J Korean Soc Menopause. 2013 Apr;19(1):36-44. Korean.
Published online Apr 26, 2013.
Copyright © 2013 by The Korean Society of Menopause
Original Article

Comparison of the Efficacy and Safety of the Unicenta and Melsmon Injection for the Menopausal Symptoms

Seongmin Kim, M.D.,1 Hyun Tae Park, M.D.,1 Byung Ik Lee, M.D.,2 Jung Ho Shin, M.D.,1 Hyung Moo Park, M.D.,3 and Tak Kim, M.D.1
    • 1Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
    • 2Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
    • 3Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea.
Received February 08, 2013; Revised February 20, 2013; Accepted March 19, 2013.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Abstract

Objectives

The objective of this study was to evaluate the efficacy of Unicenta (UNCNT) and Melsmon in women with the menopausal symptoms, by analysing the changes in the Kupperman index (primary endpoint), and the hormonal change (secondary endpoint).

Methods

This is a randomized, multi-Center, double-Blind, parallel, non-inferiority clinical study of four different tertiary medical centers. We began the participant recruitment in September 2011, with 218 patients applied over 7 months. All participants had the last visit in April 2012.

Results

The Unicenta injection was not inferior to that of Melsmon as measured by the Kupperman index following the injection in both the intent-to-treat and the per-protocol populations (P = 0.63, P = 0.85, respectively). Side effects occurred in 14.0% of the cases (15 patients/18 cases) in the case group, and in 12.6% (14 patients/15 cases) in the control group (P value=0.7599). None were reported to be associated with the medication. The laboratory results and the vital signs showed no statistically significant risk for safety.

Conclusion

The study showed that Unicenta is not inferior to Melsmon in the change of the Kupperman index after 12 days of injection. The efficacy and safety of Unicenta was shown, with the improvement of the menopausal symptoms.

Keywords
Kupperman index; Menopause; Placental extract

Figures

Fig. 1
Visit number and follow-up duration of the participants.

Fig. 2
Trial profile. ITT: intent-to-treat, PP: per-protocol.

Tables

Table 1
The number of participants and population in each group

Table 2
Baseline characteristics of the participants in the intent-to-treat population

Table 3
Comparison of the change in the Kupperman index from baseline to visit 8 according to the intent-to-treat, per-protocol population

Table 4
Comparison of the secondary efficacy endpoint in the intent-to-treat population

Table 5
Comparison of the secondary efficacy endpoint in the per-protocol population

References

    1. Lee BI, Koh SK, Hwang SO, Park JH, Kim CW. Comparative study on treatment of postmenopausal symptoms with black cohosh root extract and hormone replacement therapy. Korean J Obstet Gynecol 2002;45:1330–1335.
    1. Chung DJ, Kim HY, Park KH, Jeong KA, Lee SK, Lee YI, et al. Black cohosh and St. John's wort (GYNO-Plus(R)) for climacteric symptoms. Yonsei Med J 2007;48:289–294.
    1. Follmann D, Elliott P, Suh I, Cutler J. Variance imputation for overviews of clinical trials with continuous response. J Clin Epidemiol 1992;45:769–773.
    1. Cohen J. A power primer. Psychol Bull 1992;112:155–159.
    1. Kim ES, Lee TY, Lee DB, Lee SG, Park MC, Hwang IT. Effects of alcohol drinking on bone mineral density and serum estradiol level in postmenopausal women. J Korean Soc Menopause 2001;7:1–22.
    1. Park JW, Hur EJ, Lee WK. Effects of an extract from cimicifug a racemosa in menopausal women. Korean J Obstet Gynecol 2002;45:117–121.
    1. Park HM, Kang BM, Kim JG, Yoon BK, Lee BI, Cho SH, et al. The effect of black cohosh with St. John's wort (Feramin-Q(R)) on climacteric symptoms: multicenter randomized double-blind placebo-controlled trial. Korean J Obstet Gynecol 2005;48:2403–2413.
    1. Lee DS, Park YS, Kim SY, Cho BY, Lee HK, Koh CS, et al. Clinical effieacy of estradiol patch treatment in the management of postmenopausal syndrome. J Korean Soc Endocrinol 1990;5:131–140.
    1. Yoon BK, Kim JG, Lee JY, Chang YS, Park YS, Lee DS, et al. Pharmacokinetics and acceptability of estradiol patch treatment in the management of postmenopausal syndrome. J Korean Soc Endocrinol 1989;4:203–208.
    1. Won HJ, Lee BS, Lee SK, Choi Y, Yoon S, Park KH, et al. The effect of isoflavone on postmenopausal symptoms and hormonal changes in postmenopausal women. J Korean Soc Menopause 2001;7:54–63.
    1. Chakraborty PD, De D, Bandyopadhyay S, Bhattacharyya D. Human aqueous placental extract as a wound healer. J Wound Care 2009;18:462, 464–467.
    1. Nagase M. Clinical assessment of injecting human placental extract into acupuncture points: a case series. East Med 2005;21:19–23.
    1. Ueno M. Combination treatment of melasma with placenta extract injection. J Jpn Soc Aesthet Surg 2002;39:4–8.
    1. Hong JW, Lee WJ, Hahn SB, Kim BJ, Lew DH. The effect of human placenta extract in a wound healing model. Ann Plast Surg 2010;65:96–100.
    1. Nagase M. Placental therapy. East Med 2005;20:31–38.
    1. Oh EJ, Kim TK, Shin JH, Choi JH, Chung HY. Biologic filler using human fibroblasts and placenta extracts. J Craniofac Surg 2011;22:1557–1560.
    1. Park SY, Phark S, Lee M, Lim JY, Sul D. Anti-oxidative and anti-inflammatory activities of placental extracts in benzo[a]pyrene-exposed rats. Placenta 2010;31:873–879.

Metrics
Share
Figures

1 / 2

Tables

1 / 5

PERMALINK