Developing the “male IUD” with Kevin Eisenfrats from Contraline
07 May 2024 (7 months ago)
Introduction (0s)
- The first vasectomy was performed in 1897.
- Every innovation in birth control since then has been created for women to use.
- Female-focused birth control encouraged women's independence and career success.
- It placed the responsibility of family planning solely on women.
- Clinical trials are now focusing on creating long-lasting solutions for male birth control, sometimes referred to as the "male IUD".
- Contraline is a biotech company developing a long-lasting, reversible male birth control solution.
- Their lead product, Adam, is a hydrogel implanted into the vas deferens to block sperm.
- Adam aims to be the first long-lasting, non-hormonal, and easily reversible male contraceptive, similar to the IUD for women.
- Male birth control options are limited compared to female options.
- Many men are interested in male birth control, as evidenced by over 1500 men expressing interest in the first clinical trial for Adam.
- Harsher abortion laws in the US have not lowered interest in birth control.
The challenges to male birth control (2m26s)
- Kevin Eisenfrats, founder of Contraline, was inspired to develop a male birth control method after watching the MTV show "16 and Pregnant."
- He realized that if there was a better alternative to condoms, it could reduce the number of unintended pregnancies.
- Eisenfrats has been researching and working on male contraception for over 10 years.
- The science behind male contraception is complex due to the large number of sperm produced compared to the single egg in female contraception.
- Pharmaceutical companies did not see male birth control as a significant market opportunity compared to female birth control.
- In recent years, there has been a shift in societal attitudes with women seeking alternatives to hormonal birth control and men expressing a desire for more control over their fertility.
Why hydrogel works (6m53s)
- ContraLines research focuses on developing a product called Adam.
- Adam is a gel or biomaterial inserted into the vas deferens during a vasectomy.
- Hydrogels are water-soluble polymers that are biocompatible and have been FDA-approved for other applications.
- ContraLines' hydrogel can last for years but is still reversible.
- The gel can be removed in a minimally invasive procedure that restores fertility.
- The procedure is performed in an office setting, mostly by urologists.
- It is similar to a vasectomy and takes about 30 minutes.
- The gel is injected into the vas deferens through a small incision.
- The procedure is minimally invasive and does not require general anesthesia.
- Patients can return to normal activities within a few days.
Developing ADAM (9m35s)
- Contraline, a company developing a male birth control method called Adam, has completed a first-in-human trial in Australia with 25 patients.
- Adam is a hydrogel injected into the vas deferens to prevent sperm from passing through.
- The company has raised about $20 million and filed 40 patents related to Adam.
- Contraline recruited 1,500 men for the clinical trial through social media platforms, indicating significant interest among men in taking responsibility for birth control.
Cultural reaction to ADAM (15m8s)
- Contraline, led by Kevin Eisenfrats, is developing a male IUD targeting a younger demographic who have not yet had children.
- The US market for male contraception is estimated to be worth $10-11 billion, with approximately 13-14 million potential users.
- Contraline has attracted diverse investors, including Google Ventures, Founders Fund, and women's health funds, who are drawn to the company's vision of transforming society and reproductive rights.
- The current political climate, with increased restrictions on women's health, has positively impacted Contraline as individuals seek alternative contraceptive options.
Entrepreneurship in medicine (20m18s)
- Kevin Eisenfrats, the founder of Contraline, shares his experience of pursuing an entrepreneurial career in medicine instead of becoming a doctor.
- He believes that he can have a greater impact on society by creating new inventions in medicine through his company than he could as an individual doctor.
- He emphasizes that he still works closely with doctors and is constantly involved in the medical field, but his approach is focused on creating new devices, procedures, and drugs.
- Eisenfrats highlights the challenges of pursuing technically difficult endeavors, which often involve setbacks and failures.
- He views these failures as learning opportunities and emphasizes the importance of persistence.
- Fundraising is another challenge, as Contraline doesn't fit into a conventional category and requires educating potential investors about their mission.
- Being the first to pitch venture capitalists on new male contraceptives presented additional challenges, as it was a relatively unexplored area at the time.
- Regulatory hurdles are also anticipated, as Contraline's product is the first of its kind.
FDA approval process (22m39s)
- The FDA approval process for the male IUD involves extensive testing to ensure safety and efficacy.
- Developing an implantable medical device costs between $75 million and $90 million.
- Contraline, led by its CEO, has 17 employees, including biomedical engineers and polymer scientists.
- The company values diversity of thought and hires people they enjoy working with.
- Contraline focuses on developing a male contraceptive, medical device, and business operations.
What’s next for Contraline (28m9s)
- Contraline, a hydrogel company specializing in innovative biomaterials, has been operating with a lean team of 17 full-time employees for almost 10 years.
- The company prioritizes hiring high performers who thrive on challenging work and provides diverse responsibilities and opportunities for professional development, resulting in low employee turnover.
- Contraline is currently working towards FDA approval for its male contraceptive product and exploring potential expansion into European markets through partnerships with established companies.
- The company is also researching different formulations of its existing product, Adam, to create IUDs with varying durations of effectiveness and exploring other applications for its hydrogel technology, including non-hormonal female contraception.
- Contraline aims to address significant unsolved reproductive health problems rather than developing one-off products in industries with existing solutions.
Host conversation (34m23s)
- ContraLine, a company developing a male birth control method, has seen increased interest and demand for their product, with 9,000 men signing up for clinical trials.
- Australia was chosen for the first clinical trial due to the higher rate of vasectomies performed there, indicating potential interest in male contraception.
- ContraLine successfully raised $24 million in Series A funding from both traditional biotech and non-biotech investors, demonstrating broad appeal and confidence in their product's potential.
- The company's founding story originated from watching the MTV show "16 and Pregnant," inspiring the development of a male contraceptive option.
- ContraLine is currently working on a gel-like substance that can act as a male contraceptive.
- The political landscape surrounding reproductive health adds complexity to the development and potential success of the male IUD.