doctors and their study team will: * check participants' health by performing tests such as blood and urine tests, and checking heart health using an electrocardiogram (ECG) * check the participants' ability to drive and their brain function and level of sleepiness using different tests including a driving simulator test * check the level of the study drugs in participants' blood * ask the participants questions about how they are feeling and what adverse events they are having. An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events, irrespective of whether they think they are related to the study treatment or not.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
64
Oral administration of multiple doses of elinzanetant.
Oral administration
Oral administration
Oral administration
AltaSciences
Mount Royal, Canada
Simulated driving performance as measured by SDLP using CRCDS-MiniSim
SDLP: standard deviation of lateral position. CRCDS-MiniSim: Cognitive Research Corporation's Driving Simulator-MiniSim.
Time frame: Approximately 9 hours after last dose
Lane Exceedance: Number of Exceedance.
Time frame: Approximately 9 hours after last dose
Lane Exceedance: Maximum Duration of Exceedance.
Time frame: Approximately 9 hours after last dose
Lane Exceedance: Area of Exceedance.
Time frame: Approximately 9 hours after last dose
Excessive Speed Count
Time frame: Approximately 9 hours after last dose
Average Speed and Speed Deviation
Time frame: Approximately 9 hours after last dose
Driving safety measures: Total number of excessive Ay (cornering speed threshold-exceeded)
Time frame: Approximately 9 hours after last dose
Driving safety measures: Total number of collisions
Time frame: Approximately 9 hours after last dose
Divided Attention: Correct responses; Omission Errors; Commission Errors; Reaction Time; Standard Deviation of Reaction Time
Time frame: Approximately 9 hours after last dose
CogScreen Symbol Digit Coding Test: Number of Correct responses
CogScreen Symbol Digit Coding test is a computer analogue of the conventional digit symbol-substitution task found in the revised Wechsler intelligence scales.
Time frame: Approximately 9 hours after last dose
CogScreen Symbol Digit Coding Test: Response Accuracy (percentage of correct responses)
Time frame: Approximately 9 hours after last dose
CogScreen Symbol Digit Coding Test: Standard Deviation of Reaction Time
Time frame: Approximately 9 hours after last dose
Karolinska Sleepiness Scale (KSS) Score
The KSS measures an individual's subjective level of sleepiness. Participants indicate their level of alertness versus sleepiness according to a 9-point scale, ranging from "extremely alert" to "extremely sleepy - fighting sleep".
Time frame: Approximately 9 hours after last dose
Participant's self-reported Readiness to Drive
Prior to driving, the participant will be asked a simple question as to whether they feel safe to drive ("Right now do you feel safe to drive?"). Participant will answer "yes" or "no".
Time frame: Approximately 9 hours after last dose
Self-report of motivation and appraisal of driving performance using VAS
Participants will record their response to each question by drawing a vertical line on a 100-mm horizontal, linear VAS printed on paper. For the self-assessment of driving performance, one end of the line is marked "Not Satisfactory" and the other end of the line is marked "Satisfactory". For the motivation item, 1 end of the line is marked "Not Motivated" and the other end is marked "Motivated". Scores on the 100-mm linear scale will be measured to the nearest millimeter from the left with a ruler.
Time frame: Approximately 9 hours after last dose
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