OBJECTIVE: To critically assess the evidence for a specific standardised extract of Trifolium pratense @entity6400 ( @entity69278 ) at a dosage of 80mg/day in the treatment of menopausal hot flushes. DATA SOURCES: Systematic literature searches were performed in Medline, Scopus, CINAHL Plus, Cochrane, AMED and InforRMIT and citations obtained from 1996 to March 2016. Reference lists were checked; corresponding authors contacted and the grey literature searched for additional publications. REVIEW METHODS: Studies were selected according to predefined inclusion and exclusion criteria. All randomised clinical trials of a specific standardised extract of Trifolium pratense @entity6400 ( @entity69278 ) used as a mono-component at 80mg/day and measuring vasomotor symptoms were included. The data extraction and quality assessment were performed independently by one reviewer and validated by a second with any disagreements being settled by discussion. Weighted mean differences and 95% confidence intervals were calculated for continuous data using the fixed-effects model. RESULTS: Twenty potentially relevant papers were identified, with only five studies meeting the inclusion criteria. The meta-analysis demonstrated a statistical and clinically relevant reduction in hot flush frequency in the active treatment group compared to placebo. Weighted mean difference 3.63 hot flushes per day: [95% CI 2.70-4.56]; p  0.00001). Due to a lack of homogeneity a priori defined sub-group analyses were performed demonstrating a substantive difference between cross-over and parallel-arm clinical trial designs. CONCLUSION: There is evidence for a statistical and clinically significant benefit for using a specific standardised extract of red clover @entity6400 ( @entity69278 ) at 80mg/day for treating hot flushes in menopausal @entity1 across the 3 studies included in the meta-analysis. The preparation was safe over the short-term duration of the studies (3 months).

Effects of a standardised extract of Trifolium pratense ( XXXX ) at a dosage of 80mg in the treatment of menopausal hot flushes: A systematic review and meta-analysis.

@entity1 :: ('9606', 'Species') :: ['women'] @entity6400 :: ('MESH:D007529', 'Chemical') :: ['isoflavones'] @entity69278 :: ('MESH:C487928', 'Chemical') :: ['Promensil']
@entity69278 :: (MESH:C487928,Chemical) :: ['Promensil']
