Exhibit 10.101

CERTAIN MATERIAL (INDICATED BY AN ASTERISK) HAS BEEN OMITTED FROM THIS DOCUMENT PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT. THE OMITTED MATERIAL HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

1^st Amendment to the

CAPTISOL^® SUPPLY AGREEMENT

dated as of

December 20^th, 2002

BY AND BETWEEN

CYDEX, INC.

AND

THE HOVIONE GROUP

Dated as of July 29, 2005

TABLE OF EXHIBITS

1^st AMENDMENT TO THE CAPTISOL^® SUPPLY AGREEMENT

THIS 1^st AMENDEMENT TO THE CAPTISOL SUPPLY AGREEMENT (the “AGREEMENT”) is entered into as of the 29^th of July 2005, by and between:

BACKGROUND

Both parties declare that the original intent of the AGREEMENT entered into has been met and remains valid. Parties feel that it is appropriate to clarify and update certain matters contained in said AGREEMENT as such this 1^st Amendment has been agreed to and is amended as follows.

AGREEMENTS

NOW, THEREFORE, in consideration of the mutual promises hereinafter made and the mutual benefits to be derived from this 1^st AMENDMENT TO THE AGREEMENT, and other good and valuable consideration, the receipt and sufficiency of which is acknowledged, the parties hereto, intending to be legally bound, hereby agree as follows:

“COMMERCIAL PRODUCTION DATE” has the meaning set forth in Section 2.2 hereof, or more specifically the 26^th August 2005.

“INITIAL TERM” means the period commencing upon the EFFECTIVE DATE and ending on March 31, 2012.

In the second sentence of clause 2.2, the clause “, which shall be on or before May 31, 2004” is hereby deleted.

1) There has been no material Variance from Engineering Information. Based on the evidence of the production campaigns performed since 2004, the actual costs, the manufacturing efficiency set forth in Exhibit E and the information contained in Exhibit B, there is no evidence of an increase in total cost necessary to achieve the manufacturing efficiency set forth in Exhibit E. Pricing and unit rates applicable after the COMMERCIAL PRODUCTION DATE are confirmed as per Exhibit F.

2) Currency Exchange Rates. The Parties acknowledge that pursuant to clause 4.2(b), the UNIT PRICES for the first CONTRACT YEAR are subject to adjustment pursuant to Exhibit D based on the ACTUAL EXCHANGE RATE of US$[***], as reported by The Wall Street Journal, Eastern U.S. edition for the COMMERCIAL PRODUCTION DATE.

2.9 Continuous Improvement Program. During the TERM, the parties may elect to pursue any one or more of the cost saving measures described in further detail in Exhibit G, subject to the parties’ mutual agreement on division of responsibilities and costs and the potential impact on SPECIFICATION and UNIT PRICES.

The Technical Committee shall be composed of one representative of each party. Initially, such representatives shall be:

The Management Committee shall be composed of one representative of each Party. Initially, such representatives shall be:

IN WITNESS WHEREOF, the parties, through their authorized representatives, have duly executed this AGREEMENT as of the date first written above.

EXHIBIT F

PRICING

The following unit prices remain valid as full compensation for the performance of HOVIONE hereunder for the manufacture and supply of CAPTISOL from its Loures site from and after the COMMERCIAL PRODUCTION DATE, unless altered based on the Agreement as a result of the issues foreseen in the AGREEMENT that have or could occur by the [***] of the COMMERCIAL PRODUCTION DATE. CYDEX shall pay HOIVONE the following supply prices (“UNIT PRICES”) tor CAPTISOL:

[***]

EXHIBIT G

CONTINUOUS IMPROVEMENT PLAN

[***]