FDA Posts Interim Essure Study Results
FDA says that interim results of a post-marketing surveillance study of Bayer’s withdrawn Essure permanently implanted birth control device show that Essure patients tend to have higher rates of chronic lower abdominal or pelvic pain and abnormal uterine bleeding compared to women who had laparoscopic tubal ligation as their permanent birth control. In a statement, CDRH Health of Women Program director Terri Cornelison also says patients with Essure had higher rates of gynecologic surgical procedures, including surgery to remove Essure, than patients who had tubal ligation. Pregnancy rates were similar for patients with Essure and tubal ligation, she says.
Essure sales were discontinued in the U.S. in 2018 and it has not been available for implantation in the U.S. since 12/2019. In 2/2016 FDA ordered Bayer to gather more data about Essure’s benefits and compare them to laparoscopic tubal ligation. In 12/2018 FDA required the company to extend the post-surveillance study from three to five years.
While study enrollment has ended, the notice says, the five-year follow-up of patients after their permanent birth control procedure is ongoing and patients are still completing one-year follow-up visits.
Cornelison says FDA is working with Bayer to modify the study to include an additional interim analysis at one year of follow-up after the patients’ procedure, earlier than the originally planned analysis at three years.