FDA Approves Medicines360’s Supplemental New Drug Software program for Liletta (levonorgestrel-releasing intrauterine system) 52 mg as Remedy of Heavy Menstrual Bleeding


SAN FRANCISCO, CA — July 10, 2023 — Medicines360, a world nonprofit group with a mission to catalyze equitable entry to top quality medicines for ladies, launched in the meanwhile that the U.S. Meals and Drug Administration (FDA) has accepted its supplemental New Drug Software program (sNDA) for Liletta® (levonorgestrel-releasing intrauterine system) 52 mg for remedy of Heavy Menstrual Bleeding (HMB) for as a lot as 5 years in victims who choose intrauterine contraception as their strategy of contraception.

A substantial physique of literature has demonstrated the levonorgestrel 52 mg IUS to be extraordinarily environment friendly at decreasing bleeding in victims with HMB. “For these experiencing HMB, medical treatments are most popular over surgical remedy as they’re further helpful and pose a lot much less hazard,” talked about Andrea Olariu, M.D., PhD, and CEO of Medicines360. “With restricted picks of hormonal IUDs to take care of HMB, we’re completely happy to ship on our mission by working to produce prescribers and victims one different medical remedy risk.”

The FDA’s approval of the model new indication depends on efficacy and safety data from a Part 3 scientific trial carried out by Medicines360, which was first printed in Obstetrics and Gynecology in Might 2023. The scientific trial included analysis contributors of various ages, races, parity, and physique mass index (BMI).

Liletta is commercially on the market throughout the U.S. by means of Medicines360’s nonprofit pharmaceutical model. Liletta is obtainable at a lower worth to public effectively being clinics enrolled throughout the 340B Drug Pricing Program.


Liletta® (levonorgestrel-releasing intrauterine system) 52 mg is a hormone-releasing system positioned in your uterus to forestall being pregnant for as long as you want for as a lot as 8 years. Liletta moreover treats heavy intervals for as a lot as 5 years in women who choose to utilize contraception positioned throughout the uterus.


  • Do not use Liletta if you:
    • Are or is maybe pregnant; Liletta cannot be used as an emergency contraceptive
  • Have a extreme pelvic an an infection known as pelvic inflammatory sickness (PID); PID occurs in decrease than 1% of consumers
    • Have an untreated lower genital an an infection now
    • Have had a extreme pelvic an an infection after an abortion or being pregnant inside the ultimate 3 months
    • Can get infections merely; as an illustration, if you:
      • Have points alongside along with your immune system
      • Have quite a lot of sexual companions or your companion has quite a lot of sexual companions
    • Have or suspect you would possibly want most cancers of the uterus or cervix
    • Have bleeding from the vagina that has not been outlined
    • Have short-term (acute) liver sickness or liver tumor
    • Have breast most cancers or another most cancers that is delicate to progestin (a female hormone), now or beforehand
    • Have an intrauterine contraceptive system (IUS) in your uterus already
    • Have a state of affairs of the uterus that changes the type of the uterine cavity, similar to huge fibroid tumors
    • Are allergic to levonorgestrel, silicone, polyethylene, or barium sulfate
  • Title your healthcare provider instantly if you suppose you are pregnant. While you get pregnant whereas using Liletta, you will have an ectopic being pregnant, which suggests the being pregnant won’t be throughout the uterus. Unusual vaginal bleeding or abdomen ache, significantly with missed intervals, may be a sign of ectopic being pregnant. Ectopic being pregnant might trigger internal bleeding. There are moreover risks if you get pregnant whereas using Liletta and the being pregnant is throughout the uterus. Excessive an an infection and premature labor or provide can occur with pregnancies that proceed with an IUS
  • Although uncommon, being pregnant whereas using Liletta is likely to be life-threatening and can finish in lack of being pregnant or fertility
  • Life-threatening an an infection can occur inside the primary few days after Liletta is positioned. Title your healthcare provider immediately if you develop excessive ache or fever shortly after Liletta is positioned
  • Some IUS prospects get a extreme pelvic an an infection known as pelvic inflammatory sickness (PID) or endometritis. These may be sexually transmitted. You might need a greater likelihood of getting PID or endometritis if you or your companion has intercourse with totally different companions. PID or endometritis might trigger extreme points similar to infertility, ectopic being pregnant, or pelvic ache that does not go away. Further extreme cases of PID or endometritis might require surgical process. Elimination of the uterus (hysterectomy) is usually needed. In unusual cases, infections that start as PID or endometritis might even set off demise. Inform your healthcare provider instantly if in case you might have any of these indicators of PID or endometritis: long-lasting or heavy bleeding, unusual or foul-smelling vaginal discharge, low abdomen or pelvic ache, painful intercourse, genital lesions or sores, chills, or fever
  • Liletta might partially go into (develop to be embedded) or go completely by means of (perforate) the wall of the uterus. If perforation occurs, Liletta might switch exterior the uterus and would possibly set off internal scarring, an an infection, or hurt to totally different organs. It is doable you will need surgical process to have Liletta eradicated whether or not it’s embedded, or perforation occurs. Risk of perforation is elevated in breastfeeding women
  • Liletta might come out of your uterus (expulsion). Expulsion occurs in about 4 out of 100 women, most continuously throughout the first yr of use. It is doable you will develop to be pregnant if Liletta comes out. While you suppose that Liletta has come out, use one different contraception method like condoms or wouldn’t have intercourse (vaginal intercourse) until you are seen by a healthcare provider
  • Ovarian cysts might occur nevertheless usually disappear
  • Bleeding and recognizing might enhance throughout the first 3 to 6 months and keep irregular. Durations over time usually develop to be shorter, lighter, or might stop

Liletta does not defend in the direction of HIV or STDs.

On the market by prescription solely.

You are impressed to report detrimental uncomfortable unwanted effects of prescription drugs to the FDA. Go to www.fda.gov/medwatch or title 1-800-FDA-1088.

Please see full Prescribing Data for Liletta.

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