First Self-Injectable Contraceptive Available In The United Kingdom, Next the Third World?

Sayana is the UKs first self-injectable contraceptive (Picture: PATH)Read more:

Big news in the world of women’s health, last week Pfizer announced today that the company’s injectable contraceptive, Sayana®Press (medroxyprogesterone acetate), is now available to women in the United Kingdom (UK) for administration by self-injection. Pfizer hopes the approval will create momentum towards broadening access to contraception for women around the globe.

Sayana® Press combines a long-acting, reversible, contraceptive with an all-in-one pre-filled, single-use, non-reusable Uniject™ injection system, which eliminates the need to prepare a needle and syringe. Approved for use by the UK Medicines and Healthcare Products Regulatory Agency (MHRA) in 2011, the contraceptive is indicated for the prevention of pregnancy. Each subcutaneous injection prevents ovulation and provides contraception for at least 13 weeks (plus or minus one week).

Addition of Self Injection Feature
The announcement was based on the recent approval from the MHRA of an update to the Sayana® Press label, adding the option for self-injection by women when considered appropriate by a healthcare professional.  Sayana® Press is the first injectable contraceptive in the UK available for administration via self-injection as opposed to visiting the doctor. This new method of administration is also approved or pending local approval in additional the European Union (EU) markets of Austria, Belgium, Hungary, Ireland, and the Netherlands.
Pfizer says will continue its efforts to help bring this updated label to more countries across the globe, with an initial focus on those in the developing world – such as in Burkina Faso, Senegal and Uganda – where they say the data show unmet need and demand for injectable contraceptives. Sayana® Press is not yet approved for self- injection outside of the EU.

“With this revised label, following consent from a healthcare professional and with proper training, UK women will now have the opportunity to administer Sayana® Press outside of a clinical setting,” said Dr. Salomon Azoulay, senior vice president and chief medical officer, Pfizer Global Established Pharma Business. “This is an exciting milestone for women in the United Kingdom, and, potentially, in countries around the world, who might prefer this method of contraception and mode of administration.”

According to Pfizer, injectable contraceptives are a widely-used family planning method, particularly among women in developing countries. They are discreet, eliminate the need for a daily pill regimen and, for some women living in remote areas, they can alleviate the deterrent of having to frequently travel long distances to get to a clinic meeting the needs experts experts have identified for a contraceptive method that can be administered in low-resource, non-clinic settings.

Next the Third World?
Last November, Pfizer Inc., the Bill & Melinda Gates Foundation and the Children’s Investment Fund Foundation (CIFF) entered into a partnership to help broaden access to Sayana® Press for women most in need in 69 of the world’s poorest countries. Through this collaboration, Sayana® Press is being sold for US $1 per dose to qualified purchasers, who help enable the poorest women in these countries to have access to the contraceptive at reduced or no cost. The agreement is supported by a consortium of private sector donors and aid organizations, which include PATH, United Kingdom’s Department for International Development (DFID), the United Nations Population Fund (UNFPA) and the United States Agency for International Development (USAID).

“Helping to broaden access to Sayana® Press is a key priority for Pfizer,” said John Young, president, Pfizer Global Established Pharma Business. “Through the tremendous efforts and ongoing collaboration with our Partners, we have already made great progress in bringing Sayana® Press to thousands of women living in sub-Saharan Africa. We hope to continue the great momentum achieved, enabling us to further help address the specific family planning needs of women in the developing world.”

In July 2014, this same consortium of public and private organizations piloted efforts to help make Sayana® Press available for the first time in four countries in sub-Saharan Africa. Through June 2015, more than 170,600 Sayana® Press units have been distributed to health facilities across Burkina Faso, Niger, Senegal and Uganda. In addition, over 6,000 health care providers were trained on Sayana® Press administrationxi.

Sayana® Press is approved by regulatory authorities in the European Union and in a number of countries across the globe, including Bangladesh, Burkina Faso, Kenya, Niger, Nigeria, Senegal and Uganda. Additional regulatory submissions are being pursued. There is no word from Pfizer when it will come to the United States.

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Lindsey McCoyLindsey McCoy MPA, is an Executive Medical Recruiter and former CEO in the not for profit sector.

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