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Black Cohosh (iCR) or tibolone

Schaper & Bruemmer GmbH & Co KG · Phase 3 active Small molecule

Black Cohosh (iCR) or tibolone is a Herbal extract / Selective tissue estrogenic activity regulator (STEAR) Small molecule drug developed by Schaper & Bruemmer GmbH & Co KG. It is currently in Phase 3 development for Vasomotor symptoms (hot flashes, night sweats) associated with menopause, Menopausal syndrome.

Black Cohosh (iCR) and tibolone work through different pathways—Black Cohosh may modulate serotonin and other neurotransmitters to reduce vasomotor symptoms, while tibolone acts as a selective tissue estrogenic activity regulator (STEAR) with mixed estrogenic, progestagenic, and androgenic effects.

Black Cohosh (iCR) and tibolone work through different pathways—Black Cohosh may modulate serotonin and other neurotransmitters to reduce vasomotor symptoms, while tibolone acts as a selective tissue estrogenic activity regulator (STEAR) with mixed estrogenic, progestagenic, and androgenic effects. Used for Vasomotor symptoms (hot flashes, night sweats) associated with menopause, Menopausal syndrome.

At a glance

Generic nameBlack Cohosh (iCR) or tibolone
SponsorSchaper & Bruemmer GmbH & Co KG
Drug classHerbal extract / Selective tissue estrogenic activity regulator (STEAR)
TargetSerotonin receptors (Black Cohosh); estrogen receptor, progesterone receptor, androgen receptor (tibolone)
ModalitySmall molecule
Therapeutic areaWomen's Health / Endocrinology
PhasePhase 3

Mechanism of action

Black Cohosh is a phytoestrogen-containing herbal extract that may reduce hot flashes and night sweats through serotonergic mechanisms and possible weak estrogen receptor modulation. Tibolone is a synthetic steroid that selectively activates estrogen, progesterone, and androgen receptors in a tissue-specific manner, providing menopausal symptom relief while potentially minimizing systemic hormonal exposure. The combination or comparison in this Phase 3 trial likely evaluates efficacy and safety profiles for menopausal symptom management.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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Frequently asked questions about Black Cohosh (iCR) or tibolone

What is Black Cohosh (iCR) or tibolone?

Black Cohosh (iCR) or tibolone is a Herbal extract / Selective tissue estrogenic activity regulator (STEAR) drug developed by Schaper & Bruemmer GmbH & Co KG, indicated for Vasomotor symptoms (hot flashes, night sweats) associated with menopause, Menopausal syndrome.

How does Black Cohosh (iCR) or tibolone work?

Black Cohosh (iCR) and tibolone work through different pathways—Black Cohosh may modulate serotonin and other neurotransmitters to reduce vasomotor symptoms, while tibolone acts as a selective tissue estrogenic activity regulator (STEAR) with mixed estrogenic, progestagenic, and androgenic effects.

What is Black Cohosh (iCR) or tibolone used for?

Black Cohosh (iCR) or tibolone is indicated for Vasomotor symptoms (hot flashes, night sweats) associated with menopause, Menopausal syndrome.

Who makes Black Cohosh (iCR) or tibolone?

Black Cohosh (iCR) or tibolone is developed by Schaper & Bruemmer GmbH & Co KG (see full Schaper & Bruemmer GmbH & Co KG pipeline at /company/schaper-bruemmer-gmbh-co-kg).

What drug class is Black Cohosh (iCR) or tibolone in?

Black Cohosh (iCR) or tibolone belongs to the Herbal extract / Selective tissue estrogenic activity regulator (STEAR) class. See all Herbal extract / Selective tissue estrogenic activity regulator (STEAR) drugs at /class/herbal-extract-selective-tissue-estrogenic-activity-regulator-stear.

What development phase is Black Cohosh (iCR) or tibolone in?

Black Cohosh (iCR) or tibolone is in Phase 3.

What are the side effects of Black Cohosh (iCR) or tibolone?

Common side effects of Black Cohosh (iCR) or tibolone include Headache, Gastrointestinal upset, Vaginal bleeding or spotting, Breast tenderness, Dizziness.

What does Black Cohosh (iCR) or tibolone target?

Black Cohosh (iCR) or tibolone targets Serotonin receptors (Black Cohosh); estrogen receptor, progesterone receptor, androgen receptor (tibolone) and is a Herbal extract / Selective tissue estrogenic activity regulator (STEAR).

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