Curated dataset · n=51 verified deals · Not live market data · Scores are descriptive, not forecasts.

Clinical trials, evidence maturity, genomics, health equity, and patient empowerment baselines.

Research workspace

Clinical trials, registry fields, genomics, health equity, and patient empowerment baselines — public data labeled cited_* or affinity. Heuristic crosswalks stay here; they do not feed deal economics, comps, or dual-source badges.

Oncology Claim-Integrity Monitor compares dated public claims with cited evidence. It is separate from valuation and exit-similarity panels.

Burden–Capital Opportunity Context

WEF/BCG Figure 3: sourced population burden and historical funding context across women's-health therapeutic areas. A research heuristic for diligence questions — not enterprise value. Widest contrast is outside the traditional bucket (CVD, metabolic). Burden columns pending IHME GBD 2023.

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Stage funding median

Burden–Capital Opportunity Context continued: US GBD 2021 burden and historical VC context — WEF-aligned for CVD/metabolic. Dollar output is the verified-dataset stage funding median only; editorial Rock Health / PitchBook medians and gap multipliers are not used as a price.

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Women's health exit landscape

AOA Dx Follow the Exits (Jan 2026): 276 exits and $100B+ in M&A/IPO value (2000–2025), often mis-tagged in PitchBook. Compared honestly to Lacuna's curated deal set.

Women's health exit landscape (macro research)

AOA Dx's Follow the Exits report (Jan 2026) manually re-tags acquisitions and IPOs often filed under diagnostics or oncology — surfacing exits investors' databases miss. Lacuna's 51 verified deals ($125.2B all-scope disclosed) are a curated educational subset, not this 276-exit universe.

Source universe

  • AOA Dx: broad historical women's-health exit research universe with its own definitions and methods.
  • SVB: current sector-level healthcare funding and exit context, time-bound to H1 2026 data.
  • Lacuna: curated public-source M&A sample, not a census.

These sources are complementary context sets and are not directly comparable as counts, values, returns, or coverage universes.

Lacuna is a curated public-source sample, not a census of women's-health M&A. Coverage varies by sector, geography, disclosure availability, and women's-health scope. Undisclosed transaction values are excluded from disclosed-value totals.

$100B+

Exits 2000–2025 (AOA Dx)

276

Exit count (M&A + IPO)

27

Deals over $1B

91%

M&A share of exits

AOA exit concentration (2000–2025)

  • Gynecologic health$29.6B
  • Oncology$24B

Nearly $19B from gynecologic oncology alone (AOA Dx).

$27B in transactions in 2025 alone — largest year on record (AOA Dx).

Kearney private investment (Since 2020; Kearney analysis cited in Forbes (Jan 2026).)

  • $34B total private capital
  • $21B women-specific conditions (fertility, women's cancers)
  • $13B disproportionately affecting women (CVD, Alzheimer's, autoimmune, mental health)
  • $7.6B diagnostics & digital health (2,000+ deals tracked)

Repeat acquirers in Forbes coverage: Hologic, Roche, LabCorp, Abbott, CooperSurgical.

Nearly half of all exits occurred in the past five years (AOA Dx, via Forbes Jan 2026).

Sources

  • AOA Dx — Follow the Exits (2026) — AOA Dx. "Follow the Exits: Why Women's Health Is a Smart Bet in Healthcare." Released at JPMorgan Healthcare Conference, San Francisco, Jan 13, 2026.
  • Forbes (Jan 2026) — Stengel, G. Women's Health Exits Surpassed $100 Billion. Forbes, Jan 13, 2026.
  • Kearney (via Forbes) — Kearney global consultancy analysis — 2,000+ private deals since 2020; $34B women's-health investment split by condition category. Cited in Forbes (Jan 2026).

RH Capital portfolio

Funds I & II (Foreground Capital): cited funding and exit notes for portfolio companies on rhcapital.vc — overlaid on the network graph as RH Capital.

RH Capital portfolio (Foreground Capital)

RH Capital Funds I and II are managed by Foreground Capital (foreground.vc). Metrics below are from press releases and trade press — not Lacuna verified M&A deals unless noted as an exit. Toggle the RH Capital overlay on the network graph to highlight these companies.

24

Portfolio companies

15

With cited funding total

$472.2M

Sum of cited funding totals

2

Documented exits (undisclosed terms)

CompanyFocusFundingExit / valuation
AOA DxOncology diagnostics$24M—
BloomlifeMaternal digital health——
Cadence OTCContraception$35M—
Cayaba CareMaternal health equity$15M—
CirqleContraception——
CofertilityFertility$16M—
ContralineMale contraception$127M—
Eli HealthHormone diagnostics$20M—
EvvyDiagnostics$19M—
Gesynta PharmaEndometriosis therapeutics——
MaeMaternal health equity$1.3M—
MillieMaternal care delivery$19M—
NeusperaPelvic health device——
NovocuffPreterm birth device——
NurxDigital pharmacy$110MThirty Madison (Ro parent) · terms undisclosed
Ocon MedDrug delivery——
Ovia HealthDigital maternal health$23.4MLabCorp · terms undisclosed
PlaneraPeriod care$9.5M—
Raydiant OximetryMaternal-fetal monitoring——
Seven StarlingPerinatal mental health$22M—
Testmate HealthSTI diagnostics$6M—
Twenty Eight HealthReproductive telehealth$25M—
Vitra LabsFertility technology——
YourChoice TherapeuticsContraception therapeutics——

Space research → trial → transaction

Space-linked women's health assets scored on a fixed pipeline (research signal → space validation → Earth trial → company → verified M&A). Gap matrix and LLM analyst expose where research never becomes a deal.

Space → trial → transaction gaps

Curated public citations of space-linked women's health research joined to Lacuna's verified M&A dataset. Pipeline stages are descriptive evidence flags — not investment advice, clinical recommendations, or forecasts.

7

Research assets

4

Commercial gaps

3

Touch verified deals

3

Physiology-only

Pipeline funnel (furthest stage)

Research signal
0
Space validation
0
Earth trial signal
4
Company in Lacuna dataset
0
Verified M&A transaction
3

Gap matrix (assets reaching stage)

ArearesearchspaceearthcompanytransactionGaps
Breast oncology222220
Contraception / menstrual suppression212111
Fertility / ovarian function202002
Gynecologic oncology222220
Menopause-adjacent (bone / hormones)222111
Menstrual devices101001
Osteoporosis (postmenopausal)111001

BP-NELL-PEG (NELL-1 osteoporosis therapeutic)

Therapeutic tested in space (animal/cell efficacy)

Commercial gap
research signalspace validationearth trialcompanytransaction

Preclinical only — no approved human product.

Combined oral contraceptives (astronaut menstrual suppression)

Operational pharma used by women in flight (not a product trial)

research signalspace validationearth trialcompanytransaction

Linked: Organon

Deals: Organon (via Merck spinoff) ← Alydia Health; Organon ← Forendo Pharma; Organon ← Dermavant Sciences

Operational use ≠ product development pipeline.

Pembrolizumab (Keytruda) microgravity crystallization

Formulation / delivery informed by microgravity

research signalspace validationearth trialcompanytransaction

Linked: Organon

Deals: Organon (via Merck spinoff) ← Alydia Health; Organon ← Forendo Pharma; Organon ← Dermavant Sciences

Formulation/delivery win — not a new WH mechanism of action.

MicroQuin TMBIM6 small-molecule (breast/ovarian models)

Formulation / delivery informed by microgravity

research signalspace validationearth trialcompanytransaction

Linked: Ro, Ro

Deals: Ro ← Modern Fertility; Ro ← Nurx

No public late-stage CT.gov program under TMBIM6 in Lacuna's live search defaults.

NASA Rodent Research-20 / female reproductive physiology

Physiology / device / cell study — no therapeutic candidate

Commercial gap
research signalspace validationearth trialcompanytransaction

Physiology gap: risk characterized, no space-tested therapeutic for ovarian protection.

Axiom ORION — ovarian granulosa/theca cells

Physiology / device / cell study — no therapeutic candidate

Commercial gap
research signalspace validationearth trialcompanytransaction

No path from cell study to Lacuna company or deal.

AstroCup — menstrual cups in spaceflight conditions

Physiology / device / cell study — no therapeutic candidate

Commercial gap
research signalspace validationearth trialcompanytransaction

Device, not pharma. No femtech menstrual-cup company in verified M&A set.

Gap analyst (LLM)

Grounded only in the pipeline JSON above. Uses Vercel AI Gateway model spacexai/grok-4.3 when configured; otherwise a deterministic summary.

Clinical Trials Worth Watching

Live oncology, pelvic health, fibroids, fertility, contraception, maternal health, sickle cell, GRAIL MCED, NCI HER2/pertuzumab, and platinum-resistant ovarian searches plus a cited domestic sample-size catalog.

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Trial search is live; cohort sample sizes are static citations. Model-derived trial scores are not displayed because Lacuna does not currently ship a version trained on a documented, versioned ClinicalTrials.gov cohort.

Registry fields

ClinicalTrials.gov and openFDA fields on verified targets when a lookup returns them. Missing records stay blank. They are not a clinical-validation score.

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Disease-linked genetic markers

PCOS, hereditary breast cancer, sickle cell (HBB), lupus, and Lynch syndrome — queryable variant summaries with HIPAA/GDPR de-identification by default.

Patient empowerment baseline

HLTH Foundation / Outcomes4Me (2022): cited empowerment gaps indexed 0–100 and crosswalked to Lacuna portfolio by sector + keyword affinity. GET /api/research/patient-empowerment.

Patient empowerment baseline (breast cancer, 2022)

Lacuna crosswalks cited HLTH/Outcomes4Me gaps to the verified portfolio — we do not measure live patient empowerment. Sector and keyword joins stay labeled affinity and do not feed deal economics, comps, or dual-source badges.

Cited (survey 2022)Portfolio crosswalk (heuristic)
Data freshness: Static HLTH/Outcomes4Me baseline (Nov 2022). Check outcomes4me.com/empowerment2022 for updates — not live Lacuna patient data.

48/100

Median gap index

52/100

Weighted burden index

56/100

Mean high+ severity

2

Critical gaps (≥60)

80

Max gap index

48

Curated links

35

Evidence-backed links

Unweighted mean 47/100 across 12 dimensions · mean evidence coverage 15% · n=1,828 survey · max gap: Presented with clinical trial as treatment option

Timely, actionable medical records

Mean gap 44/100
44/100

3 metrics · 24 companies · 11 deals

Trusted multidisciplinary care team

Mean gap 40/100
40/100

3 metrics · 46 companies · 28 deals

Evidence-based standards presented

Mean gap 59/100
59/100

2 metrics · 38 companies · 24 deals

Health and life goals integrated

Mean gap 48/100
48/100

4 metrics · 37 companies · 26 deals

Care-phase mean gap index

Medical records access
44/100
Detection & diagnosis
38/100
Active treatment
52/100
Survivorship
61/100
Overall empowerment
27/100

Severity distribution (12 dimensions)

Critical (≥60)
2
High (40–59)
6
Moderate (<40)
4

Gap index by dimension

clinical trial offered
80
unaware survivorship resources
67
full records access
55
no survivorship plan
54
hipaa compliant institutions
53
uncomfortable advocating
50
care team accessible
45
oncologist listens
44
genetic testing not recommended
37
not in control
27
records not understandable
25
portal diagnosis
25

Priority ranking (gap × thin coverage)

DimensionGap indexPriorityEvidenceCoverage
Patients with full access to medical records
55/100
514%evidence8%curated
Institutions fully compliant with HIPAA records requests
53/100
500%evidence5%curated
Did not feel comfortable advocating to care team
50/100
476%evidence6%curated
Presented with clinical trial as treatment option
80/100
4642%evidence42%curated
Not aware of survivorship resources
67/100
4238%evidence38%curated

Top gaps by index (portfolio detail)

Gap dimensionGap indexPortfolio affinityDeals

Presented with clinical trial as treatment option

Cited: 1 in 5 · Cited survey (HLTH 2022)

80/100
critical
  • b.well (Affinity (sector))
  • Biotheranostics (Affinity (sector))
  • E-Lovu Health (Affinity (sector))
  • +19 more
14n=19 addressable42% curated42% evidence58% heuristic

Not aware of survivorship resources

Cited: 2 in 3 · Cited survey (HLTH 2022)

67/100
critical
  • b.well (Affinity (sector))
  • Biotheranostics (Curated analyst mapping · Company / product site)↗
  • E-Lovu Health (Affinity (sector))
  • +12 more
9n=13 addressable38% curated38% evidence62% heuristic

Patients with full access to medical records

Cited: 45% · Cited survey (HLTH 2022)

55/100
high
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • b.well (Curated analyst mapping)
  • +21 more
11n=24 addressable8% curated4% evidence92% heuristic

No survivorship care plan after active treatment

Cited: 54% · Cited survey (HLTH 2022)

54/100
high
  • b.well (Affinity (sector))
  • Biotheranostics (Curated analyst mapping · Clinical trial / publication)↗
  • E-Lovu Health (Affinity (sector))
  • +16 more
13n=19 addressable63% curated58% evidence37% heuristic

Institutions fully compliant with HIPAA records requests

Cited: 47% · Cited survey (HLTH 2022)

53/100
high
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • b.well (Curated analyst mapping)
  • +19 more
11n=22 addressable5% curated0% evidence95% heuristic
All 12 dimensions

Patients with full access to medical records

Cited: 45% · Cited survey (HLTH 2022)

55/100
high
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • b.well (Curated analyst mapping)
  • +21 more
11n=24 addressable8% curated4% evidence92% heuristic

Institutions fully compliant with HIPAA records requests

Cited: 47% · Cited survey (HLTH 2022)

53/100
high
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • b.well (Curated analyst mapping)
  • +19 more
11n=22 addressable5% curated0% evidence95% heuristic

Cannot make sense of medical records

Cited: 1 in 4 · Cited survey (HLTH 2022)

25/100
moderate
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • b.well (Affinity (sector))
  • +19 more
11n=22 addressable5% curated0% evidence95% heuristic

Learned cancer diagnosis via portal before care team

Cited: 1 in 4 · Cited survey (HLTH 2022)

25/100
moderate
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • b.well (Affinity (sector))
  • +27 more
18n=29 addressable3% curated0% evidence97% heuristic

Did not feel comfortable advocating to care team

Cited: 1 in 2 · Cited survey (HLTH 2022)

50/100
high
  • b.well (Affinity (sector))
  • Biotheranostics (Affinity (sector))
  • Calm (Affinity (sector))
  • +15 more
8n=17 addressable6% curated6% evidence94% heuristic

Care team accessible to answer questions

Cited: ~55% · Cited survey (HLTH 2022)

45/100
high
  • Alloy (Affinity (keyword))
  • b.well (Affinity (sector))
  • Biotheranostics (Affinity (sector))
  • +24 more
17n=19 addressable11% curated5% evidence89% heuristic

Oncologist listens; wishes reflected in treatment plan

Cited: 56% · Cited survey (HLTH 2022)

44/100
high
  • Apostrophe (Affinity (keyword))
  • b.well (Affinity (sector))
  • Biotheranostics (Affinity (sector))
  • +18 more
15n=19 addressable11% curated11% evidence89% heuristic

Not recommended genetic testing (NCCN: almost all should)

Cited: 37% · Cited survey (HLTH 2022)

37/100
moderate
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • Biotheranostics (Curated analyst mapping · Company / product site)↗
  • +27 more
24n=29 addressable34% curated14% evidence66% heuristic

Presented with clinical trial as treatment option

Cited: 1 in 5 · Cited survey (HLTH 2022)

80/100
critical
  • b.well (Affinity (sector))
  • Biotheranostics (Affinity (sector))
  • E-Lovu Health (Affinity (sector))
  • +19 more
14n=19 addressable42% curated42% evidence58% heuristic

No survivorship care plan after active treatment

Cited: 54% · Cited survey (HLTH 2022)

54/100
high
  • b.well (Affinity (sector))
  • Biotheranostics (Curated analyst mapping · Clinical trial / publication)↗
  • E-Lovu Health (Affinity (sector))
  • +16 more
13n=19 addressable63% curated58% evidence37% heuristic

Not aware of survivorship resources

Cited: 2 in 3 · Cited survey (HLTH 2022)

67/100
critical
  • b.well (Affinity (sector))
  • Biotheranostics (Curated analyst mapping · Company / product site)↗
  • E-Lovu Health (Affinity (sector))
  • +12 more
9n=13 addressable38% curated38% evidence62% heuristic

Do not feel in control of care decisions

Cited: 27% · Cited survey (HLTH 2022)

27/100
moderate
  • Alere (Affinity (sector))
  • AOA Dx (Affinity (sector))
  • b.well (Affinity (sector))
  • +32 more
24n=35 addressable0% curated0% evidence100% heuristic

HLTH Foundation / Outcomes4Me 2022 breast cancer empowerment baseline crosswalked to Lacuna's verified M&A sample using curated analyst mappings (preferred), sector overlap, and description keyword affinity. Gap indices are cited static rates — not live patient outcomes, clinical benchmarks, or investment advice.

Sources

Gap analyst (LLM)

Grounded only in the empowerment snapshot JSON. Deterministic summary when inference is not configured.

Genetic Markers & Health Equity

Maternal mortality, PCOS, hereditary breast cancer, sickle cell, lupus, and Lynch syndrome — with disparities that disproportionately affect Black women in the verified portfolio.

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Measuring What Matters

Cited burden and penetration context beside verified companies. No composite impact score, and no valuation inferred from a gap.

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From Lab to Venture

Verified company name, sector, and stage for commercialization context. Report context is not turned into a company score.

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