Evamist is the most advanced commercial application of Acrux's patented delivery technology; if the FDA approves VIVUS' marketing application, Acrux's first product could be available to women in the USA in the second half of 2007. Several other products that use the same delivery technology are following close behind. The positive result of this Phase 3 trial is therefore a pivotal milestone for each of these products.
The Phase 3 trial assessed the safety and efficacy of Evamist for the treatment of hot flushes in menopausal women. The trial was a 12-week study of 457 menopausal women, conducted under a Special Protocol Assessment (SPA) from the FDA. Results showed that the most effective Evamist dose decreased the number of hot flushes by 78%. The reduction in frequency and severity of moderate to severe hot flushes was statistically significant compared with placebo for all three doses of Evamist evaluated.
Importantly, application site irritation was less than 1% and was mild in nature. The results from the trial will be discussed by VIVUS at an Analyst Day in New York on 18 May 2006.
"We believe these positive trial results along with this novel patient-preferred transdermal delivery system will establish Evamist as a superior estrogen therapy for the treatment of menopausal symptoms," stated Leland Wilson, president and chief executive officer for VIVUS. "We have worked diligently toward the development of this unique and easy-to-use product, and we are thrilled with the efficacy and safety demonstrated in this trial. We now look forward to filing an NDA for Evamist in the second half of 2006."
Professor Alastair MacLennan, Joint Editor-in-Chief of Climacteric, the Journal of the International Menopause Society, and a member of Acrux's Scientific Advisory Board, commented "Evamist could provide an attractive new option for millions of women - a low dose estrogen, delivered in a simpler and more convenient way. These Phase 3 trial results demonstrate its efficacy in treating the key symptoms that may be suffered by this significant patient group".
Acrux's partnership with VIVUS
VIVUS licensed Evamist for the US market from Acrux in February 2004. VIVUS paid Acrux a licence fee of US$1 million and will make further payments to Acrux totalling US$4 million on filing and approval by the FDA of the US marketing application. VIVUS is responsible for manufacturing, sales and marketing in the USA and will pay Acrux royalties on sales. Acrux retains rights for the rest of the world and is seeking commercial partners for major markets, including Europe.
Menopause and Evamist
Approximately two million American women turn 50 each year. Women naturally enter into menopause usually between the ages of 45 and 55; however, surgical menopause may happen at any age. Menopausal symptoms occur when the ovaries stop producing estrogen. Symptoms include hot flushes, discomfort or pain during sexual intercourse due to vaginal atrophy (thinning of the vagina), and changes in skin and hair. Annual sales of estrogen-only replacement therapies in the USA are estimated to be approximately US$1.4 billion. Sales have now resumed growth after a period of decline, as new data from the Women's Health Initiative study showed that estrogen-alone therapy resulted in no increased risk of coronary heart disease or breast cancer. Transdermal estrogen patches and gels currently sell approximately US$0.3 billion per annum. Primary market research studies suggest that many women would prefer to use Evamist over patches, gels and tablets.
Evamist, like Acrux's other women's health products addressing contraception and decreased libido, is a small, hand-held, easy-to-use spray that is designed to provide an easy and convenient means to deliver a preset dose of estradiol, a naturally occurring estrogen, via the skin. Evamist is placed gently against the skin and an actuator button is pushed, which releases a light spray containing a proprietary formulation of estradiol. Estradiol is released into the blood stream on a sustained basis over 24 hours, providing a practical and convenient once-a-day dosing regimen. Evamist is fast drying, non-irritating and invisible after application. Studies have shown that once administered, Evamist's formulation is not affected by washing and does not transfer to partners. Evamist is easily titratable between one, two and three sprays.
About Acrux www.acrux.com.au
VIVUS, Inc. is a pioneer in the research and development of proprietary products to restore sexual function for women and men. VIVUS' current product pipeline includes four investigational products in late stage clinical development. For women, VIVUS has completed a Phase 3 program for Evamist for the alleviation of menopausal symptoms, and initiated a Phase 2B program with ALISTA for female sexual arousal disorder. Additionally, the company has completed Phase 2 development of Testosterone MDTS® for the treatment of hypoactive sexual desire disorder (HSDD). The MDTS system is a patented new generation, transdermal drug delivery technology that delivers drugs directly through the skin. For men, VIVUS has completed Phase 2 development of avanafil for erectile dysfunction. The company currently markets MUSE® (alprostadil) suppository for the treatment of erectile dysfunction in the U.S. and internationally through distributors. For more information on clinical trials and products, please visit the company's web site at www.vivus.com.
Igor Gonda, Acrux CEO & Managing Director
+61 3 8379 0100; email@example.com
Alastair Maclennan, Professor of Obstetrics & Gynaecology, The University of
Adelaide +61 8 8161 7000
Last reviewed: By John M. Grohol, Psy.D. on 21 Feb 2009
Published on PsychCentral.com. All rights reserved.