Nelson Vergel
Founder, ExcelMale.com
It is hard for me to believe this. Let's see when we try it out.
The FDA has given MED3000 (Eroxon), the first nonprescription topical gel for treating erectile dysfunction (ED) in men over the age of 22, permission to be sold without a prescription. The company that makes it, Futura Medical, revealed this on Monday.
The company says that MED3000 has "a 10-minute onset of action" that makes it different from prescription PDE5 inhibitors like sildenafil (Viagra) and tadalafil (Cialis), which usually take longer to work.
The non-medicated hydro-alcoholic gel was first used as a placebo in studies of a nitroglycerin gel the company was making, but it turned out that MED3000 worked just as well in a big phase III trialopens in a new tab or window.
Highly positive FM71 Phase 3 Study Results with all primary and secondary endpoints achieved, MED3000 remains on track to obtain US FDA marketing authorisation
Futura Medical plc (AIM: FUM), a pharmaceutical company developing a portfolio of innovative products based on its proprietary, transdermal DermaSys® drug delivery technology and currently focused on sexual health and pain, today announces positive results from the confirmatory Phase 3 clinical study, "FM71" for MED3000 for the treatment of erectile dysfunction ("ED").
FDA agreed co-primary endpoints met at 24 weeks, demonstrating a statistically significant improvement in erectile function compared to baseline, as well as achieving a clinically important improvement in erectile function at 24 weeks
Secondary endpoint met demonstrating a 10-minute onset of action, which was demonstrably faster than the well-known prescription oral medication used in the study
Exploratory endpoints demonstrated MED3000 achieved clinically important improvements in erectile function at all time points and was clinically effective in mild, moderate and severe ED sufferers
Safety and tolerability data were also highly positive, with no serious adverse events recorded in any patients on MED3000 and overall, with a highly favourable side-effect profile
MED3000 presents an effective clinically proven treatment for erectile dysfunction ("ED") with a rapid speed of onset and a favourable benefit versus risk profile ideally suited for Over the Counter ("OTC") classification1
Futura on track to file dossier with the US FDA by the end of September, targeting marketing authorisation by the FDA of MED3000 in Q1 2023 as the first major ED treatment available OTC throughout the USA
MED3000 is a breakthrough, fast acting topical gel formulation for the treatment of ED and is CE marked in Europe and CA marked in the UK, as a clinically proven topical treatment for adult men with ED that helps men get an erection within 10 minutes.
FM71 results are highly positive, in line with data generated in the previous Phase 3 clinical study ("FM57") and broadly comparable with results from a recent "real world", home use study.
Accumulated MED3000 clinical data demonstrates that it presents an effective treatment option with a rapid onset of action and a favourable risk versus benefit profile ideally suited for OTC classification1. It is expected to provide an alternative to existing ED treatments, that require a doctor's prescription, for those patients seeking fewer systemic side-effects, and a spontaneous intercourse experience. It also provides an important treatment option for those patients who are currently precluded from using current prescription treatments such as those men taking nitrate medication.
FM71 Trial Design
FM71 is a multi-centre, randomised, open-label, home use, parallel group, clinical investigation of topically applied MED3000 gel compared to oral tadalafil (5mg) tablets for the treatment of ED over a 24-week period. The trial design and clinical endpoints were agreed with the FDA as a confirmatory clinical trial for the US regulatory dossier for MED3000 which we continue to target filing by the end of September 2022.
FM71 investigated the efficacy and safety of MED3000 gel in 96 male patients clinically diagnosed with a mix of mild, moderate and severe ED against baseline (pre-treatment). Subjects were recruited from United States (African Americans), Poland, Georgia and Bulgaria and included men who had organic and psychological ED or a combination of both.
Patients enrolled into the FM71 study for the initial four weeks had to attempt intercourse on at least four occasions in order to establish the severity of their ED known as the 'baseline', after which MED3000 was used as per trial protocol for 24 weeks.
Efficacy - Co-Primary Endpoints
Co-primary endpoints pre-determined with the FDA were achieved for MED3000. The first showed a highly statistically significant improvement, P<0.001, against baseline at 24 weeks in erectile function (as measured by the gold standard, internationally recognised IIEF-EF score) across 'pooled' severities of ED (mild, moderate and severe). The 24-week time point demonstrated durability of response to treatment beyond 12 weeks (studied previously in FM57) which was specifically requested by the FDA.
The second primary endpoint, again using the IIEF-EF scale, showed that on average patients experienced a 5.73 unit change in IIEF-EF score versus baseline at 24 weeks exceeding the 4-unit difference agreed with the FDA and defined as the Minimal Clinical Important Difference ("MCID"). This standard, as defined in scientific papers by Rosen et al2, is internationally accepted as a key criterion demonstrating meaningful difference in improvement of erections, and therefore is of clear benefit to patients.
Onset of Action - Secondary Endpoints
FM71 also included FDA agreed criteria for proving a rapid onset of action. Data demonstrated a highly statistically significant improvement, P<0.001, at 10 minutes where patients noticed an erection. Oral tadalafil (5mg tablets) did not meet the criteria at the same time point. Oral tablets typically take 30-60 minutes to work and therefore a claim for MED3000 such as "helps you get an erection within 10 minutes" represents a significant advancement in therapy over existing oral tablets.
Exploratory Endpoints
A number of exploratory endpoints were studied with key highlights as follows:
Using the well-established Self Esteem and Relationship (SEAR) questionnaire, it was determined that at week 24, 85.4% of MED3000 users felt that sex could be spontaneous (includes: Always/Almost Always/Most times/Sometimes), reaffirming the rapid onset of action and key user benefit
Using the IIEF-EF scale, MED3000 was shown to exceed the MCID of 4 units at each time point; 4 weeks (4.59 units), 8 weeks (5.20), 12 weeks (5.12), 16 weeks (5.83), 20 weeks (5.57) and 24 weeks (5.73). Generally, there was an improvement in IIEF-EF score over the 24-week duration of the study and importantly there was no decline in efficacy between 12 and 24 weeks. The potential for a decline in efficacy between 12 and 24 weeks had been previously raised by the FDA as a potential issue
An average of results over the 24 weeks, showed that MED3000 exceeded the MCID for subgroups of mild, moderate and severe ED sufferers
Safety and Tolerability
Safety and tolerability data were also highly positive, with no serious adverse events recorded in any patients on MED3000 with a highly favourable overall side-effect profile. Of particular note is that 19.1% of tadalafil users experienced a headache on at least one occasion whilst using the product versus 4.3% of MED3000 users; headache is a known side-effect of prescription oral medications for ED. 4.3% tadalafil users also noted back pain and 4.3% "non-cardiac" chest pain (three cases of moderate and one mild in the US population). No instances of back pain or chest pain were noted with MED3000 although 4.3% users noted nausea (two subjects). Only one instance of mild local burning was noted in MED3000 users and no instances of local side-effects in female partners.
Summary comparison of MED3000 versus tadalafil in FM71
Both MED3000 and tadalafil exceeded the minimal clinically important differences at all time points and for all ED severities however overall tadalafil showed a greater improvement in erectile function than MED3000. MED3000 achieved the FDA agreed criteria for proving a rapid onset of action at 10 minutes where patients noticed an erection whereas tadalafil did not achieve the agreed criteria. MED3000 also showed a more favourable side effect profile compared to tadalafil.
Comparison of FM71 with previously conducted Phase 3 clinical trial, FM57
Data from the FM71 study reaffirms previously published results from FM57, which showed MED3000 to be rapid-acting with first signs of erection within 10 minutes. At 4, 8 and 12-week time points highly statistically superior improvement over baseline was achieved with very similar IIEF-EF scores in both studies. Safety and tolerability data was also consistent with FM57, with no serious adverse events recorded in any patient or their female partner on MED3000 as well as a highly favourable overall side effect profile.
Next Steps
As previously announced, the FDA has agreed that an application may be made for MED3000 as a medical device for ED treatment, with a De Novo classification. Data from this confirmatory clinical study, FM71, alongside additional data from FM57, supports the US regulatory submission for MED3000 with an application for OTC designation. The dossier is on track for submission at the end of September 2022.
US marketing authorisation of MED3000 by the FDA remains on course for Q1 2023.
The FDA has given MED3000 (Eroxon), the first nonprescription topical gel for treating erectile dysfunction (ED) in men over the age of 22, permission to be sold without a prescription. The company that makes it, Futura Medical, revealed this on Monday.
The company says that MED3000 has "a 10-minute onset of action" that makes it different from prescription PDE5 inhibitors like sildenafil (Viagra) and tadalafil (Cialis), which usually take longer to work.
The non-medicated hydro-alcoholic gel was first used as a placebo in studies of a nitroglycerin gel the company was making, but it turned out that MED3000 worked just as well in a big phase III trialopens in a new tab or window.
US FDA Grants for Over-the-Counter Marketing Authorization to Futura for Fast-Acting Topical Gel, MED3000, to Treat Erectile Dysfunction
Futura Medical plc (AIM: FUM) (“Futura” or the “Company”), a pharmaceutical company developing a portfolio of innovative products based on its proprie
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Highly positive FM71 Phase 3 Study Results with all primary and secondary endpoints achieved, MED3000 remains on track to obtain US FDA marketing authorisation
Futura Medical plc (AIM: FUM), a pharmaceutical company developing a portfolio of innovative products based on its proprietary, transdermal DermaSys® drug delivery technology and currently focused on sexual health and pain, today announces positive results from the confirmatory Phase 3 clinical study, "FM71" for MED3000 for the treatment of erectile dysfunction ("ED").
FDA agreed co-primary endpoints met at 24 weeks, demonstrating a statistically significant improvement in erectile function compared to baseline, as well as achieving a clinically important improvement in erectile function at 24 weeks
Secondary endpoint met demonstrating a 10-minute onset of action, which was demonstrably faster than the well-known prescription oral medication used in the study
Exploratory endpoints demonstrated MED3000 achieved clinically important improvements in erectile function at all time points and was clinically effective in mild, moderate and severe ED sufferers
Safety and tolerability data were also highly positive, with no serious adverse events recorded in any patients on MED3000 and overall, with a highly favourable side-effect profile
MED3000 presents an effective clinically proven treatment for erectile dysfunction ("ED") with a rapid speed of onset and a favourable benefit versus risk profile ideally suited for Over the Counter ("OTC") classification1
Futura on track to file dossier with the US FDA by the end of September, targeting marketing authorisation by the FDA of MED3000 in Q1 2023 as the first major ED treatment available OTC throughout the USA
MED3000 is a breakthrough, fast acting topical gel formulation for the treatment of ED and is CE marked in Europe and CA marked in the UK, as a clinically proven topical treatment for adult men with ED that helps men get an erection within 10 minutes.
FM71 results are highly positive, in line with data generated in the previous Phase 3 clinical study ("FM57") and broadly comparable with results from a recent "real world", home use study.
Accumulated MED3000 clinical data demonstrates that it presents an effective treatment option with a rapid onset of action and a favourable risk versus benefit profile ideally suited for OTC classification1. It is expected to provide an alternative to existing ED treatments, that require a doctor's prescription, for those patients seeking fewer systemic side-effects, and a spontaneous intercourse experience. It also provides an important treatment option for those patients who are currently precluded from using current prescription treatments such as those men taking nitrate medication.
FM71 Trial Design
FM71 is a multi-centre, randomised, open-label, home use, parallel group, clinical investigation of topically applied MED3000 gel compared to oral tadalafil (5mg) tablets for the treatment of ED over a 24-week period. The trial design and clinical endpoints were agreed with the FDA as a confirmatory clinical trial for the US regulatory dossier for MED3000 which we continue to target filing by the end of September 2022.
FM71 investigated the efficacy and safety of MED3000 gel in 96 male patients clinically diagnosed with a mix of mild, moderate and severe ED against baseline (pre-treatment). Subjects were recruited from United States (African Americans), Poland, Georgia and Bulgaria and included men who had organic and psychological ED or a combination of both.
Patients enrolled into the FM71 study for the initial four weeks had to attempt intercourse on at least four occasions in order to establish the severity of their ED known as the 'baseline', after which MED3000 was used as per trial protocol for 24 weeks.
Efficacy - Co-Primary Endpoints
Co-primary endpoints pre-determined with the FDA were achieved for MED3000. The first showed a highly statistically significant improvement, P<0.001, against baseline at 24 weeks in erectile function (as measured by the gold standard, internationally recognised IIEF-EF score) across 'pooled' severities of ED (mild, moderate and severe). The 24-week time point demonstrated durability of response to treatment beyond 12 weeks (studied previously in FM57) which was specifically requested by the FDA.
The second primary endpoint, again using the IIEF-EF scale, showed that on average patients experienced a 5.73 unit change in IIEF-EF score versus baseline at 24 weeks exceeding the 4-unit difference agreed with the FDA and defined as the Minimal Clinical Important Difference ("MCID"). This standard, as defined in scientific papers by Rosen et al2, is internationally accepted as a key criterion demonstrating meaningful difference in improvement of erections, and therefore is of clear benefit to patients.
Onset of Action - Secondary Endpoints
FM71 also included FDA agreed criteria for proving a rapid onset of action. Data demonstrated a highly statistically significant improvement, P<0.001, at 10 minutes where patients noticed an erection. Oral tadalafil (5mg tablets) did not meet the criteria at the same time point. Oral tablets typically take 30-60 minutes to work and therefore a claim for MED3000 such as "helps you get an erection within 10 minutes" represents a significant advancement in therapy over existing oral tablets.
Exploratory Endpoints
A number of exploratory endpoints were studied with key highlights as follows:
Using the well-established Self Esteem and Relationship (SEAR) questionnaire, it was determined that at week 24, 85.4% of MED3000 users felt that sex could be spontaneous (includes: Always/Almost Always/Most times/Sometimes), reaffirming the rapid onset of action and key user benefit
Using the IIEF-EF scale, MED3000 was shown to exceed the MCID of 4 units at each time point; 4 weeks (4.59 units), 8 weeks (5.20), 12 weeks (5.12), 16 weeks (5.83), 20 weeks (5.57) and 24 weeks (5.73). Generally, there was an improvement in IIEF-EF score over the 24-week duration of the study and importantly there was no decline in efficacy between 12 and 24 weeks. The potential for a decline in efficacy between 12 and 24 weeks had been previously raised by the FDA as a potential issue
An average of results over the 24 weeks, showed that MED3000 exceeded the MCID for subgroups of mild, moderate and severe ED sufferers
Safety and Tolerability
Safety and tolerability data were also highly positive, with no serious adverse events recorded in any patients on MED3000 with a highly favourable overall side-effect profile. Of particular note is that 19.1% of tadalafil users experienced a headache on at least one occasion whilst using the product versus 4.3% of MED3000 users; headache is a known side-effect of prescription oral medications for ED. 4.3% tadalafil users also noted back pain and 4.3% "non-cardiac" chest pain (three cases of moderate and one mild in the US population). No instances of back pain or chest pain were noted with MED3000 although 4.3% users noted nausea (two subjects). Only one instance of mild local burning was noted in MED3000 users and no instances of local side-effects in female partners.
Summary comparison of MED3000 versus tadalafil in FM71
Both MED3000 and tadalafil exceeded the minimal clinically important differences at all time points and for all ED severities however overall tadalafil showed a greater improvement in erectile function than MED3000. MED3000 achieved the FDA agreed criteria for proving a rapid onset of action at 10 minutes where patients noticed an erection whereas tadalafil did not achieve the agreed criteria. MED3000 also showed a more favourable side effect profile compared to tadalafil.
Comparison of FM71 with previously conducted Phase 3 clinical trial, FM57
Data from the FM71 study reaffirms previously published results from FM57, which showed MED3000 to be rapid-acting with first signs of erection within 10 minutes. At 4, 8 and 12-week time points highly statistically superior improvement over baseline was achieved with very similar IIEF-EF scores in both studies. Safety and tolerability data was also consistent with FM57, with no serious adverse events recorded in any patient or their female partner on MED3000 as well as a highly favourable overall side effect profile.
Next Steps
As previously announced, the FDA has agreed that an application may be made for MED3000 as a medical device for ED treatment, with a De Novo classification. Data from this confirmatory clinical study, FM71, alongside additional data from FM57, supports the US regulatory submission for MED3000 with an application for OTC designation. The dossier is on track for submission at the end of September 2022.
US marketing authorisation of MED3000 by the FDA remains on course for Q1 2023.
