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Groundbreaking immunotherapy to target endometriosis

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A groundbreaking drug programme is set to target endometriosis using a novel Jun-N-terminal kinase (JNK) inhibitor that targets pain and inflammation. 

The therapeutic drug candidate  aims to address a critical unmet need in first-line treatments for a range of women’s health indications, starting with endometriosis and potentially extending to Polycystic Ovary Syndrome (PCOS) and ovarian ageing.

While traditionally viewed as the presence of endometrial-like tissue outside the uterus, it is increasingly recognised as a chronic inflammatory condition, potentially explaining its numerous associated health issues.

The current standard of care involves surgical removal of lesions or affected organs, though recurrence often necessitates repeated procedures. Symptom management typically relies on pain medications and hormonal therapies, which provide the impetus for developing related treatments.

Founder and CEO of Celmatix Therapeutics, which is developing the drug, Dr. Piraye Yurttas Beim, said: “Despite impacting one-in-ten women and girls, to date there have been no disease-altering, first-line medications brought to market to treat endometriosis.

“As someone who has been impacted by endometriosis since my first period, I can relate to the burden that this debilitating disease places on individuals, families, employers, and communities. Thanks to our decade-long multi-omics initiative, our research group was early in recognising that inflammation is core to the pathophysiology of endometriosis and may explain why it predisposes women for so many other health conditions down the road.

“Long after their periods have ended, women pay the price for their period pain having been papered over with painkillers and birth control pills rather than truly addressed and cured.

“I dream of a better health trajectory for my daughter and her peers and believe that our new JNK immunotherapy will unlock that brighter future.”

CSO of Celmatix Therapeutics,Dr. Stephen Palmer, said: “Endometriosis represents an opportunity to address both one of the most significant areas of unmet clinical need and one of the biggest commercial opportunities in women’s health.

“Our evaluation process to find the right drug programme to pursue involved a number of criteria, including target evaluation for anticipated safety, efficacy, and druggability. We also knew that we wanted to prioritise a biological target that was ideally involved in both the transmission of peripheral pain signals and inflammation.

“It rapidly became clear that a novel class of JNK inhibitors with greater specificity for JNK1 and 3 than for JNK 2 had the potential to meet our target product objectives. It was at that stage that we approached our colleagues at BCM to license lead compounds with many of the desired drug qualities.

“The promising JNK inhibitor scaffolds discovered at BCM have unique efficacy, potency, and safety signals achieved through novel interactions not previously addressed by other JNK inhibitors. The work on these compounds also confirmed reductions in inflammatory cytokines in models of endometriosis established for cell cultures and endometriosis lesion regression in rodent models.

“We are now rapidly progressing these licensed compounds through our internal lead optimisation efforts and are optimistic to be able to nominate a development candidate soon.”

“We are confident that Celmatix Therapeutics is the ideal partner for this innovative endometriosis treatment, with potential to expand into other women’s health indications,” said Dr. Martin Matzuk, director of the Center for Drug Discovery at BCM, who has dedicated over 30 years to discovering drug targets in women’s health.

“I have known members of the Celmatix team for over two decades, and they have a proven track record in research integrity and business acumen. The JNK project originated from screens using our sophisticated multi-billion compound DEC-Tec platform, and we are very pleased with the progress made by the Celmatix team.”

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Petition urges Government to introduce menstrual leave

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A petition calling on the UK government to introduce menstrual leave for women with gynaecological conditions has gathered nearly 75,000 signatures.

The campaign needs 100,000 signatures by 29 January 2026 for a debate in Parliament.

It would allow three extra sick days a year for people with endometriosis, adenomyosis and polycystic ovary syndrome (PCOS). Similar legislation already exists in Spain and Portugal.

Women across Merseyside have spoken about the impact these conditions have on their working lives.

Becca Jade Burrows, 29, from St Helens, has experienced symptoms including heavy bleeding, pain, bloating and nausea for four years while awaiting diagnosis of endometriosis and adenomyosis.

“This is something that should be discussed because when flare ups happen, its impossible to work with the pain you’re in,” she said.

“I’ve recently started a new job and worry about needing to take time off as I’m new, so this would help.”

Liverpool student Molly Nicholls, 20, was diagnosed with stage two endometriosis in 2024 following a diagnostic laparoscopy (a keyhole procedure to look inside the abdomen), having first sought help at age 12.

“It’s just so hard and the pain during flare ups is just excruciating,” she said.

“Most women have more than one gynaecological condition. A lot of people don’t understand how these conditions impact daily life.”

Ceri Bruinsma, 44, a self-employed massage therapist from Liverpool, was diagnosed with umbilical endometriosis, a rare form affecting 0.5 to one per cent of women, after she began bleeding from her belly button.

“I’ve had pain before that feels like when I was in labour,” she said. “Three days isn’t much to ask for.”

The government says it has no plans to introduce menstrual leave, pointing instead to the Employment Rights Bill introduced in 2024 and existing protections under the Equality Act 2010.

Marie Rimmer, MP for St Helens South and Whiston, said: “I have spoken to many women who have lived with the pain of endometriosis for years before being taken seriously.

“No one should be made to feel that their pain is something they just have to put up with.”

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UK gov responds to report into failings in black maternal health

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The Department of Health and Social Care (DHSC) announced the forthcoming “maternal morbidity indicator system” in its formal response to the Health and Social Care Committee’s recent report on black maternal health.

The system will collect data on complications in the care and treatment of pregnant women and babies, and analyse patterns.

Insights will help NHS leaders target interventions at those facing unequal risk, such as black mothers, and make changes at hospitals to prevent future incidents.

Paulette Hamilton MP, who chaired the committee while the inquiry was undertaken, said: “Whilst it has been years in the making, the new maternal morbidity indicator will hopefully prove to be a vital tool in understanding the reasons for failures in black maternity care.

“I am glad our report appears to have pushed this along and the Government deserves some praise for finally seeing it through.

“However, there is a lack of willingness to grab the issue by the horns.

“It would have been relatively easy to bring in compulsory training for midwives to understand cultural complexities in their role. What’s holding the Government back?

“It is also unclear how accountability will improve.

“Having the insights is one thing, but what will be the mechanism to act on failure and prevent it recurring?

“I am not yet convinced that Ministers, or the system, are properly hearing and understanding the voices of black mothers.”

Published in September, the cross-party committee’s report called for DHSC to urgently accelerate development of the indicator.

DHSC now says the system will be operational from the first quarter of 2026.

Work on the tool began at least three years ago, with the previous government stating in August 2022 that it was “in development”.

In July this year the government said development was expected “within less than three years”.

The committee’s report found that black women face disproportionately poor outcomes in a system failing women more broadly.

Black women are 2.3 times more likely to die in pregnancy, childbirth, or the postnatal period than white women.

NHS England has paid out £27.4bn due to maternity negligence cases since 2019, estimated to be more than the total spent on maternity services over the same period.

MPs heard that overarching reasons for substandard treatment include racism, insufficient training and a system lacking accountability.

The department’s response rejects the committee’s recommendation for mandatory, ongoing cultural competency training for all midwives, instead referring to an Anti-Discrimination Programme launched in October that only applies to leaders and consultants.

The committee also called on ministers to ensure local health commissioners give adequate funding for maternity services.

The response rejected calls to reintroduce elements of ring-fenced funding, with the government saying Integrated Care Boards will be “monitored”, but did not explain how it would hold poorer performing trusts to account.

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Inadequate heavy bleeding care costs NHS millions a year, analysis finds

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Mismanaged heavy bleeding care is costing the NHS millions each year, a new analysis suggests.

Experts say thousands of patients could be treated earlier in the community rather than in hospital.

Heavy periods, affecting at least one in three women, are defined as blood loss that disrupts daily life.

Symptoms can be linked to conditions such as fibroids, endometriosis or adenomyosis.

Treatment options include hormonal contraception or tranexamic acid, a medicine that helps blood to clot and reduce bleeding.

Severe blood loss can lead to anaemia, a lack of red blood cells, sometimes requiring transfusion.

Janet Lindsay, chief executive at Wellbeing of Women, said: “This study shows that we cannot afford to dismiss heavy menstrual bleeding as just a period. The impact of heavy menstrual bleeding on women’s lives is real and it can be debilitating.”

Researchers at Anglia Ruskin University analysed 1,332 hospital visits from 98 NHS gynaecology units between January and June 2024, during which 3,025 units of red blood cells were used.

The mean cost per admission was £2,972, with post-discharge care averaging £1,735. Scaled across a year, this equates to a little over £13m.

The average hospital stay was two days, and one in five patients were discharged while still anaemic.

Dr Bassel Wattar, associate professor of reproductive medicine at Anglia Ruskin University, said: “This is a silent crisis in women’s health.

“We are seeing thousands of women admitted to hospital for a condition that could often be managed earlier and more effectively in the community.”

Dr Sue Mann, national clinical director in women’s health at NHS England, added: “It’s vital that women experiencing heavy bleeding seek help from the NHS before it leads to serious conditions such as chronic anaemia, so please do come forward for support.”

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