Mayne Pharma Group Ltd Frames IMVEXXY Safety Data From 9.5 Million Women

Mayne Pharma IMVEXXY clinical data from a 9.5 million-woman real-world study shows no endometrial cancer risk from very-low-dose vaginal estrogen — a finding consistent with the FDA's move to remove box warnings from IMVEXXY® and BIJUVA® prescribing information.
By Josua Ferreira -
  • A post-marketing safety study across 9.5 million postmenopausal women found no increased risk of endometrial cancer from IMVEXXY® very-low-dose vaginal estrogen, fulfilling a US FDA requirement and representing one of the largest real-world analyses of this drug class to date.
  • The study's findings are consistent with the FDA's recent request to remove box warnings from the prescribing information for IMVEXXY® and BIJUVA®, a regulatory change that directly reduces prescriber hesitancy.
  • BIJUVA® has been named a finalist in three categories at the 2026 PM360 Trailblazer Awards — Professional Campaign, Sales Aid, and Relaunch/Revitalisation of the Year — with winners announced 29 September 2026.
  • Mayne Pharma will present the IMVEXXY® safety data at the ISPE 42nd Annual Meeting in Milan from 29 August to 2 September 2026, providing a near-term visibility event for the Women's Health portfolio.
  • The Women's Health commercial build-out continues through DistributeRx, a wholly owned direct-to-patient fulfilment subsidiary launched in March 2026, alongside a Lexington facility targeting 2.5 million annual prescriptions.
Summarise with AI:

Mayne Pharma to present major IMVEXXY® safety data at 2026 ISPE Annual Meeting

Mayne Pharma Group (ASX:MYX) will present a poster on IMVEXXY® endometrial cancer safety data at the International Society for Pharmacoepidemiology (ISPE) 42nd Annual Meeting in Milan, Italy, held from 29 August to 2 September 2026.

The headline finding is notable. Across a total study cohort of 9.5 million women, comparative analyses and meta-analysis showed no effect of very-low-dose vaginal estrogen (VLDVE) exposure on the risk of endometrial cancer.

In a second development, the Company’s menopause product BIJUVA® has been named a finalist in three categories at the 2026 PM360 Trailblazer Awards.

What the endometrial cancer study found

The observation-based clinical study was a post-marketing requirement by the US Food and Drug Administration (FDA), with the safety analysis concluded in April 2026. Its primary objective was to determine whether the use of VLDVE, including IMVEXXY® 4 µg and 10 µg, carried an increased risk of endometrial cancer compared to patients who were not exposed.

The study is titled “Risk of Endometrial Cancer in Postmenopausal Women Prescribed Very-Low-Dose Vaginal Estrogen Products in the US.” According to Mayne Pharma, it represents one of the largest real-world analyses of very low-dose vaginal estrogen undertaken to date.

Key study details include:

  • Study cohort: more than nine million women (9.5 million)

  • Products studied: IMVEXXY® 4 µg and 10 µg (VLDVE)

  • Analysis concluded: April 2026

  • Presentation: ISPE 42nd Annual Meeting, Milan, 29 August – 2 September 2026

IMVEXXY® Post-Marketing Safety Study Dashboard

The study authors concluded that comparative analyses and meta-analysis show no effect of VLDVE exposure on the risk of endometrial cancer. This conclusion is consistent with the US FDA’s recent request to remove the box warnings from the prescribing information for certain hormone replacement therapy drug products, including IMVEXXY® and BIJUVA®.

Dr Frank Casty, Global Head of R&D and Chief Medical Officer

“This is one of the largest real-world analyses of very low-dose vaginal estrogen undertaken to date, drawing on US data from more than nine million women. In this study, very low-dose vaginal estrogen use was not associated with an increased risk of endometrial cancer. Rigorous real-world evidence of this scale makes an important contribution to the scientific understanding of a class of therapies that many postmenopausal women rely on.”

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Understanding VLDVE and menopause care — why the data matters

IMVEXXY® (estradiol) is a vaginal insert indicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy (VVA) in postmenopausal women.

The study’s conclusion is consistent with the US FDA’s recent request to remove the box warnings from the prescribing information for certain hormone replacement therapy drug products, including IMVEXXY® and BIJUVA®.

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BIJUVA® recognition and the US Women’s Health growth story

BIJUVA® has been named a finalist in three categories at the 2026 PM360 Trailblazer Awards, a long-established US life-sciences marketing programme, with winners to be announced on 29 September 2026. The nominations span Professional Campaign, Sales Aid, and Relaunch/Revitalisation of the Year.

The recognition reflects the commercial and marketing execution behind BIJUVA® as the Company continues to build momentum in its US Women’s Health portfolio. BIJUVA® (estradiol and progesterone) is a combination of an estrogen and progesterone indicated in a woman with a uterus for the treatment of moderate to severe vasomotor symptoms due to menopause.

The Women’s Health portfolio momentum extends beyond clinical data, with Mayne Pharma’s direct-to-patient fulfilment strategy taking shape through DistributeRx, a wholly owned subsidiary launched in March 2026 to improve margin capture across Women’s Health and Dermatology product lines.

Product Active Ingredient(s) FDA-Approved Indication Recent Milestone
IMVEXXY® estradiol Moderate–severe dyspareunia (VVA symptom) ISPE safety data presentation
BIJUVA® estradiol + progesterone Moderate–severe vasomotor symptoms PM360 Trailblazer finalist (3 categories)

Aaron Gray, CEO

“Menopause care is one of the largest and most under-served markets in women’s health in the United States, and demand for therapies continues to grow. Mayne Pharma’s Women’s Health portfolio, which includes IMVEXXY® positions the Company to play a meaningful and growing role in that market, where the macro tailwinds are strong. In addition, being named a finalist for BIJUVA® across three categories is a credit to our commercial, marketing and medical teams and reflects the momentum we are building in Women’s Health. It speaks to the growing role BIJUVA® plays in menopause care and the strength of the brand we are building in that market.”

What’s next for Mayne Pharma investors

Two near-term catalysts are on the calendar for the US Women’s Health portfolio:

  1. ISPE 42nd Annual Meeting poster presentation — 29 August to 2 September 2026

  2. PM360 Trailblazer Awards winners announced — 29 September 2026

According to CEO Aaron Gray, menopause care remains one of the largest and most under-served markets in women’s health in the United States, with strong macro tailwinds supporting continued demand. The upcoming safety data presentation and award recognition together underline the Company’s growing focus on this market as it continues to build its US Women’s Health portfolio.

Investors exploring the infrastructure behind Mayne Pharma’s US Women’s Health growth can find our detailed coverage of the Adelaide Apothecary expansion, which outlines the Lexington facility build-out targeting 2.5 million annual prescriptions and the capital investment underpinning the company’s direct-to-patient scaling strategy.

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Frequently Asked Questions

What did the Mayne Pharma IMVEXXY clinical data study find about endometrial cancer risk?

The study, which analysed data from more than 9.5 million postmenopausal women in the US, found no association between very-low-dose vaginal estrogen use — including IMVEXXY® 4 µg and 10 µg — and an increased risk of endometrial cancer, based on comparative analyses and meta-analysis.

Why is the FDA removing box warnings from IMVEXXY® and BIJUVA®?

The FDA has requested the removal of box warnings from the prescribing information for certain hormone replacement therapy products, including IMVEXXY® and BIJUVA®, a decision consistent with the large-scale real-world safety data showing no endometrial cancer risk from very-low-dose vaginal estrogen.

What is IMVEXXY® approved to treat?

IMVEXXY® (estradiol) is an FDA-approved vaginal insert indicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy in postmenopausal women.

When will the IMVEXXY® safety data be presented at the ISPE Annual Meeting?

Mayne Pharma will present the IMVEXXY® endometrial cancer safety data as a poster at the ISPE 42nd Annual Meeting in Milan, Italy, held from 29 August to 2 September 2026.

What are the near-term catalysts for Mayne Pharma's Women's Health portfolio?

Two near-term events are scheduled: the ISPE Annual Meeting poster presentation from 29 August to 2 September 2026, and the announcement of PM360 Trailblazer Award winners on 29 September 2026, where BIJUVA® is a finalist in three categories.

Josua Ferreira
By Josua Ferreira
Partnership Director
Josua Ferreira holds a Bachelor of Commerce in Marketing and Advertising and brings a background in publication, business development, and ASX market storytelling. He has worked with listed companies across the resource sector and broader market, combining sharp commercial instincts with a genuine commitment to keeping investors informed.
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