
Summary of Kodiak Sciences (KOD) Investor R&D Day - July 16, 2025 Company Overview - Company: Kodiak Sciences (KOD) - Event: Investor R&D Day - Date: July 16, 2025 - Market Cap: $250 million [10] Key Clinical Assets - Late Stage Clinical Assets: - Tarcosumab - KSI-501 - KSI-101 [2][5] Core Points and Arguments 1. KSI-101 Performance: - KSI-101 is showing strong Phase Ib data, outperforming expectations with over 10 letters mean gain in visual acuity, compared to the expected 7-8 letters [11] - Nearly all patients are dry on intraretinal fluid and subretinal fluid by week 12, indicating high efficacy [11] 2. Unmet Need in Macular Edema: - KSI-101 addresses macular edema secondary to inflammation, a leading cause of blindness in working-age populations [10][12] - The potential for KSI-101 to unify treatment across diverse patient types is emphasized, akin to the early anti-VEGF treatments [12][13] 3. Commercial Opportunity: - Estimated prevalence of over 450,000 patients with macular edema in the U.S., with 300,000 trial-eligible for KSI-101 [17] - KSI-101 is positioned as a first-line treatment for severe cases and may be first choice for intraocular injection [17] 4. Clinical Trial Design: - PEEK and PINNACLE studies for KSI-101 are live and screening patients, showcasing efficient operationalization [18] - The DAYBREAK study will compare Tarcosumab and KSI-501 against EYLEA, focusing on both immediacy and durability [20][21] 5. Durability and Efficacy: - Kodiak's ABC platform science aims to provide both strong immediacy and durability in treatment, with a mean ocular half-life of 20 days for their conjugates [22][59] - The need for a biologic that combines rapid drying capacity with increased durability is highlighted as a significant unmet need in the market [24][83] 6. Market Landscape: - The retinal vascular diseases market is described as commercially attractive, with a global market exceeding $20 billion [31] - Kodiak's focus on retina is contrasted with the complexities and costs associated with oncology and obesity markets [31][32] Additional Important Insights - Technological Leadership: - Kodiak operates its own in-house CRO, enhancing efficiency and connection to the physician community [19] - The company is also developing AI technology (Vedi program) aimed at improving treatment outcomes [29] - Patient-Centric Approach: - Emphasis on patient-centric trial designs, allowing for flexible dosing based on individual patient needs [72][73] - The importance of addressing the heterogeneity of patient responses to treatments is acknowledged [58] - Future Outlook: - Anticipated BLA filings for Tarcosumab and KSI-101 in 2027, with multiple registrational studies reading out in the next 6 to 18 months [26][34] - Kodiak's proprietary science and manufacturing capabilities position it well for future growth in the retinal disease market [27][28] This summary encapsulates the key points discussed during the Kodiak Sciences Investor R&D Day, focusing on the company's clinical assets, market opportunities, and strategic direction in the retinal disease sector.