Susvimo is under review with the EMA and once approved will be the first continuous delivery treatment for nAMD, affecting 1,7 million in the European Union1New seven-year data from the LADDER study show Contivue with Susvimo provides good visual outcomes with stable retinal anatomy over the longer term2 With up to two refills per year, Contivue with Susvimo provides reliable, long-term vision outcomes and is approved in the US for nAMD, diabetic macular edema (DME) and diabetic retinopathy (DR)2-5 Basel, 0 ...

Summary of Opthea Limited (OPT) Corporate Update Webcast Company Overview - **Company**: Opthea Limited (OPT) - **Date of Update**: August 19, 2025 - **Context**: The call discusses the results of phase three clinical trials and the company's future direction following disappointing trial outcomes. Key Points Industry and Clinical Trials - **Phase Three Trials**: The company conducted two pivotal trials, COAST and SHORE, comparing its drug sosinibrocept with existing treatments aflibercept (Eylea) and Lucentis [6][10] - **Primary Endpoint Failure**: Both trials did not meet their primary endpoint of demonstrating superior visual acuity improvement at week 52 compared to the control arms [21][22] - **Patient Population**: Approximately 300 patients were enrolled per arm, with baseline characteristics well balanced across different treatment groups [12][13] - **Results**: The control arm showed a 13.75 letter improvement, while the combination therapy with sosinibrocept did not show statistically significant improvement [14][20] - **Safety Profile**: Sosinibrocept was well tolerated, with similar adverse event rates compared to aflibercept and Lucentis, although there was a slight trend for increased inflammation with higher doses of sosinibrocept [18][22] Financial and Development Funding Agreement (DFA) - **DFA Overview**: In August 2022, the company entered a DFA with OSCELET, initially securing $120 million, later amended to a total of $170 million [24][25] - **Settlement with Investors**: Following negative trial results, the company negotiated a settlement with DFA investors, paying $20 million in cash and providing a 9.99% equity stake, terminating the DFA [27][28] - **Current Cash Position**: As of the update, the company has approximately $20 million in cash on hand and no debt [28][32] Future Strategy and Governance - **Streamlining Operations**: The company has reduced its workforce by over 80% and the board of directors by 50% to align with its current scale [26][33] - **Strategic Review**: A comprehensive strategic review will be undertaken over the next several months to assess internal capabilities and potential partnerships [36][62] - **Focus on Shareholder Return**: The board emphasizes maximizing shareholder return as a primary objective in future decisions [36][64] Additional Insights - **Clinical Trial Insights**: The duration of the trials and patient selection may have impacted outcomes, with suggestions that the phase 2b trial's shorter duration might not have fully informed the phase 3 results [43][44] - **Future Opportunities**: The company is exploring potential therapeutic areas beyond ophthalmology, leveraging its scientific knowledge and assets [48][50] - **R&D Tax Credit**: The company plans to submit for an R&D tax credit, which has not yet been received [55] Conclusion - **Outlook**: The company is positioned to navigate its challenges with a focus on governance, operational efficiency, and strategic partnerships, aiming to enhance shareholder value moving forward [36][39][74]

Core Insights - Roche announced five-year efficacy, safety, and durability data for Susvimo® (ranibizumab injection) in treating neovascular age-related macular degeneration (nAMD), showing sustained treatment effects with approximately 95% of patients requiring no supplemental treatment before each refill [1][6]. Efficacy and Safety Data - The Phase III Portal study demonstrated that Susvimo maintained vision and retinal drying over five years, with best-corrected visual acuity (BCVA) in the Susvimo cohort decreasing from 74.4 letters at baseline to 67.6 letters at five years, while the IVT-Susvimo cohort showed a decrease from 76.3 letters to 68.6 letters [3][6]. - Average central subfield thickness (CST) remained stable, with a reduction of 1.0 µm in the Susvimo cohort and 10.3 µm in the IVT-Susvimo cohort [3]. Study Design and Population - The Portal study followed a cohort of 352 patients, with 220 receiving Susvimo refills every six months and 132 transitioning from monthly intravitreal (IVT) injections to Susvimo [2][5]. - The Archway study, which preceded the Portal study, was a randomized, multicenter trial involving 415 patients, comparing Susvimo to monthly IVT ranibizumab injections [5]. Treatment Mechanism - Susvimo utilizes a refillable eye implant that continuously delivers a customized formulation of ranibizumab, contrasting with other treatments that may require monthly injections [4][9]. - This delivery system aims to provide a more consistent treatment regimen, potentially leading to better real-world outcomes for patients with nAMD [2][4]. Industry Context - nAMD is the leading cause of vision loss in individuals over 60, affecting approximately 20 million people globally, with numbers expected to rise as the population ages [8]. - The innovative approach of Susvimo positions Roche as a leader in the treatment of nAMD, addressing a significant unmet need in the market [6][9].

Summary of Ocular Therapeutix (OCUL) Conference Call Company Overview - Ocular Therapeutix is focused on developing treatments for ocular diseases, particularly wet age-related macular degeneration (AMD) [2][4] - The company is currently conducting pivotal trials, SOUL-one and SOLAR, aimed at evaluating their lead product, expaxly [2][3] Key Points and Arguments Current Status of Trials - Enrollment for the SOUL-one study is ahead of schedule, with a focus on high-quality patient selection [2][3] - The company is prioritizing the conduct of SOUL-one and SOLAR trials, assessing parameters such as the number and profile of patient rescues [3][4] Market Context - The wet AMD market is valued at approximately $10 billion, with a significant dropout rate of 40% in the first year of treatment [13][15] - The company aims to address the dropout issue, which leads to increased healthcare costs due to blindness [15][16] Treatment Advantages - Ocular Therapeutix is addressing two main problems: sustainability of treatment and long-term visual outcomes [5][7] - The company believes that sustained delivery of their treatment will reduce the risk of fibrosis and improve visual outcomes compared to current anti-VEGF therapies [7][25] Regulatory Environment - Communication with the FDA remains consistent, with no significant changes noted under the new administration [8][9] - The company has received a Special Protocol Assessment (SPA) from the FDA, indicating a clear regulatory pathway for their trials [9][28] Economic Considerations - The company asserts that their treatment could lead to significant cost savings for payers by reducing the dropout rate and associated healthcare costs [15][21] - There is a belief that physicians will benefit economically from the adoption of longer-acting treatments, despite initial concerns about reduced injection frequency [19][22] Trial Design and Modifications - Recent modifications to the SOLAR trial include redosing at twelve months and a reduction in the number of patients for SOLAR, which the company claims will not affect the primary endpoint or powering [26][28] - The company is confident in the quality of patient retention and the design of their trials, which are tailored to meet FDA requirements [33][34] Commercialization Strategy - Ocular Therapeutix plans to commercialize expaxly independently, leveraging their existing commercial team and expertise in the retina market [49][51] - The company is not seeking partnerships at this time, indicating strong financial health and operational capability [50][51] Additional Important Insights - The company emphasizes the tragic nature of the current dropout rates in wet AMD treatment and the urgent need for effective solutions [5][15] - There is a focus on the long-term implications of treatment oscillations and their impact on patient outcomes, which the company believes their product can mitigate [25][26] This summary encapsulates the key points discussed during the conference call, highlighting the company's strategic focus, market context, and ongoing trials.

Summary of Ocular Therapeutix (OCUL) Conference Call Company Overview - **Company**: Ocular Therapeutix (OCUL) - **Product**: ExPaxly, a treatment for wet age-related macular degeneration (AMD) Key Industry Insights - **Regulatory Environment**: The FDA remains consistent and collaborative, with no recent changes affecting timelines or processes [3][4][5] - **Market Context**: The wet AMD market is crowded with existing treatments, including recent generic launches [6] Core Product Differentiation - **ExPaxly's Unique Selling Proposition**: - Aims to address the high dropout rate of 40% in current treatments, which leads to significant patient blindness [11][52] - Offers less frequent dosing, potentially every six to twelve months, compared to current treatments requiring monthly or bi-monthly visits [13][58] - Focuses on sustainability and better long-term outcomes by providing a constant drug delivery, reducing the risk of fibrosis and atrophy [19][18] Clinical Trials - **Current Trials**: - **SOUL-one**: A superiority trial designed to select patients with high VEGF receptor levels [21][25] - **SOLAR**: A non-inferiority trial aimed at ensuring stability in patient responses [21][26] - **Trial Design**: - Both trials are complementary, allowing for a comprehensive understanding of ExPaxly's efficacy and safety [22][28] - The trials have been designed to maximize patient retention and minimize dropout rates [29][44] Regulatory Strategy - **SPA (Special Protocol Assessment)**: The company has maintained its SPA with the FDA, allowing for an extended study period to gather more safety data [44][48] - **Amendments**: Recent amendments to the trials have reduced the number of patients needed for SOLAR, expediting the process while maintaining compliance with FDA guidelines [45][47] Market Potential and Economic Impact - **Patient Retention**: A reduction in dropout rates could lead to significant cost savings for the healthcare system, with estimates of preventing a quarter million patients from going blind [53][60] - **Future Indications**: Plans to expand into non-proliferative diabetic retinopathy and diabetic macular edema, leveraging the efficacy of ExPaxly in these conditions [60][62] Conclusion - **Company's Focus**: Ocular Therapeutix is laser-focused on the success of its clinical trials for ExPaxly, with a strong emphasis on maximizing shareholder value and ensuring a positive impact on patient care [61][64]