@Nnyck777 Yes, $PNV’s management, board and operations still concern me.
The main dynamic I’m watching, however, is whether $AVH’s “one-stop shop” of Permaderm, ReCell, and CoHealyx gains traction. That trifecta has only been in the U.S. market a few months, but if it sticks, $PNV faces a serious U.S. headwind.
The messy ReCell reimbursement code issue earlier this year (outside $AVH’s control) prevented a clean read on 2Q 2025. If 3Q 2025 (early Nov) shows real CoHealyx uptake, plus resolution of the reimbursement problem and renewed re-ordering from previously active accounts, $AVH’s SP could bounce hard. I’m keeping powder dry to play that if I can spot leading indicators ahead of consensus. That would point to a new headwind for Novosorb.
That said, I haven’t written $PNV off. In 2H FY26 it should be strongly cash-generative with good EPS growth — provided U.S. revenue doesn’t slow further (the potential headwind above).
The segment itself is a mix of headwinds and tailwinds:
- Headwind: competitive intensity in that there may simply be too many players.
- Tailwind: dermal substitutes continue to displace older treatments, with the overall category growing 6–12% p.a. through 2033, depending on the report and sub-segment (e.g., dermal repair faster than epidermal).
Given that uncertainty, I’m limiting exposure to <5% of my portfolio, but would increase if I see a clear leader that can both ride the segment’s growth and take share (I used to think that would be $PNV; now I’m less confident).
The unknown is what FTB (Full Thickness Burns) FDA approval could mean for Novosorb (likely late FY26 or early FY27). Currently, only Epicel, Integra DRT, and STSG are approved for FTB, with Integra and STSG approved for use alongside ReCell. (ReCell + Novosorb has only been used in trials/off-label.)
I estimate the U.S. FTB market at ~US$400m p.a. (est. by my "BA") Depending on trial results, Novosorb could see anything from a modest to a meaningful sales boost over 2–5 years. At the very least, FDA approval would be a share price catalyst (even if temporary) given $PNV’s volatility and the tendency for market overreaction and shorting.
Meanwhile, $AVH is running a post-market trial for CoHealyx vs Integra in “Full Thickness Wounds” (burns + trauma), with results mid-CY26. It puzzles me that $AVH can do a relatively quick FTB study while $PNV and BARDA have been grinding away for years — I must be missing something obvious there.
The upshot: by FY27 surgeons could have an expanded toolkit for the ~$400m FTB market (a small slice of U.S. dermal repair overall).
I’ve focused on FTB because that’s where $PNV may get a positive SP and revenue catalyst over the next year or so. If my thinking reads muddled, it’s because it is — this needs proper attention after reporting season.
There are several layers to this story (pun intended!).