FDA Strengthening Essure Post-Marketing Study

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FDA commissioner Scott Gottlieb says the agency is taking steps to strengthen a mandated post-marketing study for Bayer’s Essure permanent birth control device that was withdrawn from the market 12/31/18. In a statement, Gottlieb says the agency worked with Bayer to see that it implements several approved study modifications to strengthen the evidence collected.

First, he writes, women in the study will be followed for five years, rather than the three years that was initially required. “This extension will provide us with longer-term information on adverse risks of the device, including issues that may lead women to have the device removed,” he explains.

A second change is to require additional blood testing of patients enrolled in follow-up visits during the study to learn more about patients’ levels of certain inflammatory markers that can be indicators of increased inflammation. Gottlieb says the testing could help better evaluate potential immune reactions to the device and whether the findings are associated with symptoms that patients have reported related to Essure.

The agency also is requiring the company to enroll patients who might have opted to receive Essure in advance of its full discontinuation from the U.S. market and to continue to submit more frequent reports to FDA on the study’s progress and results.

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