Agile Therapeutics,Inc. (NASDAQ:AGRX) Files An 8-K Other Events
Item8.01.Other Events.
  On January3, 2017, Agile Therapeutics,Inc. (the Company) issued a
  press release announcing top-line results from its Phase 3 SECURE
  clinical trial of Twirla, its investigational low-dose combined
  hormonal contraceptive patch. SECURE was a multicenter,
  single-arm, open-label, 13-cycle trial that evaluated the safety,
  efficacy and tolerability of Twirla in 2032 healthy women aged 18
  and over at 102 experienced investigative sites across the United
  States. The Company plans to resubmit its new drug application
  (NDA) for Twirla in the first half of 2017 on the basis of the
  SECURE results and other information relating to the manufacture
  of Twirla.
  The Company will also host a conference call to discuss the
  top-line results from the SECURE clinical trial on January3,
  2017. A copy of the conference call presentation materials is
  also attached hereto as Exhibit99.2.
  Top-line data are based on a preliminary analysis of currently
  available efficacy and safety data, and therefore the reported
  results, findings and conclusions related to SECURE are subject
  to change following a comprehensive review of the complete data
  related to SECURE.
  SECURE was conducted to address issues raised by the U.S. Food
  and Drug Administration (FDA) in its 2013 Complete Response
  Letter (CRL) to the Company. The CRL recommended that the Company
  conduct a new clinical trial and focused on two key elements:
  improved clinical trial conduct and demonstration of efficacy as
  measured by an acceptable Pearl Index and related 95% confidence
  interval in a representative sample of U.S. women who are seeking
  hormonal contraception, including elements such as contraceptive
  user status, age, race, ethnicity, and body mass index (BMI). The
  trial was designed in consultation with the FDA, and comprised a
  number of stringent trial design elements, including exclusion of
  treatment cycles not only for use of back-up contraception but
  also for lack of sexual activity. SECURE had broad entry
  criteria, placed no limitations on BMI or other demographic
  factors during enrollment, and enrolled a large and diverse
  population from the United States in order to allow for efficacy
  to be assessed across different groups, as requested by the FDA.
  These entry criteria resulted in the inclusion of a substantial
  number of women with high BMI, who have frequently been
  under-represented in past contraceptive studies. The efficacy
  measure for SECURE was the Pearl Index in an intent to treat
  population of subjects 35 years of age and under. The FDA also
  requested inclusion of pre-specified efficacy analyses related to
  BMI and body weight.
Highlights of the top-line results include:
  Consistent with its broad entry criteria, the SECURE study
  population was representative of the population of women in the
  United States with respect to key demographic criteria,
  including:
Race (66.9% of subjects were white, 24.3% black and 8.8% other);
Ethnicity (19.7% were Hispanic, 80.3% non-Hispanic); and
  
    BMI (39.4% of subjects had a normal baseline weight (BMI of
    under 25 kg/m2), 25.3% of subjects were overweight (BMI of at
    least 25 kg/m2but less than 30 kg/m2), and 35.3% were obese
    (BMI 30 kg/m2or more). When classified as obese (BMI 30 kg/m2or
    more) or non-obese (BMI less than 30 kg/m2), 35.3% of subjects
    were obese and 64.7% were non-obese).
  
    Both new and experienced hormonal contraceptive users were
    enrolled (9.4% of subjects were new users).
  
    51.4% of subjects discontinued prematurely from the study and
    the loss to follow-up rate was 11.3%, which is in line with
    loss to follow-up rates observed in previous clinical trials of
    combined hormonal products and substantially better than the
    20% loss to follow-up rate observed in the Companys previous
    Phase 3 trial.
  
    The Pearl Index for the overall intent to treat population of
    subjects 35 years of age and under was 4.80 with an upper-bound
    of the 95% confidence interval of 6.06. As with all hormonal
    contraceptive trials, the number of pregnancies included in the
    Companys calculation of the Pearl Index is subject to review by
    the FDA as part of its overall review of the NDA for Twirla.
  
    Consistent with other recent hormonal contraceptive clinical
    trials, including Ortho Evra and Quartette, and the FDAs 2015
    meta-analysis on the effect of obesity on the effectiveness of
    hormonal contraceptives, a relationship between obesity and
    efficacy was observed among subjects 35 years of age and under:
  
| BMI Category | 
 | BMI (kg/m) | 
 | %ofTrial Population | 
 | PearlIndex | 
 | UpperBound of95%CI | 
 | 
| Normal | 25 | 
 | % | 3.03 | 4.62 | ||||
| Overweight | 25 – 30 | 
 | % | 5.36 | 7.98 | ||||
| Obese* | 30 | 
 | % | 6.42 | 8.88 | ||||
| Non-Obese* | 30 | 
 | % | 3.94 | 5.35 | ||||
| Obese* | 30 | 
 | % | 6.42 | 8.88 | 
    *In its 2015 meta-analysis, the FDA examined the effect of
    obesity on two populations: non-obese ( 30 kg/m2) and obese (
    30 kg/m2). Non-obese includes subjects in the normal and
    overweight categories.
  
    The highest Pearl Index for a hormonal contraceptive product
    approved by the FDA was 3.19 with an upper-bound of the 95%
    confidence interval of 5.03. As with all products, ultimate
    approvability of a hormonal contraceptive is based on a
    risk/benefit assessment of the overall safety and efficacy
    profile of a product, not only a specific Pearl Index. For
    hormonal contraceptive trials, the FDA generally evaluates
    efficacy results of each individual study in the unique context
    of the study population and trial design.
  
  
    Twirla was generally well tolerated and had an overall
    favorable safety profile, consistent with publicly available
    information relating to other low-dose combined hormonal
    products. The most frequent hormone-related adverse events,
    none of which were experienced by more than 5% of subjects,
    were generally in line with those events observed in other low
    dose combined hormonal products and included:
  
| AdverseEvent | 
 | SECURE(n=2032) | 
 | 
| Headache | 4.3 | % | |
| Nausea | 4.1 | % | |
| Breast tenderness/pain/discomfort | 2.0 | % | |
| Mood swings/changes/depression | 2.7 | % | |
| Heavy/irregular vaginal bleeding | 1.8 | % | 
    The percent of subjects reporting bleeding-related adverse
    events was low, 1.8%, and only 1.4% of women discontinued for
    bleeding issues.
  
    Serious adverse events were observed in 1.7% of subjects. The
    most common serious adverse events included deep vein
    thrombosis, pulmonary embolism, gallbladder disease, ectopic
    pregnancy and depression.
  
    Overall, patch-related irritation and itching rates were low.
    Of reported patches worn, 83% had no patch site irritation and
    65% had no itching. Generally, reported irritation and itching
    was mild. Severe itching or irritation were observed in 2.3%
    and 1.5% of patches worn, respectively.
  
    The patch adhesion profile was favorable with a low rate of
    detachment. Of reported patches worn, the range of detachments
    was 10% in cycle 1 and reduced to 2% by cycle 13.
  
    The Company will also host a conference call to discuss the
    top-line results from the SECURE clinical trial on January3,
    2017.
  
    Copies of the Companys press release and the conference call
    presentation materials are attached hereto as Exhibits 99.1 and
    99.2, respectively, and are hereby incorporated by reference
    herein.
  
    Risks Related to the Reported Results of
    SECURE
  
    The reported results of SECURE are based on
    top-line data and may ultimately differ from actual results
    once additional data are received and fully
    evaluated.
  
    The reported results of SECURE that we have publicly disclosed,
    and that are discussed herein, consist of top-line data.
    Top-line data are based on a preliminary analysis of currently
    available efficacy and safety data, and therefore the reported
    results, findings and conclusions related to SECURE are subject
    to change following a comprehensive review of the more
    extensive data that
  
  
    we expect to receive related to SECURE. Top-line data are based
    on important assumptions, estimations, calculations and
    information currently available to us, and we have not received
    or had an opportunity to fully and carefully evaluate all of
    the data related to SECURE. As a result, the top-line results
    of SECURE that we have reported may differ from future results,
    or different conclusions or considerations may qualify such
    results, once additional data have been received and fully
    evaluated. In addition, third parties, including regulatory
    agencies, may not accept or agree with our assumptions,
    estimations, calculations or analyses or may interpret or weigh
    the importance of data differently, which could impact the
    potential for approval of Twirla, or if approved, the labeling
    and commercial value of Twirla and our business in general. If
    the top-line data that we have reported related to SECURE
    differ from actual results, our ability to obtain approval for,
    and commercialize, our products may be harmed, which could harm
    our business, financial condition, operating results or
    prospects.
  
    The FDA may disagree with our interpretation of
    clinical results obtained from SECURE, our results do not
    guarantee support for a resubmission of our NDA or for
    regulatory approval, and, even if the SECURE data are deemed to
    be positive by the FDA, the FDA may disagree with other aspects
    of the SECURE study and decline to approve Twirla for the
    proposed indication.
  
    We have reported positive top-line data from SECURE. However,
    even if we believe that the data from SECURE are positive, the
    FDA could determine that the data from SECURE were negative or
    inconclusive or could reach a different conclusion than we did
    on that same data. Negative or inconclusive results of a
    clinical trial or difference of opinion could cause the FDA to
    decline to approve our application or require us to repeat the
    trial or conduct additional clinical trials prior to obtaining
    approval for commercialization, and there is no guarantee that
    additional trials would achieve positive results to the
    satisfaction of the FDA or that the FDA will agree with our
    interpretation of the results. Any such determination by the
    FDA would delay the timing of our commercialization plan for
    Twirla or prevent its further development, or the further
    development of our other product candidates, and adversely
    affect our business operations. Additionally, the FDA may
    provide review commentary at any time during the resubmission
    and review process which could delay the review timeline,
    adversely affect the review process, or even prevent the
    approval of Twirla, any of which would adversely affect our
    business. We may not be able to appropriately remedy issues
    that the FDA may raise in its review of our NDA resubmission,
    and we may not have sufficient time or financial resources to
    conduct future activities to remediate issues raised by the
    FDA.
  
    There is no guarantee that the data obtained from SECURE will
    be supportive of, or guarantee, an NDA resubmission, or result
    in our successfully obtaining FDA approval of Twirla in a
    timely fashion and for a commercially viable indication, if at
    all. For example, the FDA could determine that the trial did
    not meet its objectives or the FDA could still have concerns
    regarding the conduct of the SECURE study, including regarding
    discontinuance of subjects from the trial. At any future point
    in time, the FDA could require us to complete further clinical
    or preclinical trials, or take other actions which could delay
    or preclude any NDA resubmission or approval of the NDA and
    could require us to obtain significant additional funding.
    There is no guarantee such funding would be available to us on
    favorable terms, if at all, nor is there any guarantee that FDA
    would consider any additional information complete or
    sufficient to support approval. If the Twirla NDA is
    resubmitted, the FDA may hold an advisory committee meeting to
    obtain committee input on the
  
  
    safety and efficacy of Twirla. Typically, advisory committees
    will provide responses to specific questions asked by the FDA,
    including the committees view on the approvability of the
    product candidate under review. Advisory committee decisions
    are not binding but an adverse decision at the advisory
    committee may have a negative impact on the regulatory review
    of Twirla. Additionally, we may choose to engage in the dispute
    resolution process with the FDA if we do not receive approval,
    which could extend the timeline for any potential approval.
  
    Further, if we are able to resubmit an NDA for Twirla with the
    clinical data from SECURE, there is no guarantee that such data
    will be deemed sufficient by the FDA. While we designed the
    protocols for SECURE to address the issues raised in the CRL,
    there is no guarantee that the FDA will deem such protocols or
    results from the study sufficient to address those issues when
    they are formally reviewed as a part of an NDA resubmission or
    to demonstrate safety and efficacy to the satisfaction of the
    FDA. The FDA has significant discretion in the review process,
    and we cannot predict whether the FDA will agree with our
    conclusions regarding the results of the SECURE trial,
    including whether our data are reliable and generalizable. For
    example, the FDA may disagree with our calculations relating to
    the number of pregnancies occurring on study, or may view the
    SECURE data as insufficient to demonstrate a favorable
    benefit/risk profile for approval for the proposed indication.
    In addition, based on top-line data, the Pearl Index for the
    overall intent to treat population of subjects 35 years of age
    and under was 4.80 with an upper-bound of the 95% confidence
    interval of 6.06, but in the obese subpopulation of subjects 35
    years of age and under, the Pearl Index was 6.42 with an
    upper-bound of the 95% confidence interval of 8.88. If we were
    to exclude the top-line data on the obese subpopulation, our
    Pearl Index for non-obese patients was 3.94 with an upper-bound
    of the 95% confidence interval of 5.35. The highest Pearl Index
    for a hormonal contraceptive product approved by the FDA was
    3.19 with an upper-bound of the 95% confidence interval of
    5.03. Although ultimate approvability of a hormonal
    contraceptive is based on a risk/benefit assessment of the
    overall safety and efficacy profile of a product, not only a
    specific Pearl Index, the FDA could conclude that our Pearl
    Index for either the overall study population or only the
    non-obese study population is too high to demonstrate efficacy
    and an adequate risk/benefit profile, and as such, the FDA
    could decline to approve Twirla on this or any other basis.
    Further, the FDA may not agree with our analysis of the
    relationship between obesity and efficacy for Twirla and the
    FDA may interpret our overall data differently than we do and
    may decline to approve Twirla on this or any other basis.
  
    Moreover, even if we obtain approval of Twirla, any such
    approval might significantly limit the approved indications for
    use, including by limiting the approved label for use by more
    limited patient populations than we propose, require that
    precautions, contraindications or warnings be included on the
    product labeling, including black box warnings, require
    expensive and time-consuming post-approval clinical studies,
    risk evaluation and mitigation strategies, or REMS, or
    surveillance as conditions of approval, or, through the product
    label, the approval may limit the claims that we may make,
    which may impede the successful commercialization of Twirla.
    For example, the FDA may deem the higher Pearl Index in the
    obese subpopulation to warrant a labeling limitation or warning
    for such subpopulation, which could limit the commercial
    potential of the product, if approved. Moreover, because we did
    not conduct any head-to-head studies of Twirla against Ortho
    Evra, we will not be able to make direct comparative claims
    regarding the safety, efficacy or pharmacokinetics of Twirla
    and Ortho Evra or its generic version, Xulane.
  
    We are substantially dependent on the commercial
    success of Twirla.
  
    If we obtain FDA approval of Twirla, Twirla will be the first
    product that we commercialize. The rest of our pipeline of
    products are in earlier stages of clinical development and will
    require additional clinical and product development and funding
    in order to advance towards commercialization, which could take
    considerable time. If Twirla is not approved, our ability to
    advance our pipeline would be significantly adversely affected.
    Our ability to generate revenues
  
  
    and become profitable will depend in large part on the
    commercial success of Twirla. If Twirla or any other product
    that we commercialize in the future does not gain an adequate
    level of acceptance among physicians, patients and third
    parties, we may not generate significant product revenues or
    become profitable. Market acceptance of Twirla, and any other
    product that we commercialize, by physicians, patients and
    third party payors will depend on a number of factors, some of
    which are beyond our control, including:
  
    Efficacy, safety and other potential advantages of our product
    candidates in relation to alternative treatments;
  
    Relative convenience and ease of administration of our product
    candidates;
  
    Availability of adequate coverage or reimbursement of our
    product candidates by third parties, such as insurance
    companies and other payors, and by government healthcare
    programs, including Medicare, Medicaid and state health
    insurance exchanges;
  
    Prevalence and severity of adverse events associated with our
    product candidates;
  
    Cost of our product candidates in relation to alternative
    treatments, including generic products;
  
    Extent and strength of our third-party manufacturer and
    supplier support;
  
Extent and strength of our marketing and distribution support;
    Limitations or warnings contained in our products FDA approved
    labeling; and
  
    Distribution and use restrictions imposed by the FDA or to
    which we agree as part of a mandatory REMS or voluntary risk
    management plan.
  
    For example, if Twirla is approved by the FDA, physicians and
    patients may not be immediately receptive to a transdermal
    contraceptive system, as opposed to a pill or any other method,
    and may be slow to adopt it as an accepted treatment for the
    prevention of pregnancy. In addition, even though we believe
    Twirla has the potential to offer significant advantages over
    other treatment options, because no head-to-head trials
    comparing Twirla to the competing approved patch product have
    been conducted, the prescribing information approved by the FDA
    may not contain claims that Twirla is safer or more effective
    than the currently approved patch product, or other claims that
    may be necessary for successful marketing of Twirla.
    Accordingly, we will not be permitted to promote Twirla, if
    approved, for any comparative advantages to the currently
    marketed contraceptive patch. The availability of numerous
    inexpensive generic forms of contraceptive products may also
    limit acceptance of Twirla among physicians, patients and third
    party payors. If Twirla does not achieve an adequate level of
    acceptance among physicians, patients and third party payors,
    we may not generate significant product revenues or become
    profitable.
  
  
    Even if we obtain marketing approval for Twirla or
    other product candidates, we will be subject to ongoing
    obligations and continued regulatory review, which may result
    in significant additional expense. Additionally, Twirla or
    other product candidates could be subject to labeling and other
    restrictions, including withdrawal from the market, and we may
    be subject to penalties if we fail to comply with regulatory
    requirements or if we experience unanticipated
    problems.
  
    Even if we obtain U.S. regulatory approval of Twirla or other
    product candidates, the FDA may still impose significant
    restrictions on their indicated uses, including more limited
    patient populations, require that precautions,
    contraindications, or warnings be included on the product
    labeling, including black box warnings, or impose ongoing
    requirements for potentially costly and time-consuming
    post-approval studies, including Phase 4 clinical trials, and
    post-market surveillance to monitor safety and efficacy. Claims
    that we may make may also be restricted through our approved
    labeling. For example, based on the SECURE top-line data, the
    Pearl Index for the overall intent to treat population of
    subjects 35 years of age and under was 4.80 with an upper-bound
    of the 95% confidence interval of 6.06, but in the obese
    subpopulation of subjects 35 years of age and under, the Pearl
    Index was 6.42 with an upper-bound of the 95% confidence
    interval of 8.88. The highest Pearl Index for a hormonal
    contraceptive product approved by the FDA was 3.19 with an
    upper-bound of the 95% confidence interval of 5.03. Although
    ultimate approvability of a hormonal contraceptive is based on
    a risk/benefit assessment of the overall safety and efficacy
    profile of a product, not only a specific Pearl Index, the FDA
    could conclude that the Pearl Index in the obese subpopulation
    is too high to demonstrate efficacy and an adequate
    risk/benefit profile. As such, even if we receive approval of
    Twirla, the FDA could impose restrictions on use by the obese
    subpopulation or otherwise require labeling limitations or
    warnings for such subpopulation, which could limit the
    commercial potential of the product, if approved.
  
    If approved, Twirla and our other product candidates will also
    be subject to ongoing regulatory requirements governing the
    manufacturing, labeling, packaging, storage, distribution,
    import, export, safety surveillance, advertising, marketing
    promotion, recordkeeping, reporting of adverse events and other
    post-market information, and further development. These
    requirements include registration with the FDA, listing of our
    drug products, payment of annual fees, as well as continued
    compliance with current Good Clinical Practices (cGCPs) for any
    clinical trials that we conduct post approval. Application
    holders must notify the FDA, and depending on the nature of the
    change, obtain FDA pre-approval for product manufacturing
    changes. In addition, manufacturers of drug products and their
    facilities are subject to continual review and periodic
    inspections by the FDA and other regulatory authorities for
    compliance with current Good Manufacturing Practices (cGMP)
    requirements relating to quality control, quality assurance and
    corresponding maintenance of records and documents. If we are
    found to be noncompliant with applicable requirements, the FDA
    and other government authorities may issue a Warning Letter or
    Untitled Letter, or take other regulatory action such as a
    product seizure and detention, withdrawal of product approval,
    request for a recall, refusal to allow the import or export of
    the product, criminal or civil penalties, injunction against or
    restriction of manufacture or distribution, consent decrees,
    disgorgement, restitution, clinical holds or terminations,
    exclusion from federal healthcare programs, corporate integrity
    agreements, or imprisonment.
  
Forward-Looking Statements
    This Current Report contains forward-looking statements within
    the meaning of the Private Securities Litigation Reform Act of
    1995. All statements contained in this Current Report that do
    not relate to matters of historical fact should be considered
    forward-looking statements, including without limitation,
    expectations regarding the clinical significance and regulatory
    review of top-line data from our Phase 3 SECURE study and the
    timing of resubmission of our NDA for Twirla.
  
  
    The Company may, in some cases use terms such as predicts,
    believes, potential, continue, anticipates, estimates, expects,
    plans, intends, may, could, might, will, should or other words
    that convey uncertainty of the future events or outcomes to
    identify these forward-looking statements. Our forward-looking
    statements are based on current beliefs and expectations of our
    management team that involve risks, potential changes in
    circumstances, assumptions and uncertainties. Any or all of the
    forward-looking statements may turn out to be wrong, or be
    affected by inaccurate assumptions we might make or by known or
    unknown risks and uncertainties. Our statements about the
    results and conduct of our clinical trial could be affected by
    the potential that there are changes in the data or
    interpretation of the data by the FDA (for example, the FDA may
    include additional pregnancies in its calculation of the Pearl
    Index, which would increase the Pearl Index), whether the
    results will be deemed satisfactory by the FDA (for example, we
    describe the results of the SECURE trial as positive, the FDA
    may disagree with that characterization), and whether
    additional studies will be required or other issues will arise
    that will delay resubmission of our NDA or negatively impact
    acceptance, review and approval of Twirla by the FDA; our
    statements about the potential commercial opportunity could be
    affected by the potential that our product does not receive
    regulatory approval, does not receive reimbursement by third
    party payors, or a commercial market for the product does not
    develop because of any of the risks inherent in the
    commercialization of contraceptive products. For all these
    reasons, actual results and developments could be materially
    different from those expressed in or implied by our
    forward-looking statements. All forward looking statements are
    subject to risks detailed in our filings with the U.S.
    Securities and Exchange Commission, including the Companys
    Annual Report on Form10-K and our Quarterly Reports on
    Form10-Q. You are cautioned not to place undue reliance on
    these forward-looking statements, which are made only as of the
    date of this Current Report on Form8-K. We undertake no
    obligation to publicly update such forward-looking statements
    to reflect subsequent events or circumstances.
  
    Item 9.01. Financial Statements and
    Exhibits.
  
(d) Exhibits.
| Exhibit Number | 
 | Description | 
| 99.1 | 
          Agile Therapeutics,Inc. Press Release dated January3, | |
| 99.2 | 
          Agile Therapeutics,Inc. Presentation on SECURE Top-Line | 
  
 About Agile Therapeutics, Inc. (NASDAQ:AGRX) 
Agile Therapeutics, Inc. is a women’s health specialty pharmaceutical company. The Company is focused in the development and commercialization of prescription contraceptive products. The Company has developed a transdermal patch technology, called Skinfusion. The Company’s lead product candidate is Twirla, also known as AG200-15, is a combined hormonal contraceptive (CHC) patch. In addition to Twirla, the Company is developing a pipeline of other new transdermal contraceptive products, including AG200-ER, which is a regimen designed to allow a woman to extend the length of her cycle; AG200-SP, which is a regimen designed to provide a shortened hormone-free interval, and AG890, which is a progestin-only contraceptive patch intended for use by women who are unable or unwilling to take estrogen. Each of its product candidates utilizes its Skinfusion technology designed to deliver contraceptive-levels of hormones to the blood stream through the skin over a seven-day period.	Agile Therapeutics, Inc. (NASDAQ:AGRX) Recent Trading Information 
Agile Therapeutics, Inc. (NASDAQ:AGRX) closed its last trading session down -2.99 at 2.01 with 2,390,394 shares trading hands.
 
                



