BioVie Highlights Patient-Centric Design of SUNRISE-PD Trial at Advanced Therapeutics in Movement & Related Disorders® Congress (ATMRD)

Rhea-AI Summary

BioVie (NASDAQ: BIVI) announced the presentation of its SUNRISE-PD Phase 2 clinical trial design at the Advanced Therapeutics in Movement & Related Disorders® Congress. The trial evaluates bezisterim (NE3107) in early-stage Parkinson's Disease patients through a hybrid, decentralized approach.

The innovative trial design allows participants aged 41-80, diagnosed within the last four years, to complete visits either at home or in clinic. The study features in-home nurse visits, neurologist oversight via video conferencing, and remote assessment of motor symptoms. BioVie has partnered with organizations including The Michael J. Fox Foundation to support enrollment.

Bezisterim is an oral, anti-inflammatory, insulin-sensitizing compound that has demonstrated improvements in both motor and non-motor symptoms in previous trials, targeting key biological processes in PD progression.

Hybrid, decentralized trial of bezisterim in early Parkinson’s Disease prioritizes patient access and participation

CARSON CITY, Nev., June 26, 2025 (GLOBE NEWSWIRE) -- BioVie Inc. (NASDAQ: BIVI) (“BioVie” or the “Company”), a clinical-stage company developing innovative drug therapies for the treatment of neurological and neurodegenerative disorders and advanced liver disease, today announced that a poster highlighting the patient-centric design and accessibility of its ongoing SUNRISE-PD Phase 2 clinical trial will be presented at the Advanced Therapeutics in Movement & Related Disorders^® Congress, to be held at National Harbor, MD, from June 27-30, 2025.

People with Parkinson’s disease (PD) often face barriers to accessing specialized care and participating in clinical trials due to delayed diagnosis, limited mobility, and geographic constraints. SUNRISE-PD is a Phase 2 trial evaluating bezisterim (NE3107) in individuals with early-stage PD that aims to address these challenges through a hybrid, decentralized design. The trial allows participants to complete visits either at home or in a clinic, improving access and flexibility. The presentation at ATMRD highlights this patient-focused approach and its potential to broaden participation in PD research.

“SUNRISE-PD represents the future of clinical trial design one that meets people where they are and makes participation possible without compromising scientific rigor,” said Cuong Do, President and CEO of BioVie Inc. “By combining an innovative therapeutic approach with a decentralized model, we are exploring the potential of bezisterim to impact the course of Parkinson’s disease and set a precedent for how studies can be more inclusive, accessible and patient-focused.”

SUNRISE-PD is enrolling people ages 41 to 80 who were diagnosed within the last four years and have not yet initiated treatment with carbidopa/levodopa or other dopamine receptor agonists. Through partnerships with organizations including The Michael J. Fox Foundation, Davis Phinney Foundation, and The Parkinson’s Foundation, BioVie is driving awareness and facilitating outreach across the U.S. to support enrollment.

The study’s flexible design includes in-home visits conducted by study nurses with neurologist oversight via video conferencing and remote assessment of motor symptoms using a modified MDS-UPDRS Part III scale evaluated by a centralized rating committee. All data collection is supported by digital tools and virtual documentation to ensure consistency, quality, and ease of use for participants.

Bezisterim is an orally available, blood-brain barrier-permeable, anti-inflammatory, insulin-sensitizing compound that has shown improvements in both motor and non-motor symptoms in previous trials, with a favorable safety profile. It is designed to target key biological processes believed to contribute to the progression of PD, with the goal of modifying the course of the condition over time. SUNRISE-PD represents an important opportunity to evaluate this potential in individuals with early-stage PD, when intervening may have the greatest long-term impact. For more details about SUNRISE-PD, including eligibility criteria and how to participate, visit www.SUNRISEPD.com.

Details for the presentation are as follows:

Title: SUNRISE-PD: An Ongoing, Hybrid, Decentralized Phase 2 Study of Bezisterim (NE3107) in Early Parkinson’s Disease
Poster session: 11:30 am to 12:30 pm, Friday, June 27
Authors: Mark Stacy; Clarence Ahlem; Christopher L. Reading; Jeffrey Zhang; Joseph M. Palumbo
Poster position: P 49
Poster displayed from 7:00 am Friday, June 27, through 2:00 pm Sunday, June 29

About Parkinson’s Disease
Parkinson’s disease (PD) is a progressive neurodegenerative disorder that primarily affects movement. It is characterized by the loss of dopamine-producing neurons in the substantia nigra, a region of the brain critical for motor control. Core symptoms include tremors, muscle rigidity, bradykinesia (slowness of movement), postural instability, and difficulties with speech.^1-2 Non-motor symptoms, such as cognitive impairment, mood disorders, and autonomic dysfunction, also significantly impact patients' quality of life.³ In the early stages, symptoms are often mild and may include subtle tremors, slight movement difficulties, and changes in handwriting or facial expressions. As the disease progresses, motor symptoms become more pronounced, leading to difficulties with balance, speech, and daily activities, often requiring full-time care in later stages.⁴

Since the 1960s, when dopamine’s critical role in Parkinson’s disease was first identified, levodopa has remained the cornerstone of treatment, providing significant symptom relief by replenishing dopamine levels in the brain.^5-6 However, long-term use is associated with complications such as motor fluctuations—where symptom control becomes less stable—and dyskinesia, involuntary movements that can become debilitating.^7-9

Emerging research highlights the role of chronic inflammation and insulin resistance in the onset and progression of Parkinson’s disease. Neuroinflammation, driven by activated microglia and elevated levels of pro-inflammatory cytokines, contributes to oxidative stress and accelerates neuronal degeneration.^10-12 Additionally, insulin resistance, which impairs the brain’s ability to regulate glucose metabolism, has been linked to increased neurodegeneration and worsening motor symptoms.^13-14 These metabolic dysfunctions create a harmful cycle that exacerbates disease progression, underscoring the potential of anti-inflammatory and insulin-sensitizing therapies as new avenues for treatment.

About Bezisterim
Bezisterim (NE3107) is an orally bioavailable, blood-brain barrier (BBB)-permeable modulator of inflammation and insulin-sensitizer. In addition, it is not immunosuppressive and has a low risk of drug-drug interaction. By binding to ERK and selectively modulating NFκB activation and TNF-α production, BioVie believes that bezisterim may offer clinical improvements in several disease indications, including Alzheimer’s disease, Parkinson’s disease and long COVID.

In Parkinson’s disease, BioVie is currently enrolling patients in the Phase 2 SUNRISE-PD clinical trial evaluating the safety and efficacy of bezisterim on motor and non-motor symptoms in patients who have not been treated with carbidopa/levodopa, with topline data expected in late 2025 or early 2026. A previous Phase 2 study of bezisterim in Parkinson’s disease (NCT05083260) completed in 2022, and data presented at the AD/PD™ 2023 International Conference on Alzheimer’s and Parkinson’s Diseases and related neurological disorders in Gothenburg, Sweden in March 2023 showed significant improvements in “morning on” symptoms and clinically meaningful improvement in motor control in patients treated with a combination of bezisterim and levodopa versus patients treated with levodopa alone, and no drug-related adverse events.

In long COVID, bezisterim has the potential to reduce neurological symptoms, including fatigue and cognitive dysfunction. Persistently circulating viral spike proteins are believed to trigger TLR-4 driven activation of NFκB and the subsequent expression of inflammatory cytokines (IL-6, TNF, IFNg). BioVIe’s Phase 2 ADDRESS-LC study, is a randomized (1:1), placebo-controlled, multicenter trial in approximately 200 patients to evaluate the safety, tolerability and potential efficacy of 3 months of treatment with bezisterim to reduce the neurocognitive symptoms associated with long COVID, including difficulty concentrating or remembering things (“brain fog”) and fatigue.

In Alzheimer’s disease, BioVie conducted and reported efficacy data on its Phase 3 randomized, double-blind, placebo-controlled, parallel-group, multicenter study to evaluate bezisterim in patients who have mild-to-moderate Alzheimer’s disease (NCT04669028) in 2023. Results of a Phase 2 investigator-initiated trial (NCT05227820) showing bezisterim-treated patients experienced improved cognition and biomarker levels were presented at the Clinical Trials on Alzheimer’s Disease (CTAD) annual conference in December 2022. An estimated six million Americans suffer from Alzheimer’s disease.

About BioVie Inc.
BioVie Inc. (NASDAQ: BIVI) is a clinical-stage company developing innovative drug therapies for the treatment of neurological and neurodegenerative disorders (Alzheimer’s disease, Parkinson’s disease and long COVID) and advanced liver disease. In neurodegenerative disease, the Company’s drug candidate bezisterim inhibits inflammatory activation of extracellular signal-regulated kinase and the transcription factor nuclear factor-κB, and the associated neuroinflammation and insulin resistance but not ERK and NFκB homeostatic functions (e.g., insulin signaling and neuron growth and survival). Both neuroinflammation and insulin resistance are drivers of AD and PD. Persistent systematic inflammation and neuroinflammation are key features in patients with neurological symptoms of long COVID. In liver disease, the Company’s Orphan drug candidate BIV201 (continuous infusion terlipressin), with FDA Fast Track status, is being evaluated and discussed with guidance received from the FDA regarding the design of Phase 3 clinical testing of BIV201 for the reduction of further decompensation in participants with liver cirrhosis and ascites. The active agent is approved in the U.S. and in about 40 countries for related complications of advanced liver cirrhosis. For more information, visit www.bioviepharma.com.

Forward-Looking Statements 
This press release contains forward-looking statements, which may be identified by words such as "expect," "look forward to," "anticipate" "intend," "plan," "believe," "seek," "estimate," "will," "project" or words of similar meaning. Although BioVie Inc. believes such forward-looking statements are based on reasonable assumptions, it can give no assurance that its expectations will be attained. Actual results may vary materially from those expressed or implied by the statements herein due to the Company's ability to successfully raise sufficient capital on reasonable terms or at all, available cash on hand and contractual and statutory limitations that could impair our ability to pay future dividends, our ability to complete our pre-clinical or clinical studies and to obtain approval for our product candidates, our ability to successfully defend potential future litigation, changes in local or national economic conditions as well as various additional risks, many of which are now unknown and generally out of the Company's control, and which are detailed from time to time in reports filed by the Company with the SEC, including quarterly reports on Form 10-Q, reports on Form 8-K and annual reports on Form 10-K. BioVie Inc. does not undertake any duty to update any statements contained herein (including any forward-looking statements), except as required by law.

References        

1. Cleveland Clinic. Parkinson’s Disease. Last reviewed: 2022 Apr 15.
2. Jankovic J. J Neurol Neurosurg Psychiatry. 2008;79(4):368-376.
3. Postuma RB, Berg D, Stern M, et al. Mov Disord. 2015;30(12):1591-1601.
4. Kalia LV and Lang AE. Lancet. 2015;386(9996):896-912.
5. Hornykiewicz O. Angew Chem Int Ed. 2002;41(17):2934-2941.
6. Olanow CW, Obeso JA and Stocchi F. Lancet Neurol. 2006;5(8):677-687.
7. Ahlskog JE and Muenter MD. Mov Disord. 2001;16(3):448-458.
8. Espay AJ, Morgante F, Merola A, et al. Ann Neurol. 2018;84(6):797-811.
9. Cilia R and Akpalu A. J Neural Transm. 2020;127(5):889-916.
10. Jurcau A, Andronie-Cioara FL, Nistor-Cseppento DC, et al. Int J Mol Sci. 2023;24:14582.
11. Pajares M, Rojo AI, Manda G, et al. Cells. 2020;9:1687.
12. Isik S, Kiyak BY, Akbayir R, et al. Cells. 2023;12:1012.
13. Zagare A, Hemedan A, Almeida C, et al. Mov Disord. 2025;40(1):67-76.
14. Ruiz-Pozo VA, Tamayo-Trujillo R, Cadena-Ullauri S, et al. Nutrients. 2023;15(16):3585.

For Investor Relations Inquiries: 
Chuck Padala
Managing Director 
LifeSci Advisors, LLC 
chuck@lifesciadvisors.com

For Media Inquiries:
Melyssa Weible
Managing Partner, Elixir Health Public Relations 
Ph: +1 201-723-5705
mweible@elixirhealthpr.com

FAQ

What is the SUNRISE-PD Phase 2 trial by BioVie (NASDAQ: BIVI) studying?

The trial is studying bezisterim (NE3107) in early-stage Parkinson's Disease patients, specifically those diagnosed within the last four years who haven't started carbidopa/levodopa or dopamine receptor agonist treatment.

How is BioVie's SUNRISE-PD trial different from traditional clinical trials?

The trial uses a hybrid, decentralized design allowing participants to complete visits either at home or in clinic, with in-home nurse visits, neurologist oversight via video conferencing, and remote assessment of motor symptoms.

Who is eligible to participate in BioVie's SUNRISE-PD trial?

The trial is enrolling people aged 41 to 80 who were diagnosed with Parkinson's Disease within the last four years and haven't started treatment with carbidopa/levodopa or other dopamine receptor agonists.

What organizations is BioVie partnering with for the SUNRISE-PD trial?

BioVie is partnering with The Michael J. Fox Foundation, Davis Phinney Foundation, and The Parkinson's Foundation to drive awareness and facilitate outreach for trial enrollment.

What are the key features of bezisterim (NE3107) in Parkinson's treatment?

Bezisterim is an oral, blood-brain barrier-permeable, anti-inflammatory, insulin-sensitizing compound that has shown improvements in both motor and non-motor symptoms with a favorable safety profile.