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Reviva Pharmaceuticals Holdings (RVPH) 2025 Conference Transcript

Summary of Reviva Pharmaceuticals Holdings (RVPH) Conference Call Company Overview - Company: Reviva Pharmaceuticals Holdings (RVPH) - Industry: Pharmaceuticals, specifically focused on neuropsychiatric disorders - Key Product: Duloxazine, currently in phase three development for schizophrenia Core Points and Arguments 1. Pipeline Development: Reviva is developing next-generation therapies for neuro dysfunction, with Duloxazine being the most advanced molecule aimed at treating schizophrenia and potentially other psychiatric conditions such as bipolar disorder, major depressive disorder, and ADHD [4][5] 2. Market Potential: The indications targeted by Reviva represent a multibillion-dollar market, with over 24 million people suffering from schizophrenia globally, and around 4 million in the US alone [7][8] 3. Unmet Needs: Approximately 30% of schizophrenia patients do not respond to current treatments, highlighting the need for better options that address negative symptoms and treatment adherence [8][10] 4. Efficacy and Safety: Duloxazine has shown a 12-16% discontinuation rate in trials, significantly lower than the 30-70% seen with existing antipsychotics, indicating better treatment adherence [12][26] 5. Neuroinflammation: The drug also targets neuroinflammation, which is a significant factor in disease progression and comorbidities in psychiatric patients [9][21] 6. Phase Three Data: The pivotal phase three study involved 411 patients and demonstrated a statistically significant outcome with a 10-point separation from placebo, indicating robust efficacy [14][15] 7. Negative Symptoms: Duloxazine showed a 2-point separation in negative symptoms, a chronic condition that is difficult to treat, with only a few existing drugs demonstrating significant outcomes [17][20] 8. Biomarkers: The use of digital biomarkers, such as speech patterns, has confirmed the drug's efficacy in patients with severe negative symptoms [19][24] 9. Safety Profile: The safety profile of Duloxazine is comparable to placebo, with minimal motor side effects and manageable weight gain, which is often a concern with antipsychotics [26][27] 10. Future Development: Reviva plans to initiate a second phase three study (RECOVER 2) to further support the NDA submission, expected by the end of next year [34][43] Additional Important Content - Mechanism of Action: Duloxazine directly modulates dopamine and serotonin receptors, addressing both behavioral symptoms and inflammatory cascades, which differentiates it from existing treatments [39][40] - Long-term Efficacy: Data from long-term studies indicate sustained efficacy and safety, with dropout rates significantly lower than those of other antipsychotics [31][32] - Regulatory Pathway: The company is on track to meet the requirements for NDA submission, having completed necessary trials and safety studies [42][43] This summary encapsulates the key points discussed during the conference call, highlighting Reviva Pharmaceuticals' strategic focus on addressing significant unmet needs in the treatment of schizophrenia and related disorders.