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Agile Therapeutics Announces Presentation of Safety and Efficacy Data of Twirla® (Levonorgestrel and Ethinyl Estradiol) Transdermal System in Women of Differing BMI Categories at ACOG Annual Meeting

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Agile Therapeutics (Nasdaq: AGRX) announced that a post hoc analysis of the Phase 3 SECURE Trial for Twirla® will be presented at ACOG Annual Meeting from April 30 to May 2, 2021. This analysis evaluates safety and efficacy in women with BMI < 25 kg/m2 and 25-30 kg/m2. Results indicate that Twirla maintains safety and tolerability in the latter group, despite lower efficacy. The findings support informed patient counseling regarding contraceptive options for women with higher BMI. Agile aims to address women’s healthcare needs through product innovation.

Positive
  • Post hoc analysis confirms Twirla's safety and tolerability for women with BMI 25-30 kg/m2.
  • Results facilitate informed discussions between healthcare providers and patients regarding contraception.
Negative
  • Efficacy of Twirla is lower in women with BMI 25-30 kg/m2, which may limit its appeal.
  • Twirla is contraindicated for women with BMI ≥ 30 kg/m2, limiting market potential.

PRINCETON, N.J., April 30, 2021 (GLOBE NEWSWIRE) -- Agile Therapeutics, Inc. (Nasdaq: AGRX), a women's healthcare company, today announced that a post hoc analysis of the Phase 3 SECURE Trial evaluating the safety and efficacy of Twirla® (levonorgestrel and ethinyl estradiol) transdermal system in women with BMI < 25 kg/m2 and women with BMI 25-30 kg/m2 will be presented at the American College of Obstetricians and Gynecologists (ACOG) Annual Clinical and Scientific Meeting from April 30 – May 2.

Twirla was approved based on the Phase 3 SECURE Trial, a United States, multicenter, single-arm, open-label, 13-cycle trial that evaluated the efficacy, safety and tolerability of Twirla in 2,032 healthy women. Twirla is a combination of levonorgestrel and ethinyl estradiol indicated as a method of contraception for use in women of reproductive potential with a BMI < 30 kg/m2 for whom a combined hormonal contraceptive is appropriate. The U.S. package insert also includes a Limitation of Use statement guiding prescribers to consider Twirla’s reduced effectiveness in women with a BMI ≥ 25 to < 30 kg/m2 before prescribing. Twirla is contraindicated in women with a BMI ≥ 30 kg/m2. This post hoc analysis of SECURE assessed the efficacy, safety and tolerability of Twirla in women with BMI < 25 kg/m2 and BMI 25-30 kg/m2. When compared to women with BMI < 25 kg/m2, Twirla demonstrated lower but acceptable efficacy while maintaining similar safety and tolerability in women with BMI 25-30 kg/m2.

“The results of this post hoc analysis help to inform providers counseling women that fall within BMI 25-30 kg/m2 who may be considering a non-oral, noninvasive contraception option,” said Anita Nelson, MD, Lead Author and Primary Investigator in the SECURE study. “These data support the safety and tolerability of Twirla in women within BMI 25-30 kg/m2 as well as those with BMI < 25 kg/m2.”

“At Agile, we are committed to addressing the needs of women through our products and the generation of new analyses that better enable healthcare providers to counsel their patients. This is directly reflective of the population enrolled in our SECURE trial,” said Paul Korner, MD, MBA, Chief Medical Officer for Agile Therapeutics. “This post hoc analysis provides additional information about Twirla relative to the BMI categories for which Twirla is indicated that could facilitate data-driven conversations between healthcare providers and their patients.”

About Twirla®
Twirla (levonorgestrel and ethinyl estradiol) transdermal system is a once-weekly combined hormonal contraceptive (CHC) patch that contains the active ingredients levonorgestrel (LNG), a type of progestin, and ethinyl estradiol (EE), a type of estrogen. Twirla is indicated for use as a method of contraception by women of reproductive potential with a body mass index (BMI) < 30 kg/m2 for whom a combined hormonal contraceptive is appropriate. Healthcare providers (HCPs) are encouraged to consider Twirla’s reduced efficacy in women with a BMI ≥ 25 to <30 kg/m2 before prescribing. Twirla is contraindicated in women over 35 years old who smoke. Cigarette smoking increases the risk of serious cardiovascular events from CHC use. Twirla is contraindicated in women with a BMI ≥ 30 kg/m2. Compared to women with a lower BMI, women with a BMI ≥ 30 kg/m2 had reduced efficacy and may have a higher risk for venous thromboembolic events. Twirla is designed to be applied once weekly for three weeks, followed by a week without a patch.

About Agile Therapeutics, Inc.
Agile Therapeutics is a forward-looking women's healthcare company dedicated to fulfilling the unmet health needs of today’s women. Our product and product candidates are designed to provide women with contraceptive options that offer freedom from taking a daily pill, without committing to a longer-acting method. Our initial product, Twirla®, (levonorgestrel and ethinyl estradiol), a transdermal system, is a non-daily prescription contraceptive. Twirla is based on our proprietary transdermal patch technology, called Skinfusion®, which is designed to allow drug delivery through the skin. For more information, please visit the company website at www.agiletherapeutics.com. The Company may occasionally disseminate material, nonpublic information on the Company’s website.

Contact:
Matt Riley
Head of Investor Relations & Corporate Communications
mriley@agiletherapeutics.com


FAQ

What were the findings of the Phase 3 SECURE Trial for Twirla reported by Agile Therapeutics?

The findings highlight the safety and tolerability of Twirla in women with BMI 25-30 kg/m2, although efficacy is lower compared to those with BMI < 25 kg/m2.

When is the ACOG Annual Clinical Meeting where Agile Therapeutics will present their findings?

The ACOG Annual Clinical Meeting is taking place from April 30 to May 2, 2021.

What is Twirla and its recommended use according to Agile Therapeutics?

Twirla is a transdermal contraceptive system indicated for women with a BMI < 30 kg/m2, but its efficacy is reduced for those with BMI 25-30 kg/m2.

How does Twirla's efficacy vary by BMI?

Twirla demonstrates lower efficacy in women with BMI 25-30 kg/m2, while maintaining safety and tolerability.

What is the significance of the post hoc analysis presented by Agile Therapeutics?

The analysis provides valuable data for healthcare providers counseling women in the BMI 25-30 kg/m2 category regarding contraceptive options.

AGILE THERAPEUTICS INC

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