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Lipocine Announces FDA Labeling Changes for Testosterone Products

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Lipocine Inc (NASDAQ: LPCN) announced significant FDA labeling changes for testosterone products following the TRAVERSE clinical trial and post-market blood pressure studies. The FDA has removed the Boxed Warning related to cardiovascular risks from testosterone product labels, while maintaining 'Limitation of Use' language for age-related hypogonadism.

The updated labels will include TRAVERSE trial results and product-specific information on blood pressure effects. These changes are expected to benefit Lipocine's approved testosterone replacement therapy and its development pipeline, which includes candidates for obesity management (LPCN 2401), liver cirrhosis (LPCN 1148), and metabolic dysfunction-associated steatohepatitis (LPCN 1144).

The company has an exclusive license agreement with Verity Pharma since 2024 for marketing rights in the United States and Canada, pending approval.

Lipocine Inc (NASDAQ: LPCN) ha annunciato importanti modifiche all'etichettatura da parte della FDA per i prodotti a base di testosterone a seguito del trial clinico TRAVERSE e degli studi post-marketing sulla pressione sanguigna. La FDA ha rimosso l'avviso di avvertenza relativo ai rischi cardiovascolari dalle etichette dei prodotti a base di testosterone, mantenendo però il linguaggio 'Limitazione d'uso' per l'ipogonadismo legato all'età.

Le etichette aggiornate includeranno i risultati del trial TRAVERSE e informazioni specifiche sui prodotti riguardo agli effetti sulla pressione sanguigna. Queste modifiche si prevede possano avvantaggiare la terapia sostitutiva di testosterone approvata da Lipocine e il suo pipeline di sviluppo, che comprende candidati per la gestione dell'obesità (LPCN 2401), cirrosi epatica (LPCN 1148) e steatoepatite metabolica associata (LPCN 1144).

L'azienda ha un accordo di licenza esclusiva con Verity Pharma dal 2024 per i diritti di commercializzazione negli Stati Uniti e in Canada, in attesa di approvazione.

Lipocine Inc (NASDAQ: LPCN) anunció cambios significativos en el etiquetado de la FDA para productos de testosterona tras el ensayo clínico TRAVERSE y estudios post-comercialización sobre la presión arterial. La FDA ha eliminado la advertencia en recuadro relacionada con los riesgos cardiovasculares de las etiquetas de los productos de testosterona, manteniendo el lenguaje de 'Limitación de uso' para el hipogonadismo relacionado con la edad.

Las etiquetas actualizadas incluirán los resultados del ensayo TRAVERSE y la información específica del producto sobre los efectos en la presión arterial. Se espera que estos cambios beneficien la terapia de reemplazo de testosterona aprobada de Lipocine y su pipeline de desarrollo, que incluye candidatos para la gestión de la obesidad (LPCN 2401), cirrosis hepática (LPCN 1148) y esteatohepatitis asociada a disfunción metabólica (LPCN 1144).

La empresa tiene un acuerdo de licencia exclusiva con Verity Pharma desde 2024 para los derechos de comercialización en Estados Unidos y Canadá, a la espera de aprobación.

리포신 Inc (NASDAQ: LPCN)은 TRAVERSE 임상 시험과 시판 후 혈압 연구에 따라 테스토스테론 제품에 대한 FDA의 중요한 라벨 변경을 발표했습니다. FDA는 테스토스테론 제품 라벨에서 심혈관 위험과 관련된 상자 경고제거했습니다, 동시에 연령 관련 저테스토스테론증에 대한 '사용 제한' 문구를 유지하고 있습니다.

업데이트된 라벨에는 TRAVERSE 시험 결과와 혈압 효과에 대한 제품별 정보가 포함될 것입니다. 이러한 변화는 리포신의 승인된 테스토스테론 대체 요법과 비만 관리 (LPCN 2401), 간경변 (LPCN 1148), 대사 기능 장애와 관련된 지방간염 (LPCN 1144)에 대한 후보를 포함하는 개발 파이프라인에 혜택을 줄 것으로 예상됩니다.

회사는 2024년부터 미국과 캐나다에서의 마케팅 권한을 위한 Verity Pharma와 독점 라이선스 계약을 체결했으며, 승인을 기다리고 있습니다.

Lipocine Inc (NASDAQ: LPCN) a annoncé d'importants changements d'étiquetage de la FDA pour les produits à base de testostérone suite à l'essai clinique TRAVERSE et aux études post-commercialisation sur la pression artérielle. La FDA a supprimé l'avertissement encadré lié aux risques cardiovasculaires des étiquettes des produits à base de testostérone, tout en maintenant le langage de 'Limitation d'utilisation' pour l'hypogonadisme lié à l'âge.

Les étiquettes mises à jour incluront les résultats de l'essai TRAVERSE et des informations spécifiques sur les effets sur la pression artérielle. Ces changements devraient bénéficier à la thérapie de remplacement de testostérone approuvée par Lipocine et à son pipeline de développement, qui comprend des candidats pour la gestion de l'obésité (LPCN 2401), cirrhose du foie (LPCN 1148) et stéatohépatite associée à une dysfonction métabolique (LPCN 1144).

L'entreprise a un accord de licence exclusif avec Verity Pharma depuis 2024 pour les droits de commercialisation aux États-Unis et au Canada, en attente d'approbation.

Lipocine Inc (NASDAQ: LPCN) hat bedeutende Änderungen der FDA-Beschriftung für Testosteronprodukte nach der TRAVERSE-Studie und post-marketing Studien zum Blutdruck angekündigt. Die FDA hat die Boxed Warning in Bezug auf kardiovaskuläre Risiken von den Etiketten der Testosteronprodukte entfernt, während sie die 'Einschränkung der Verwendung' für altersbedingte Hypogonadismus beibehält.

Die aktualisierten Etiketten werden die Ergebnisse der TRAVERSE-Studie und produktspezifische Informationen zu den Auswirkungen auf den Blutdruck enthalten. Es wird erwartet, dass diese Änderungen Lipocines genehmigte Testosteron-Ersatztherapie und dessen Entwicklungspipeline zugutekommen, die Kandidaten für Adipositasmanagement (LPCN 2401), Leberzirrhose (LPCN 1148) und metabolisch assoziierte Steatohepatitis (LPCN 1144) umfasst.

Das Unternehmen hat seit 2024 einen exklusiven Lizenzvertrag mit Verity Pharma für die Vermarktungsrechte in den USA und Kanada, der auf Genehmigung wartet.

Positive
  • Removal of Boxed Warning for cardiovascular risks improves product safety profile
  • Favorable FDA labeling changes support both approved and pipeline products
  • Existing marketing partnership with Verity Pharma for US distribution
Negative
  • Product still maintains 'Limitation of Use' for age-related hypogonadism
  • New labeling requires inclusion of blood pressure effect warnings

Insights

The FDA's removal of the Boxed Warning for testosterone products represents a significant regulatory improvement for Lipocine's business model. This regulatory change eliminates one of the most serious safety warnings that had potentially physician prescribing patterns and market adoption.

The timing is particularly advantageous as Lipocine has recently (2024) established a commercial pathway through its exclusive license agreement with Verity Pharma for marketing rights in the United States and potentially Canada. The removal of cardiovascular risk warnings could meaningfully improve the commercial prospects and potentially the economic value of this agreement.

Beyond their testosterone replacement therapy product, this regulatory tailwind extends to Lipocine's development pipeline which features multiple testosterone-based candidates addressing substantial markets: obesity management (LPCN 2401), liver cirrhosis (LPCN 1148), and MASH (LPCN 1144). The improved safety profile established by the TRAVERSE trial results may accelerate clinical development timelines and potentially improve regulatory pathways for these pipeline assets.

While positive, it's worth noting that the FDA is maintaining "Limitation of Use" language regarding age-related hypogonadism and requiring product-specific blood pressure information on labels, indicating some ongoing regulatory concerns. However, the removal of the strongest warning category significantly outweighs these continuing limitations.

The FDA's decision to remove the Boxed Warning for testosterone products represents a landmark regulatory shift based on high-quality evidence from the TRAVERSE clinical trial. Boxed Warnings, reserved for serious or life-threatening risks, significantly impact product perception among prescribers, patients, and insurers.

This regulatory evolution demonstrates the FDA's commitment to evidence-based labeling, as the agency has responded to new clinical data by modifying its previous position on cardiovascular risks. The removal addresses what had been a substantial regulatory burden for testosterone products, including Lipocine's therapy.

The retained "Limitation of Use" language for age-related hypogonadism indicates the FDA continues to exercise caution about testosterone use in certain populations, maintaining regulatory guardrails despite the improved safety profile. Similarly, the new requirement for product-specific blood pressure information shows the agency's ongoing vigilance regarding potential cardiovascular effects.

For Lipocine's pipeline candidates (LPCN 2401, LPCN 1148, LPCN 1144), this regulatory precedent could streamline development by reducing safety monitoring requirements and potentially simplifying benefit-risk assessments during future reviews. The FDA's willingness to update labels based on post-marketing studies also suggests a pathway for continued refinement of safety profiles for testosterone-based therapies across multiple indications.

SALT LAKE CITY, March 12, 2025 /PRNewswire/ -- Lipocine Inc. (NASDAQ: LPCN), a biopharmaceutical company leveraging its proprietary technology platform to augment therapeutics through effective oral delivery, today announced that the U.S. Food and Drug Administration (FDA) has recently informed sponsors of approved testosterone products about class-wide labeling changes. This decision follows the Agency's review of the findings from the Testosterone Replacement Therapy for Assessment of Long-term Vascular Events and Efficacy Response in Hypogonadal Men (TRAVERSE) clinical trial and the results from required post market ambulatory blood pressure (ABPM) studies.

Based on the TRAVERSE trial results, the FDA has recommended that the Boxed Warning related to an increased risk of adverse cardiovascular outcomes be removed from the labels of testosterone products. Additional recommendations include adding the results of the TRAVERSE trial to all testosterone products and retaining "Limitation of Use" language for age-related hypogonadism. The FDA is also requiring all labels to include product-specific information on increased blood pressure for testosterone products based on the results of ABPM studies.

"We are excited about these label changes, including the removal of the Boxed Warning, as we expect the changes to be beneficial to our approved testosterone replacement therapy product as well as for our obesity management and liver disease development candidates," said Dr. Mahesh Patel, President and Chief Executive Officer of Lipocine. "With this important regulatory update, developers and regulators can now be guided by the updated evidence-based labels, ensuring that both the benefits and risks of testosterone are considered."

The company has an exclusive license agreement with Verity Pharma (entered into in 2024) under which Verity Pharma has the rights to market its testosterone replacement therapy product in the United States and also in Canada, if approved.  Lipocine's pipeline also includes additional unique testosterone-based product candidates including: LPCN 2401 (in development for obesity management), LPCN 1148 (in development for management of liver cirrhosis), and LPCN 1144 (in development for metabolic dysfunction-associated steatohepatitis (MASH)). 

About Lipocine

Lipocine is a biopharmaceutical company leveraging its proprietary technology platform to augment therapeutics through effective oral delivery to develop differentiated products.  Lipocine has drug candidates in development as well as drug candidates for which we are exploring partnerships.  Our drug candidates represent enablement of differentiated, patient friendly oral delivery options for favorable benefit to risk profile which target large addressable markets with significant unmet medical needs.

Lipocine's clinical development candidates include: LPCN 1154, oral brexanolone, for the potential treatment of postpartum depression, LPCN 2101 for the potential treatment of epilepsy, LPCN 2203 an oral candidate targeted for the management of essential tremor, LPCN 2401 an oral proprietary anabolic androgen receptor agonist, as an adjunct therapy to incretin mimetics, as an aid for improved body composition in obesity management and LPCN 1148, a novel androgen receptor agonist prodrug for oral administration targeted for the management of liver cirrhosis.  Lipocine is exploring partnering opportunities for LPCN 1107, our candidate for prevention of preterm birth, LPCN 1154, for rapid relief of postpartum depression, LPCN 2401 for obesity management, LPCN 1148, for the management of cirrhosis, and LPCN 1144, our candidate for treatment of non-cirrhotic NASH.  TLANDO, a novel oral prodrug of testosterone containing testosterone undecanoate developed by Lipocine, is approved by the FDA for conditions associated with a deficiency of endogenous testosterone, also known as hypogonadism, in adult males. For more information, please visit www.lipocine.com.

Forward-Looking Statements

This release contains "forward-looking statements" that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 and include statements that are not historical facts regarding our product candidates and related clinical trials, our development of our product candidates and related efforts with the FDA, including with respect to LPCN 1154, our current intention to conduct a safety and efficacy study relating to LPCN 1154, the timing and potential results of the safety and efficacy study relating to LPCN 1154, potential partnering of our product candidates with third parties, and the potential uses and benefits of our product candidates. Investors are cautioned that all such forward-looking statements involve risks and uncertainties, including, without limitation, the risks that we may not be successful in developing product candidates, we may not have sufficient capital to complete the development processes for our product candidates or we may decide to allocate our available capital to other product candidates, we may not be able to enter into partnerships or other strategic relationships to monetize our non-core assets, safety and efficacy studies.

 

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/lipocine-announces-fda-labeling-changes-for-testosterone-products-302399032.html

SOURCE Lipocine Inc.

FAQ

What are the major FDA label changes announced for LPCN testosterone products in March 2025?

The FDA removed the Boxed Warning about cardiovascular risks, added TRAVERSE trial results, and included product-specific blood pressure information while maintaining usage limitations for age-related hypogonadism.

How will the FDA label changes impact Lipocine's (LPCN) product pipeline?

The changes are expected to benefit both Lipocine's approved testosterone replacement therapy and its development candidates for obesity, liver cirrhosis, and MASH.

What are the key development candidates in LPCN's pipeline as of 2025?

LPCN 2401 for obesity, LPCN 1148 for liver cirrhosis, and LPCN 1144 for metabolic dysfunction-associated steatohepatitis (MASH).

What is the status of LPCN's marketing agreement with Verity Pharma?

Lipocine has an exclusive license agreement with Verity Pharma since 2024 for marketing rights in the US and Canada (pending approval).
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