Reviva Reports Second Quarter 2024 Financial Results and Recent Business Highlights

Rhea-AI Summary

Reviva Pharmaceuticals Holdings, Inc. (NASDAQ: RVPH) reported Q2 2024 financial results and recent business highlights. Key points include:

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

2. Registrational RECOVER-2 trial in schizophrenia to initiate Q3 2024; topline data expected Q4 2025.

3. European patent granted for brilaroxazine use in treating pulmonary hypertension (PH) and pulmonary arterial hypertension (PAH).

4. U.S. patent granted for brilaroxazine in treating idiopathic pulmonary fibrosis (IPF).

5. Q2 2024 net loss of $7.9 million ($0.26 per share), compared to $11.7 million ($0.52 per share) in Q2 2023.

6. Cash position of $6.2 million as of June 30, 2024.

Positive

• Topline data from 1-year open-label extension trial in schizophrenia expected Q4 2024
• Registrational RECOVER-2 trial in schizophrenia to initiate Q3 2024
• European patent granted for brilaroxazine in treating PH and PAH
• U.S. patent granted for brilaroxazine in treating IPF
• Reduced net loss in Q2 2024 compared to Q2 2023

Negative

• Net loss of $7.9 million in Q2 2024
• Cash position decreased from $23.4 million (Dec 31, 2023) to $6.2 million (Jun 30, 2024)

Insights

Financial Analyst

Reviva's Q2 2024 results show a narrowing net loss of $7.9 million ($0.26 per share) compared to $11.7 million ($0.52 per share) in Q2 2023. This 32.5% reduction in net loss is encouraging, but the company's cash position has significantly decreased from $23.4 million at the end of 2023 to $6.2 million as of June 30, 2024. This rapid cash burn could be concerning for investors, potentially necessitating additional funding in the near future to support ongoing clinical trials and operations.

The company's focus on brilaroxazine for schizophrenia treatment shows promise, with important milestones expected in Q4 2024 and Q4 2025. However, the lack of revenue and diminishing cash reserves highlight the speculative nature of this investment. Investors should closely monitor the company's ability to meet its clinical milestones and secure additional funding if needed.

Medical Research Analyst

Reviva's brilaroxazine program is making significant strides in schizophrenia treatment. The ongoing 1-year open-label extension study, with 424 patients enrolled and 65 completing 9 months, demonstrates strong progress. The FDA's acceptance of a 4-week RECOVER-2 study for the registrational Phase 3 program is a positive development, potentially accelerating the path to NDA submission.

The expansion of brilaroxazine's patent portfolio to cover pulmonary hypertension (PH) and idiopathic pulmonary fibrosis (IPF) is noteworthy. These conditions, linked to serotonin signaling disruption, represent substantial market opportunities. The Orphan Drug Designations for IPF and PAH could provide additional benefits in terms of market exclusivity and development incentives. However, investors should note that success in schizophrenia doesn't guarantee efficacy in these new indications.

Market Research Analyst

Reviva's focus on brilaroxazine for schizophrenia treatment positions it in a lucrative market. The global schizophrenia drugs market is projected to reach $9.48 billion by 2026, with a CAGR of 4.3%. The potential expansion into pulmonary hypertension (PH) and idiopathic pulmonary fibrosis (IPF) markets further enhances the drug's commercial prospects.

However, the company faces significant competition from established players and other emerging therapies. The success of brilaroxazine will depend on its differentiated safety and efficacy profile compared to existing treatments. The planned NDA submission in Q1 2026 suggests a potentially long runway before commercialization, which may test investor patience. The company's ability to secure partnerships for pipeline development will be important for managing costs and accelerating market entry across multiple indications.

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

– Registrational RECOVER-2 trial in schizophrenia expected to initiate Q3 2024; topline data expected Q4 2025 –

– European patent granted covering brilaroxazine use for treating pulmonary hypertension (PH) and pulmonary arterial hypertension (PAH) in any patients –

– U.S. patent granted covering use of brilaroxazine for the treatment of idiopathic pulmonary fibrosis (IPF) –

CUPERTINO, Calif., Aug. 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 second quarter ended June 30, 2024 and summarized recent business highlights.

“Our late-stage brilaroxazine program continues to advance with topline data from our 1-year open-label extension trial evaluating the long-term safety and tolerability of brilaroxazine in patients with schizophrenia expected in the fourth quarter of the year,” said Laxminarayan Bhat, Ph.D., Founder, President, and CEO of Reviva. “We also further expanded our intellectual property for brilaroxazine to cover additional large markets for PH and IPF which are similarly driven by the underlying disruption in serotonin signaling. We believe brilaroxazine continues to show a differentiated safety and efficacy profile in the over 800 patients with schizophrenia treated to date in our trials, and we are highly encouraged by its broad therapeutic potential across indications.”

Second Quarter 2024 and Recent Business Highlights

Corporate Highlights

• United States (U.S.) Patent 12053477 has been granted by the U.S. Patent and Trademark Office (USPTO) covering use of brilaroxazine for the treatment of idiopathic pulmonary fibrosis (IPF), adding to its existing patent protection in key markets around the world including Japan. Brilaroxazine has received an Orphan Drug Designation from the U.S. Food and Drug Administration (FDA) for the treatment of IPF (August 2024).
• European Patent (EP3244896) granted by the European Patent Office (EPO) covering use of brilaroxazine for the treatment of pulmonary hypertension (PH), adding to its existing patent protection in key markets around the world including the United States, China and Japan. The European patent covers brilaroxazine use for treating pulmonary hypertension (PH) and pulmonary arterial hypertension (PAH) in any patients and treating PH in patients with COPD or SCD. Brilaroxazine has received an Orphan Drug Designation from the U.S. Food and Drug Administration (FDA) for the treatment of PAH (July 2024).

Clinical Program Highlights

• Provided an enrollment update to the ongoing 1-year open-label extension (OLE) study evaluating the long-term safety and tolerability of brilaroxazine in patients with schizophrenia (August 2024).
  • Trial progressing as expected in the USA, Europe (Bulgaria) and Asia (India)
  • 424 patients enrolled in the study; 230 patients currently on treatment in the study
  • 65 patients have completed 12 months of treatment
  • 53 patients who completed 9 months treatment currently in the study
  • About 200 patients completed 6 months of treatment
  • Long-term safety data from 100 patients who have completed 12 months of treatment is a requirement for brilaroxazine’s NDA submission to the FDA
  • Reviva is on track to complete the 12 months long-term safety study in Q4 2024
• Announced alignment with 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 Phase 3 clinical trial data for brilaroxazine in schizophrenia at the 2024 Schizophrenia International Research Society (SIRS) Annual Meeting (April 2024)
  

Anticipated Milestones and Events

• Initiation of registrational Phase 3 RECOVER-2 trial evaluating brilaroxazine for the treatment of schizophrenia expected in Q3 2024
• Topline data from 1-year open-label extension (OLE) trial expected Q4 2024
• Topline data from registrational Phase 3 RECOVER-2 trial expected Q4 2025
• Potential NDA submission for brilaroxazine in schizophrenia targeted for Q1 2026
• 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

Second Quarter 2024 Financial Results

The Company reported a net loss of approximately $7.9 million, or $0.26 per share, for the three months ended June 30, 2024, compared to a net loss of approximately $11.7 million, or $0.52 per share, for the same period in 2023 (as restated).

The Company reported a net loss of approximately $15.3 million, or $0.51 per share, for the six months ended June 30, 2024, compared to a net loss of approximately $18.6 million, or $0.84 per share, for the same period in 2023 (as restated).

As of June 30, 2024, the Company’s cash totaled approximately $6.2 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 the pathobiology of several conditions including schizophrenia, psoriasis and interstitial lung diseases like pulmonary hypertension, pulmonary arterial hypertension (PAH) and idiopathic pulmonary fibrosis (IPF).

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 including reduction in key proinflammatory cytokines implicated in the pathobiology of schizophrenia and comorbid inflammatory conditions 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 and clinical trial plans, clinical and regulatory timelines and expenses, planned or intended additional trials or studies and the timing thereof, planned or intended regulatory submissions and the timing thereof, trial results, 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) June 30, 2024 and December 31, 2023
		June 30,				December 31,
			2024				2023
Assets
Cash and cash equivalents		$	6,178,180			$	23,367,456
Prepaid clinical trial costs			528,947				78,295
Prepaid expenses and other current assets			525,826				254,637
Total current assets			7,232,953				23,700,388
Non-current prepaid clinical trial costs			819,721				—
Total Assets		$	8,052,674			$	23,700,388
Liabilities and Stockholders' Equity (Deficit)
Liabilities
Short-term debt		$	207,500			$	—
Accounts payable			4,693,360				3,849,108
Accrued clinical expenses			7,301,782				11,966,812
Accrued compensation			1,295,978				958,607
Other accrued liabilities			445,371				400,490
Total current liabilities			13,943,991				17,175,017
Warrant liabilities			150,205				806,655
Total Liabilities			14,094,196				17,981,672
Commitments and contingencies
Stockholders' Equity (Deficit)
Common stock, par value of $0.0001; 115,000,000 shares authorized; 29,817,294 and 27,918,560 shares issued and outstanding as of June 30, 2024 and December 31, 2023, respectively			2,982				2,792
Preferred Stock, par value of $0.0001; 10,000,000 shares authorized; 0 shares issued and outstanding as of June 30, 2024 and December 31, 2023			—				—
Additional paid-in capital			143,603,271				140,070,172
Accumulated deficit			(149,647,775	)			(134,354,248	)
Total stockholders' equity (deficit)			(6,041,522	)			5,718,716
Total Liabilities and Stockholders' Equity (Deficit)		$	8,052,674			$	23,700,388

REVIVA PHARMACEUTICALS HOLDINGS, INC. CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) For the Three and Six Months Ended June 30, 2024 and 2023
		Three Months Ended June 30,								Six Months Ended June 30,
			2024				2023				2024				2023
Operating expenses						(as restated)								(as restated)
Research and development		$	5,584,347			$	8,256,336			$	11,368,212			$	13,740,481
General and administrative			2,545,296				3,079,301				4,683,537				4,579,855
Total operating expenses			8,129,643				11,335,637				16,051,749				18,320,336
Loss from operations			(8,129,643	)			(11,335,637	)			(16,051,749	)			(18,320,336	)
Other income (expense)
Gain (loss) on remeasurement of warrant liabilities			200,273				(456,177	)			656,450				(445,051	)
Interest expense			(5,153	)			(12,759	)			(8,640	)			(20,414	)
Interest income			87,610				103,080				260,708				250,091
Other expense, net			(5,621	)			(19	)			(135,515	)			(14,513	)
Total other income (expense), net			277,109				(365,875	)			773,003				(229,887	)
Loss before provision for income taxes			(7,852,534	)			(11,701,512	)			(15,278,746	)			(18,550,223	)
Provision for income taxes			7,385				6,436				14,781				9,414
Net loss		$	(7,859,919	)		$	(11,707,948	)		$	(15,293,527	)		$	(18,559,637	)
Net loss per share:
Basic and diluted		$	(0.26	)		$	(0.52	)		$	(0.51	)		$	(0.84	)
Weighted average shares outstanding
Basic and diluted			30,555,012				22,434,781				30,221,168				22,135,850

FAQ

When is Reviva (RVPH) expecting topline data from its 1-year open-label extension trial?

Reviva expects topline data from its 1-year open-label extension trial in schizophrenia in Q4 2024.

What is the timeline for Reviva's (RVPH) RECOVER-2 trial in schizophrenia?

Reviva plans to initiate the registrational RECOVER-2 trial in schizophrenia in Q3 2024, with topline data expected in Q4 2025.

What new patents did Reviva (RVPH) receive for brilaroxazine in Q2 2024?

Reviva received a European patent for brilaroxazine in treating pulmonary hypertension and pulmonary arterial hypertension, and a U.S. patent for treating idiopathic pulmonary fibrosis.

What was Reviva's (RVPH) net loss in Q2 2024?

Reviva reported a net loss of $7.9 million, or $0.26 per share, for Q2 2024.