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TherapeuticsMD Announces Positive Top-Line Results from Pivotal Phase 3 Replenish Trial in Postmenopausal Women with Moderate to Severe Vasomotor Symptoms (VMS) Treated with TX-001HR - TX-001HR, the

Key Takeaway: TherapeuticsMD, Inc. 8-K Announces Positive Top-Line Results from Pivotal Phase 3 Replenish Trial in Postmenopausal Women with Moderate to Severe Vasomotor Symptoms (VMS) Treated with TX-001HR TX-001HR, the first bio-identical combination therapy of estradiol and progesterone

Full Press Release Details

TherapeuticsMD, Inc. 8-K
Announces Positive Top-Line Results from Pivotal Phase 3 Replenish Trial in Postmenopausal Women with Moderate to Severe Vasomotor
Symptoms (VMS) Treated with TX-001HR
TX-001HR, the first bio-identical combination therapy of estradiol and progesterone evaluated in a randomized, controlled clinical
trial met all co-primary efficacy and safety endpoints at multiple doses -
TX-001HR, if approved, offers a potential new alternative for millions of post-menopausal women currently using unapproved compounded
hormone therapy for the treatment of VMS -
Conference call today at 4:30 p.m. ET to discuss results -
RATON, Florida, December 5, 2016 - TherapeuticsMD, Inc. (NYSE MKT: TXMD), an innovative women's healthcare company,
today announced positive top-line results from its pivotal phase 3 Replenish Trial of TX-001HR, an investigational bio-identical
hormone therapy combination of 17 -estradiol and progesterone in a single, oral softgel, for the treatment of moderate to
severe vasomotor symptoms (VMS) due to menopause in post-menopausal women with an intact uterus.
Replenish Trial evaluated four doses of TX-001HR and placebo in 1,835 post-menopausal women between 40 and 65 years old. The doses
17 -estradiol 1 mg/progesterone 100 mg (n = 416)
17 -estradiol 0.5 mg/progesterone 100 mg (n = 423)
17 -estradiol 0.5 mg/progesterone 50 mg (n = 421)
17 -estradiol 0.25 mg/progesterone 50 mg (n = 424)
Replenish Trial results demonstrated:
TX-001HR estradiol 1 mg/progesterone 100 mg and TX-001HR estradiol 0.5 mg/progesterone 100 mg both achieved all four of the co-primary efficacy endpoints and the primary safety endpoint.
TX-001HR estradiol 1 mg/progesterone 100 mg and TX-001HR estradiol 0.5 mg/progesterone 100 mg both demonstrated a statistically significant and clinically meaningful reduction from baseline in both the frequency and severity of hot flashes compared to placebo.
TX-001HR estradiol 0.5 mg/progesterone 50 mg and TX-001HR estradiol 0.25 mg/progesterone 50 mg were not statistically significant at all of the co-primary efficacy endpoints. The estradiol 0.25 mg/progesterone 50 mg dose was included in the clinical trial as a non-effective dose to meet the recommendation of the FDA guidance to identify the lowest effective dose.
The incidence of consensus endometrial hyperplasia or malignancy was 0 percent across all four TX-001HR doses, meeting the recommendations established by the U.S. Food and Drug Agency's (FDA) draft guidance. 1
outlined in the FDA guidance, the co-primary efficacy endpoints in the Replenish Trial were the change from baseline in the number
and severity of hot flashes at weeks 4 and 12 as compared to placebo.1
The primary safety endpoint was the incidence of endometrial hyperplasia with up to 12 months of treatment. General safety
results of the Replenish Trial are summarized in the table below (p-values of < 0.05 meet FDA guidance and support evidence
are very pleased that multiple doses of TX-001HR studied in the Replenish Trial demonstrated these positive results, suggesting
that, if approved, this drug product candidate is poised to address the significant demand for bio-identical hormone therapy,"
said Chief Executive Officer Robert G. Finizio. "We have successfully advanced the science for post-menopausal women's
health by finding a way to effectively combine bio-identical estradiol and bio-identical progesterone. The need for a bio-identical
FDA-approved combination therapy has been unanswered for decades, driving women to use unapproved drugs mixed together by independent
and community pharmacies that compound these products. We believe that TX-001HR, if approved, will provide women, healthcare
providers and pharmacists with a proven safe, effective and insurance reimbursed bio-identical combination product, finally answering
that need. We will continue to evaluate these promising data, and look forward to submitting a New Drug Application
for TX-001HR to the Food and Drug Administration as early as the third quarter of 2017."
trial also demonstrated a dose response favoring the higher doses of estradiol in combination with progesterone. The availability
of multiple doses of TX-001HR would allow for individualized therapy to meet the needs of a diverse population of women.
most common adverse events (>5 percent) reported on average in all the active treatment groups were headache, nasopharyngitis,
breast tenderness, and upper respiratory infection. There was a very low reported incidence of adverse events of somnolence with
TX-001HR, in contrast to commercially available oral progesterone where somnolence has been reported as a significant side effect.
There were no unexpected safety signals.
Replenish Trial evaluated various secondary endpoints using well-validated patient reported outcome tools, including the Menopause-Specific
Quality of Life (MENQOL), the Clinical Global Impression scale (CGI), and the responder analysis rate. Both TX-001HR estradiol
1 mg/progesterone 100 mg and TX-001HR estradiol 0.5 mg/progesterone 100 mg demonstrated clinically meaningful and statistically
significant improvements in the secondary endpoints using these tools.
efficacy and safety analyses of the Replenish Trial data are ongoing and TherapeuticsMD plans to submit the full Replenish Trial
results for presentation at future scientific meetings and for publication in peer-reviewed journals.
is the first bio-identical combination hormone therapy of estradiol in combination with progesterone to be evaluated in a large,
well-controlled, randomized clinical trial," said TherapeuticsMD Chief Medical Officer Sebastian Mirkin, M.D. "The
Replenish Trial demonstrated for the first-time safety and robust efficacy for the treatment of hot flashes at multiple doses
of TX-001HR. If approved, TX-001HR estradiol 1 mg/progesterone 100 mg and TX-001HR estradiol 0.5 mg/progesterone 100 mg would
provide TherapeuticsMD with a complete portfolio to meet the demands of women currently taking
unapproved compounded hormones for the treatment of VMS, along with the healthcare providers and pharmacies that prescribe and
compound these products."
is a novel combination of 17 -estradiol and natural progesterone under investigation for treating vasomotor symptoms related
to menopause. If approved by the FDA, TX-001HR would represent the first bio-identical estradiol and progesterone approved for
use in a single, combined product for postmenopausal women with an intact uterus offering women an important alternative to both
the available FDA-approved synthetic (non-bio-identical) hormones and the unapproved compounded bio-identical hormone products.
Bio-identical refers to estradiol and progesterone that are molecularly identical to the hormones circulating naturally in the
woman's body. An estimated one to two-and-a-half million women in the U.S. are using unapproved, compounded bio-identical
hormone therapies to treat vasomotor symptoms.2 Leading medical societies and the FDA advise that compounded hormone
therapies may pose significant risk to women given lack of efficacy and safety data and lack of uniform manufacturing processes.
was developed using TherapeuticsMD's unique SYMBODATM technology (meaning "similar to the body"),
which enables partial and complete solubilization of estradiol and progesterone into medium-chain fatty acid oils often derived
Menopause and Vasomotor Symptoms (VMS)
is a natural life-stage transition for women with an average onset of 51 years. According to the United States Census Bureau,
approximately 43 million women in the U.S. are of menopausal age (45-64 years).3
the ovaries stop producing hormones, levels of circulating estrogen decrease, often causing vasomotor symptoms (VMS) such as night
sweats, hot flashes, and sleep disturbances. VMS affect as many as 60-80 percent of all menopausal women.
women can benefit from hormone therapy (HT), also known as hormone replacement therapy (HRT), which is recognized by key medical
societies as the most effective treatment for relief of symptoms related to menopause.
will host a conference call today, during which management will discuss the top-line results of the pivotal phase 3 Replenish
Trial. Details for the call are:
Telephone Access (US): (866) 665-9531
Access (International): (724) 987-6977
Code for All Callers: 30215405
a live webcast of the conference call can be accessed on the company's website, www.therapeuticsmd.com, under the
"Investors & Media" section.
TherapeuticsMD, Inc.
Inc. is an innovative healthcare company focused on developing and commercializing products exclusively for women. With its SYMBODA
technology, TherapeuticsMD is developing advanced hormone therapy pharmaceutical products to enable delivery of bio-identical
hormones through a variety of dosage forms and administration routes. The company's clinical development pipeline includes
two phase 3 products. The company also manufactures and distributes branded and generic prescription prenatal vitamins under the
vitaMedMD and BocaGreenMD brands. More information is available at the following websites: www.therapeuticsmd.com,
press release by TherapeuticsMD, Inc. may contain forward-looking statements. Forward-looking statements may include,
but are not limited to, statements relating to TherapeuticsMD's objectives, plans and strategies as well as statements,
other than historical facts, that address activities, events or developments that the company intends, expects, projects, believes
or anticipates will or may occur in the future. These statements are often characterized by terminology such as "believes,"
"hopes," "may," "anticipates," "should," "intends," "plans,"
"will," "expects," "estimates," "projects," "positioned," "strategy"
and similar expressions and are based on assumptions and assessments made in light of management's experience and perception
of historical trends, current conditions, expected future developments and other factors believed to be appropriate. Forward-looking
statements in this press release are made as of the date of this press release, and the company undertakes no duty to update or
revise any such statements, whether as a result of new information, future events or otherwise. Forward-looking statements are
not guarantees of future performance and are subject to risks and uncertainties, many of which are outside of the company's
control. Important factors that could cause actual results, developments and business decisions to differ materially from forward-looking
statements are described in the sections titled "Risk Factors" in the company's filings with the Securities
and Exchange Commission, including its most recent Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, as well as reports
on Form 8-K, and include the following: the company's ability to maintain or increase sales of its products; the company's
ability to develop and commercialize its hormone therapy drug candidates and obtain additional financing necessary therefor ;
whether the company will be able to prepare a new drug application for its TX-001HR product candidate and, if prepared, whether
the FDA will accept and approve the application; whether the FDA will approve the company's new drug application for
Last updated: Dec 5, 2016