Summary of Design Therapeutics FY Conference Call Company Overview - Design Therapeutics (NasdaqGS:DSGN) focuses on gene expression modulation using small molecules, targeting significant monogenic diseases [2][3] Clinical Development Programs - The company is in clinical development for three major diseases: - **Friedreich Ataxia (FA)**: Ongoing trial named Restore FA, aiming to increase endogenous Frataxin levels, with data expected in the second half of 2026 [3][4] - **Myotonic Dystrophy Type 1 (DM1)**: Plans to begin multiple-dose studies in the first half of 2026, with data anticipated in 2027 [4] - **Fuchs Corneal Dystrophy**: Eye drop formulation targeting the mutant TCF4 gene, with a phase two biomarker study expected to yield data in the second half of 2026 [3][4] Friedreich Ataxia (FA) Program - The molecule DT-216 aims to increase Frataxin expression, with a new formulation (DT-216P2) showing over 10x increase in exposure and resolved vein thrombophlebitis issues [6][8] - The trial design includes dose escalation studies, with a focus on measuring Frataxin levels in whole blood and muscle [13][14] - The goal is to achieve Frataxin levels comparable to carriers, which would indicate restoration of cellular function [18][19] Fuchs Corneal Dystrophy Program - The company has developed a potential biomarker for splicing in corneal tissue, allowing for the assessment of treatment efficacy [22][23] - Patients scheduled for corneal transplants will receive eye drops prior to surgery, with the aim of demonstrating the drug's ability to fix splicing [24][25] Myotonic Dystrophy Type 1 (DM1) Program - The company is developing a small molecule that can penetrate cells effectively, targeting the mutant DMPK RNA responsible for the disease [30][31] - Data shows over 90% reduction in mutant RNA without affecting wild type protein expression, indicating selectivity and potential efficacy [31][32] Financial Position - Design Therapeutics reported a strong cash position of over $200 million, providing a runway into 2029 to gather clinical data and advance its programs [35]