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NRx Pharmaceuticals (NRXP) investor relations material

NRx Pharmaceuticals Study Update summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Study Update summary2 Dec, 2025

Regulatory and Development Updates

  • FDA accepted the ANDA for a preservative-free ketamine formulation (KETAFREE), with a review goal date of July 29, 2026.

  • KETAFREE is the first ketamine formulation without benzethonium chloride, a preservative not recognized as safe by the FDA.

  • A citizens' petition was filed to remove benzethonium chloride from all ketamine products, supported by a published toxicology report, and is awaiting FDA response.

  • Application for proprietary product name KETAFREE is under FDA review.

  • Patent application filed to protect the preservative-free ketamine intellectual property.

Manufacturing and Supply Chain

  • Three commercial lots of KETAFREE have been manufactured, with a goal of one million doses ready by next July.

  • Modern blow-fill-seal technology enables scalable production exceeding one million doses per month.

  • Five years of active pharmaceutical ingredient (API) are available in inventory, with plans to switch to U.S.-manufactured API by 2027.

  • Manufacturing can be scaled further if market demand increases or if regulatory changes drive higher adoption.

  • Intended for all currently approved ketamine indications and manufactured in the US.

NRx-101 and TMS Combination Study

  • NRx-101, a fixed-dose combination of D-cycloserine and lurasidone, is being developed for suicidal bipolar depression and as an adjunct to TMS.

  • Recent studies show low-dose D-cycloserine with TMS yields 87% clinical response and 72% remission in depression and suicidality.

  • Real-world data confirm that D-cycloserine more than doubles the antidepressant and anti-suicidal effect of TMS.

  • NRx-101 is not contraindicated in depression due to the addition of lurasidone, unlike D-cycloserine alone.

  • Over 25,000 doses of NRx-101 are available for a nationwide expanded access program at no charge to patients.

KETAFREE market share if BZT is removed?
NRX-101: How does it avoid DCS contraindication?
NRX-101 + TMS confirmatory trial design?
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Q4 202513 Mar, 2026
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Frequently asked questions

NRx Pharmaceuticals Inc. (NRXP) is a clinical-stage pharmaceutical company focused on developing novel therapeutics for the treatment of central nervous system disorders. The company's portfolio includes ZYESAMI, an investigational drug for COVID-19 related respiratory failure, and oral therapeutics NRX-100 and NRX-101 for the treatment of bipolar depression in patients with acute suicidal behavior/ideation and sub-acute suicidal ideation and behavior. The company is headquartered in Wilmington, Delaware, and its shares are listed on the Nasdaq.

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