Gwyn Lo Study 1 overview
A phase 3, open-label, single-arm, multicenter study evaluated 1320 women aged 16-54 years who were sexually active and had regular menstrual cycles. Participants completed ~13 consecutive 28-day cycles of treatment.1†
†The treatment regimen was a 4-week treatment cycle, with 1 Gwyn Lo patch applied every 7 days for 3 consecutive weeks followed by a 1-week patch-free period.1
Proven pregnancy prevention
Gwyn Lo was evaluated in Study 1, a phase 3, open-label, single-arm, multicenter pivotal trial1
The primary efficacy analysis included 983 women (aged 16-35 years, BMI <30 kg/m2) completing 9105 evaluable cycles in which intercourse occurred with no additional contraception.1
Primary endpoint1
Pearl Index 4.14
(95% CI: 2.77-5.95)
There were no differences in efficacy by BMI category
- Pearl Index for patients with BMI <25 kg/m2: 4.48 (95% CI: 2.61–7.17) after 4936 evaluable cycles
- Pearl Index for patients with ≥25 to <30 kg/m2: 3.74 (95% CI: 1.93–6.54) after 4169 evaluable cycles
96% avoided pregnancy
When used as directed.1
Pearl Index values are not comparable across trials or products due to differences in methodology, population criteria, BMI, and pregnancy detection methods.3
BMI=body mass index; CI=confidence interval.
Highly adhesive
~99% remained attached
Of the 39,790 patches worn in a year-long phase 3 study, 1.3% fully detached over the 7-day wear period.1
94%
of 342 patches worn in 4 additional studies had ≥75% surface area adhesion when evaluated throughout the 7-day wear period across various application sites and conditions.1
Additional safety and tolerability information
Venous events
Gwyn Lo is contraindicated in women with a BMI ≥30 kg/m2. The use of CHCs increases the risk of VTEs, such as deep vein thrombosis and pulmonary embolism. Risk factors for VTEs include smoking, obesity, and personal and/or family history of VTE, in addition to other factors that contraindicate use of CHCs. The risk of VTE may be greater with transdermal CHCs in women with a BMI ≥30 kg/m2 compared to women with a lower BMI.1
- During Study 1, one thromboembolic event (pulmonary embolism), syncope, and seizure were reported in a female who had been using Gwyn Lo for 42 days and had a BMI of 27.6 kg/m2
Other serious adverse reaction
This serious adverse reaction occurred in <1% of women who received Gwyn Lo: suicidal ideation in 3 women with psychiatric histories, 1 of whom also experienced exacerbation of depression.1
Discontinuation due to adverse reactions
- Discontinuation due to an adverse reaction occurred in 7.2% of women1
- Discontinuation due to menstrual disorders occurred in 1.6% of women1
- Menstrual disorders included intercycle and heavy withdrawal bleeding, menometrorrhagia, abnormal uterine bleeding, dysmenorrhea, and vaginal hemorrhage
- The most common adverse reaction leading to discontinuation was application site irritation (1.2%)1
- <1% of patients reported severe local application site reactions2
- Overall, 0.9% of women discontinued due to psychiatric disorders2
- Psychiatric disorders experienced in the clinical study included depression, anxiety, suicidal ideation, altered mood, depressed mood, and irritability
- 0.2% of women discontinued due to weight gain2
CHC=combined hormonal contraceptive; VTE=venous thromboembolism.
Most common adverse reactions
Reported by ≥2% of women treated with Gwyn Lo in the pivotal clinical trial1
Adverse reaction |
Gwyn Lo (n=1272) |
|---|---|
General disorders and administration site conditions |
|
| Application site irritation | 4.8% |
| Application site erythema | 3.7% |
| Application site pruritus | 3.7% |
Reproductive system and breast disorders |
|
| Intercycle bleeding | 3.9% |
| Heavy withdrawal bleeding | 2.0% |
Gastrointestinal disorders |
|
| Nausea | 2.0% |
Unscheduled bleeding/spotting
Proportion of women reporting breakthrough bleeding1‡
Mean number of unscheduled bleeding and/or spotting days1‡
‡Percent reporting based on any unscheduled bleeding/spotting per 28-day cycle via e-diary.1