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Reviva Reports First Quarter 2024 Financial Results and Recent Business Highlights

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Reviva Pharmaceuticals (NASDAQ: RVPH) reported its first-quarter 2024 financial results and provided significant business updates. Key highlights include gaining FDA alignment on brilaroxazine's clinical trials for its NDA submission in schizophrenia, with the registrational RECOVER-2 trial set to begin in Q2 2024 and topline data expected Q3 2025. An open-label extension trial's topline data is anticipated in Q4 2024.

Financially, Reviva faced a net loss of $7.4 million for Q1 2024, compared to a $6.9 million loss in Q1 2023. The company's cash reserves dropped from $23.4 million at the end of 2023 to $12.0 million as of March 31, 2024. Upcoming catalysts include potential Phase 2a studies for bipolar disorder, major depressive disorder, and ADHD, and an IND submission for a liposomal-gel formulation of brilaroxazine in psoriasis in 2025.

Positive
  • Gained FDA alignment on brilaroxazine clinical trials for NDA submission.
  • RECOVER-2 trial initiation in Q2 2024; topline data in Q3 2025.
  • Topline data from 1-year OLE trial expected in Q4 2024.
  • Possible Phase 2a studies for bipolar disorder, major depressive disorder, and ADHD in 2024.
  • IND submission for liposomal-gel formulation in psoriasis expected in 2025.
Negative
  • Net loss of $7.4 million for Q1 2024, increased from $6.9 million in Q1 2023.
  • Cash reserves decreased from $23.4 million to $12.0 million from December 2023 to March 2024.
  • Potential dilution from pursuing partnership and non-dilutive financing opportunities.

Insights

Financial Results Analysis: Reviva Pharmaceuticals reported a $7.4 million for Q1 2024, compared to a $6.9 million loss in Q1 2023. The company's $12.0 million cash balance is considerably lower compared to $23.4 million at the end of 2023. This significant decrease in cash reserves poses a potential liquidity risk. Investors should closely monitor upcoming funding announcements, partnerships, or non-dilutive financing to understand how Reviva plans to sustain operations and fund its late-stage development programs. Additionally, the smaller per-share loss in Q1 2024 ($0.25 per share) versus Q1 2023 ($0.31 per share) is a positive sign of potential operational efficiencies or revenue growth starting to materialize, albeit marginally.

Short-term: The declining cash reserves and ongoing operational losses might exert downward pressure on the stock. Investors should be cautious about liquidity risks.

Long-term: If successful, the anticipated clinical milestones and NDA submission could significantly enhance Reviva's valuation, making it a potential high-reward scenario.

Clinical Developments: Reviva's alignment with the FDA for the brilaroxazine NDA submission in schizophrenia is a important milestone. This alignment facilitates a clearer regulatory path, reducing uncertainties for investors. The initiation of the Phase 3 RECOVER-2 trial and upcoming topline data from the 1-year open-label extension (OLE) trial in Q4 2024 are key catalysts. These trials will provide essential data on the long-term safety and efficacy of brilaroxazine, which is critical for its potential approval and market adoption. The successful completion of these trials would demonstrate robust clinical benefits, making brilaroxazine a strong candidate in the schizophrenia treatment landscape.

Short-term: The ongoing and upcoming clinical trials are pivotal. Any positive interim data could act as significant stock price movers.

Long-term: Assuming regulatory approval, brilaroxazine could capture a substantial market share in schizophrenia treatment, driving long-term growth.

– Gained alignment with U.S. Food and Drug Administration (FDA) on brilaroxazine clinical trials for New Drug Application (NDA) submission in schizophrenia –

– Registrational RECOVER-2 trial expected to initiate Q2 2024; topline data expected Q3 2025 –

– Topline data from 1-year open-label extension (OLE) trial expected Q4 2024 –

CUPERTINO, Calif., May 14, 2024 (GLOBE NEWSWIRE) -- Reviva Pharmaceuticals Holdings, Inc. (NASDAQ: RVPH) (“Reviva” or the “Company”), a late-stage pharmaceutical company developing therapies that seek to address unmet medical needs in the areas of central nervous system (CNS), inflammatory and cardiometabolic diseases, today reported financial results for the first quarter ended March 31, 2024 and summarized recent business highlights.

“This quarter we made strong progress across our late-stage brilaroxazine program in schizophrenia. Importantly, we gained registrational clarity from the FDA on the requirements for an NDA submission which we are on track to complete in the fourth quarter of 2025,” said Laxminarayan Bhat, Ph.D., Founder, President, and CEO of Reviva. “In 2024, we expect several upcoming catalysts including dosing of the first patient in our registrational RECOVER-2 trial in the second quarter, and topline data from our 1-year OLE trial which will inform on the long-term safety and efficacy of brilaroxazine in the fourth quarter of this year. This is a potentially transformative time for Reviva and we remain focused on our mission to bring brilaroxazine to more patients around the world.”

First Quarter 2024 and Recent Business Highlights

Corporate Highlights

  • Hosted key opinion leader (KOL) webinar on topline RECOVER-1 Phase 3 data for brilaroxazine and the unmet medical need and current treatment landscape for schizophrenia, featuring presentations by Larry Ereshefsky, PharmD, BCPP, FCCP, of Follow the Molecule and Mark Opler, PhD, MPH of WCG (February 2024)

Clinical Program Highlights

  • Announced alignment with the U.S. Food and Drug Administration (FDA) on registrational Phase 3 program for brilaroxazine in schizophrenia (April 2024)
    • Acceptance of a 4-week RECOVER-2 study
    • Indication that two positive Phase 3 studies showing efficacy at week 4 that are accompanied by long-term safety data of at least 12 months could be supportive of an NDA submission for the acute treatment of schizophrenia
    • Requirement of a long-term randomized withdrawal study post-approval to support maintenance of effect
  • Presented successful RECOVER-1 Phase 3 clinical trial data for brilaroxazine in schizophrenia at the 2024 Schizophrenia International Research Society (SIRS) Annual Meeting (April 2024)
  • Presented successful RECOVER-1 Phase 3 clinical trial data for brilaroxazine in schizophrenia at the American Society for Clinical Pharmacology & Therapeutics (ASCPT) 2024 Annual Meeting (March 2024)

Anticipated Milestones and Events

  • Initiation of registrational Phase 3 RECOVER-2 trial evaluating brilaroxazine for the treatment of schizophrenia expected in Q2 2024
  • Topline data from 1-year open-label extension (OLE) trial expected Q4 2024
  • Topline data from registrational Phase 3 RECOVER-2 trial expected Q3 2025
  • Potential NDA submission for brilaroxazine in schizophrenia targeted for Q4 2025
  • May initiate Phase 2a studies in bipolar disorder, major depressive disorder, and attention deficit hyperactive disorder in 2024
  • Investigational new drug application (IND) submission for liposomal-gel formulation of brilaroxazine in psoriasis expected in 2025
  • Pursue partnership opportunities for the development of our pipeline
  • Evaluate grant and other non-dilutive financing opportunities for our product candidates from Federal and State Healthcare Agencies and Foundations

First Quarter 2024 Financial Results

The Company reported a net loss of approximately $7.4 million, or $0.25 per share, for the three months ended March 31, 2024, compared to a net loss of approximately $6.9 million, or $0.31 per share, for the same period in 2023 (as restated).

As of March 31, 2024, the Company’s cash totaled approximately $12.0 million compared to approximately $23.4 million as of December 31, 2023.

About Brilaroxazine
Brilaroxazine is an in-house discovered new chemical entity with potent affinity and selectivity against key serotonin and dopamine receptors implicated in schizophrenia and its comorbid symptoms. Positive topline data from the global Phase 3 RECOVER-1 trial in schizophrenia demonstrated the trial successfully met all primary and secondary endpoints with statistically significant and clinically meaningful reductions across all major symptom domains at week 4 with 50 mg of brilaroxazine vs. placebo with a generally well-tolerated side effect profile comparable to placebo and discontinuation rates lower than placebo. Positive data from a clinical drug-drug interaction (DDI) study investigating the potential effect of CYP3A4 enzyme on brilaroxazine in healthy subjects supports no clinically significant interaction when combined with a CYP3A4 inhibitor. Reviva believes that a full battery of regulatory compliant toxicology and safety pharmacology studies has been completed for brilaroxazine. Reviva intends to develop brilaroxazine for other neuropsychiatric indications including bipolar disorder, major depressive disorder (MDD) and attention-deficit/hyperactivity disorder (ADHD).

Additionally, brilaroxazine has shown promising nonclinical activity for inflammatory diseases psoriasis, pulmonary arterial hypertension (PAH) and idiopathic pulmonary fibrosis (IPF) with mitigation of fibrosis and inflammation in translational animal models. Brilaroxazine has already received Orphan Drug Designation by the U.S. FDA for the treatment of PAH and IPF conditions. To learn more about the clinical and preclinical data available for brilaroxazine, please visit revivapharma.com/publications.

About Reviva 
Reviva is a late-stage biopharmaceutical company that discovers, develops, and seeks to commercialize next-generation therapeutics for diseases representing unmet medical needs and burdens to society, patients, and their families. Reviva’s current pipeline focuses on the central nervous system (CNS), inflammatory and cardiometabolic diseases. Reviva’s pipeline currently includes two drug candidates, brilaroxazine (RP5063) and RP1208. Both are new chemical entities discovered in-house. Reviva has been granted composition of matter patents for both brilaroxazine and RP1208 in the United States, Europe, and several other countries.

Forward-Looking Statements
This press release contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 and the Private Securities Litigation Reform Act, as amended, including those relating to the Company’s 1-year open label extension (OLE) trial evaluating the long-term safety and tolerability for brilaroxazine in schizophrenia, the registrational Phase 3 RECOVER-2 trial, the Company’s expectations regarding the anticipated clinical profile of its product candidates, including statements regarding anticipated efficacy or safety profile, and those relating to the Company’s expectations, intentions or beliefs regarding matters including product development, clinical and regulatory timelines and expenses, planned or additional studies, planned or intended regulatory submissions including statements about the Company’s expectations regarding its planned New Drug Application (NDA) submission in schizophrenia, market opportunity, ability to raise sufficient funding, competitive position, possible or assumed future results of operations, business strategies, potential opportunities for development including partnerships, growth or expansion opportunities and other statements that are predictive in nature. These forward-looking statements are based on current expectations, estimates, forecasts and projections about the industry and markets in which we operate and management’s current beliefs and assumptions.

These statements may be identified by the use of forward-looking expressions, including, but not limited to, “expect,” “anticipate,” “intend,” “plan,” “believe,” “estimate,” “potential, “predict,” “project,” “should,” “would” and similar expressions and the negatives of those terms. These statements relate to future events or our financial performance and involve known and unknown risks, uncertainties, and other factors which may cause actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Such factors include those set forth in the Company’s most recent Annual Report on Form 10-K for the fiscal year ended December 31, 2023, and the Company’s other filings from time to time with the Securities and Exchange Commission. Prospective investors are cautioned not to place undue reliance on such forward-looking statements, which speak only as of the date of this press release. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise.

Corporate Contact:
Reviva Pharmaceuticals Holdings, Inc.
Laxminarayan Bhat, PhD
www.revivapharma.com

Investor Relations Contact:
LifeSci Advisors, LLC
Bruce Mackle
bmackle@lifesciadvisors.com

Media Contact:
Kristin Politi
kpoliti@lifescicomms.com
(646) 876-4783

REVIVA PHARMACEUTICALS HOLDINGS, INC.
 
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
March 31, 2024 and December 31, 2023
 
 March 31,  December 31,
  2024   2023 
Assets   
Cash and cash equivalents$11,973,647  $23,367,456 
Prepaid clinical trial costs 779,602   78,295 
Prepaid expenses and other current assets 743,381   254,637 
Total Assets$13,496,630  $23,700,388 
    
Liabilities and Stockholders' Equity (Deficit)   
    
Liabilities   
Short-term debt$332,000  $ 
Accounts payable 5,720,455   3,849,108 
Accrued clinical expenses 6,845,910   11,966,812 
Accrued compensation 1,216,237   958,607 
Other accrued liabilities 377,367   400,490 
Total current liabilities 14,491,969   17,175,017 
Warrant liabilities 350,478   806,655 
Total Liabilities 14,842,447   17,981,672 
    
Commitments and contingencies   
    
Stockholders' Equity (Deficit)   
Common stock, par value of $0.0001; 115,000,000 shares authorized; 27,918,560 issued and outstanding as of March 31, 2024 and December 31, 2023 2,792   2,792 
Preferred Stock, par value of $0.0001; 10,000,000 shares authorized; 0 shares issued and outstanding as of March 31, 2024 and December 31, 2023     
Additional paid-in capital 140,439,247   140,070,172 
Accumulated deficit (141,787,856)  (134,354,248)
Total stockholders' equity (deficit) (1,345,817)  5,718,716 
    
Total Liabilities and Stockholders' Equity (Deficit)$13,496,630  $23,700,388 



REVIVA PHARMACEUTICALS HOLDINGS, INC.
 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
For the Three Months Ended March 31, 2024 and 2023
 
 Three Months Ended March 31,
  2024  2023
(as restated)
Operating expenses   
Research and development$5,783,865  $5,484,145 
General and administrative 2,138,241   1,500,554 
Total operating expenses 7,922,106   6,984,699 
Loss from operations (7,922,106)  (6,984,699)
Other income (expense)   
Gain on remeasurement of warrant liabilities 456,177   11,126 
Interest expense (3,487)  (7,655)
Interest income 173,098   147,011 
Other expense (129,894)  (14,494)
Total other income, net 495,894   135,988 
Loss before provision for income taxes (7,426,212)  (6,848,711)
Provision for income taxes 7,396   2,978 
Net loss$(7,433,608) $(6,851,689)
    
Net loss per share:   
Basic and diluted$(0.25) $(0.31)
    
Weighted average shares outstanding   
Basic and diluted 29,887,325   21,833,598 

FAQ

What is the financial performance of Reviva Pharmaceuticals (RVPH) for Q1 2024?

Reviva Pharmaceuticals reported a net loss of $7.4 million for Q1 2024, compared to a $6.9 million loss in Q1 2023.

When is the RECOVER-2 trial for brilaroxazine expected to start?

The RECOVER-2 trial for brilaroxazine is expected to start in Q2 2024.

What are the anticipated data release dates for Reviva Pharmaceuticals' trials?

Topline data from the RECOVER-2 trial is expected in Q3 2025, and from the 1-year open-label extension trial in Q4 2024.

How much cash does Reviva Pharmaceuticals have as of March 31, 2024?

Reviva Pharmaceuticals had approximately $12.0 million in cash as of March 31, 2024.

What are the future plans for Reviva Pharmaceuticals' clinical trials?

Plans include possible Phase 2a studies in 2024 for bipolar disorder, major depressive disorder, and ADHD, and an IND submission for a liposomal-gel formulation in psoriasis in 2025.

Reviva Pharmaceuticals Holdings, Inc.

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