Highlights
- The FDA has confirmed a Phase III regulatory pathway for Acrux's Female Testosterone MDTS.
- Two 24-week Phase III trials are expected to support approval.
- Acrux will be eligible to apply for three years of data exclusivity.
- A recent FDA workshop highlighted unmet need in this treatment area.
Acrux Limited (ASX:ACR) has announced that the US Food and Drug Administration (FDA) has provided a clear regulatory pathway for its Female Testosterone metered-dose transdermal spray (MDTS). The product is being developed for postmenopausal women with hypoactive sexual desire disorder (HSDD).
Outcomes of the FDA Meeting
The update follows the formal minutes from Acrux's end-of-Phase II meeting with the FDA. Two adequate and well-controlled 24-week Phase III trials are expected to demonstrate efficacy and support approval, with a further 28 weeks of data to inform long-term safety.
The FDA indicated that the two trials do not need to be identical in design, giving Acrux flexibility. The agency also provided alternative approaches to patient-reported outcome endpoints and recommended a chronic dermal and systemic safety study, the protocol for which Acrux is finalising.
Three-Year Exclusivity Eligibility
The FDA confirmed that Acrux's Phase III trials and new formulation meet the requirements for three years of data exclusivity, which is available for the first approval of an established active ingredient in a new indication supported by new clinical studies.
If granted, this exclusivity would prevent competing products from launching for the first three years after registration.
Market Need and Partnering
A public FDA workshop held in September 2026 highlighted a significant unmet need for an FDA-approved testosterone product for women and the importance of controlled dosing within the physiological range.
CEO and Managing Director John Warmbrunn said, "It is an important time to be receiving feedback from the FDA on Female Testosterone MDTS." He added that regulatory and market signals support discussions with potential co-development partners.
Key Takeaways
- Acrux now has a defined Phase III pathway for Female Testosterone MDTS.
- Two 24-week Phase III trials are expected to support approval.
- The product is eligible for three years of data exclusivity if approved.
- Acrux is pursuing discussions with potential co-development partners.






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