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KSI-301

Phase 3

Macular Edema | Small molecule | Ophthalmology |Kodiak Sciences Inc|Trials Updated: May 13, 2026

KSI-301 development status

Highest phase Phase 3
Registered trials 9 across 1 sponsor since Jan 2019

KSI-301 target and mechanism

Molecular targetVEGF
Target classProtein
ModalitySmall molecule

Also known as Tarcocimab, Tarcocimab tedromer

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials4
Total Enrollment2,055

FDA Designations

No designations recorded

KSI-301 clinical trials

KSI-301 · 4 trials · 4 indications

Phase 3 4
NCT06556368A Study to Evaluate the Efficacy and Safety of Tarcocimab Tedromer and Tabirafusp Tedromer Compared to Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD) - DAYBREAKWet Age-related Macular Degeneration
ACTIVE NOT_RECRUITING675 Analytics
NCT06270836A Study to Evaluate the Efficacy and Safety of Tarcocimab Tedromer Compared With Sham Treatment in Participants With Diabetic Retinopathy (DR)Diabetic Retinopathy
COMPLETED255 Analytics
NCT04964089A Study to Evaluate the Efficacy and Safety of Intravitreal KSI-301 Compared With Intravitreal Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD)Wet Age-related Macular Degeneration
COMPLETED557 Analytics
NCT04592419A Study to Evaluate the Efficacy, Durability, and Safety of KSI-301 Compared to Aflibercept in Patients With Macular Edema Due to Retinal Vein Occlusion (RVO)Macular Edema
COMPLETED568 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Efficacy and Safety of Tarcocimab Tedromer and Tabirafusp Tedromer Compared to Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD) - DAYBREAK
Wet Age-related Macular DegenerationUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Tarcocimab Tedromer Compared With Sham Treatment in Participants With Diabetic Retinopathy (DR)
Diabetic RetinopathyUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Intravitreal KSI-301 Compared With Intravitreal Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD)
Wet Age-related Macular DegenerationUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy, Durability, and Safety of KSI-301 Compared to Aflibercept in Patients With Macular Edema Due to Retinal Vein Occlusion (RVO)
Macular EdemaUnlock trial analytics

Study Endpoints

Primary Endpoints

Best corrected visual acuity (BCVA)
Week 48

Mean change in BCVA from Day 1 to Year 1

Proportion of eyes improving ≥2 steps on the Early Treatment Diabetic Retinopathy Diabetic Retinopathy Severity Scale (ETDRS DRSS)
Day 1 to Week 48

Early Treatment Diabetic Retinopathy Diabetic Retinopathy Severity Scale (ETDRS DRSS), on a scale from 10 to 90, where lower scores represent better outcomes.

Mean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to the Average of Non-missing BCVA Values of Weeks 40, 44 and 48.
Day 1 to Week 48

Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity.

Mean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in BRVO Participants.
Day 1 to Week 24

BCVA as a continuous variable measured at each study visit using the Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA approach.

Mean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in All RVO Patients.
Day 1 to Week 24

BCVA as a continuous variable measured at each study visit using the Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA approach.

Secondary Endpoints

Proportion of eyes developing a Sight-Threatening Complication(s) of diabetic retinopathy
Day 1 to Week 48
Proportion of eyes improving ≥3 steps on Early Treatment Diabetic Retinopathy Diabetic Retinopathy Severity Scale (ETDRS DRSS)
Day 1 to Week 48
Mean Change in Best Corrected Visual Acuity (BCVA) by Visit Over Time
Day 1 to Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Tarcocimab tedromer 5 mg (KSI-301)EXPERIMENTALIntravitreal injection of tarcocimab tedromer once every 4 weeks for 4 monthly doses followed by individualized dosing every 4 to 24 weeks.
Tabirafusp tedromer 5 mg (KSI-501)EXPERIMENTALIntravitreal injection of tabirafusp tedromer once every 4 weeks for 4 monthly doses followed by every-8-week dosing with additional individualized dosing (up to monthly dosing)
Aflibercept 2 mgACTIVE_COMPARATORIntravitreal injection of aflibercept once every 4 weeks for 3 monthly doses followed by every-8-week dosing
Tarcocimab 5 mg (Treatment Group A)EXPERIMENTALTarcocimab 5 mg via intravitreal injection at Day 1, Week 4, Week 8, Week 20, and Week 44.
Treatment Group BSHAM_COMPARATORSham injection on the same schedule as Treatment Group A
KSI-301 (Treatment Group A)EXPERIMENTALIntravitreal injection of KSI-301 (5 mg) at Day 1 once every 4 weeks via intravitreal injection through Week 44.
Aflibercept (Treatment Group B)ACTIVE_COMPARATORIntravitreal injection of aflibercept (2 mg) once every 4 weeks for 3 monthly doses followed by intravitreal injection of aflibercept (2 mg) once every 8 weeks from Week 16 to Week 44. Sham injections will be administered at each monthly visit where an active treatment is not administered.
KSI-301 (Arm A)EXPERIMENTALIntravitreal injection of KSI-301 (5 mg) at Day 1, Week 4, and once every 8 weeks through Week 20 followed by an individualized dosing regimen of Intravitreal injection of KSI-301 (5 mg) from Week 24 to Week 44. In the Extension Phase, participants randomized to KSI-301 (5 mg) in the Primary Study will continue to receive KSI-301 (5 mg) based on protocol-defined disease activity criteria.
Aflibercept (Arm B)ACTIVE_COMPARATORIntravitreal injection of aflibercept (2 mg) once every 4 through Week 20 followed by an individualized dosing regimen of Intravitreal injection of Aflibercept (2 mg) once every 4 weeks from Week 24 to Week 44. In the Extension Phase, participants randomized to aflibercept in the Primary Study will cross over to treatment with KSI-301 (5 mg). They will receive their first dose of KSI-301 (5 mg) at Week 48 and will receive additional treatment with KSI-301 (5 mg) based on protocol-defined disease activity criteria.

Interventions

NameTypeDescription
Tarcocimab tedromerDRUGIntravitreal injection
Tabirafusp tedromerDRUGIntravitreal injection
AfliberceptDRUGIntravitreal injection
TarcocimabDRUGIntravitreal injection
Sham injectionOTHERThe sham injection is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It is performed to maintain masking of the study.
KSI-301DRUGIntravitreal Injection
Sham ProcedureOTHERThe sham is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It will be administered to participants in both treatments arms at applicable visits to maintain masking.
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites72

Inclusion Criteria: * Active, treatment-naïve choroidal neovascularization (CNV) secondary to AMD, including subfoveal, juxtafoveal, and extrafoveal lesions, or retinal angiomatous proliferations (RAP) lesions with a CNV component that affects the central subfield, as evidenced by FA or OCT in the ...

Countries:United StatesPuerto RicoCzechiaFranceGermanyHungaryIsraelItalyLatviaPolandSlovakiaSpain
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Frequently asked questions about KSI-301

What is KSI-301?

KSI-301 is an investigational small molecule developed by Kodiak Sciences Inc for retinal diseases. It is being studied as an intravitreal therapy for macular edema and wet age-related macular degeneration. It remains in clinical development and has not been approved by the FDA.

What is KSI-301 used for in macular edema and wet AMD?

KSI-301 is being evaluated for the treatment of macular edema, including macular edema due to retinal vein occlusion, and for neovascular (wet) age-related macular degeneration. Both are retinal conditions involving abnormal blood vessel growth and fluid leakage in the eye.

What does KSI-301 target?

KSI-301 targets VEGF, or vascular endothelial growth factor, a protein that drives abnormal blood vessel growth and vascular leakage in the retina. By binding VEGF, the drug is designed to reduce the vessel growth and fluid accumulation that characterize macular edema and wet age-related macular degeneration.

Who is developing KSI-301?

KSI-301 is being developed by Kodiak Sciences Inc, which trades on the Nasdaq under the ticker KOD. The company is the sponsor of the clinical program evaluating the drug in retinal disease.

What phase is KSI-301 in?

KSI-301 is in Phase 3 clinical development. It is investigational and has not been approved by the FDA. The Phase 3 program includes completed trials in wet age-related macular degeneration and in macular edema due to retinal vein occlusion.

What clinical trials is KSI-301 in?

KSI-301 has been studied in two completed Phase 3 trials. NCT04964089 evaluated intravitreal KSI-301 versus intravitreal aflibercept in wet age-related macular degeneration, enrolling 557 participants. NCT04592419 compared KSI-301 with aflibercept in macular edema due to retinal vein occlusion, enrolling 568 participants.