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[8-K] Milestone Pharmaceuticals Inc. Reports Material Event

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Rhea-AI Filing Summary

Milestone Pharmaceuticals Inc. (NASDAQ: MIST) filed an 8-K on 10 July 2025 disclosing two material events:

  • Royalty Purchase Agreement Amendment (Item 1.01): The Company and RTW Royalty I DAC agreed to extend the Marketing Approval Deadline for etripamil from 30 Sep 2025 to 31 Dec 2025. The amendment provides Milestone with an additional three months to secure U.S. marketing approval before contractual milestone or repayment provisions are triggered. Full terms will be included in the next periodic filing.
  • Regulatory Update (Item 8.01): On 11 July 2025 the FDA accepted Milestone’s complete response to the prior Complete Response Letter for its New Drug Application (NDA) for CARDAMYST (etripamil) nasal spray targeting paroxysmal supraventricular tachycardia. The agency set a new Prescription Drug User Fee Act (PDUFA) action date of 13 Dec 2025.

Investment view: FDA acceptance and a defined PDUFA date re-start the approval clock, reducing regulatory uncertainty and acting as an upside catalyst. The three-month extension in the royalty agreement aligns contractual timelines with the new PDUFA date, avoiding potential covenant breaches. No financial statements were included, but successful approval would unlock royalty financing and potential commercialization revenue.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST) ha presentato un modulo 8-K il 10 luglio 2025, comunicando due eventi rilevanti:

  • Modifica all'Accordo di Acquisto delle Royalty (Punto 1.01): La Società e RTW Royalty I DAC hanno concordato di estendere la scadenza per l'approvazione commerciale di etripamil dal 30 settembre 2025 al 31 dicembre 2025. Questa modifica concede a Milestone ulteriori tre mesi per ottenere l'approvazione di marketing negli Stati Uniti prima che vengano attivate le clausole contrattuali relative a milestone o rimborsi. I termini completi saranno inclusi nella prossima comunicazione periodica.
  • Aggiornamento Regolatorio (Punto 8.01): L'11 luglio 2025 la FDA ha accettato la risposta completa di Milestone alla precedente Lettera di Risposta Completa relativa alla New Drug Application (NDA) per CARDAMYST (spray nasale a base di etripamil) destinato al trattamento della tachicardia sopraventricolare parossistica. L'agenzia ha fissato una nuova data di azione ai sensi del Prescription Drug User Fee Act (PDUFA) per il 13 dicembre 2025.

Visione d'investimento: L'accettazione da parte della FDA e la definizione della data PDUFA riavviano il conto alla rovescia per l'approvazione, riducendo l'incertezza regolatoria e rappresentando un catalizzatore positivo. L'estensione di tre mesi nell'accordo sulle royalty allinea le tempistiche contrattuali con la nuova data PDUFA, evitando possibili violazioni di covenant. Non sono stati inclusi bilanci finanziari, ma un'approvazione positiva sbloccherebbe finanziamenti tramite royalty e potenziali ricavi da commercializzazione.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST) presentó un formulario 8-K el 10 de julio de 2025, revelando dos eventos importantes:

  • Enmienda al Acuerdo de Compra de Regalías (Punto 1.01): La Compañía y RTW Royalty I DAC acordaron extender la fecha límite para la aprobación de comercialización de etripamil del 30 de septiembre de 2025 al 31 de diciembre de 2025. La enmienda otorga a Milestone tres meses adicionales para obtener la aprobación de comercialización en EE.UU. antes de que se activen las disposiciones contractuales de hitos o reembolsos. Los términos completos se incluirán en el próximo informe periódico.
  • Actualización Regulatoria (Punto 8.01): El 11 de julio de 2025, la FDA aceptó la respuesta completa de Milestone a la anterior Carta de Respuesta Completa para su Solicitud de Nuevo Medicamento (NDA) para CARDAMYST (spray nasal de etripamil) dirigido a la taquicardia supraventricular paroxística. La agencia estableció una nueva fecha de acción bajo la Ley de Tarifas de Usuarios de Medicamentos con Receta (PDUFA) para el 13 de diciembre de 2025.

Perspectiva de inversión: La aceptación por parte de la FDA y la definición de la fecha PDUFA reinician el reloj de aprobación, reduciendo la incertidumbre regulatoria y actuando como un catalizador positivo. La extensión de tres meses en el acuerdo de regalías alinea los plazos contractuales con la nueva fecha PDUFA, evitando posibles incumplimientos de convenios. No se incluyeron estados financieros, pero una aprobación exitosa desbloquearía financiamiento por regalías y posibles ingresos por comercialización.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST)� 2025� 7� 10� 8-K 보고서를 제출하며 � 가지 주요 사항� 공개했습니다:

  • 로열� 구매 계약 수정 (항목 1.01): 회사와 RTW Royalty I DAC� etripamil� 마케� 승인 기한� 2025� 9� 30일에� 2025� 12� 31일로 연장하기� 합의했습니다. � 수정안은 Milestone� 미국 � 마케� 승인� 확보� � 있는 추가 3개월� 제공하며, � 기간 내에 계약상의 마일스톤 또는 상환 조항� 발동되지 않도� 합니�. 전체 조건은 다음 정기 보고서에 포함� 예정입니�.
  • 규제 업데이트 (항목 8.01): 2025� 7� 11�, FDA� Milestone� 제출� 이전 완전 반응 서한� 대� 완전� 답변� 수용했으�, 발작� 상심실성 빈맥 치료� 목표� 하는 CARDAMYST(etripamil) 비강 스프레이� 신약 신청�(NDA)� 인정했습니다. FDA� 새로� 처방� 사용� 수수료법(PDUFA) 결정일을 2025� 12� 13일로 설정했습니다.

투자 관�: FDA� 승인 수용� 명확� PDUFA 날짜 설정은 승인 시계� 재가동하� 규제 불확실성� 줄이� 긍정적인 촉매제로 작용합니�. 로열� 계약� 3개월 연장은 계약 일정� 새로� PDUFA 날짜� 일치시켜 잠재� 계약 위반� 방지합니�. 재무제표� 포함되지 않았으나, 승인� 성공� 경우 로열� 금융 � 잠재� 상업� 수익� 개방� 것입니다.

Milestone Pharmaceuticals Inc. (NASDAQ : MIST) a déposé un formulaire 8-K le 10 juillet 2025, révélant deux événements importants :

  • Amendement à l'accord d'achat de redevances (Point 1.01) : La société et RTW Royalty I DAC ont convenu de prolonger la date limite d'approbation commerciale pour l'etripamil du 30 septembre 2025 au 31 décembre 2025. Cet amendement accorde à Milestone trois mois supplémentaires pour obtenir l'approbation de mise sur le marché aux États-Unis avant que les clauses contractuelles de jalons ou de remboursement ne soient déclenchées. Les termes complets seront inclus dans le prochain dépôt périodique.
  • Mise à jour réglementaire (Point 8.01) : Le 11 juillet 2025, la FDA a accepté la réponse complète de Milestone à la lettre de réponse complète précédente concernant la demande d'autorisation de mise sur le marché (NDA) pour CARDAMYST (spray nasal à l'etripamil) ciblant la tachycardie supraventriculaire paroxystique. L'agence a fixé une nouvelle date d'action au titre du Prescription Drug User Fee Act (PDUFA) au 13 décembre 2025.

Point de vue investissement : L'acceptation par la FDA et la définition d'une date PDUFA relancent le compteur d'approbation, réduisant l'incertitude réglementaire et agissant comme un catalyseur positif. La prolongation de trois mois de l'accord de redevances aligne les échéances contractuelles sur la nouvelle date PDUFA, évitant ainsi d'éventuelles violations de covenants. Aucun état financier n'a été inclus, mais une approbation réussie débloquerait un financement par redevances et des revenus potentiels de commercialisation.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST) reichte am 10. Juli 2025 ein 8-K ein, in dem zwei wesentliche Ereignisse offengelegt wurden:

  • Änderung des Lizenzkaufsvertrags (Punkt 1.01): Das Unternehmen und RTW Royalty I DAC haben sich darauf geeinigt, die Frist für die Marktzulassung von Etripamil vom 30. September 2025 auf den 31. Dezember 2025 zu verlängern. Die Änderung gewährt Milestone zusätzliche drei Monate, um die US-Marktzulassung zu sichern, bevor vertragliche Meilenstein- oder Rückzahlungsbestimmungen greifen. Die vollständigen Bedingungen werden in der nächsten periodischen Einreichung enthalten sein.
  • Regulatorisches Update (Punkt 8.01): Am 11. Juli 2025 akzeptierte die FDA die vollständige Antwort von Milestone auf das vorherige Complete Response Letter für den New Drug Application (NDA) für CARDAMYST (Etripamil) Nasenspray zur Behandlung der paroxysmalen supraventrikulären Tachykardie. Die Behörde setzte ein neues Prescription Drug User Fee Act (PDUFA) Aktionsdatum auf den 13. Dezember 2025 fest.

Investmentausblick: Die Annahme durch die FDA und das festgelegte PDUFA-Datum starten die Zulassungsuhr neu, verringern regulatorische Unsicherheiten und wirken als positiver Katalysator. Die dreimonatige Verlängerung im Lizenzvertrag stimmt die vertraglichen Fristen mit dem neuen PDUFA-Datum ab und vermeidet potenzielle Vertragsverletzungen. Es wurden keine Finanzberichte beigelegt, aber eine erfolgreiche Zulassung würde Lizenzfinanzierungen und potenzielle Umsatzerlöse aus der Kommerzialisierung ermöglichen.

Positive
  • FDA accepted Milestone’s NDA resubmission, assigning a new PDUFA action date of 13 Dec 2025, restarting the approval process for CARDAMYST.
  • Royalty agreement deadline extended by three months, eliminating potential covenant breach and aligning financing terms with the new regulatory timeline.
Negative
  • Marketing approval timeline delayed from 30 Sep 2025 to 31 Dec 2025, indicating continued regulatory uncertainty and prolonged cash burn.
  • No financial data or funding update provided, so liquidity status ahead of December catalyst remains unclear.

Insights

TL;DR: FDA review resumption and synced royalty deadline materially de-risk MIST’s regulatory path.

The FDA’s acceptance of the NDA resubmission signals that Milestone’s response addressed prior deficiencies sufficiently for full review. A 13 Dec 2025 PDUFA date places a binary catalyst within two quarters, typically supportive for valuation in small-cap biotech. Aligning the royalty agreement’s Marketing Approval Deadline with this date eliminates near-term default risk under the RTW financing and preserves liquidity. Although the extension represents a delay, it is relatively short (�10 weeks) and appears procedural. Overall impact skewed positive given renewed regulatory visibility.

TL;DR: Contractual extension mitigates covenant pressure; financing profile unchanged.

The amendment prevents a mismatch between regulatory timelines and royalty covenant dates, which could have forced renegotiation or repayment. By pushing the deadline to 31 Dec 2025, Milestone maintains access to RTW capital without additional consideration disclosed. However, the shift confirms at least a modest delay in anticipated approval, extending cash burn. Absence of fresh funding or operating metrics keeps overall financial picture neutral, but avoiding a covenant breach is modestly credit-positive.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST) ha presentato un modulo 8-K il 10 luglio 2025, comunicando due eventi rilevanti:

  • Modifica all'Accordo di Acquisto delle Royalty (Punto 1.01): La Società e RTW Royalty I DAC hanno concordato di estendere la scadenza per l'approvazione commerciale di etripamil dal 30 settembre 2025 al 31 dicembre 2025. Questa modifica concede a Milestone ulteriori tre mesi per ottenere l'approvazione di marketing negli Stati Uniti prima che vengano attivate le clausole contrattuali relative a milestone o rimborsi. I termini completi saranno inclusi nella prossima comunicazione periodica.
  • Aggiornamento Regolatorio (Punto 8.01): L'11 luglio 2025 la FDA ha accettato la risposta completa di Milestone alla precedente Lettera di Risposta Completa relativa alla New Drug Application (NDA) per CARDAMYST (spray nasale a base di etripamil) destinato al trattamento della tachicardia sopraventricolare parossistica. L'agenzia ha fissato una nuova data di azione ai sensi del Prescription Drug User Fee Act (PDUFA) per il 13 dicembre 2025.

Visione d'investimento: L'accettazione da parte della FDA e la definizione della data PDUFA riavviano il conto alla rovescia per l'approvazione, riducendo l'incertezza regolatoria e rappresentando un catalizzatore positivo. L'estensione di tre mesi nell'accordo sulle royalty allinea le tempistiche contrattuali con la nuova data PDUFA, evitando possibili violazioni di covenant. Non sono stati inclusi bilanci finanziari, ma un'approvazione positiva sbloccherebbe finanziamenti tramite royalty e potenziali ricavi da commercializzazione.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST) presentó un formulario 8-K el 10 de julio de 2025, revelando dos eventos importantes:

  • Enmienda al Acuerdo de Compra de Regalías (Punto 1.01): La Compañía y RTW Royalty I DAC acordaron extender la fecha límite para la aprobación de comercialización de etripamil del 30 de septiembre de 2025 al 31 de diciembre de 2025. La enmienda otorga a Milestone tres meses adicionales para obtener la aprobación de comercialización en EE.UU. antes de que se activen las disposiciones contractuales de hitos o reembolsos. Los términos completos se incluirán en el próximo informe periódico.
  • Actualización Regulatoria (Punto 8.01): El 11 de julio de 2025, la FDA aceptó la respuesta completa de Milestone a la anterior Carta de Respuesta Completa para su Solicitud de Nuevo Medicamento (NDA) para CARDAMYST (spray nasal de etripamil) dirigido a la taquicardia supraventricular paroxística. La agencia estableció una nueva fecha de acción bajo la Ley de Tarifas de Usuarios de Medicamentos con Receta (PDUFA) para el 13 de diciembre de 2025.

Perspectiva de inversión: La aceptación por parte de la FDA y la definición de la fecha PDUFA reinician el reloj de aprobación, reduciendo la incertidumbre regulatoria y actuando como un catalizador positivo. La extensión de tres meses en el acuerdo de regalías alinea los plazos contractuales con la nueva fecha PDUFA, evitando posibles incumplimientos de convenios. No se incluyeron estados financieros, pero una aprobación exitosa desbloquearía financiamiento por regalías y posibles ingresos por comercialización.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST)� 2025� 7� 10� 8-K 보고서를 제출하며 � 가지 주요 사항� 공개했습니다:

  • 로열� 구매 계약 수정 (항목 1.01): 회사와 RTW Royalty I DAC� etripamil� 마케� 승인 기한� 2025� 9� 30일에� 2025� 12� 31일로 연장하기� 합의했습니다. � 수정안은 Milestone� 미국 � 마케� 승인� 확보� � 있는 추가 3개월� 제공하며, � 기간 내에 계약상의 마일스톤 또는 상환 조항� 발동되지 않도� 합니�. 전체 조건은 다음 정기 보고서에 포함� 예정입니�.
  • 규제 업데이트 (항목 8.01): 2025� 7� 11�, FDA� Milestone� 제출� 이전 완전 반응 서한� 대� 완전� 답변� 수용했으�, 발작� 상심실성 빈맥 치료� 목표� 하는 CARDAMYST(etripamil) 비강 스프레이� 신약 신청�(NDA)� 인정했습니다. FDA� 새로� 처방� 사용� 수수료법(PDUFA) 결정일을 2025� 12� 13일로 설정했습니다.

투자 관�: FDA� 승인 수용� 명확� PDUFA 날짜 설정은 승인 시계� 재가동하� 규제 불확실성� 줄이� 긍정적인 촉매제로 작용합니�. 로열� 계약� 3개월 연장은 계약 일정� 새로� PDUFA 날짜� 일치시켜 잠재� 계약 위반� 방지합니�. 재무제표� 포함되지 않았으나, 승인� 성공� 경우 로열� 금융 � 잠재� 상업� 수익� 개방� 것입니다.

Milestone Pharmaceuticals Inc. (NASDAQ : MIST) a déposé un formulaire 8-K le 10 juillet 2025, révélant deux événements importants :

  • Amendement à l'accord d'achat de redevances (Point 1.01) : La société et RTW Royalty I DAC ont convenu de prolonger la date limite d'approbation commerciale pour l'etripamil du 30 septembre 2025 au 31 décembre 2025. Cet amendement accorde à Milestone trois mois supplémentaires pour obtenir l'approbation de mise sur le marché aux États-Unis avant que les clauses contractuelles de jalons ou de remboursement ne soient déclenchées. Les termes complets seront inclus dans le prochain dépôt périodique.
  • Mise à jour réglementaire (Point 8.01) : Le 11 juillet 2025, la FDA a accepté la réponse complète de Milestone à la lettre de réponse complète précédente concernant la demande d'autorisation de mise sur le marché (NDA) pour CARDAMYST (spray nasal à l'etripamil) ciblant la tachycardie supraventriculaire paroxystique. L'agence a fixé une nouvelle date d'action au titre du Prescription Drug User Fee Act (PDUFA) au 13 décembre 2025.

Point de vue investissement : L'acceptation par la FDA et la définition d'une date PDUFA relancent le compteur d'approbation, réduisant l'incertitude réglementaire et agissant comme un catalyseur positif. La prolongation de trois mois de l'accord de redevances aligne les échéances contractuelles sur la nouvelle date PDUFA, évitant ainsi d'éventuelles violations de covenants. Aucun état financier n'a été inclus, mais une approbation réussie débloquerait un financement par redevances et des revenus potentiels de commercialisation.

Milestone Pharmaceuticals Inc. (NASDAQ: MIST) reichte am 10. Juli 2025 ein 8-K ein, in dem zwei wesentliche Ereignisse offengelegt wurden:

  • Änderung des Lizenzkaufsvertrags (Punkt 1.01): Das Unternehmen und RTW Royalty I DAC haben sich darauf geeinigt, die Frist für die Marktzulassung von Etripamil vom 30. September 2025 auf den 31. Dezember 2025 zu verlängern. Die Änderung gewährt Milestone zusätzliche drei Monate, um die US-Marktzulassung zu sichern, bevor vertragliche Meilenstein- oder Rückzahlungsbestimmungen greifen. Die vollständigen Bedingungen werden in der nächsten periodischen Einreichung enthalten sein.
  • Regulatorisches Update (Punkt 8.01): Am 11. Juli 2025 akzeptierte die FDA die vollständige Antwort von Milestone auf das vorherige Complete Response Letter für den New Drug Application (NDA) für CARDAMYST (Etripamil) Nasenspray zur Behandlung der paroxysmalen supraventrikulären Tachykardie. Die Behörde setzte ein neues Prescription Drug User Fee Act (PDUFA) Aktionsdatum auf den 13. Dezember 2025 fest.

Investmentausblick: Die Annahme durch die FDA und das festgelegte PDUFA-Datum starten die Zulassungsuhr neu, verringern regulatorische Unsicherheiten und wirken als positiver Katalysator. Die dreimonatige Verlängerung im Lizenzvertrag stimmt die vertraglichen Fristen mit dem neuen PDUFA-Datum ab und vermeidet potenzielle Vertragsverletzungen. Es wurden keine Finanzberichte beigelegt, aber eine erfolgreiche Zulassung würde Lizenzfinanzierungen und potenzielle Umsatzerlöse aus der Kommerzialisierung ermöglichen.

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549 

 

FORM 8-K

  

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported):

July 10, 2025

  

MILESTONE PHARMACEUTICALS INC.

(Exact name of registrant as specified in its charter)

  

Québec   001-38899   Not applicable
(state or other jurisdiction of incorporation)   (Commission File Number)   (I.R.S. Employer Identification No.)

 

1111 Dr. Frederik-Philips Boulevard,    
Suite 420    
Montréal, Québec CA   H4M 2X6
(Address of principal executive offices)   (Zip Code)

 

Registrant's telephone number, including area code: (514) 336-0444

 

(Former name or former address, if changed since last report.)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

¨     Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨     Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨     Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨     Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class   Trading Symbol(s)   Name of each exchange on which
registered
Common Shares   MIST   The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b–2 of the Securities Exchange Act of 1934 (§ 240.12b–2 of this chapter).

 

Emerging growth company ¨

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

 

 

 

 

 

 

Item 1.01 Entry into a Material Definitive Agreement.

 

On July 10, 2025, Milestone Pharmaceuticals Inc. (the “Company”) entered into an amendment (the “Amendment”) to its existing Purchase and Sale Agreement (the “Royalty Purchase Agreement”) with RTW Royalty I DAC, an affiliate of RTW Investments, LP. Pursuant to the Amendment, the Marketing Approval Deadline (as defined in the Royalty Purchase Agreement) has been extended from September 30, 2025 to December 31, 2025.

 

References to the terms of the Amendment are qualified in their entirety by reference to the full text of the Amendment, which will be filed as an exhibit to the Company’s next applicable periodic report.

 

Item 8.01 Other Events.

 

On July 11, 2025, the Company issued a press release announcing that the U.S. Food and Drug Administration has accepted for review the Company’s response to issues raised in the Complete Response Letter regarding its New Drug Application for CARDAMYST (etripamil) nasal spray for the management of paroxysmal supraventricular tachycardia and assigned a new Prescription Drug User Fee Act (PDUFA) target action date of December 13, 2025.

 

A copy of the press release is attached as Exhibit 99.1 to this Current Report on Form 8-K.

 

Item 9.01 Financial Statements and Exhibits.

 

(d) Exhibits

 

Exhibit
No.
  Description
99.1   Press Release, dated July 11, 2025
104   Cover Page Interactive Data File (the cover page XBRL tags are embedded within the Inline XBRL document)

 

 

 

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

  MILESTONE PHARMACEUTICALS INC.
   
Dated: July 11, 2025 By: /s/Amit Hasija
    Amit Hasija
    Chief Financial Officer

 

 

 

FAQ

What did Milestone Pharmaceuticals (MIST) announce in its latest 8-K?

Milestone disclosed an amendment extending the royalty agreement’s Marketing Approval Deadline to 31 Dec 2025 and FDA acceptance of its NDA resubmission for CARDAMYST.

What is the new PDUFA date for CARDAMYST (etripamil)?

The FDA assigned a new PDUFA target action date of 13 December 2025.

Why was the royalty agreement amended?

To move the Marketing Approval Deadline from 30 Sep 2025 to 31 Dec 2025, matching the updated FDA timeline and avoiding potential covenant issues.

Does the filing include new financial statements?

No. The 8-K only covers the contract amendment and regulatory update; no earnings or balance sheet data were provided.

How might the FDA acceptance affect MIST’s stock?

Regulatory review resumption creates a defined catalyst; approval could unlock royalties and commercialization revenue, while another rejection would pose downside risk.
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Biotechnology
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