Kodiak Plans Another Study on Eye Drug

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Kodiak Sciences says it will conduct another clinical study to support a single BLA for tarcocimab tedromer and its use in three indications — macular edema following retinal vein occlusion, wet age-related macular degeneration and non-proliferative diabetic retinopathy (NPDR). Kodiak says the regulatory pathway was recently discussed with FDA reviewers, including data from the company’s Phase 3 GLOW superiority study evaluating tarcocimab tedromer 5 mg in moderately severe to severe NPDR, which met its one-year primary endpoint.

“We think that the consistency of the data across all endpoints, where tarcocimab significantly improved the diabetic eye disease status and, importantly, significantly prevented sight-threatening complications, is remarkable,” the company says. “The GLOW data reinforce the durability potential of tarcocimab and the antibody biopolymer conjugate platform (ABC Platform) in the management of retinal vascular diseases.”

Last year, Kodiak paused the development of tarcocimab after its GLEAM and GLIMMER studies in diabetic macular edema did not meet their primary endpoint. The pause allowed data from its pivotal BEACON study in patients with macular edema due to retinal vein occlusion and the GLOW study to mature.

In the GLOW study, tarcocimab met its primary endpoint of the proportion of patients with at least a two-step improvement on the Diabetic Retinopathy Severity Scale score, the company says. “Tarcocimab achieved a 29-fold increased response rate ratio, with 41.1% of evaluable patients on tarcocimab demonstrating at least two-step improvement versus 1.4% of evaluable patients in the sham group (p less than 0.0001),” it says. “Visual acuity and retinal anatomy were improved and stable with tarcocimab on its extended-dosing intervals.”

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