Financial Performance - Reviva Pharmaceuticals has an accumulated deficit of 63.1millionasofSeptember30,2021,withanetlossofapproximately4.8 million for the nine months ended September 30, 2021[73]. - The company has not generated any revenues from product sales and has never been profitable[73]. - The net loss for the nine months ended September 30, 2021, was approximately 4.8million,comparedtoanetlossof2.3 million for the same period in 2020[92]. - The company reported a gain on remeasurement of warrant liabilities of approximately 1.3millionfortheninemonthsendedSeptember30,2021,resultingfromadeclineinstockprice[95].−NetcashprovidedbyfinancingactivitiesfortheninemonthsendedSeptember30,2021,wasapproximately31.5 million, primarily from a public offering[105]. - Net cash used in operating activities for the nine months ended September 30, 2021, was approximately 6.8million,primarilyduetoanetlossandchangesinoperatingassets[103].ResearchandDevelopment−TheleaddrugcandidateRP5063isreadyforcontinuedclinicaldevelopmentformultipleneuropsychiatricindications,includingschizophreniaandbipolardisorder,withafocusoninitiatingapivotalPhase3studyinacuteschizophrenia[65][78].−RP5063hascompletedPhase1studiesforseveralindications,includingmajordepressivedisorderandattentiondeficithyperactivitydisorder[78].−Theseconddrugcandidate,RP1208,hascompletedpre−clinicaldevelopmentstudiesandisreadyforINDenablingstudiesfordepressionandobesity[78].−Researchanddevelopmentexpensesareexpectedtoincreasesignificantlyasthecompanyadvancesitsdevelopmentprogramsandpreparesforpotentialcommercialization[77].−Researchanddevelopmentexpensesincreasedbyapproximately1.4 million, or 148,943%, for the three months ended September 30, 2021, compared to the same period in 2020, primarily due to higher drug development costs and salary expenditures[87]. - The estimated initial costs for conducting the Phase 3 clinical study for RP5063 are approximately 21.0million,withpaymentsscheduledover2021to2023[81].OperationalExpenses−Generalandadministrativeexpensesrosetoapproximately1.1 million for the three months ended September 30, 2021, reflecting an increase of 542,000,or10633.5 million as of September 30, 2021, but will need to raise additional capital to fund its operations beyond December 2022[75]. - The company does not currently have any committed external sources of capital and may need to raise additional funds through equity or debt financings[98]. Impact of COVID-19 - The impact of the COVID-19 pandemic may adversely affect clinical trials, including patient recruitment and dosing[68]. Future Plans - Reviva Pharmaceuticals plans to seek regulatory and marketing approvals for its product candidates and establish a sales and marketing infrastructure[74].