The SECURE Trial

Study Design

Pivotal clinical trial1

An open-label, 1-year, single-arm, multicenter trial enrolled 2,031 healthy, sexually active women aged 18–60. The primary efficacy analysis included 1,736 women.

5 .8
Pearl Index

(95% Cl, 4.5 – 7.2)

Patient Population

An inclusive and representative clinical trial1

Demographic Breakdown of Patients in Pivotal Clinical Trial (%)

Demographic SECURE trial† U.S. Population2
White 67% 75%
Asian 4% 6%
Black 24% 14%
Other 6% 4%
Hispanic 19% 20%
Non-Hispanic 81% 80%

†

2031 women aged 18 to 60 participated in SECURE at 102 sites in 34 states.

Body Mass Index (BMI) Subgroup Breakdown (%)

BMI SECURE trial U.S. Population
<25 kg/m2 39% 33%
≥25 to <30 kg/m2 25% 27%
≥30 kg/m2 35% 40%

Efficacy

Demonstrated pregnancy prevention1

Pearl Index Efficacy Analysis in Twirla-Treated Women by BMI Subgroup*

BMI Evaluable Cycles Pearl Index (95% CI)
<25 kg/m2 6007 3.5 (1.8–5.2)
≥25 to <30 kg/m2 3881 5.7 (3.0–8.4)
≥30 kg/m2 5264 8.6 (5.8–11.5)

*

Twirla is contraindicated in women with a BMI ≥ 30 kg/m2.
There is an increased pregnancy rate (i.e., the number of pregnancies per 100 woman-years), as BMI increases based on the primary analysis population (N=1,735).

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twirla patch on shoulder

Twirla has the lowest dose of estrogen in a CHC patch available

With the FDA’s approval of Twirla’s updated label, Twirla is the lowest-dose of estrogen in a CHC patch, delivering 10 mcg of ethinyl estradiol and 40 mcg of levonorgestrel daily.

CHC = Combined Hormonal Contraceptive