Liver Safety of the Dual Neurokinin-1/-3 Receptor Antagonist Elinzanetant - Summary - MDSpire
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Assessment of Hepatic Safety for the Dual Neurokinin-1/-3 Receptor Antagonist Elinzanetant

  • By

  • James H. Lewis

  • Raúl J. Andrade

  • Dominique Larrey

  • Yves Horsmans

  • Richard A. Anderson

  • Mila Trajanovic

  • Esther Groettrup-Wolfers

  • Lineke Zuurman

  • March 18, 2026

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Objective:

To evaluate the hepatic safety of elinzanetant in women experiencing hot flashes related to menopause or endocrine therapy for breast cancer, focusing on the outcomes of clinical trials.

Key Findings:
  • Elinzanetant 120 mg shows a low risk of liver problems, indicating its potential safety profile.
  • No serious liver issues were reported during clinical trials, supporting its hepatic safety.
  • Mild liver changes were comparable between elinzanetant and placebo groups, suggesting no significant adverse effects.
Interpretation:

The findings suggest that elinzanetant does not pose a significant risk for drug-induced liver injury, supporting its use as a treatment for VMS, with implications for clinical practice.

Limitations:
  • The studies primarily involved healthy volunteers and postmenopausal women with moderate-to-severe VMS, which may limit generalizability.
  • Long-term effects beyond the clinical trials are still being evaluated, and potential biases in study design should be considered.
Conclusion:

Elinzanetant is a safe option for managing hot flashes in the studied populations, with no need for routine liver monitoring post-approval, although ongoing vigilance is recommended.

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