Robert Barrow
Analyst · Brian Abrahams from RBC
Thanks, Schond, and thanks so much, Brian, for being here for the question. When we look at the infrastructure build-out, and we particularly obviously have -- I think people generally are focused on analogous commercial rollout, and the most directly relevant, because it is in psychiatry, I think everyone looks to Spravato. One of the big caveats that we would note for the rollout or uptake of Spravato is the fact that it doesn't appear to perform all that differently in terms of response or duration than racemic ketamines.
So when we look at the opportunity in the uptake of Spravato, we really look at the ketamine and its enantiomers altogether. And because they are used very much in a similar way, even though ketamine is used very frequently off-label, and Spravato, of course, is indicated for the treatment of treatment-resistant depression, I think it's really important that we look at both the infrastructure build-out and the uptake of both racemic ketamine and Spravato together.
In that essence, when you look at the broader landscape, the number of clinics, the number of prescribers, the number of patients who are accessing ketamine or esketamine, we have seen an incredible uptake. The infrastructure has been built out, and we certainly feel quite optimistic that, that could be replicated at even greater scale with our molecules in the drug class more generally.
I think one of the other thing I would highlight really briefly is the fact that we certainly have a view that there will need to be -- these molecules and our product candidates would need to be administered in a health care setting, at least those that are focused on the session-based delivery model. But exactly what that health care setting is -- the connection between prescribers and providers is an important element, everything from the supply chain down to where and which offices and which degrees are required, if any, to be monitoring a patient and supporting a patient during a treatment session.
So while certainly we anticipate a connectivity to, of course, prescribers and psychiatry, we do think that the infrastructure is such that it could be incrementally improved upon to enable adoption. So I don't think it requires an entirely independent build-out that would require both physical infrastructure and the growth in human capital. There's going to be an element of training and growth that is needed, but we're already seeing that uptake driven by ketamine but also by some of the other therapies that are currently coming to market and will be coming into market over the next several years.