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Mithra - Estetrol recognized as a "New Active Substance" by the European Medicines Agency (25.11.2020) | Vlaamse Federatie van Beleggers

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investors.mithra.com • 1

25-11-2020 PRESS RELEASE

Estetrol recognized as a "New Active Substance"

by the European Medicines Agency (EMA)

This is the first time in more than 80 years that a new estrogen has been introduced in the field of contraception.

Liège, Belgium, 25 novembre 2020 – 7:30 CET – Mithra, a company dedicated to Women’s Health (Euronext Brussels: MITRA), today announces that the European Medicines Agency (EMA) has designated Estetrol monohydrate (E4) as a New Active Substance (NAS) in its "Day 180" report, concluding the second phase of the ongoing evaluation of Estelle® birth control pills for the European market.

The countless potential applications of Estetrol in health care have been at the heart of Mithra's research for nearly 20 years. Estetrol (E4) is a naturally occurring hormone produced by the human fetus during pregnancy. Through a complex production process, Mithra has succeeded in reproducing E4 and developing a platform of innovative products dedicated to women's health. This research has notably led to the development of the product candidates Estelle®, a new era in combined oral contraception, and Donesta®, a new generation hormonal treatment for vasomotor symptoms of menopause.

For Mithra, this finding illustrates the profoundly innovative nature of the results of its research on E4:

it is indeed the first time in more than 80 years that a new active substance, a new estrogen in this case, is appearing in the field of contraceptive solutions.

François Fornieri, Chief Executive Officer of Mithra Women’s Health : " After having already been awarded last year with the "essenscia Innovation Award" for the major breakthrough and global potential of the new generation contraceptive pill Estelle®, Mithra is now realizing the results of its many years of research recognized by the competent authorities. The potential for exploiting the health benefits of Estetrol is all the more important.”

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For more information, please contact:

Alexandra Deschner (IRO - Mithra) : +32 490 58 35 23 – investorrelations@mithra.com Carole Kousis (Press - Mithra) : +32 4 348 28 22 – press@mithra.com

About Mithra

Mithra (Euronext: MITRA) is a Belgian biotech company dedicated to transforming Women’s Health by offering new choices through innovation, with a particular focus on contraception and menopause. Mithra’s goal is to develop products offering better efficacy, safety and convenience, meeting women’s needs throughout their life span. Its three lead development candidates are built on Mithra’s unique native estrogen platform, Estetrol (E4):

Estelle®, a new era in oral contraception, PeriNesta®, the first complete oral treatment targeting perimenopause and Donesta®, the next-generation hormone therapy. Mithra also develops and manufactures complex therapeutics in the areas of contraception, menopause and hormone-dependent cancers. It offers partners a

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investors.mithra.com • 2

25-11-2020 PRESS RELEASE

complete spectrum of research, development and specialist manufacturing at its technological platform Mithra CDMO. Active in more than 100 countries around the world, Mithra has an approximate headcount of 250 staff members and is headquartered in Liège, Belgium. www.mithra.com

Important information

The contents of this announcement include statements that are, or may be deemed to be, "forward-looking statements". These forward-looking statements can be identified by the use of forward-looking terminology, including the words "believes", "estimates," "anticipates", "expects", "intends", "may", "will", "plans", "continue",

"ongoing", "potential", "predict", "project", "target", "seek" or "should", and include statements the Company makes concerning the intended results of its strategy. By their nature, forward-looking statements involve risks and uncertainties and readers are cautioned that any such forward-looking statements are not guarantees of future performance. The Company's actual results may differ materially from those predicted by the forward-looking statements. The Company undertakes no obligation to publicly update or revise forward-looking statements, except as may be required by law.

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