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Details:

Donesta (estetrol) is a next generation orally administered Estetrol (E4)-based hormone therapy product, which is under phase 3 clinical development for the treatment of the symptoms of menopause.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Donesta

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable February 29, 2024

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Estelle (estetrol monohydrate) is an estrogen receptor agonist small molecule drug candidate, which is currently being evaluated in combination with drospirenone for contraception for 12 to 17 years aged females.


Lead Product(s): Estetrol,Drospirenone

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Estelle

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable December 20, 2023

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Donesta (estetrol) is a next generation orally administered Estetrol (E4)-based hormone therapy product, which is under phase 3 clinical development for the treatment of the symptoms of menopause.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Donesta

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable December 18, 2023

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Donesta (estetrol) is a hormone capsule formulation acting as an Estrogen receptor agonist, approved for the treatment of alleviating symptoms of menopause.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Donesta

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable November 30, 2023

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Under the terms of the agreement, Searchlight will have sales and marketing rights for DONESTA® in Canada. DONESTA (estetrol) phase 3 clinical program, which demonstrated a meaningful reduction in the frequency and severity of vasomotor symptoms compared to placebo.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Donesta

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: SEARCHLIGHT PHARMA INC

Deal Size: $17.9 million Upfront Cash: Undisclosed

Deal Type: Licensing Agreement October 26, 2023

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Under the agreements, Fuji Pharma obtains the rights to commercialize and advance the develoopment of Estelle, Mithra’s oral contraceptive product candidate based on Estetrol, for the treatment of Japanese patients with dysmenorrhea or endometriosis, in Japan and ASEAN.


Lead Product(s): Estetrol,Drospirenone

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Estelle

Highest Development Status: ApprovedProduct Type: Small molecule

Partner/Sponsor/Collaborator: Fuji Pharma

Deal Size: $45.4 million Upfront Cash: Undisclosed

Deal Type: Licensing Agreement October 23, 2023

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The proceeds will support the NDA filing of Donesta, a next generation Estetrol-based hormone therapy, and to support differentiation for treatment of menopause symptoms related to hair, skin and sexual desire, and for the development of Estetrol and Zoreline.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Donesta

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: H.C. Wainwright & Co.

Deal Size: $70.1 million Upfront Cash: Undisclosed

Deal Type: Private Placement August 24, 2023

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Under the agreements, Fuji Pharma obtains the rights to commercialize and advance the develoopment of Estelle, Mithra’s oral contraceptive product candidate based on Estetrol, for the treatment of Japanese patients with dysmenorrhea or endometriosis, in Japan and ASEAN.


Lead Product(s): Estetrol,Drospirenone

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Estelle

Highest Development Status: ApprovedProduct Type: Small molecule

Partner/Sponsor/Collaborator: Fuji Pharma

Deal Size: $45.4 million Upfront Cash: $29.0 million

Deal Type: Licensing Agreement August 03, 2023

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Under the agreement, Searchlight will have the Canadian rights to Donesta, a next generation orally administered Estetrol (E4)-based hormone therapy product, for the treatment of the symptoms of menopause.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Donesta

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: SEARCHLIGHT PHARMA INC

Deal Size: $18.7 million Upfront Cash: Undisclosed

Deal Type: Licensing Agreement July 31, 2023

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Estelle® is a novel patent protected combined oral contraceptive pill containing 3 mg drospirenone (DRSP) and 15 mg estetrol (E4). E4 is a naturally produced estrogen during pregnancy, which can now be made from a plant source.


Lead Product(s): Estetrol,Drospirenone

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Estelle

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 10, 2023

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Donesta (Estetrol), a next generation estetrol (E4)-based hormone therapy product candidate, demonstrated a meaningful reduction in vasomotor symptoms from baseline and compared to placebo in Phase 3 pivotal “E4 Comfort” clinical trial for treatment of VMS in postmenopausal women.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Donesta

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable January 14, 2022

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NEXTSTELLIS (drospirenone and estetrol tablets) indicated for use by females of reproductive potential to prevent pregnancy. Nextstellis® has been granted marketing exclusivity as a new chemical entity from the US Food and Drug Administration (FDA).


Lead Product(s): Drospirenone,Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Nextstellis

Highest Development Status: ApprovedProduct Type: Small molecule

Partner/Sponsor/Collaborator: Mithra Pharmaceuticals

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 27, 2021

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NEXTSTELLIS is the first contraceptive pill containing E4, a new naturally occurring estrogen with a unique mechanism of action that offers potential advantages over other estrogens.


Lead Product(s): Drospirenone,Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Nextstellis

Highest Development Status: ApprovedProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 30, 2021

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New data shows treatment with NEXTSTELLIS®,1 a novel, investigational combined oral contraceptive containing drospirenone and estetrol, resulted in less changes in endocrine markers, including lower increases in hormone binding globulins vs COCs based on ethinyl-estradiol.


Lead Product(s): Drospirenone,Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Nextstellis

Highest Development Status: ApprovedProduct Type: Small molecule

Partner/Sponsor/Collaborator: Mithra Pharmaceuticals

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable March 06, 2021

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New Drug Application (NDA) for E4/DRSP to prevent pregnancy has been accepted for review by the US Food and Drug Administration (FDA). The FDA is expected to complete its review in the first half of calendar 2021.


Lead Product(s): Estetrol,Drospirenone

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: E4/DRSP

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable June 24, 2020

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Health Canada has accepted Searchlight Pharma's New Drug Submission for a novel combined oral contraceptive (COC) product. Innovative product candidate developed by Mithra containing the unique native estrogen Estetrol (E4) and drospirenone (DRSP).


Lead Product(s): Estetrol,Drospirenone

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Undisclosed

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 20, 2020

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Mayne Pharma has submitted a New Drug Application to the US FDA, seeking marketing authorisation for E4/DRSP.


Lead Product(s): Estetrol,Drospirenone

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Undisclosed

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 16, 2020

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In light of covid-19 crisis, Mithra confirms that E4 Comfort studies are still ongoing at this time, but that current patient recruitment has been delayed or put on hold in some countries.


Lead Product(s): Estetrol

Therapeutic Area: Obstetrics/Gynecology (Women’s Health) Product Name: Undisclosed

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 01, 2020

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