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Estro Balance +10 Rx-W For Women HealTech INTERNATIONAL. An Overlooked Market: Women’s Health .
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Estro Balance+10 Rx-W For Women HealTech INTERNATIONAL
An Overlooked Market: Women’s Health • “The group of US women between the ages of 45 and 64, estimated to grow to 41 million by 2010, is the richest, biggest-spending and most educated group of women ever.” — U.S. Department of Commerce • “With a baby boomer turning 50 every six seconds, millions of women are marching toward menopause—or are already in the midst of it. And catering to their health needs is a lucrative—but surprisingly untapped-business niche.” —Fortune magazine • “Women are using a variety of strategies to manage short-term disturbances during menopause. Those include healthy eating (85%), regular exercise (75%), vitamins (70%), calcium supplements(58%), relaxation techniques or yoga (25%), vaginal lubricants (22%), and plant estrogens (10%).” — A survey by the North American Menopause Society (NAMS)
Premature Menopause • About 8% Women (US) stops having period before age 40 • Same symptoms as Menopause Peri-menopause • Average women go through this phase age 45~49 • Wildly fluctuating Estrogen Level • Same symptoms as Menopause Menopause • Estradiol level<50 pg/mL; FSH>50 mIU/mg; no period for >1 yr* • Average age for onset of menopause is 52 in US • Symptoms last 2~5 years, many more than 5 years Surgical Menopause • After Hysterectomy/Bilateral surgery * Definition: Dr. Joel Harglove, MD, Chairman, Vanderbilt Menopause Center, Nashville, TN Menopause Classification
Physiological /Psychological Changes during Menopause • Hot flashes, Night sweats • Vaginal dryness & thinning of vaginal wall • Inelastic skin and dry eye, Depression, Mood swings, Insomnia, ‘Something-is-not-right-type of feeling’ Long Term Post-Menopausal Health Risks • Cardiovascular Diseases (CVD’s) • Osteoporosis Menopause Symptoms
Hormone Replacement Therapy (HRT) – Prescription • Estrogen and/or Progesterone Therapy • Premarin® (Estrogen) and/or Prempro (Estrogen/Progestin) • Shown efficacy in reducing symptoms • Considered as Gold Standard for treating Menopausal symptoms till… • Women’s Health Initiative Study (WHI: 16,000 subjects) by NIH was halted in 2002 due to serious side effects ► Increased risk of Strokes (44%), Blood Clots (100%), CVD (29%) and Breast Cancer (26%) ► FDA required “Black Box Warning” for all Estrogen Products • Body of Long Term Data showed Risk outweighs Benefits • Experts recommend use of HRT at a lowest dose and for short duration(4 week) Natural Alternative to HRT (Menopausal Preparations) • Remifemi ® (black cohosh extract) • Isoflavon-rich diet (Soy products) Standard of Care for MenopauseSymptoms
Black Cohosh • First developed in Germany, it has been prescription medication in EU • Numerous clinical studies showed strong efficacy, until recently, it is claimed to cause liver damage (Natural Products Insider, July 30, 2007) and last 360-subject NIH sponsored clinical trial showed no efficacy (Natural Products Insider, Jan. 15, 2007) Isoflavone (Soy) • Mixed Reviews on Efficacy: Asian diets are rich in isoflavone (miso soup, tofu, soy bean paste, bean sprouts), but symptoms manifest at the same rate as in Western countries • Shown to bind to estrogen receptors alpha & beta and may be carcinogenic (National Toxicology Program TR 545, NIH Publication No. 08-4430, Public Health Service, U.S. Department of Health and Human Services) Black Cohosh & Isoflavone (Soy)
Estro Balance+10 Rx-W® has 3 herbal extracts • Phlomis umbrosa: Triterpene glycoside (Shanzhiside methyl ester) • Cynanchum wilfordii: Cinnamic acid, wilfoside & cyanuricoside • Angelica gigas Nakai: decursinol & decursin New Product Innovation: Estro Balance+10 Rx-W ®
Science of Estro Balance+10 Rx-W • Herbal extracts screened out of 71 herbal extracts via non-reproductive tract target tissue response (E-screen test) • 3 herbal extracts were chosen: Cynanchum wilfordii, Phlomis umbrosa, and Angelica gigas Nakai • Proven Safety • About 400 years ofdocumented use in Korea and China as folk medicine • Registered as safe food ingredient in Korea Food Codex and in China • No increase of uterus weight in ovariectomized rat tests • Inhibition of proliferation of human breast cancer cell (MCF-7) • No binding Affinity to both Estrogen Receptor α and β, cancer-inhibitory • Safe: Acute & Multi-dose toxicity tests • Proven Efficacy in vitro, in vivo, and in 2 human group (Asian and American) clinical studies (one in Korea, one in USA)
Estrogenicity • E-screen test: Screen herbal extracts for Estrogenicity • Synergetic Effects of 3 Constituent herbal extracts confirmed - Lee at al.. Lab. Anim. Res. 24(2): 167-172(2008) • Significantly improved in serum osteocalcin and FMBD in OVX rat • No change in weight, liver, kidney, and uterus weight in OVX rat FBMD Serum osteocalcin Uterus weight -Kim at al.. Kor. J Food Sci. Technol. 40(3): 316-320 (2008)
Clinical study I (Asian) - Protocol Randomized Double-blind Placebo-controlled study ( SamSung Cheil Hospital, Seoul Korea) Estro Balance+10 Rx-W 12 months (May 2003-April 2004) Double-blinded Long Term Safety Evaluation 23 subjects in placebo group 24 active group Age>45 years old Diagnosis of menopausal syndromes (average age=54) Test material Dosing period Method Evaluation style Patients (n=47) Inclusion Criteria & &
Clinical study I - Efficacy Climacteric Symptoms Femoral Bone MineralDensity Serum hGH Level Serum Osteocalcin Level Serum Alkaline Phosphatase Level Serum Triglyceride Level After 3 months OR=5.04 (95% C.I.=1.4-18.1) Fisher’s Exact Test 5 times better improvement than placebo with significance After 12 months 0.746±0.10 → 0.763±0.13 Significant improvement (P<0.05) After 12 months (ng/mL) 0.25±0.21 → 0.92±0.97 Significant improvement (P<0.05) After 12 months (ng/mL) 6.02±2.74 → 5.66±3.01 Significant improvement (P<0.05) After 12 months (IU/L) 73.35±21.02 → 60.42±14.87 (P<0.05) Significant improvement After 12 months (mg/dL) 119.1±54.72 → 92.16±49.94 Significant improvement (P<0.05)
Clinical study II (American) – Protocol Randomized Double-blind, Placebo-controlled study ( Shady Canyon Medical Group, Irvine, CA) Estro Balance+10 Rx-W 3 months (2009-2010) Double-blind Long Term Safety Evaluation 32 subjects in placebo group 29 active group Age>42 years old Diagnosis of menopausal syndromes (average age=54) Test material Dosing period Method Evaluation style Patients (n=61) Inclusion Criteria & &
Clinical Study II - Efficacy • Report (Kupperman Menopause Index & scores of vaginal dryness ) – Stearling IRB • The mean KMI scores were significantly reduced in MarsVenus Rx-W group from 29.45±7.39 at baseline to 13.62±7.61 at week 6 after and to 11.31±5.78 at week 12 while those were from 29.35±6.56 at baseline to 23.31±8.96 at week 6 after and to 23.66±7.68 at week 12 in the placebo group. The improvement was statistically significant in comparison with the two groups (p<0.01, t-test). • Safety: No significant changes in Osteocalcin, Alkaline Phosphatase, hGh, Cholesterol, L/H DL, Triglyceride, FSH, E2, Fasting Glucose, Weight, BMI, Protein, Albumin, and Serum Safety Factor
Safety in 12 month human clinical study treatment • No serious adverse effects • No change in body weight • No change in blood pressure • No change in blood sugar • No change in cholesterol, LDL/HDL • No significant changes in E2 and FSH Clinical study - Safety
Toxicology study on BOTH male & female rats • 500 mg/kg, 1000 mg/kg, 2000 mg/kg single dose • No mortality observed (MLD>2000 mg/kg) • No body weight changes observed • No toxicological, abnormal findings in necropsy observed • Slight diahrria at 2000 mg/kg, but all recovered next day Toxicology Study on BOTH male & female rats
Key Findings of Estro Balance+10 Rx-W ® • Unlike Black Cohosh, it is antihepatotoxic or liver protective Filed to WHO, ① http://www.wpro.who.int/internet/files/pub/97/89.pdf, ② http://www.wpro.who.int/internet/files/pub/97/201.pdf • Unlike Soy, it proved to be not binding to Estrogen receptors alpha and beta Binding affinity of MarsVenus Rx-W to ER alpha and beta, College of Veterinary Medicine National University, Kang, et al. 2007 • Inhibitory effect of the proliferation of human breast cancer cell or MCF-7 ① College of Veterinary Medicine National University, Kang, et al. 2007 ② Jiang C, et al. Decursin and decursinol angelate inhibit estrogen-stimulated and estrogen-independent growth and survival of breast cancer cells. Breast Cancer Research. 9(6): R77 (2007), 6 Nov 2007 Key Findings of Estro Balance+10 Rx-W ®