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CARA Therapeutics
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Korsuva (difelikefalin) is a kappa opioid receptor agonists. Its oral formulation is under development for the treatment of moderate-to-severe pruritus in adult patients with notalgia paresthetica.


Lead Product(s): Difelikefalin

Therapeutic Area: Dermatology Product Name: Korsuva

Highest Development Status: Phase II/ Phase IIIProduct Type: Peptide

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable June 12, 2024

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CR845 (difelikefalin) is a kappa opioid receptor agonists. Its oral formulation is under clinical development for the treatment of moderate-to-severe pruritus in patients with Atopic Dermatitis.


Lead Product(s): Difelikefalin

Therapeutic Area: Dermatology Product Name: CR845

Highest Development Status: Phase IIIProduct Type: Peptide

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable December 18, 2023

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Cara intends to use the proceeds from the agreement to support the ongoing clinical development of its oral CR845 (difelikefalin) pipeline, including late-stage programs for pruritus associated with atopic dermatitis, advanced chronic kidney disease, and notalgia paresthetica.


Lead Product(s): Difelikefalin

Therapeutic Area: Dermatology Product Name: CR845

Highest Development Status: Phase IIProduct Type: Peptide

Partner/Sponsor/Collaborator: HealthCare Royalty

Deal Size: $40.0 million Upfront Cash: Undisclosed

Deal Type: Financing November 02, 2023

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Korsuva (difelikefalin) injection is a kappa opioid receptor agonist indicated for the treatment of moderate-to-severe pruritus in hemodialysis patients.


Lead Product(s): Difelikefalin

Therapeutic Area: Dermatology Product Name: Korsuva

Highest Development Status: ApprovedProduct Type: Peptide

Partner/Sponsor/Collaborator: Maruishi Pharmaceutical

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable September 25, 2023

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Kapruvia® (difelikefalin) is a selective kappa opioid receptor agonist with low central nervous system penetration. It is recommended by NICE for the treatment of moderate-to-severe CKD-associated pruritus in adult patients on haemodialysis.


Lead Product(s): Difelikefalin

Therapeutic Area: Nephrology Product Name: Kapruvia

Highest Development Status: ApprovedProduct Type: Peptide

Recipient: CSL Vifor

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 18, 2023

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CR845 (difelikefalin) is an oral agonist of kappa opioid receptors (KORs) It is being developed for the treatment of pruritus secondary to chronic kidney disease and notalgia paresthetica.


Lead Product(s): Difelikefalin

Therapeutic Area: Neurology Product Name: CR845

Highest Development Status: Phase IIProduct Type: Peptide

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable February 08, 2023

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The milestone payment is related to continued clinical progress of Oral KORSUVA (difelikefalin), which is currently the subject of four separate clinical programs for pruritus in patients with hepatic impairment due to primary biliary cholangitis.


Lead Product(s): Difelikefalin

Therapeutic Area: Dermatology Product Name: Korsuva

Highest Development Status: Phase IIProduct Type: Peptide

Recipient: Enteris Biopharma Inc

Deal Size: $46.0 million Upfront Cash: $8.0 million

Deal Type: Licensing Agreement October 10, 2022

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The primary efficacy endpoint of change from baseline in the weekly mean of the daily 24-hour Worst Itch-Numeric Rating Scale (WI-NRS) score at Week 8 was achieved for Korsuva (difelikefalin) vs. -2.4 placebo, p=0.001.


Lead Product(s): Difelikefalin

Therapeutic Area: Neurology Product Name: Korsuva

Highest Development Status: Phase IIProduct Type: Peptide

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable September 08, 2022

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KOMFORT Phase 2 clinical trial evaluating oral Korsuva (difelikefalin) for the treatment of moderate-to-severe pruritus in patients with notalgia paresthetica will be presented during a late-breaking news session.


Lead Product(s): Difelikefalin

Therapeutic Area: Dermatology Product Name: Korsuva

Highest Development Status: Phase IIProduct Type: Peptide

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable August 22, 2022

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Kapruvia® (difelikefalin) will be the first therapy available for the treatment of moderate-to-severe pruritus associated with chronic kidney disease in adult hemodialysis patients.


Lead Product(s): Difelikefalin

Therapeutic Area: Dermatology Product Name: Kapruvia

Highest Development Status: ApprovedProduct Type: Peptide

Recipient: CSL Vifor

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable August 19, 2022

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