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Fezolinetant is a neurokinin-3 (NK3) receptor antagonist (IC50 = 20 nM).1 It decreases plasma levels of luteinizing hormone (LH) in castrated cynomolgus monkeys when administered at a dose of 5 mg/kg. Fezolinetant (10 mg/kg) prevents increases in body weight and food intake but does not affect uterine weight or plasma levels of estradiol (17β-estradiol; Item No. 10006315), follicle-stimulating hormone (FSH), progesterone (Item No. 15876), or testosterone in ovariectomized rats.2 It inhibits increases in skin temperature but not core temperature, indicating regulation of hot flash-like symptoms, in ovariectomized rats when administered at doses of 3 or 10 mg/kg. Formulations containing fezolinetant have been used in the treatment of moderate to severe vasomotor symptoms due to menopause.
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1. Optimization of novel antagonists to the neurokinin-
2. Effects of neurokinin 3 receptor antagonist fezolinetant on hot flash-