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Investor Presentaiton

Estetrol: unique mode of action vs other estrogens AGONIST on the nuclear ERa Activates the nuclear estrogen receptor²-4 Important estrogenic activity on the vagina, endometrium, bone and cardiovascular system to provide beneficial effects²-4 BRO &Ro www ESTROGENS ESTETROL &Ro Membrane • . ANTAGONIST on the membrane ERa Blocks the membrane estrogen receptor²-4 Neutral effect on the liver unlike other estrogens²-4 Low impact on breast tissue (normal and malignant) 5-8 1. Abot A et al. EMBO Mol Med 2014.2.Foidart JM et al. InL Brinton RD et al (eds) 2019, Sex Steroids Effects on Brain, Heart and Vessels. ISGE Series.3.Arnal JF et al. Physiol Rev 2017. 4.Giretti MS et al. Front Endocrinol, 2014.5.Gerard C et al Endocrinol 2015. 6.Singer CF et al. Carcinogenesis, 2014. 7.Visser M et al. Horm Mol Biol Clin Invest 2012. Mithra - Investor Presentation - November 2023 13
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