Secnidazole is the first single-dose oral treatment for bacterial vaginosis, the most common vaginal infection in women , according to the Centers for Disease Control and Prevention. It is a potent, next-generation, 5-nitroimidazole antibiotic with enhanced pharmacokinetic properties that enable delivery in a single dose that’s been shown to be efficacious and well tolerated.
Bacterial Vaginosis is the most prevalent gynecologic infection in the U.S., affecting 21 million women ages 14 to 49 annually. The most commonly prescribed oral Bacterial Vaginosis treatment regimen requires twice-a-day dosing for seven days. Adherence with the current leading therapy for the treatment of Bacterial Vaginosis has been shown to be only approximately 50 percent. If left untreated, BV can increase the risk of contracting sexually transmitted diseases, including chlamydia, gonorrhea, herpes, trichomaniasis and HIV, and can also increase the risk of pre-term birth and low birth weight.
More than 50 percent of women treated for BV have a recurrence within 12 months, significantly impacting work productivity and quality of life. In recent studies, 60 percent of recurrent sufferers reported a negative impact on work attendance, job performance and productivity, and 95 percent reported a severe restriction in intimate partner relations
A dose of secnidazole comes in the form of a 2-g packet of granules. Patients can sprinkle the granules on applesauce, yogurt, or pudding and eat the mixture within 30 minutes without chewing or crunching the granules.
“The approval of Secnidazole (Solosec™) finally gives women the option of a single, well-tolerated, oral dose treatment for BV, a common infection which can have many health consequences,” said Paul Nyirjesy, MD, Professor of Obstetrics & Gynecology at Drexel University College of Medicine in Philadelphia, PA and an investigator in the Solosec™ clinical trials. “A single dose regimen may improve adherence and the likelihood of a successful cure.”
“The FDA’s approval of this first-of-its-kind treatment is an important milestone for Symbiomix and most importantly, millions of women suffering from BV,” said David L. Stern, CEO of Symbiomix. “The approval of Secnidazole ( Solosec™) represents a critical moment in our efforts to bring innovative medicines to the women’s health market. Solosec™ is the first new oral antibiotic to treat BV in more than a decade and will provide women with a new treatment option. We look forward to making this treatment available to patients in the first quarter of 2018.”
The FDA approval was supported by a comprehensive set of studies, including two pivotal trials in BV and an open label safety study, which found efficacy for single-dose secnidazole 2g. All treatment-emergent adverse events were mild or moderate in intensity; no serious adverse events were reported, and no patients discontinued treatment due to adverse events in clinical trials for the treatment of BV.