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MenopauseHOPESNCT07904390

Hop Extract Versus Soy Isoflavone Extract for Menopausal Symptoms (HOPES)

A study testing Full Spectrum hop extract (MENODUO FullSpectrum) and Soy isoflavone extract in people with Menopause and Perimenopause, run by Menoclinica by Palacios at 1 site in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

HOPES (Hops On Psychological and Estrogenic Symptoms in Menopause) is a randomized, double-blind, active-controlled nutritional intervention study in 120 peri- and postmenopausal women aged 45 to 60 years with moderate to severe menopausal symptoms. Read more about this study

Who is it for?
Ages 45 to 60 years, women only
Conditions the study is for
Menopause, Perimenopause, Postmenopause
What is being tested?
Full Spectrum hop extract (MENODUO FullSpectrum) and Soy isoflavone extract
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteSpain
Study dates
26 Oct 2026to 1 Apr 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 to 60 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Woman aged 45 to 60 years (both inclusive).
  • Perimenopausal or postmenopausal status according to the Stages of Reproductive Aging Workshop +10 (STRAW+10) criteria.
  • Moderate to severe menopausal symptoms, defined as a total Menopause Rating Scale (MRS) score of 15 or higher at the baseline assessment prior to randomization.
  • Not receiving menopausal hormone therapy (MHT) and not having received it in the previous 3 months.
  • Ability to understand and complete the study questionnaires autonomously.
  • Written informed consent.

Who cannot join

  • Known allergy or hypersensitivity to soy or any of its derivatives.
  • Known allergy or hypersensitivity to hops or to other species of the Cannabaceae family.
  • Personal history of breast cancer, endometrial cancer or any other hormone-dependent tumor.
  • Genital bleeding of undiagnosed cause.
  • Current use, or use in the previous 3 months, of MHT, tibolone, selective estrogen receptor modulators, or dietary supplements or products specifically intended for menopausal symptoms or with a relevant phytoestrogen content, or anticipated need to start any of them during the study.
  • Current treatment with antidepressants, anxiolytics, hypnotics, gabapentin or pregabalin.
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  • Known liver disease or abnormal baseline liver profile (transaminases more than twice the upper limit of normal).
  • Moderate or severe renal insufficiency.
  • History of venous thromboembolic disease.
  • Oral anticoagulant treatment.
  • Body mass index (BMI) of 35 kg/m2 or higher.
  • Pacemaker or any other implantable electronic device (contraindication for bioimpedance).
  • Unstabilized major psychiatric disorder.
  • Risky alcohol consumption or substance dependence.
  • Simultaneous participation in another clinical trial or intervention study, or participation in one within the previous 30 days.
  • Pregnancy or lactation.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Spain1 site, 1 recruiting
  • Menoclínica by Palacios

    Madrid, Madrid, 28009

    Recruiting

Other trials in Spain

About this study

Official title: Efficacy of a Full Spectrum Hop (Humulus Lupulus L.) Extract Versus a Soy Extract in Women With Menopausal Symptoms: A Randomized, Double-Blind, Active-Controlled Nutritional Intervention Study (HOPES: Hops On Psychological and Estrogenic Symptoms in Menopause)

HOPES (Hops On Psychological and Estrogenic Symptoms in Menopause) is a randomized, double-blind, active-controlled nutritional intervention study in 120 peri- and postmenopausal women aged 45 to 60 years with moderate to severe menopausal symptoms. For 12 weeks, participants take one capsule per day of either a full spectrum hop (Humulus lupulus L.) extract or a soy isoflavone extract. Both products are marketed dietary supplements, and there is no placebo arm.

The main question is whether the hop extract, which combines prenylated flavonoids with bitter acids, improves the psychological symptoms of menopause (depressive mood, irritability, anxiety, and physical and mental exhaustion) more than the soy extract. The main outcome is the change in the psychological subscale of the Menopause Rating Scale (MRS) from baseline to week 12.

Secondary outcomes include the other MRS domains, anxiety, depressive symptoms, menopause-related quality of life, body composition, and safety.

Read the detailed description

Rationale

Many women cannot or do not wish to use menopausal hormone therapy (MHT) and turn to plant-based supplements. Soy isoflavones act mainly through estrogenic mechanisms and have shown a modest effect on vasomotor symptoms, while the evidence for psychological symptoms and sleep is more limited and less consistent. Hop extract has a dual profile: prenylated flavonoids, linked to estrogenic activity, and bitter acids, described in relation to GABAergic neurotransmission and vagal signalling. No direct comparison of the two extracts is available. HOPES tests whether this profile gives the hop extract a differential effect on the psychological domain of menopausal symptoms.

Design

Candidates complete a secure online screening (visit 0). Eligible women attend a baseline visit (visit 1) at the coordinating center, where eligibility is confirmed, assessments and a blood sample are taken, and participants are randomized 1:1 (computer-generated permuted blocks of variable size, stratified by center and menopausal status: perimenopause or postmenopause). Follow-up includes a visit at week 6 (visit 2, in person or remote) and a final visit at week 12 (visit 3).

Capsules and bottles are identical and coded by the sponsor. Participants, the research team and the statistician remain masked until database lock, and an emergency unblinding procedure is available. Adherence is assessed with a capsule diary and a count of returned product, and dietary intake with a 3-day food record at visits 1 and 3.

Assessments

Menopause Rating Scale (MRS), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Cervantes-31 quality of life scale, and 0-10 visual analogue scales (VAS) for hot flashes, sleep quality and mood; body composition by bioimpedance; and blood tests (liver profile, lipid profile, estradiol and follicle-stimulating hormone) at baseline and week 12.

Analysis

The primary outcome is analyzed in the intention-to-treat population with a mixed model for repeated measures. With 60 participants per arm, the study has 80% power, at a two-sided significance level of 5%, to detect a standardized effect size of about 0.52. Secondary outcomes are tested hierarchically.

A between-group difference of at least 0.5 standard deviations in the change of the MRS psychological subscale is prespecified as clinically relevant.

Being tested
Full Spectrum hop extract (MENODUO FullSpectrum), Soy isoflavone extract
Keywords
Humulus lupulus, hops, soy isoflavones, phytoestrogens, Menopause Rating Scale, dietary supplement, psychological symptoms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Full Spectrum hop extract (MENODUO FullSpectrum)Dietary supplement

    Also called MENODUO FullSpectrum

    100 mg/day orally, one capsule per day for 12 weeks. Provides 10 mg/day of bitter acids and derivatives, 3.5 mg/day of prenylated flavonoids and 2.5 mg/day of xanthohumol.

  • Soy isoflavone extractDietary supplement

    Description: 100 mg/day orally, one capsule per day for 12 weeks. Standardized to at least 40% total isoflavones (at least 40 mg/day) and at least 20% genistein (at least 20 mg/day).

Study groups in NCT07904390
Study groupRoleWhat they receive
Hop extractExperimentalOne capsule per day for 12 weeks of MENODUO FullSpectrum, a dry hop (Humulus lupulus L.) strobilus extract, 100 mg/day, providing 10 mg/day of bitter acids and derivatives, 3.5 mg/day of prenylated flavonoids and 2.5 mg/day of xanthohumol.
Receives: Dietary Supplement: Full Spectrum hop extract (MENODUO FullSpectrum)
Soy extractActive comparatorOne capsule per day for 12 weeks of a dry soy (Glycine max (L.) Merr.) seed extract, 100 mg/day, standardized to at least 40% total isoflavones (at least 40 mg/day) and selected to provide at least 20 mg/day of genistein.
Receives: Dietary Supplement: Soy isoflavone extract

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in the psychological subscale score of the Menopause Rating Scale (MRS)

    The MRS psychological subscale is the sum of items 4 to 7 (depressive mood, irritability, anxiety, and physical and mental exhaustion), each rated from 0 (none) to 4 (very severe). Score range 0 to 16; higher scores indicate greater symptom severity. Change is the week 12 score minus the baseline score.

    Measured: Baseline (visit 1) and week 12 (visit 3)

Secondary outcomes (15)
  1. Change in total MRS score

    Sum of the 11 MRS items, each rated 0 to 4. Score range 0 to 44; higher scores indicate greater severity.

    Measured: Baseline, week 6 and week 12

  2. Change in MRS somatic-vegetative subscale score

    Sum of items 1, 2, 3 and 11. Score range 0 to 16; higher scores indicate greater severity.

    Measured: Baseline, week 6 and week 12

  3. Change in MRS urogenital subscale score

    Sum of items 8, 9 and 10. Score range 0 to 12; higher scores indicate greater severity.

    Measured: Baseline, week 6 and week 12

  4. Change in Generalized Anxiety Disorder-7 (GAD-7) score

    Seven items rated 0 to 3. Score range 0 to 21; higher scores indicate more anxiety symptoms.

    Measured: Baseline and week 12 (optional at week 6)

  5. Change in Patient Health Questionnaire-9 (PHQ-9) score

    Nine items rated 0 to 3. Score range 0 to 27; higher scores indicate more depressive symptoms.

    Measured: Baseline and week 12 (optional at week 6)

  6. Change in the Cervantes Scale global score

    The Cervantes Scale is a 31-item, menopause-specific health-related quality of life questionnaire. Each item is rated from 0 to 5. The global score ranges from 0 to 155; higher scores indicate worse health-related quality of life. Change is the week 12 score minus the baseline score.

    Measured: Baseline and week 12

  7. Change in the Cervantes Scale sexuality domain score

    The sexuality domain of the Cervantes Scale (31-item, menopause-specific health-related quality of life questionnaire) comprises 4 items on sexual function, each rated from 0 to 5. The domain score ranges from 0 to 20; higher scores indicate worse sexual function. Change is the week 12 score minus the baseline score.

    Measured: Baseline and week 12

  8. Change in body fat percentage

    Body fat percentage measured by bioimpedance.

    Measured: Baseline and week 12

  9. Change in estimated visceral fat

    Visceral fat estimate measured by bioimpedance.

    Measured: Baseline and week 12

  10. Change in hot flash intensity (visual analogue scale)

    0-10 scale; 0 = no hot flashes, 10 = maximum imaginable intensity.

    Measured: Baseline, week 6 and week 12

  11. Change in sleep quality (visual analogue scale)

    0-10 scale; 0 = very poor sleep quality, 10 = excellent sleep quality.

    Measured: Baseline, week 6 and week 12

  12. Change in mood (visual analogue scale)

    0-10 scale; 0 = very poor mood, 10 = excellent mood.

    Measured: Baseline, week 6 and week 12

  13. Number of participants with adverse events

    Incidence, nature, severity, duration and relationship to the intervention, including events that lead to interruption of the intervention or withdrawal.

    Measured: From baseline to week 12

  14. Change in liver profile

    Aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyl transferase (GGT), alkaline phosphatase and bilirubin.

    Measured: Baseline and week 12

  15. Change in lean mass

    Lean mass in kilograms measured by bioimpedance.

    Measured: Baseline and week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Oct 2026
  2. Study start26 Oct 2026
  3. Primary completion5 Feb 2027 (estimated)
  4. Study completion1 Apr 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07904390
Sponsor's protocol ID
HOPES-2026-01
Other IDs
6554
Acronym
HOPES
Status last verified
Oct 2026
First submitted
23 Oct 2026
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared at this stage. Aggregate results will be published in a peer-reviewed journal.

Publications

  • Palacios S, Ferrer-Barriendos J, Parrilla JJ, Castelo-Branco C, Manubens M, Alberich X, Marti A; Grupo Cervantes. [Health-related quality of life in the Spanish women through and beyond menopause. Development and validation of the Cervantes Scale]. Med Clin (Barc). 2004 Feb 21;122(6):205-11. doi: 10.1016/s0025-7753(04)74198-6. Spanish.

    PubMed 15012887
  • Heinemann K, Ruebig A, Potthoff P, Schneider HP, Strelow F, Heinemann LA, Do MT. The Menopause Rating Scale (MRS) scale: a methodological review. Health Qual Life Outcomes. 2004 Sep 2;2:45. doi: 10.1186/1477-7525-2-45.

    PubMed 15345062
  • Morimoto-Kobayashi Y, Ohara K, Ashigai H, Kanaya T, Koizumi K, Manabe F, Kaneko Y, Taniguchi Y, Katayama M, Kowatari Y, Kondo S. Matured hop extract reduces body fat in healthy overweight humans: a randomized, double-blind, placebo-controlled parallel group study. Nutr J. 2016 Mar 9;15:25. doi: 10.1186/s12937-016-0144-2.

    PubMed 26960416
  • Keiler AM, Zierau O, Kretzschmar G. Hop extracts and hop substances in treatment of menopausal complaints. Planta Med. 2013 May;79(7):576-9. doi: 10.1055/s-0032-1328330. Epub 2013 Mar 19.

    PubMed 23512496

Questions about this trial

What is this clinical trial studying?

A study testing Full Spectrum hop extract (MENODUO FullSpectrum) and Soy isoflavone extract in people with Menopause and Perimenopause, run by Menoclinica by Palacios at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Esmeralda Josa (+34 914 324 499, esmeralda.josa@menoclinica.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in the psychological subscale score of the Menopause Rating Scale (MRS) (time frame: Baseline (visit 1) and week 12 (visit 3)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07904390, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2026.

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