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Trevi Therapeutics (TRVI) investor relations material
Trevi Therapeutics Morgan Stanley 23rd Annual Global Healthcare Conference summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
Company overview and drug mechanism
Focused on a single drug with a mixed agonist-antagonist opioid mechanism, offering efficacy and safety without addiction risk.
The drug targets chronic cough in three indications: IPF, non-IPF ILDs, and refractory chronic cough.
Mechanism acts both centrally and peripherally, differentiating it from competitors.
Clinical development and trial design
Strong phase 2b data in IPF; phase 3 program to start next year with similar endpoints but longer duration.
Planned parallel studies in IPF and non-IPF ILDs, leveraging overlapping patient populations and centers.
Placebo response in IPF trials is low and manageable; higher in RCC, requiring careful trial design.
Sample size for phase 3 IPF set at ~250 patients per arm to ensure safety and efficacy data.
Adaptive powering and sample size re-estimation planned for non-IPF ILD study.
Competitive landscape and differentiation
No approved therapies for cough in IPF/ILDs; current antifibrotics do not address cough.
Only one other asset in development for ILDs, with a peripheral-only mechanism and prior failures in RCC.
Ex-U.S. approved RCC drugs face U.S. commercialization challenges; current therapies have limited efficacy.
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