8/14/2025

speaker
Operator

Good afternoon. I will be your conference call operator today. Please note that today's call is being recorded and all participants other than management are in a listen-only mode. There will be a Q&A session following management's presentation. I will now turn the call over to Walter Pinto, Managing Director of KCSA Strategic Communications. Please go ahead.

speaker
Walter Pinto

Thank you, operator, and good afternoon. Welcome everyone to the Renova Rx second quarter 2025 conference call. I'm joined today by Renova Rx leadership team including Dr. Ramten Agha, Chairman, Founder, and Chief Medical Officer, John Bagai, Chief Executive Officer, Lisa Gentry, Chief Clinical Officer, and Renal Kozak, VP Controller and Principal Accounting Officer. Before we begin, I'd like to remind everyone that statements made during today's conference call may be deemed forward-looking statements within the meaning of the safe harbor of the Privacy Securities Litigation Reform Act of 1995 and applicable federal securities laws, and that actual results may differ materially and adversely from what is contemplated by such forward-looking statements due to a variety of risks, uncertainties, and other factors. The company's forward-looking statements are based on management's current plans and assumptions and are subject to the risks and uncertainties more fully described in the company's filings with the SEC. These statements reflect management's view of current and future market conditions including but not limited to statements regarding the company's clinical trials and other research studies, timing for potential additional interim data readouts and full patient enrollment for Renova Rx's ongoing Phase III Tiger plaque clinical trials studying intra-ritorial gemcitivine, also known as IAG, and locally advanced pancreatic cancer, the potential of the RenovaCast device as a standalone commercial product, or the trans-ritorial microprofusion therapy platform, also known as TAMP, as a mechanism of action, the anticipated timing for and levels of revenue generation from RenovaCast sales, the company's commercialization plans in general, the potential for IAG to treat or provide clinically meaningful outcomes for certain medical conditions or diseases, and Renova Rx's efforts to explore commercialization strategies as utilizing the TAMP therapy platform. For a detailed discussion of material risks and uncertainties facing Renova Rx, I refer you to the company's annual report on Form 10-K for the year ended December 31st, 2024, as well as the company's investor presentation and other reports filed periodically with the SEC, including the Form 10-Q for the second quarter of 2025, which was just filed with the SEC. Except as required by law, Renova Rx disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise. With that, it's my pleasure to turn the call over to Dr. Ramten Agha, Chairman, Founder, and Chief Medical Officer of Renova Rx. Ramten, please go ahead.

speaker
Ramten Agha

Thank you, Walter, and good afternoon, everyone. 2025 thus far has marked the most transformational period in our company's history. As everyone knows, late last year, we launched the commercialization of RenovaCast device. As a standalone product, we do need to SBA clear the indications for use. While we continue to make progress with our Phase III target pack study, our clinical and commercial team have executed well, and I could not be more excited about our future. Our proprietary trans-arterial microperfusion therapy platform, or TAMP, is designed for targeted therapeutic delivery across the arterial wall near the tumor site to date the target tumor. By localizing and targeting delivery of therapeutic agents via the peripheral vascular system, TAMP is designed to optimize drug concentration precisely where it is needed. This targeted approach can minimize systemic exposure and toxicities related to chemotherapy and addresses the long-standing challenge in cancer care of poor blood supply to tumor sites. We believe that TAMP, by using the body's existing microvascular pathway called the VES of the serum, or drug delivery, represents a significant advancement in the way cancer treatment can be approached. We began commercializing RenovaCast in the fourth quarter of 2024, and without a sales and marketing team in place, we are proud to have achieved over $400,000 in sales in the second quarter, a significant accomplishment in a short period of time. These initial sales prior to installing a sales and marketing infrastructure highlights the strong clinical need and market demands for our patented RenovaCast device as a standalone targeted drug delivery product among both new and existing customers. Equally important is the R-Phase III Target Pack trial. The 50-second event in our trial occurred in Q2, treating the pre-planned second interim analysis and reviewed by the independent data monitoring committee, known as the DMC, which happened recently. As a reminder, the DMC reviews the trial data and makes recommendations to our company, mainly whether the data was compelling enough from their third-party point of view to move forward with the trial or not. We are excited to report that the DMC recently completed the review of our second planned interim analysis and has recommended that we continue the study. This is great news, as we believe DMC's recommendation is an expression of confidence in the potential for a positive outcome in the trial overall. With a view toward preserving the integrity of Target Pack trial for FDA purposes and following our review of general FDA guidance, discussions with the DMC, and consultation with regulatory advisors, we have decided to defer publishing our second interim data. Outside of myself, who has been speaking directly with the DMC, our entire team will remain blinded to the interim data. We will revisit publishing the actual second interim data, most likely upon completion of this study, as is common for pivotal phase III trials. Meanwhile, the Target Pack trial is continuing at pace. As of August 12, 2025, 95 patients have been randomized and 61 events have occurred, putting us on target to complete enrollment later this year or early next year. At RenovarX, our mission remains clear, transform patient outcomes through safer, more effective targeted therapy, especially for those battling difficult to treat cancers like locally advanced pancreatic cancer. Thank you all for your continued support. With that, I will turn the call over to our CEO, Sean Bagaio.

speaker
Walter

Thank you, Romton. As Romton mentioned, 2025 has been a breakthrough year for our company, and during the second quarter we made meaningful progress commercially and in the clinic. The second quarter showcased the early impact of our commercial strategy, and we are pleased to report second quarter 2025 revenue of over $400,000. We are proud of the initial organic revenue growth over the first two full quarters since launch of GrenovoCath commercial sales, especially since this was achieved without a dedicated sales and marketing team. With the recent hiring of Phil Stockton as our senior director of sales and market development, our goal is to stay lean while also continuing to build commercialization momentum. We will continue to gather important data about our market, such as sales cycles, activation times, individual customer preferences, and other commercial matters as we seek to grow our customer base, fulfill repeat Renovocath orders, and position ourselves for commercial growth over the long term. We believe Renovocath is positioned to address the significant unmet need in oncology, supported by a compelling market opportunity as an innovative approach to drug delivery. Our commercial vision and internal market analysis continue to support an initial US total addressable market for Renovocath as a standalone device as an estimated initial $400 million peak annual US sales opportunity. Beyond historical Renovocath usage, we are already beginning to see interest in the adoption of our technology for the treatment of other solid tumors through our commercial efforts. This broad interest serves as the basis for our belief in the potential for a several billion dollar total addressable market for the Renovocath device alone as we expand into additional cancer applications. On the clinical front, as Ramton mentioned, we received a positive independent DMC recommendation to continue our Phase 3 TIGERPAC trial based on interim data review. We are very excited about this development and what it means for the future prospects of our Phase 3 trial. I would not like to turn the call over to Lisa Gentry, our Chief Clinical Officer who will elaborate our clinical

speaker
Renovocath

programs. Lisa?

speaker
spk01

Thank you, Sean. To reiterate, the DMC has recommended that RenovorX continue the TIGERPAC trial following their review of the pre-planned second interim analysis, which was triggered at the 52nd event. As Ramton mentioned, as of August 12, 2025, we have randomized 95 patients and 61 events have occurred, keeping us on track to complete enrollment later this year or early next year. The trial design calls for 114 patients to be randomized and the final TIGERPAC analysis will be triggered upon the 86th event. We are also advancing our research pipeline. Last week, we announced the launch of our multi-center post-marketing registry study called PANTHER to follow patients undergoing cancer treatment delivered by Renovocast to solid tumors. The PANTHER study is an important initiative aimed at evaluating the safety and effectiveness of Renovocast in real-world clinical settings. This study is designed to assess long-term safety and survival outcomes in patients with solid tumors who receive targeted drug delivery via Renovocast. By collecting real-world data on the use of Renovocast across a broader range of tumor types, the PANTHER study aims to provide valuable insights into patient outcomes and support the generation of additional safety data. PANTHER marks a significant step forward in our commitment to better understand and demonstrate the long-term safety and therapeutic potential of our Renovocast device. And now I will turn it back to Sean.

speaker
Walter

Thanks, Lisa. You and your team have done a wonderful job with our Phase III trial. We are excited about the continued validation of our platform, progress of our commercial strategy, and strong execution by our team. Additionally, each cancer center participating in the registry study will purchase Renovocast devices from RenovRx for use in the study. With that, I will turn the call over to Ron Kozak, our VP, Controller, and Principal Accounting Officer to review the financials before Q&A. Ron?

speaker
Lisa

Thank you, Sean. For the second quarter of 2025, ending June 30th, Renovvo reported revenues of approximately $422,000 from commercial sales of Renovocast, driven by new customer purchase orders and early repeat orders from our initial sites. Research and development expenses were $1.4 million for the second quarter, reflecting a $0.1 million decrease from the same quarter year over year. The decrease is primarily due to other clinical and regulatory expenses, including an allocation of selling general and administrative expenses of $0.2 million. This decrease was offset by an increase in nonrecurring engineering costs on our Renovocast device of $0.1 million. Selling general and administrative expenses were approximately $1.5 million, remaining unchanged from the same quarter last year. We ended the quarter with $12.3 million in cash and cash equivalents on hand. We anticipate revenues from Renovocast sales orders to reduce our burn rate over time. We believe that cash as of June 30th, 2025, will fully fund both ongoing Renovocast commercial scale-up efforts and additional progress towards the completion in the Phase III Tiger Pack trial. Common shares outstanding as of August 11th, 2025, totaled ,645,884. With that, I will turn the call back to the operator for Q&A. Operator, please open the line for questions.

speaker
Operator

Thank you. We will now be conducting a question and answer session. If you would like to ask a question, please press star 1 on your telephone keypad. A confirmation tone will indicate that your line is in the question queue. You may press star 1, star 2 if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment please

speaker
Arkay

while we poll for questions. Our first question comes from Scott Henry with AGP.

speaker
Operator

Please proceed with your question.

speaker
Scott

Thank you. Good afternoon. Certainly a lot to talk about. I guess just for clarification, the decision was to maintain the trial at the same number of patients. I know sometimes they can add patients. It sounds like they did not. But just to clarify that. Yeah,

speaker
Walter

thanks for the question. Yeah, that's a good thing to point out is the DMC feedback we got seemed very positive and maintaining the same sample size, the same number of patients. So we did not add patients to the trial.

speaker
Scott

Okay, great. And I know after the first analysis you did comment on a lot of the data. But not the second analysis. Is that because it's closer to the end? Is there any kind of reason why it was okay the first time but not the second time? I certainly understand that's the way a lot of these things work. But I just wanted to hear your thoughts.

speaker
Walter

Yeah, Scott, you know that as a reminder, we had very significant or positive results from our Phase 1-2 trial showing a potential for increasing the lifespan of pancreatic cancer patients and really reducing the side effects and toxicities. This allowed us and gave us the confidence to jump straight into a Phase 3, randomize, which should be a pivotal trial. And the FDA agreed that based on our preliminary data from the Phase 1-2 trials, we could jump to a Phase 3. In most circumstances, you do a prospective Phase 2 trial to help inform the design. With that confidence, we went to the Phase 3. Not having done the Phase 2, taking a very early look, i.e. 30% of the data, would give us confidence that we are on the right track, almost in lieu of a Phase 2 trial. And being that early in the study, we didn't feel like it would bias or jeopardize the study in any way. And you nailed it. Now that we're nearing the end of the trial and already there's enthusiasm for the potential positivity, we didn't want to introduce any bias at this late stage in the game, how close you are to the finish line, and the DMC's confidence to move forward to completion and then potential preparation of an NDA filing and to protect the integrity of the trial made sense to keep this with the highest chance of success with the FDA at the end.

speaker
Scott

Okay, makes sense, certainly. And then, you know, it looks like you need to enroll 19 more patients. The pace of the past few months would seem to indicate that that could reach till kind of mid-2026, but it sounds like you think it could be a little bit earlier. Are you expecting kind of a ramp up? Is it kind of the fall? Maybe it's slow in the summer. But it seems like the enrollment pace is expected to increase near term.

speaker
Walter

Yes, Scott, thanks for the question. A couple things to keep in mind is in terms of enrollment, we do enroll patients treatment naive. We then go through an induction phase to weed out patients that might have micrometastases and then randomize truly locally advanced pancreatic cancer patients. So there is kind of a fallout in that middle phase. So we've randomized 95 to date. We need to randomize 114 to stop the study or to complete enrollment randomization. So enrollment completion is what we're aiming for, and that we anticipate to be towards the end of the year, first quarter next year. As far as a ramp goes, you're 100% correct. We've added some larger volume, more well-known cancer centers in the last several months, including University of Nebraska, Northwell, Johns Hopkins. As we anticipate that with these larger cancer centers, we should start to see a ramp as we're coming out of the summer. So it's a combination of getting enrollment done to be able to randomize that 114 patient and these new centers coming on board in the recent past to help accelerate enrollment towards the end of the year, if not the beginning of next year.

speaker
Scott

OK, great. Just a final question, then I'll jump into the queue. On the PANTHER trial, when should we see data coming out of that?

speaker
Walter

It's interesting. It's a broad-based post-market device registry, and so there's not a pre-specified endpoint with data. As investigators and the company sees interesting findings we can publish and present on podiums data along the way, one of the exciting aspects of the PANTHER study, it is a solid tumor and while our experience to date has not fully but been primarily in pancreatic cancer, it does allow us to collect, capture, and then present on data outside of pancreatic cancer. So as we start to see either trends in usage or trends in results, we can start to publish and present data along the way. So not a great answer in terms of timing, but it is imminent, and we look forward to be able to explore the use of the Renovocast technology beyond where we've seen it to date. And another interesting aspect about the PANTHER trial is that these centers will be purchasing devices to be able to use to explore further uses of the Renovocast, which could help with revenue as well. Okay,

speaker
Scott

great. Thank you for taking the questions, and congratulations on a lot of progress in

speaker
Renovocath

the past few months. Thank you,

speaker
Arkay

Scott. Our next question comes from Edward Wu with Ascendient

speaker
Operator

Capital Markets. Please proceed with your question.

speaker
Ed

Hi, it's Rufae for Edward Wu, Ascendient Capital Markets. Can you give an update on, you previously mentioned, partnering with the top 200 cancer centers?

speaker
Walter

Yeah, thanks for the question, Ed. Great to talk to you. Thanks for calling in. So, as I've kind of outlined in terms of market potential, there are about 200 cancer centers across the US that treat the majority of non-metastatic GI-solid tumors. So it's a good example market for us for pancreatic cancer. And the way I've characterized these 200 centers is it wouldn't take a large sales force to attack them. And as we operate in this commercial environment very leanly without hiring a large expense We're able to have deep penetration in the broader market by focusing on some of these top centers. We've already made announcements that we're in 13 hospitals with VAC approvals, which means that the hospitals are approved to purchase the device or already issued purchase orders for Novocast with our early commercial efforts. Those 13 centers are some of the top 200 large volume cancer centers across the US, four of which have started using the device treating patients and having reorders as well. As far as using their names publicly, we did mention a couple of centers, including Hackensack Medical Center in New Jersey. And as we get permission to use names, we'll start publishing more on exactly which centers we're partnering with. We are also in the verge of launching a Novocast website where patients can go to to find which centers are offering the technology. So in the not too distant future, you'll be able to see which centers are involved as we get permission to use your name to help drive patients toward centers to be able to receive treatment.

speaker
Ed

Okay, great. Can you also discuss any plans for the renewable caps for international markets?

speaker
Walter

That's an interesting topic. Given the reimbursement tailwinds and the cost of doing business here in the US and the large market and unmet need here, we're hyper focused on the US market first. We do anticipate down the road once we establish the US market to explore internationally, there is a large volume of cancer patients without great technologies or therapies across Europe and different Asian countries as well. We've begun to have dialogues with investigators there over the years and also potential partners. So as we start to really get traction in the US, we'll further explore outside the US markets, either with a partner or on our own.

speaker
Renovocath

Great. Thank you very much. Thanks for the questions,

speaker
Arkay

Ed. As a reminder, if you'd

speaker
Operator

like to ask a question, please press star one on your telephone keypad. Our next question comes from Sohyam Pakula with HC Wainwright. Please proceed with your question.

speaker
Tiger PAC

Thank you. This is RK from HC Wainwright. Good afternoon, Sean. So, you know, looking at your revenues of $422,000, I'm just trying to figure out, is any of it, any of the revenues coming from purchasing for the clinical studies itself or is all of it really commercial dollars?

speaker
Walter

RK, this is a great question. I really appreciate you asking it because it's a great delineation. This is all non-Tiger PAC phase three revenue. These are all brand new customers who were outside of the clinical trial or outside usage of the trial. Any revenues, and we do charge for the catheter, and it is reimbursed within the phase three Tiger PAC trial, but any revenues from those are not recognized as revenue but considered an R&D offset, which you can see from our filings. So it is important to note that the revenue stream is all external to Tiger PAC. As mentioned earlier in Scott's question, we do aim to complete enrollment towards the end of this year, beginning of next year. After that, those 18 centers that are in the Tiger PAC trial can and most likely will convert to commercial paying customers where they can start treating patients with various ailments or tumors using the device, and those purchases will be revenue towards a company in terms of revenue recognition. So the Tiger PAC sites using catheters does help our bottom line, but the $422,000 is just announced does not include any of that revenue recognition. On the flip side, because the PANTHER study is a post-market device registry, revenue obtained for the PANTHER sites will count towards a revenue recognition.

speaker
Tiger PAC

Okay. And then, so on the PANTHER study, since it's a registry study, so do you really have a specific number of centers or anything like that, or it obviously depends upon which center wants to run this, you know, utilize the device and, you know, be part of the registry. How does that work?

speaker
Walter

It's relatively open, so we don't have a specific small, limited number of patients or centers. As we're discussing with centers, if there's academic interest in collecting data around certain patient populations, we'll partner with them. So it's not limited. We are also looking at investigator-initiated trials. There are some very interesting research ideas outside of where we've seen usage so far that would most likely fall under the registry or an IIT, and those don't have to be mutually exclusive. We could also perform investigator-initiated studies within the registry and use those research ideas. That gives us a lot of leeway and optionality in terms of what patients might be studied, and then subsequently what data might be published or presented to show where the renewable cath can really help patients and really push the science behind this and also help us capture additional hospitals with academic interest in these areas.

speaker
Tiger PAC

And then for the PANTA study, I know you're not, you know, really started bringing in patients, but in general, when you started talking, you know, with your advisors and whatnot, what sort of solid tumors, you know, were they thinking could be a good possibility for the utility of the renewable cath?

speaker
Walter

Ark, I really appreciate this question because given the success we've seen in pancreatic cancer, there is a vast interest beyond what we studied primarily, specifically locally advanced pancreatic cancer. The biggest few interests have been one in locally advanced pancreatic cancer following full furinox treatment. As most are aware, the phase three trial design has a gem cytobine plus and Braxton induction phase. Many patients opt for full furinox, especially the younger, healthier patients. And so coupling locally, local treatment with the full furinox induction is of interest. Also exploring the use of the technology beyond locally advanced pancreatic cancer, for example, in resectable in the neoadjuvant setting or vortilide resectable pancreatic cancer patients. There's also an interest in studying using the device in metastatic pancreatic cancer patients. Physicians are saying that patients with a single metastasis or multi metastasis where local control could be important or could even have effects on the immune system with different agents as they try different agents through device as well. So those have been some of the top research ideas and interests. Beyond pancreatic cancer, the most common requests or discussion is around cholangiocarcinoma or bile duct cancer, given the similar nature of these tumors being hypovascular, having less blood supply and also using the same drugs like gem cytobine, for example, to treat. There's also been an interest in studying bile duct cancers. Beyond that, there's been interest in certain subsets of non-spalcite lung cancer, sarcomas, head and neck tumors. It's great to see this level of interest across different specialties based on early success in pancreatic cancer.

speaker
Tiger PAC

So at one point we were talking about how outside of the chemotherapy, additional drugs or drug categories could be also part of the Renovacat. Do you envisage that sort of data within this PANTHOS study or is it going to be purely the typical chemotherapy that you are currently using within the TIGERPAC study?

speaker
Walter

I do. Beyond other tumor types, that's exactly what will be studied, is other agents as well. So there's been interest from physicians to move beyond or in addition to gem cytobine, either with multiple therapies or other drugs that might be more caustic or toxic to the body. For example, platinum-based drugs are big interest and one of the biggest limitations of systemic fulfirinox. Beyond that, there are several classes of immunotherapeutics that have been tried, tested, and failed in pancreatic cancer and other tumors. One of the reasons is because of this desmoplastic barrier, high pressure, and really tumor resistance and lack of blood vessels feeding the tumor. And we overcome that with our TAMP system and with the Renovacat. So being able to deliver different agents that might have an immunotherapeutic effect to turn on the body's immune system to attack metastatic disease can really open up a large potential for patients. So the registry, both in and of itself, and also the IITs that we're discussing and negotiating with physicians, both give us an avenue to look into these areas and collect data and present data in these areas beyond just gem cytobine and beyond just locally advanced pancreatic cancer.

speaker
Tiger PAC

So the last question, I know I've taken a lot of your time, but the last question from me is bringing on board Phil Stockton. So what should we expect now that you have a career sales senior executive? Should we expect, say, three or six months down the line, the trajectory of revenue to be much better, or is this responsibility more to get ready when you get through the Tiger Pack and get through any additional FDA approvals?

speaker
Walter

I appreciate the question, RK. It's the former. Given the early traction we saw, and we've posted, I believe, two good quarters so far, with primarily grassroots efforts on behalf of me and some of my team members without having a sales and marketing team in place, given that we can see the upside of market penetration and potential to drive revenues to a level that would support the company at some point in time, bringing on Phil to bring on a small team to really start ramping for commercialization efforts now makes sense. And that's with a pure renewable calf, not needing to wait for the drug device combination in Tiger Pack. The goal is to have the team fully in place and positioned by the end of the year. So I anticipate continuing revenue over the year, but really gearing up for success in 2026 to start driving towards profitability at some point in time or cash flow break even, as that team gets in place and we drive market penetration. I see 2025 with Phil at the helm, really learning the sales cycle, the activation timelines, collecting other sales metrics on how we can optimize that, and then really plan for more of a full penetration and launch in 2026 into some of those 200 accounts as Ed alluded to.

speaker
Tiger PAC

Okay. Thank you. Thanks for taking all my questions,

speaker
Arkay

Sean.

speaker
Renovocath

Thanks, Arkay. I appreciate the questions.

speaker
Arkay

Our next question comes

speaker
Operator

from Jason McCarthy with Maxim Group. Please proceed with your question.

speaker
Jason McCarthy

Hi, guys. This is Chad. I'm for Jason. Thanks for taking the questions. We were wondering, have you guys engaged or planned to engage with FDA regarding a potential accelerated approval pathway?

speaker
Walter

Thanks for the question, Chad. So from the DMC readout, the goal is to complete the study as an overall survival study. The plan would be as we prepare for an NDA to engage at that time with the FDA to see if there's an accelerated approval. Given the unmet need and failed treatments in pancreatic cancer, getting this from trial completion to potential approval as fast as possible makes sense. So short answer to your question is yes. As we start narrowing final data, we will engage with the FDA to see if acceleration is a possibility.

speaker
Renovocath

Okay. Got it. Thanks. And then how

speaker
Jason McCarthy

does the 16-month median OS from the first interim compare to outcomes from other trials in the setting that also use induction chemo and SBR2?

speaker
Walter

Chad, I appreciate the question because it's important to see that we're aligning what we expect this patient population to do. Previous large randomized studies have shown that locally advanced pancreatic cancer should yield an overall survival from time of diagnosis to, and the report outspent anywhere between 12 to 18 months or 14 to 18 months, maybe more contemporary trials. So the 15.5 months, estimated 15.5 months, we saw as the control arm in our first interim analysis fits right in the middle of that. Further validation can be seen with the previously completed Panova 3 Novocure trial. In their trial, I believe they showed 14.2 months in their gem cytobine plus subraxane control arm and about 16.2 months in their tumor treating fields plus gem cytobine plus subraxane. So we're right smack in the middle of what's expected of locally advanced pancreatic cancer. Now what's interesting with the Novocure study is that they were able to achieve local control and a two month survival benefit, which added about a billion dollars of market cap to their company with those types of results. And it really shows both on the finance side and also the physician interest side that the bar is very low for this patient population to have that much success with a two month benefit. We can imagine what we can accomplish achieving much more than that down the road.

speaker
Renovocath

Okay, great. Thanks for taking the questions again and congrats on all the progress. Thanks Chad.

speaker
Arkay

Our next question comes from Scott Henry with AGP.

speaker
Operator

Please proceed with your question.

speaker
Scott

Thank you for the follow up question. Sean, I just wanted to ask a couple questions about the catheter business. Gross margins, I believe there's 64% in the quarter, which is a pretty high number for this level of revenues. Is that a sustainable number? And where could gross margins get to on the catheter sales? Thank you.

speaker
Walter

Scott, I appreciate the question and that's one of the benefits and the reasons why we decided to commercialize because this looks like it could be extremely profitable for the organization. As far as the direct margins in terms of the cost of the actual materials, building the catheter, generally new medical devices as they start to achieve success start reaching that 70 to 90% range and we're actually in there. So there's additional expenses I believe are part of the queue, but we believe we'll keep pushing that higher towards that 70 to 90% range and not too distant future. So I see the gross margins increasing over time as we scale. Again, this is with a reimbursement in place. This is part of the decision to go ahead and commercialize at this stage in the company's development process, given the high potential margins of the technology with the current reimbursement landscape.

speaker
Scott

It would seem with these numbers and just looking at the spending, how it compares to prior quarters, that it's already significant, maybe not significantly, but it's already cash flow positive and by the time you add these up, this team, it should probably still be accretive at that point. Would you agree with that statement?

speaker
Walter

I do. It's looking at the device manufacturing itself. It is accretive and as mentioned, it doesn't take a big expense of Salesforce and I think that's really one of the big advantages we have as an emerging commercial medical device organization outside of the phase three trial is that usually the burn is very high and the margins are low. We've been able to, as you know, achieve a lot of momentum and success and value creation with very little money and with this type of a niche market, very focused market, we could achieve high revenues with a handful of sales reps. It's also important to note that with the reimbursement in place, each patient receives multiple treatments. Once the patient's identified at a given hospital, they end up receiving between five and 10 treatments and so the numbers add up pretty quickly in terms of revenue. Without the need for a large Salesforce, our burn can stay low, but our revenues will continue to ramp through the end of this year and the end of the next year as well.

speaker
Scott

Okay, great. I would be remiss not to give you an opportunity to talk about your thoughts for the rest of the year, the catheter revenue. I'm not trying to get guidance out of you, but would you expect sequential gains in Q3 and Q4? I know sometimes there's a lot of upfront bolus sales and then you have to wait for reorders, but it seems like reorders are moving. Would you expect sequential gains in the coming quarters?

speaker
Walter

So, of course, as you can imagine, with such a new effort, we can't give guidance currently. I really look at 2025 as a learning year and I wouldn't measure success on a quarterly basis because there will be ups and downs and fluctuations this early in the process, especially since there's multiple procedures per patient. A couple of patients can really change the needle going from zero, pretty much 43,000 or pretty much zero just over six months ago to where we've achieved so far with 420,000 plus this quarter is fantastic. I do see us driving hard, learning and penetrating deeply, bringing more of those 13 centers across the finish line to start ordering catheters and treating patients. We do have a pipeline and there are 20 or 30 hospitals behind them. I do see growth over the next half of the year, but I really see that ramp start to take place with these few new sales hires as we work on infrastructure right now more in 2026. So, anticipate success throughout the year and then really ramping next year.

speaker
Renovocath

Okay, great. Thank you for taking the questions. Thanks, Scott. I appreciate it.

speaker
Operator

As a reminder, if you would like to ask a question, please press star one on your telephone keypad. Our next question comes from Steven Reed with Kit Investments. Please proceed with your question.

speaker
Steven Reed

Hey guys, great progress. I have a couple questions on the full four now. Are you going to be moved to putting that in pigs first or what's kind of your next steps?

speaker
Walter

Thanks for the question, Steve. Always great to catch up with you. So, as we look to gemcidobine, one of the reasons we chose gemcidobine initially in the phase three trial is it's so well characterized and we did have a lot of early experience with it. As we look to other drugs, we will perform animal experience to ensure we're not causing any major detrimental vascular damage. And as we discuss IITs and even registry patients with physicians, as we look to other agents, we will make sure we perform preclinical studies in conjunction with those physicians or on our own to ensure as we move into humans that we don't have issues. So, short answer to your question, yes, and we have begun exploring what other drugs do to the vessel wall. And like gemcidobine so far, it looks like we don't have any issues.

speaker
Steven Reed

Okay. So, do you think a few of those studies you'll be sharing with us in the next quarter on which preclinical studies those might be? Yeah,

speaker
Walter

we haven't disclosed publicly where we are in the process of preclinical studies and which drugs, but for sure as we move into patients being treated, especially under the guise of launching the registry, either during that time or in advance of that, if we have publishable data, we'll do so.

speaker
Steven Reed

Okay. It's great to see your in-house sales team coming together. I was curious if you could give us an update if you're simultaneously still working on some partnership distributors I saw marked in June that you might have issued some restricted stock in consideration for commercial contracts. Really any color around that would be helpful as well.

speaker
Walter

Yeah, thanks for the question, Stephen. So, to clarify, we issued some stock options or restricted stock to our contract manufacturer, Medical Murray, in conjunction with a ramping production to get us to where we are today and then take us to the next level in terms of providing enough catheters for our sales to treat patients. So, on the partnership side, on the manufacturing side, that's complete and underway. As far as the distribution side, we've been talking to several potential strategic distribution partners and what I've said publicly previously is we'll do the math around what makes the most economic sense. Given what we've achieved so far without any sales or marketing in-house team, besides myself and a couple of my team members for the most part, it's been prudent financially to make sure we capture all the revenue versus revenue share for this initial market entry. We've done the math on it, keeping our burn relatively the same with the addition of Phil Stockton and he's pulling in a handful of sales reps over the next several months or quarters. We'll make a decision down the road as we want to scale or need to scale based on usage in which tumor types and how far we can scale. If we should grow the sales force even further down the road next year or actually strike a partnership and leverage the distribution channel of a large medical device company. Those discussions, I said publicly, are ongoing but for the short term, in the meantime, we do plan on driving with our in-house team to capture the best value for our shareholders.

speaker
Renovocath

Thanks, Joe. That's all I have. Thanks for the question, Stephen.

speaker
Arkay

As a reminder, if you would like to ask a question, please press star one on your telephone keypad.

speaker
Renovocath

It appears

speaker
Operator

that there are no further questions today. I would now like to pass the floor over to John Bughaes for closing comments.

speaker
Walter

Thank you for the opportunity and for those dialing in and listening in. Thank you and I appreciate the questions from those who called in as well. I'm very happy and thrilled with the results we've had for our second quarter of this year, both in terms of the commercial success to date without an in-house sales and marketing team and then the progress we're making with the additional hire of Phil Stockton as he a great happenstance to have the DMC have the ability to review the second term analysis and we're proud and happy to see the continuation which gives us confidence that we should be hopefully moving towards a successful clinical trial in a phase three manner in locally advanced pancreatic cancer. I'm also happy with the prudent decision here to protect the integrity of the trial, so we have the best chance of success with a potential NDA application down the road. Thank you again for everyone chiming in and look forward to following up with individuals down the road.

speaker
Operator

This concludes today's teleconference. You may disconnect your lines at this time. Thank you for your participation.

Disclaimer

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