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Expert Interview

Slingshot members are talking to an expert! The topic is:

A Second Opinion: Examining the recent Phase 2 PRISM trial results for Intravitreal 4D-150 in Wet AMD from 4D Molecular Therapeutics

Ticker(s): FDMT

Who's the expert?

Institution: Johns Hopkins

  • Professor and Chairman of Ophthalmology at Johns Hopkins Bayview Medical Center
  • Manages 40 patients per week with geographic atrophy
  • Teaches and conducts clinical research that has led to advances in the treatment of complex retinal detachments, vitreo-retinal complications of refractive surgery, diabetic retinopathy and age-related macular degeneration 

Interview Questions
Q1.

The PRISM trial interim data showed an 89% reduction in the annualized injection rate with the 3E10 vg/eye dose of 4D-150. Can you discuss the significance of this reduction for patients' quality of life and overall disease management?

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Q2.

With a +4.2 letter improvement in mean best corrected visual acuity (BCVA) at the 3E10 vg/eye dose, how does this outcome compare to existing treatments for wet AMD? What implications does this have for the long-term visual prognosis of patients?

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Q3.

The trial results highlighted sustained and greater anatomic control without fluctuations at the 3E10 vg/eye dose. Can you explain how this stability impacts retinal health and the progression of wet AMD?

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Q4.

No significant inflammation was reported in patients treated with the 3E10 vg/eye dose and topical corticosteroid regimen. How does this safety profile compare with current anti-VEGF treatments, and what advantages does it offer to patients?

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Q5.

The Phase 1 long-term follow-up data indicated that patients remained injection-free for up to 2.5 years. How important is this finding for the future of gene therapy treatments in ophthalmology?

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Q6.

4D-150 is being developed for wet AMD, diabetic macular edema (DME), and diabetic retinopathy (DR). Do you see potential for this treatment across these different ophthalmic conditions?

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Q7.

Given the broad range of disease activity and prior anti-VEGF treatment in the PRISM trial cohort, how can patient selection be optimized for 4D-150 treatment to maximize efficacy and safety?

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Q8.

With Phase 3 clinical trial planning ongoing and expected initiation in Q1 2025, what are your expectations for the next stages of 4D-150’s development, and how might this impact the treatment landscape for wet AMD?

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