Earnings Observation #1 Today: This one relates to $NKTR. Galderma continues to absolutely crush it with Nemluvio. With $735M through Q3, 2026 will officially end up being its first blockbuster year. The AtD launch started at the beginning of 2025........ They are getting 9% NBRx share in atopic dermatitis...This is all with their 13% EASI75 delta in P3 (versus Dupi at 33%), and monthly maintenance dosing. Compare this to $NKTR's Rezpeg with, in phase 2, 27% EASI75 delta, and Once every *3* months maintenance dosing. Yes, new mechanisms of action will eventually come to atopic dermatitis *AFTER* Rezpeg years from now. But none are close in timeline to $NKTR's rezpeg (and I do NOT consider STAT6 a different axis from IL4/13). Nemluvio efficacy stinks, and it is used because it is a different mechanism of action...if Rezpeg also has a different MoA, better efficacy, and better dosing...what's the issue here? I don't get why the market thinks Rezpeg won't get market share in topic dermatitis with a placebo adjusted effect size 2x as big and a dosing interval 3x as long as Nemluvio, that is out here absolutely crushing it not even 2 years into the AtD launch. Obviously things can change in P3 - that's the risk. But based on the data so far, Rezpeg is what $SNY and $AMGN wanted OX40 to be...like, exactly what they hoped for in terms of efficacy AND dosing...And once upon a time (before they found out OX40i causes cancer), they were both projecting multi-billion $ sales for EACH of these OX40 drugs. Rezpeg now perfectly fills that hole. Then, Nemluvio is also doing great in its other indication, prurigo nodularis...where it competes against....DUPIXENT! $NKTR's secondary indication of alopecia areata is a much larger patient population that is SEVERELY underpenetrated because the only thing approved for it is unsafe JAKs. No dupixent to compete with there! Just derms' least favorite...JAKs. People who think that Rezpeg doesn't look effective enough to get real use in AA just have no idea what dermatology practice is like. Zero. This exact situation is what we see in atopic dermatitis: JAK inhibitors are WAY more effective than IL4/13 inhibitors in atopic derm, but IL4/13 inhibitors are used 10x more!!! It is not even REMOTELY close. The same dynamic will (WILL) exist in AA once we get a safe biologic to treat it. The first safe biologic for AA will not only crush the JAK inhibitors, but it will *expand* the market on its own. And it sure looks like that first safe biologic for AA is going to be.....Rezpeg. Why people are writing off AA altogether is beyond me. We have a perfect market analog already in atopic dermatitis, where the SAFE, even if LESS EFFECTIVE drug absolutely runs laps around the more effective, but dangerous JAK inhibitors. Catalyst desert, phase 3 risk, etc etc. All fine to discuss those headwinds. But the idea that Rezpeg wouldn't/won't be used in AtD and AA absolutely does not track *whatsoever* with our real world analogs. Make a deal, Howie.
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