By Brad Sorensen, CFA

NASDAQ:REVB

READ THE FULL REVB RESEARCH REPORT

Revelation Biosciences (NASDAQ:REVB) is a life sciences company focused on the development of immunologic-based therapies for the prevention and treatment of disease. Revelation has multiple product candidates in development that we believe have promising potential and are based on the biology of phosphorylated hexaacyl disaccharide (PHAD) and its effect on the innate immune system. The impact of PHAD on the immune system has been studied over multiple years and has been shown to have a positive effect on the human immune system. The company’s current therapeutic candidates are all based on the active ingredient PHAD, which is a synthetic version of MPLA, that is known to stimulate TLR-4. PHAD stimulation of TLR-4 leads to the production of multiple types of cytokines and chemokines which modulate the activity of the innate and adaptive immune response. Modulated activities may include stimulation and recruitment of infection fighting immune cells, down-regulation of inflammation, and/or upregulation of inflammation depending on the degree and nature of the stimulation which enables the multiple potential product candidates in development.

The current therapies being developed under the so-called Gemini project are:

? REVTx 300, which is being developed as a potential therapy for the treatment of acute and chronic organ disease including CKD, AKI and myocarditis.

? REVTx 100 is being developed as a prevention and treatment of infection.

In what we view as a major development, the company announced data from its Phase 1 trial of Gemini. This study involved 40 healthy individuals between the ages of 18 and 55 who were given placebo, low, mid and high doses. The primary purpose was to determine what the appropriate dosage was to use for further studies as well as evaluating the safety of Gemini. Those goals were both met, with the company noting that Gemini was generally well tolerated, with adverse events increasing as the dose increased. It’s important to note that Gemini administration did not result in any significant changes in clinical safety markers. The company also noted that the mid-level dose is now established as the maximum tolerated dose in healthy volunteers.

Even more exciting was that the company released data on key circulatory biomarkers from the study that showed the expected positive results. The best way to show this is probably by the company provided charts:

According to the company, figures 1-4 illustrate the reprogramming of the innate immune response after Gemini administration. Briefly explaining the above charts:

Figure 1--IL-1RA has anti-inflammatory properties, as it binds to the IL-1 receptor, blocking IL-1a and IL-1b, major drivers of the inflammation cascade.

Figure 2--NGAL sequesters iron and is an important defense for preventing excessive oxidative damage resulting from injury and/or ongoing inflammation.

Figure 3--CRP plays an important role in resolving acute inflammation through increased phagocytosis, clearing cellular debris.

Figure 4--IL-6 at low concentrations facilitates multiple activities associated with the resolution of inflammation.

It’s easy to see that the administration of Gemini had a positive influence on these key biomarkers, which is more confirmation to our belief the Revelation is on the right track. And we are excited that the company is moving forward with testing that we believe will continue to produce positive results. CEO James Rolke notes, “With this new data, we are excited and committed to moving rapidly into a Phase 1b study in patients late 2024.”

We are under no illusions that it’s easy to bring new therapies all the way to commercialization and Revelation will undoubtedly face challenges, but we believe that REVB is worth a look by investors due to the potential of the treatments being investigated, the science that has already been established behind those treatments, and the experienced management team the company has, headlined by the CEO who has overseen six INDs and two marketing approvals—experience we believe is needed to shepherd these treatments through the gauntlet of the FDA.

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