CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-07-11. AI was used for research and drafting; the existence of all 3 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v1.0.
Verdict No. 234 · Search date 2026-07-11 · Methodology v1.0

Sophora japonica fruit extract,
does it really help with Menopausal women’s health and improvement in the Kupperman Index?

30-Second Summary
C
Evidence Grade C · 46 · Safety caution
An ingredient-specific 12-week trial found a symptom-index improvement signal, but independent replication has not been identified
What the
research shows
In an 87-person RCT of Rexflavone® 350 mg/day, a sophoricoside-standardized Sophora japonica fruit extract, the 12-week between-group difference in the modified Kupperman Index was borderline at p=0.037. Hormonal measures were largely null, and evidence is concentrated in one developer-linked trial. MFDS registration does not add to the evidence grade, so the rating is C.
What the
ads claim
Product descriptions often present MFDS recognition of functionality, sophoricoside content, menopausal women’s health, and improvement in the Kupperman Index together. Regulatory recognition concerns a specified ingredient standard and permitted labeling scope and is considered separately from independent clinical replication.
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Useful facts when choosing a product

  • The ingredient in the key clinical trial was Rexflavone®, used at 350 mg/day for 12 weeks.
  • The registered ingredient is a 60% ethanol extract of Sophora japonica fruit standardized to 10–15% sophoricoside.
  • The key efficacy endpoint was the modified Kupperman Index combining 11 menopausal symptoms.
  • The registration dossier advises caution for children, pregnant or nursing women, and people sensitive to estrogenic activity.
ID

Chamgap Semantic Classification Code

Candidate index · review held

S.sophora-japonica-fruit-extract.UNK.menopausal-womens-health-and-improvement-in-the-kupperman-index.improve.placebo

Supplements and nutraceuticals > Sophora japonica fruit extract > Unknown > Menopausal women’s health and improvement in the Kupperman Index > Improvement claim > Placebo

An automated migration candidate, not an issued permanent code; exact claim scope remains under review. This machine-generated migration candidate helps retrieval but is not a permanent assignment. The original verdict ID and URL remain authoritative.

Download semantic index (JSON) · Codebook v1

Gap Measurement · Verdict 234 · C 46
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

The Lee 2010 RCT assigned 87 postmenopausal women to Rexflavone® 350 mg/day, a sophoricoside-standardized Sophora japonica fruit extract, or placebo for 12 weeks. The between-group difference in modified Kupperman Index change was p=0.037, while hormonal measures changed little. Choi 2021 reorganized the MFDS registration dossier and was not a new independent clinical trial.

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Why this is classified as C (46)

A single developer-linked 87-person RCT of the sophoricoside-standardized fruit extract found a borderline Kupperman signal at p=0.037, while hormonal measures were largely null. There is no independent replication, and MFDS registration is irrelevant to the grade, resulting in C with 46 points.

Counterpoint. No unusual changes in clinical laboratory tests or vital signs were reported over 12 weeks, and the positive ITT finding for change in the Kupperman Index remains a hypothesis for an independent follow-up trial.

Rejudgment record. Reassessment (cross-check reflected) — The Rexflavone-specific 87-person RCT of a sophoricoside-standardized fruit extract found a borderline between-group Kupperman result at p=0.037, hormonal measures were largely null, the trial was developer-linked without independent replication, and MFDS registration is irrelevant under rule ④

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Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Improvement in the modified Kupperman IndexCOne manufacturer-linked RCT was positive, but there was attrition, significance differed by analysis, and independent replication is absent.
Broad improvement in menopausal women’s healthDHormones and lipids changed little, and broad health outcomes such as osteoporosis have not been independently demonstrated in humans.
✓

Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
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Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Lee J et al. 2010Randomized, double-blind, placebo-controlled trial87 assigned, 66 completed, 12 weeksIncluded an author affiliated with RexGene Biotech; linked to the ingredient developerModified Kupperman Index, hormones, and lipidsReported improvement in the total Kupperman Index, while hormones and lipids changed little; reporting of between-group significance differed by analysis.Key
Thomas AJ et al. 2014Systematic reviewMultiple isoflavone and amino-acid RCTs; included one Rexflavone trialSupported by the US National Institute of Nursing Research; no competing interests reportedHot flashes, sleep, mood, pain, cognition, and Kupperman IndexSummarized Rexflavone results differently by subgroup and time point and judged that replication in larger samples was needed.Supportive
Choi MJ et al. 2021Summary of MFDS registration procedure and submitted dossierRe-reported the existing RCT with 87 participants and 80 in ITTIngredient-registration case report; limited independenceKupperman Index and safetyReported p=0.0366 for the between-group difference in ITT change and the registered dose of 350 mg/day, but this was not a new trial.Ancillary
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Receipt — 3 References

All 3 cited sources were verified for existence at the original page (as of 2026-07-11).

Lee J, Kim KW, Kim HK, Chae SW, Jung JC, Kwon SH, Rheu CH. The effect of Rexflavone (Sophorae fructus extract) on menopausal symptoms in postmenopausal women: a randomized double-blind placebo controlled clinical trial. Arch Pharm Res. 2010;33(4):523-530. PMID: 20422360. DOI: 10.1007/s12272-010-0405-0.
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Thomas AJ, Ismail R, Taylor-Swanson L, Cray L, Schnall JG, Mitchell ES, Woods NF. Effects of isoflavones and amino acid therapies for hot flashes and co-occurring symptoms during the menopausal transition and early postmenopause: a systematic review. Maturitas. 2014;78(4):263-276. PMID: 24951101. DOI: 10.1016/j.maturitas.2014.05.007.
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Choi MJ, Kim KM, Cho EJ, Jeong TB, Jung JC. A Practical Registration Procedure of Korean Health Functional Food Ingredient: The Registration of Sophora japonica L., Fruit Extract for Excellent Female Menopausal Efficacy. Food Supplements and Biomaterials for Health. 2021;1(1):1-10. DOI: 10.52361/fsbh.2021.1.e1.
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Evidence date: 2026-07-11 · Corrections: none
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Cite this verdict

Sophora japonica fruit extract x menopausal women’s health and improvement in the Kupperman Index Evidence Grade C card
[Chamgap] Sophora japonica fruit extract x menopausal women’s health and improvement in the Kupperman Index — Evidence Grade C·46. 3 cited sources checked. Source: https://chamgap.com/en/verdicts/womens/sophora-japonica-menopause-kupperman/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.
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