Summary of Kodiak Sciences FY Conference Call Company Overview - **Company**: Kodiak Sciences (NasdaqGM: KOD) - **Focus**: Development of innovative therapies for retinal diseases, particularly targeting macular edema and diabetic retinopathy Key Data Flow and Catalysts - **Phase III Studies**: Kodiak is conducting four Phase III studies with three molecules expected to read out over the next 12 months - **GLO2 Study**: Tarcocimab for diabetic retinopathy, last visit in January 2026, top-line data expected in March 2026 [4][5] - **DAYBREAK Study**: Tarcocimab and KSI-501 for wet AMD, last visit in August 2026, top-line data expected mid-September 2026 [4][5] - **PEAK Study**: KSI-101, top-line data expected about 12 months from now [5][42] KSI-101 Development - **Indication**: KSI-101 is being developed for macular edema secondary to inflammation (MESI) [6] - **Phase I/1b APEX Study Results**: - 20-week results show KSI-101 achieving a mean change of 15.4-letter gain at the 10 mg dose and 13.4-letter gain at the 5 mg dose [10][11] - More patients achieved at least 15-letter gains compared to Roche's IL-6 treatment [9][10] - Over 90% of patients achieved total absence of both intraretinal and subretinal fluids by week 8 [16] Comparison with Competitors - **Roche's IL-6 Treatment**: KSI-101 demonstrated superior retinal drying compared to Roche's treatment, with a higher percentage of patients achieving dryness [15][19] - **Dosing Frequency**: KSI-101 will be dosed monthly, while Roche's treatment may not follow the same regimen [27][41] Trial Design and Patient Population - **PEAK and PINNACLE Trials**: Designed to evaluate the full spectrum of MESI severity, with PEAK focusing on more severe patients and PINNACLE including both severe and mild patients [44][54] - **Patient Enrollment**: Rapid enrollment is anticipated, with a focus on building a robust safety database [50][53] Market Potential and Pricing - **Addressable Patient Population**: Estimated at 150,000, considered conservative given that 300,000 patients meet trial inclusion criteria [54][56] - **Pricing Strategy**: Likely to follow an orphan drug pricing model due to the severity of the conditions treated [57] Future Developments - **KSI-501**: A polymerized version of tarcocimab, expected to show improved efficacy in the DAYBREAK study [58] - **Market Positioning**: KSI-501 may compete with tarcocimab, raising questions about potential sales cannibalization [58] Conclusion - Kodiak Sciences is positioned for significant developments in the retinal disease market with multiple Phase III studies underway and promising early data from KSI-101. The company is focused on achieving treatment success through innovative dosing strategies and aims to address a substantial patient population with unmet medical needs.