Q1 2026 Nektar Therapeutics Earnings Call

May 7, 2026

Speaker #4: Our planned registrational program called Zenith AD is expected to include three trials in total. Two global monotherapy studies with 510 biologic-naive patients, 12 years and older in each study, along with a separate study in 510 treatment-experienced patients, 12 years and older.

Speaker #4: For the two pivotal biologic-naive studies, patients will be randomized 2 to 1 to receive 24 micrograms per kilogram every two weeks or placebo during a 24-week induction phase.

Speaker #4: To be followed by a 28-week maintenance period, evaluating monthly and quarterly dosing regimens through week 52. The overall design is intended to be consistent with prior registrational studies supporting approval of biologics in atopic dermatitis.

Operator: Hello, thank you for standing by. Welcome to the Nektar Therapeutics Q1 2026 Financial Results Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question-and-answer session. Please be advised that today's conference call is being recorded. I would now like to hand the conference over to Vivian Wu from Nektar investor relations to kick things off. Please go ahead.

Speaker #4: The first two studies in biologic-naive patients will begin first starting in July of this year and the third study in biologic-experienced will initiate a few months after that.

Speaker #4: Our market research supports usage of ResPeg as a first-line and second-line biologic therapy and we have designed the program to capture this and the potential label.

Speaker #4: In addition to these three pivotal phase 3 studies, the program will also contain other studies to support registration. These will also include a 200-patient open-label adolescent study, and a long-term extension study.

Vivian Wu: Thank you, Crystal. Good afternoon, everyone. Thank you for joining us today. On today's call, you will hear from Howard Robin, our President and Chief Executive Officer, Dr. Jonathan Zalevsky, our Chief Research and Development Officer, and Sandra Gardiner, our Chief Financial Officer. Dr. Mary Tagliaferri, our Chief Medical Officer, will also be available during the Q&A. Before I begin, I would like to remind you that we will be making forward-looking statements regarding our business, including statements related to the therapy's potential and development plans for rezpegaldesleukin, the timing and expectations for clinical data presentations, regulatory interactions, and other statements regarding the future of our business. Because forward-looking statements relate to the future, they are subject to uncertainties and risks that are difficult to predict and many of which are outside of our control.

Speaker #4: Additionally, we plan to launch ResPeg with an autoinjector and the BLA submission will also include a PK bridging study to support this. The agency is not requiring a vaccine study as has been done in some prior phase 3 programs in this indication.

Speaker #4: The phase 3 studies are designed to support both US and EU registration, with an IGA-related primary endpoint for US registration and an easy 75 coprimary endpoint to support European approval.

Speaker #4: A series of multiplicity-protected endpoints for itch and other important patient-reported outcome measures such as sleep, quality of life in asthma control, are designed into the studies as well.

Vivian Wu: For a discussion of these risks and uncertainties, please refer to our filings with the SEC, including our most recent Form 10-K and subsequent filings. We undertake no obligation to update these forward-looking statements except as required by law. A live webcast and replay of this call will be available on the investor relations section of our website at nektar.com. With that, I will turn the call over to Howard.

Speaker #4: We expect a similar country distribution in phase 2 with the addition of other selected countries in Asia to reflect the global footprint. As Howard stated, we expect the first data readouts from the phase 3 program in the middle of 2028.

Speaker #4: Moving now to alopecia areata, we recently reported the 52-week top-line results from the blinded 16-week treatment extension of our phase 2B RESOLVE AA study.

Howard Robin: Thank you, Vivian, good afternoon, everyone. We are exceptionally proud of the progress we've made at the company. The data we've reported over the last year from our phase IIb studies in atopic dermatitis and alopecia areata demonstrate that REZPEG could produce clinically meaningful outcomes in two distinct autoimmune and inflammatory disease settings. Importantly, the data sets reported in February and April of this year highlight the potential for REZPEG to offer further improvement for patients over time. In February of this year, we reported the long-term monthly and quarterly dosing results from the 36-week maintenance portion of REZOLVE-AD in patients with atopic dermatitis. These data showed a significant durability and further deepening of efficacy and established a highly differentiated profile for REZPEG as a novel regulatory T cell mechanism.

Speaker #4: As a reminder, our phase 2B RESOLVE AA trial enrolled 92 adult patients with severe to very severe alopecia areata. Patients received subcutaneous ResPeg in 24 micrograms per kilogram every two weeks; 18 micrograms per kilogram every two weeks or placebo; the primary and key secondary endpoints were assessed at the end of the 36-week induction period, which we reported last December.

Speaker #4: These data demonstrated a areata and showed that ResPeg met the target product profile of standard of care, low-dose JAK inhibitor. The extension phase was specifically designed to evaluate whether continued treatment with ResPeg beyond week 36 could drive additional patients to achieve a SALT score 20 response.

Howard Robin: Supported by these results, we are moving quickly to initiate the ZENITH-AD phase III program in patients with moderate to severe atopic dermatitis by July 2026. We have completed our meetings with regulatory authorities on the phase III program, and J.Z. will discuss the elements of the program later in the call. We expect to have the first data from the phase III program in mid-2028, and this would support our goal of submitting a BLA in 2029. There remains a need for novel mechanisms in atopic dermatitis beyond those currently available in the treatment landscape. In the US, there are over 15 million people with moderate to severe atopic dermatitis, and fewer than 10% are receiving biologic treatments for this chronic skin disorder, with many patients not responding well to the existing agents.

Speaker #4: SALT score 20 represents a patient achieving 80% or more scalp hair coverage which is the established registrational endpoint in alopecia areata. This was an important question in order to determine if our phase 3 program in alopecia areata should have a 36-week or 52-week primary endpoint treatment period.

Speaker #4: The data in April showed that continued treatment with ResPeg drove meaningful new responses in patients who had not yet reached SALT score 20 at 36 weeks.

Speaker #4: 29% and 31% of the 31 patients in the 18 and 24 microgram per kilogram dose arms who entered the blinded treatment extension respectively achieved new SALT score 20 responses between weeks 36 and 52, with no new responses in placebo.

Howard Robin: Roughly half of patients on existing approved agents, which includes DUPIXENT and other IL-13-based mechanisms, fail to respond or lose treatment effect over time. This leaves a significant opportunity for REZPEG to enter the treatment paradigm in a lead position as a novel immune modulating mechanism that could offer in both naive and experienced patients a differentiated efficacy and safety profile and monthly or quarterly long-term maintenance dosing. Turning to alopecia areata. In April, we announced positive 52-week top-line results from the blinded treatment extension period in the Phase II REZOLVE-AA study. These data also demonstrated a deepening of efficacy and clinically meaningful improvement across numerous SALT measurements with twice-monthly dosing of REZPEG.

Speaker #4: Across other SALT measurements we looked at, increasing proportions of patients achieved clinically meaningful hair growth thresholds. Importantly, ResPeg achieved the target product profile with 52 weeks of twice-monthly dosing.

Speaker #4: Of note, nearly all of the patients or 94% who entered the blinded 16-week extension period completed treatment to week 52. And this demonstrates that when patients understand the promise of ResPeg to grow hair, they will continue on twice-monthly treatment.

Speaker #4: As Howard stated, our plan is to hold an end-of-Phase 2 meeting with the FDA this quarter, with the EMA scientific advice coming later this year to align on the global registrational path forward in alopecia areata.

Speaker #4: Our ongoing phase 2B RESOLVE AA study also has a 24-week off-treatment observation period for all patients. This data is expected in Q4 2026. These data will give us an opportunity to understand what dosing regimens of ResPeg to use beyond 52 weeks in alopecia areata patients and whether we include a less frequent dosing regimen in the registrational program.

Howard Robin: We believe REZPEG can now be advanced as a compelling first-in-class biologic candidate that can change the treatment paradigm for patients with this condition. Nearly 6.7 million people in the US have alopecia areata, and the vast majority are untreated. More than half of dermatologists have been reluctant to prescribe the only approved systemic therapies, JAK inhibitors, because of box warnings and ongoing clinical monitoring challenges. We know there remains an unmet need for an efficacious and safe biologic with a better safety, efficacy, and dosing profile. Based on our KOL enthusiasm and market research, we believe there's a strong opportunity for REZPEG to capture frontline share in this indication. We plan to initiate the phase III program in alopecia areata in the first part of 2027 to add a second potential indication to Nektar's BLA submission for REZPEG.

Speaker #4: We believe the 52-week data for ResPeg is well-positioned to address several key unmet needs. First, the long-term safety profile is differentiated, including the suitability for chronic use without the safety and monitoring limitations associated with the JAK inhibitor class.

Speaker #4: Second, the twice-monthly dosing profile enables better potential compliance. And third, the opportunity for more durable and deepening efficacy over time. Beyond our two lead indications, we are pursuing the broader potential of the TREG mechanism.

Speaker #4: In type 1 diabetes, the ongoing phase 2 study of ResPeg is being sponsored and funded by TrialNet, evaluating ResPeg in patients with new-onset stage 3 type 1 diabetes.

Howard Robin: The global markets for atopic dermatitis and alopecia areata combined are expected to reach close to $40 billion over the next 5 years. We believe that this market has the potential to grow even further with the adoption of novel mechanisms like REZPEG. We've seen this with the introduction of new mechanisms in the psoriasis market over time, where the number of patients served grew tenfold over the span of 15 years and now supports 7 blockbuster products. That growth was not only driven by drugs competing for the same patients. Each new mechanism brought in new adopting treatment physicians who were not yet prescribing systemic therapies. We believe atopic dermatitis and alopecia areata could be at a similar inflection point today. As a truly novel MOA, we believe REZPEG can transform the treatment paradigm in both these indications.

Speaker #4: TrialNet, as a reminder, is the same consortium that ran the foundational studies for Teplizumab, the only approved therapy in this setting, and they bring expertise and a deep commitment to finding better options for patients with this diagnosis.

Speaker #4: In the study, patients are randomized 2 to 1 to ResPeg or placebo and receive treatment every two weeks for six months across three sequential age cohorts, starting with adults 18 to 45 and stepping down to patients as young as 12 and then 8 years of age.

Speaker #4: The primary endpoint is the change in C-peptide levels after a mixed meal tolerance test at 12 months of treatment. We expect initial data from the study in 2027.

Speaker #4: Given the challenges with administration and safety of Teplizumab, ResPeg could be well-positioned for new-onset type 1 diabetes. We are also planning to initiate a proof-of-concept study in at least one new indication in the second half of 2026.

Howard Robin: Importantly, we believe that Treg biology in REZPEG has potential application beyond atopic dermatitis and alopecia areata. Nektar is now in a very strong financial position to support the advancement of REZPEG. Since year-end, we've raised approximately $783 million in net proceeds through 2 financings. We ended Q1 2026 with $731 million in cash, and this does not include our April financing, which adds another $350 million to our balance sheet, bringing total cash and investments today to over $1 billion. With this financial strength, we can advance into phase III in both indications with a cash runway that brings us into Q3 2028, well past anticipated data readouts.

Speaker #4: With initial data expected in 2027, we are analyzing the disease settings where a T regulatory mechanism has demonstrated clinical activity and this will help inform our decision on which indication to prioritize with the goal of achieving an additional data catalyst for ResPeg in 2027.

Speaker #4: And turning to our earlier pipeline programs, NEKTAR 0165 and NEKTAR 0166. NEKTAR 0165 is our TNFR2 agonist antibody, a molecule with very high specificity for signaling through TNFR2 on TREGs to enhance their ability to regulate the immune system.

Speaker #4: We believe this mechanism has potential across a range of indications including MS, ulcerative colitis, and vitiligo. In Q1, we announced an academic research collaboration with Dr. Stephen Hauser at UCSF to explore the role of TNFR2 agonism in neurodegeneration, neuroprotection, and cell repair with a focus on patient-derived B-cell models of MS. We look forward to working with Dr. Hauser to inform the future development of this program.

Howard Robin: I'll now turn the call over to JZ to go over our clinical programs in more detail. JZ.

Jonathan Zalevsky: Thank you, Howard, and good afternoon, everyone. As Howard said, over the past year, our clinical data generated from the REZOLVE-AD and REZOLVE-AA studies have confirmed that our approach with REZPEG to stimulate regulatory T cells translates into a differentiated clinical profile, compelling efficacy, a favorable safety profile, extended dosing frequency, and responses that deepen over time. Unlike therapies that block a single inflammatory pathway downstream, REZPEG acts upstream, restoring the fundamental immune balance that is disrupted in autoimmune and inflammatory diseases. Last June, we reported the 16-week induction period in the REZOLVE-AD study, in which REZPEG demonstrated a rapid onset of efficacy on key metrics of EASI-75 and itch. REZPEG also achieved statistical significance on the primary endpoint of mean % change in EASI score, and for the high dose, met statistical significance on all key secondary endpoints at week 16.

Speaker #4: We expect to present preclinical data from NEKTAR-0165 at a scientific conference in the second half of this year. Building on the learnings from NEKTAR-0165, we have designed NEKTAR-0166, a bispecific molecule that combines a TNFR2 agonist epitope with an antagonist epitope previously validated in rheumatology.

Speaker #4: This dual mechanism gives NEKTAR 0166 the potential to modify disease pathogenesis across multiple autoimmune settings and we are planning IND submissions for at least one of these programs in 2027.

Speaker #4: With that, I'll turn it over to Sandy to review our financial results for Q1 2026.

Speaker #1: Thank you, Jay-Z, and good afternoon, everyone. On today's call, I'll review our quarterly financials for the first quarter of 2026 and provide updated cash guidance.

Jonathan Zalevsky: In the 24-week crossover data of patients originally assigned to placebo and crossed over to treatment with high-dose REZPEG Q 2-week, we saw further deepening of response with no sign of plateau. These data bolstered our decision to advance a 24-week induction period into phase III. In the 36-week maintenance phase, where patients continued on to less frequent monthly and quarterly dosing of REZPEG, we continued to see durability of the induction responses and observed increased responses for EASI-75, EASI-90, vIGA, and itch over time. This also included up to a five-fold increase in EASI-100 rates, which represents complete skin clearance, a level of response rarely achieved for patients. A key differentiating finding from our REZOLVE-AD study was the improvement in patient-reported comorbid asthma.

Speaker #1: We ended the first quarter of 2026 with $731.6 million in cash and investments with no debt on our balance sheet. In the first quarter, we completed an underwritten public offering and sales under our existing ATM facility resulting in approximately $525 million in net cash proceeds.

Speaker #1: This does not include an additional $351 million in net proceeds from our April financing. As Howard mentioned earlier, our current cash balance exceeds $1 billion and we expect to end 2026 with approximately $800 to $825 million in cash and investments.

Speaker #1: Now, turning to the income statement, our first quarter 2026 non-cash royalty revenue totaled $10.9 million. Full-year revenue for 2026 is still expected to total $40 to $45 million.

Jonathan Zalevsky: Approximately 25% of patients with moderate to severe atopic dermatitis also have asthma, and most approved therapies do not address this comorbidity. REZPEG produced statistically significant improvements in the Asthma Control Questionnaire, or ACQ-5 scores at week 16 versus placebo, including in patients with uncontrolled asthma at baseline. Outside of DUPIXENT, no other approved agent or late-stage candidate has demonstrated this. We are including ACQ-5 as a secondary endpoint in the phase III program, with the goal of potentially including this in the label. In Q1 2027, we expect to report 52-week off-treatment data from REZOLVE-AD. These data will allow us to assess the remittive potential of REZPEG beyond 52 weeks, and we are looking forward to those data.

Speaker #1: Our R&D expenses were $35.7 million for the first quarter of 2026 and we still anticipate full-year R&D expense to range between $200 and $250 million including approximately 5 to 10 million of non-cash depreciation and stock-based compensation expense.

Speaker #1: As we discussed on our March call, we are still completing the planning and budgeting activities for the ResPeg phase 3 program. We do, however, expect R&D expense to increase on a quarterly basis in 2026 as these phase 3 clinical studies are initiated.

Speaker #1: Our G&A expenses were $13.4 million for the first quarter. We continue to expect G&A expenses for the full year of 2026 to be between $60 and $65 million including approximately $5 million of non-cash depreciation and stock-based compensation expense.

Jonathan Zalevsky: We have completed the end of phase II meeting with the FDA and the scientific advice process with the EMA and will initiate the first trial in the global phase III program by July of this year. Our planned registrational program, called ZENITH-AD, is expected to include 3 trials in total. 2 global monotherapy studies with 510 biologic-naive patients 12 years and older in each study, along with a separate study in 510 treatment-experienced patients 12 years and older. For the 2 pivotal biologic-naive studies, patients will be randomized 2 to 1 to receive 24 mcg/kg every 2 weeks or placebo during a 24-week induction phase, to be followed by a 28-week maintenance period evaluating monthly and quarterly dosing regimens through week 52. The overall design is intended to be consistent with prior registrational studies supporting approval of biologics in atopic dermatitis.

Speaker #1: Non-cash interest expense for the first quarter was $7.9 million and is expected to remain at a similar level for the remaining three quarters totaling approximately $30 to $35 million in 2026.

Speaker #1: Our net loss for the first quarter was $44.9 million, or $1.82 basic and diluted net loss per share. And as I stated earlier, we now expect to end 2026 with between $800 and $825 million in cash and investments.

Speaker #1: I'll now turn it over to the operator for Q&A.

Speaker #2: Thank you. As a reminder to ask a question, please press star 11 on your telephone and wait for your name to be announced. To withdraw your question, please press star 11 again.

Speaker #2: In the interest of time, we do ask that you please limit yourself to one question at this time. Please stand by. We compile the Q&A roster.

Jonathan Zalevsky: The first two studies in biologic-naive patients will begin first starting in July 2026. The third study in biologic-experience will initiate a few months after that. Our market research supports usage of REZPEG as a first-line and second-line biologic therapy. We have designed the program to capture this in the potential label. In addition to these three pivotal phase III studies, the program will also contain other studies to support registration. These will also include a 200-patient open-label adolescent study and a long-term extension study. Additionally, we plan to launch REZPEG with an auto-injector. The BLA submission will also include a PK bridging study to support this. The agency is not requiring a vaccine study, as has been done in some prior phase III programs in this indication.

Speaker #2: In our first question, we'll come from Yasmeen Rahimi from Piper Sandler. Your line is open.

Speaker #3: Hi, this is Dominic On for Yasmeen Rahimi. Thank you for taking our question and congrats on a great quarter and appreciate all the updates.

Speaker #3: So we're excited for you to be kicking off the phase 3 AD program soon. Could you just remind us of what are some of the rate-limiting steps left for those?

Speaker #3: I guess you have the two trials that are starting here. You're shortly. And then could you walk us through some nuggets of detail? I know you said there will be some sites in the similar to the phase 2B, so would the site overlap, I guess, look like for that?

Speaker #3: Do you have any nuggets of detail on the CRO selection? Anything like that would be very helpful. Thank you.

Speaker #4: Hi, Dominic. This is Mary. Thank you for your question. We two are very excited to move forward with the phase 3 study. We right now are activating sites and we have the final protocol written.

Jonathan Zalevsky: The phase III studies are designed to support both US and EU registration, with an IGA-related primary endpoint for US registration and an EASI-75 co-primary endpoint to support European approval. A series of multiplicity protected endpoints for itch and other important patient-reported outcome measures such as sleep, quality of life, and asthma control are designed into the studies as well. We expect a similar country distribution as phase II, with the addition of other selected countries in Asia to reflect the global footprint. As Howard stated, we expect the first data readouts from the phase III program in the middle of 2028. Moving now to alopecia areata. We recently reported the 52-week top-line results from the blinded 16-week treatment extension of our phase II-B REZOLVE-AA study. As a reminder, our phase II-B REZOLVE-AA trial enrolled 92 adult patients with severe to very severe alopecia areata.

Speaker #4: In terms of sites, remember in the resolve AD phase 2, we enrolled 17% of the patients from the United States in 28% from North America and we had 67% of the patients came from Europe and 5% from Australia.

Speaker #4: In the phase 3 program, we're going to have a larger footprint, particularly in the APAC region or the Asian Pacific region. We in general expect to enroll roughly 15 to 25 percent of patients from North America.

Speaker #4: With a similar proportion of patients specifically from the United States as in our phase 2B trial and then approximately 40 to 55 percent of patients will come from Europe and roughly 20 to 30 percent from APAC.

Speaker #4: We will have a number of clinical sites that participated in our phase 2B program participating in the phase 3 as well. We had roughly 130 sites that were activated for the phase 2B trial and we'll have roughly 150 sites activated for each one of the phase 3 studies.

Jonathan Zalevsky: Patients received subcutaneous REZPEG at 24 mcg per kilogram every 2 weeks, 18 mcg per kilogram every 2 weeks, or placebo. The primary and key secondary endpoints were assessed at the end of the 36-week induction period, which we reported last December. These data demonstrated a proof of concept in alopecia areata and showed that REZPEG met the target product profile of standard of care low-dose JAK inhibitor. The extension phase was specifically designed to evaluate whether continued treatment with REZPEG beyond week 36 could drive additional patients to achieve a SALT score 20 response. SALT score 20 represents a patient achieving 80% or more scalp hair coverage, which is the established registrational endpoint in alopecia areata. This was an important question in order to determine if our phase III program in alopecia areata should have a 36-week or 52-week primary endpoint treatment period.

Speaker #4: Thanks for your question.

Speaker #3: All right. Thank you so much.

Speaker #2: Thank you. Our next question comes from Julian Harrison from BTIG. Your line is open.

Speaker #5: Hi. Congratulations on all the progress and thank you for taking the question. On your phase 3 plan and atopic dermatitis, I'm wondering if we could talk more about the decision to have a separate biologic experience study versus maybe mixing both naive and experienced patients across two larger studies.

Speaker #4: Yeah. Thank you. Julian, for that question. Obviously, the cytokine-blocking agents that came before us enrolled patients that were biologic naive and we do feel it is important to be able to compare the results of the ResPeg study on the easy 75, the IGA, and other secondary endpoints directly to those cytokine-blocking agents.

Jonathan Zalevsky: The data in April showed that continued treatment with REZPEG drove meaningful new responses in patients who had not yet reached SALT score 20 at 36 weeks. 29% and 31% of the 31 patients in the 18 and 24 microgram per kilogram dose arms who entered the blinded treatment extension respectively, achieved new SALT score 20 responses between weeks 36 and 52, with no new responses in placebo. Across other SALT measurements we looked at, increasing proportions of patients achieved clinically meaningful hair growth thresholds. Importantly, REZPEG achieved the target product profile with 52 weeks of twice monthly dosing. Of note, nearly all of the patients, or 94%, who entered the blinded 16-week extension period completed treatment to week 52. This demonstrates that when patients understand the promise of REZPEG to grow hair, they will continue on twice-monthly treatment.

Speaker #4: And for that reason, we do want to have just the naive patient population in terms of the experienced patients. We do believe that we'll have similar efficacy in that population and that's certainly what has been seen in the Leber-Kizimab trial that evaluated patients who had previously been treated with Dupixent.

Speaker #4: The easy 75 and the IGA score was similar to what was seen with Leber-Kizimab and the naive patient population. However, we have not yet studied the biologic experience in the JAK inhibitor experienced patients yet.

Speaker #4: Likewise, there may be different clinical sites that have a larger patient population with the biologic experienced patients and it'll be easier for us to find footprints and enroll those and activate those sites for the experienced study.

Jonathan Zalevsky: As Howard stated, our plan is to hold an end of phase II meeting with the FDA this quarter, with the EMA scientific advice coming later this year to align on the global registrational path forward in alopecia areata. Our ongoing phase II-B REZOLVE-AA study also has a 24-week off-treatment observation period for all patients. This data is expected in Q4 2026. These data will give us an opportunity to understand what dosing regimens of REZPEG to use beyond 52 weeks in alopecia areata patients and whether we include a less frequent dosing regimen in the registrational program. We believe the 52-week data for REZPEG is well-positioned to address several key unmet needs. First, the long-term safety profile is differentiated, including the suitability for chronic use without the safety and monitoring limitations associated with the JAK inhibitor class. Second, the twice monthly dosing profile enables better potential compliance.

Speaker #4: So we think operationally, there are advantages to do it and likewise, again, having the ability to compare directly to Dupixent and Leber-Kizimab and Treal-Kizimab that just enrolled the naive patients, we believe will be an advantage.

Speaker #4: So thanks for the question.

Speaker #2: Thank you. Our next question will come from Jay Olson from Oppenheimer. Your line is open.

Speaker #3: Oh, hey, I'll add my congrats on all the progress, including getting Zenith AD up and running in the near term. We had a question on alopecia areata.

Speaker #3: Can you please provide some updates on your thinking around the phase 3 study design for ResPeg and AA and especially in terms of the enrollment criteria in terms of age of patients and baseline SALT score?

Jonathan Zalevsky: Third, the opportunity for more durable and deepening efficacy over time. Beyond our 2 lead indications, we are pursuing the broader potential of the Treg mechanism. In type 1 diabetes, the ongoing phase II study of REZPEG is being sponsored and funded by TrialNet, evaluating REZPEG in patients with new onset stage 3 type 1 diabetes. TrialNet, as a reminder, is the same consortium that ran the foundational studies for teplizumab, the only approved therapy in this setting, and they bring expertise and a deep commitment to finding better options for patients with this diagnosis. In the study, patients are randomized 2 to 1 to REZPEG or placebo and receive treatment every 2 weeks for 6 months across 3 sequential age cohorts, starting with adults 18 to 45 and stepping down to patients as young as 12 and then 8 years of age.

Speaker #3: And then whether or not you think a single phase 3 study is sufficient. Thank you.

Speaker #4: Hi, Jay. Thank you for your question. We are having our end of phase 2 meeting with the FDA this quarter. So we will have more information following the regulatory meeting that we're having.

Speaker #4: That being said, the phase 3 study design will be 52 weeks. We will evaluate ResPeg 24 micrograms per kilogram versus placebo. We think a study roughly the size of 600 patients and one single study should be accepted by the FDA.

Speaker #4: The reason we believe this is that Pfizer didn't run one phase 3 study for FOLO. Their JAK inhibitor and the FDA did accept one single phase 3 study.

Jonathan Zalevsky: The primary endpoint is the change in C-peptide levels after a mixed-meal tolerance test at 12 months of treatment. We expect initial data from the study in 2027. Given the challenges with administration and safety of teplizumab, REZPEG could be well-positioned for new onset type 1 diabetes. We are also planning to initiate a proof of concept study in at least one new indication in H2 2026, with initial data expected in 2027. We are analyzing the disease settings where a T regulatory mechanism has demonstrated clinical activity, and this will help inform our decision on which indication to prioritize with the goal of achieving an additional data catalyst for REZPEG in 2027. Turning to our earlier pipeline programs, NKTR-0165 and NKTR-0166.

Speaker #4: So we have asked the FDA to confirm this precedence would also be applied to our program. In terms of age, patients would be 12 years and older and in terms of baseline SALT score, we will enroll patients with severe and very severe alopecia areata, which is a SALT score of 50 or above.

Speaker #4: Many people have asked us, "Could we develop ResPeg for patients with moderate alopecia areata?" And we do think the answer to that question is yes.

Speaker #4: However, that would come after we would have an approval for the severe to very severe population and of course, JAK inhibitors are not appropriate for that patient population given the black box warnings that Howard referred to.

Jonathan Zalevsky: NKTR-0165 is our TNFR2 agonist antibody, a molecule with very high specificity for signaling through TNFR2 on Tregs to enhance their ability to regulate the immune system. We believe this mechanism has potential across a range of indications, including MS, ulcerative colitis, and vitiligo. In Q1, we announced an academic research collaboration with Dr. Stephen Hauser at UCSF to explore the role of TNFR2 agonism in neurodegeneration, neuroprotection, and cell repair with a focus on patient-derived B-cell models of MS. We look forward to working with Dr. Hauser to inform the future development of this program. We expect to present preclinical data from NKTR-0165 at a scientific conference in the H2 of this year. Building on the learnings from NKTR-0165, we have designed NKTR-0166, a bispecific molecule that combines a TNFR2 agonist epitope with an antagonist epitope previously validated in rheumatology.

Speaker #4: And the difficulty in managing patients on JAK inhibitors. However, we think there's a huge opportunity for ResPeg in that patient population as well.

Speaker #3: Super helpful. Thank you. Congrats again on all the progress.

Speaker #4: Thank you, Jay.

Speaker #2: Thank you. Our next question comes from Cha Cha Yang from Jefferies. Your line is open.

Speaker #6: Hi. Thanks so much for taking my question. This is Cha Cha on for Roger Song. So I have a question about your earlier pipeline program, especially in T1D.

Speaker #6: Can you just tell us more about the collaboration with TrialNet and what that looks like? And particularly what rights that NEKTAR has, that data into future development rights?

Speaker #6: And then my second question related to that is, can you tell us more about the baseline characteristics for the T1D study and how they might compare to the PROTECT study?

Speaker #5: Sure. Hey, Cha Cha. So in that collaboration with TrialNet, which is part of the NIH and the NIDDK, TrialNet and the TrialNet Consortium is besides funding, is also executing the study.

Jonathan Zalevsky: This dual mechanism gives NKTR-0166 the potential to modify disease pathogenesis across multiple autoimmune settings. We are planning IND submissions for at least one of these programs in 2027. With that, I'll turn it over to Sandy to review our financial results for Q1 2026.

Speaker #5: So we work together on the design of the study protocol. It leverages all of their expertise including the really large data set that they have on the change in C-peptide levels, in patients that are newly diagnosed, really this patient population.

Sandra Gardiner: Thank you, JZ. Good afternoon, everyone. On today's call, I'll review our quarterly financials for Q1 2026 and provide updated cash guidance. We ended Q1 2026 with $731.6 million in cash and investments with no debt on our balance sheet. In Q1, we completed an underwritten public offering and sales under our existing ATM facility, resulting in approximately $525 million in net cash proceeds. This does not include an additional $351 million in net proceeds from our April financing. As Howard mentioned earlier, our current cash balance exceeds $1 billion, and we expect to end 2026 with approximately $800 to $825 million in cash and investments. Now turning to the income statement.

Speaker #5: We also work closely with the lead investigators and even on our call when we announce the start of the collaboration, the two lead PIs, join that call.

Speaker #5: With us to present the study and the concept behind ResPeg in this indication. So we'll be working with them, but they're responsible for really driving the execution of the study.

Speaker #5: The patient population is very, very typical in these studies. So there are patients that are within 100 days of their first diagnosis of type 1 diabetes.

Speaker #5: So these are patients that have really just had their first clinical episode of disease. And they're enrolled into the study within 100 days. So a very typical patient population.

Speaker #5: For these kind of new onset stage 3 type 1 studies. And in terms of the rights, NEKTAR maintains the rights to ResPeg and the future development in type 1 diabetes that would come.

Sandra Gardiner: Our Q1 2026 non-cash royalty revenue totaled $10.9 million. Full year revenue for 2026 is still expected to total $40 to 45 million. Our R&D expenses were $35.7 million for Q1 2026, and we still anticipate full year R&D expense to range between $200 and 250 million, including approximately $5 to 10 million of non-cash depreciation and stock-based compensation expense. As we discussed on our March call, we are still completing the planning and budgeting activities for the REZPEG phase III program. We do, however, expect R&D expense to increase on a quarterly basis in 2026 as these phase III clinical studies are initiated. Our G&A expenses were $13.4 million for Q1.

Speaker #5: Subsequent to this, if this study is possible. Thank you.

Speaker #6: Great. Thank you.

Speaker #2: Thank you. Our next question comes from Samantha Simenco from Citi. Your line is open.

Speaker #7: Hi. Good afternoon and thanks very much for taking the upcoming off-treatment data sets that we're expecting for both atopic derm and alopecia areata. How should we be thinking about what good data would look like in these readouts?

Speaker #7: Is there a bar for easy maintenance, for example, or SALT score maintenance that you would like to see from each of these? Or some other metric that you're tracking closely?

Speaker #7: Thank you.

Speaker #4: Hi, Sam. So I think I'll start with alopecia areata first. We continue to dose those 27 patients for an additional 16 weeks and we just shared those data and as you saw, there were eight new SALT score eight new patients that reached the SALT score less than or equal to 20.

Sandra Gardiner: We continue to expect G&A expenses for the full year of 2026 to be between $60 to $65 million, including approximately $5 million of non-cash depreciation and stock-based compensation expense. Non-cash interest expense for the Q1 was $7.9 million and is expected to remain at a similar level for the remaining 3 quarters, totaling approximately $30 to $35 million in 2026. Our net loss for the Q1 was $44.9 million or $1.82 basic and diluted net loss per share. As I stated earlier, we now expect to end 2026 with between $800 to $825 million in cash and investments.

Speaker #4: The big question that we have is what type of maintenance dosing will be best suited for these patients that have achieved the SALT score less than 20 or have 80% of their hair regrowth?

Speaker #4: We figured that out in our atopic dermatitis program, the ideal maintenance dosing after a 16 or 24-week induction period should be one month and three months.

Speaker #4: In terms of alopecia areata, after 52 weeks of treatment, we don't yet know what the maintenance dosing should be. And so, for that off-treatment data that we're going to have at the end of this year, it's going to be highly informative to us to understand how we should continue to dose patients in the alopecia areata program after 52 weeks of treatment, given 24 micrograms per kilogram every two weeks.

Mary Tagliaferri: I'll now turn it over to the operator for Q&A.

Operator: Thank you. As a reminder, to ask a question, please press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. In the interest of time, we do ask that you please limit yourself to one question at this time. Please stand by while we compile the Q&A roster. Our first question will come from Yasmeen Rahimi from Piper Sandler. Your line is open.

Speaker #4: In terms of the data from the Resolve AD study, you're absolutely right. We'll continue to follow the durability of those patients' responses and those patients who achieved an easy 75, an easy 90, an IGA of 0, and 1.

[Analyst] (Piper Sandler): Hi, this is Dominic on for Yasmeen Rahimi. Thank you for taking our question, congrats on a great quarter and appreciate all the updates. We're excited for you to be kicking off the phase III AD program soon. Could you just remind us of what are some of the rate-limiting steps left for those, I guess you have the two trials that are starting shortly. Could you walk us through some nuggets of detail? I know you said there will be some sites similar to the phase II-B. What would the site overlap, I guess, look like for that? Do you have any nuggets of detail on the CRO selection? Anything like that would be very helpful. Thank you.

Dominic Risso-Gill: Hi, this is Dominic on for Yasmeen Rahimi. Thank you for taking our question, congrats on a great quarter and appreciate all the updates. We're excited for you to be kicking off the phase III AD program soon. Could you just remind us of what are some of the rate-limiting steps left for those, I guess you have the two trials that are starting shortly. Could you walk us through some nuggets of detail? I know you said there will be some sites similar to the phase II-B. What would the site overlap, I guess, look like for that? Do you have any nuggets of detail on the CRO selection? Anything like that would be very helpful. Thank you.

Speaker #4: And we'll continue to look at the durability of those responses. As we saw with Q monthly dosing and Q three-month dosing, we had exceptional durability and we also saw deepening of responses.

Speaker #4: Now with the off-treatment, we'll be able to determine are patients able to maintain those easy 100 responses with 30% patients that achieved that and the IGA 0 and 1 responses.

Mary Tagliaferri: Hi, Dominic. This is Mary. Thank you for your question. We too are very excited to move forward with the phase III study. We right now are activating sites, and we have the final protocol written. In terms of sites, remember in the REZOLVE-AD phase II, we enrolled 17% of the patients from the US and 28% from North America, and we had 67% of the patients came from Europe and 5% from Australia. In the phase III program, we're gonna have a larger footprint particularly in the APAC region or the Asia Pacific region. We in general expect to enroll roughly 15% to 25% of patients from North America, with a similar proportion of patients specifically from the US as in our phase II-B trial.

Speaker #4: And remember, we had roughly 60% of patients who had an easy 75 or VIGA at the time of rerandomization achieving an IGA of 0 and 1.

Speaker #4: So we'll be very eager to see the durability of maintaining the easy 75, the easy 100, and the VIGA 0 and 1. I think this will be highly informative again to understand the dosing frequency for these patients after they're treated with 52 weeks of treatment.

Speaker #4: So you're absolutely right. The standard endpoints that we use for clinical trials will also be the endpoints that we'll look at in the off-treatment timeframe.

Speaker #4: Thanks for the question.

Mary Tagliaferri: Approximately 40% to 55% of patients will come from Europe and, roughly 20% to 30% from APAC. We will have a number of clinical sites that participated in our phase II-B program participating in the phase III as well. We had roughly 130 sites that were activated for the phase II-B trial, and we'll have, roughly 150 sites activated for each one of the phase III studies. Thanks for your question.

Speaker #2: Thank you. Our next question comes from Mark Fromm from TD Cowan. Your line is open.

Speaker #5: Thanks for taking my questions and congrats on all the progress getting the trials designed. Maybe just on that bio-experienced patient study in atopic dermatitis, can you just walk through kind of how you're defining bio-experience there?

Speaker #5: Will patients be required to have overtly failed therapy, or could they have discontinued for any other reason? Just how long do they have to have been off therapy, things like that?

Speaker #5: And will that include JAK experienced patients or just focused on the IL-413 pathway?

[Analyst] (Piper Sandler): Great. Thank you so much.

Dominic Risso-Gill: Great. Thank you so much.

Operator: Thank you. Our next question comes from Julian Harrison from BTIG. Your line is open.

Speaker #4: Great. Thanks, Mark, for the question. So all the candidates have to require systemic therapy. So they have to have a history of atopic dermatitis for at least 12 months and they had to have had an inadequate response to topical medications and then in addition to that, these patients have to have then had either a biologic or a JAK inhibitor.

Julian Harrison: Hi. Congratulations on all the progress, and thanks for taking the question. On your phase III plan in atopic dermatitis, I'm wondering if you could talk more about the decision to have a separate biologic experience study versus maybe mixing both naive and experienced patients across two larger studies.

Mary Tagliaferri: Yeah. Thank you, Julian, for that question. Obviously, the cytokine-blocking agents that came before us, enrolled patients that were biologic naive. We do feel it is important to be able to compare the results of the REZPEG study on the EASI-75, the IGA, and other secondary endpoints directly to those cytokine-blocking agents. For that reason, we do wanna have just a naive patient population. In terms of the experienced patients, we do believe that we'll have similar efficacy in that population, and that's certainly what has been seen in the lebrikizumab trial that evaluated patients who had previously been treated with DUPIXENT. The EASI-75 and the IGA score was similar to what was seen with lebrikizumab in the naive patient population.

Speaker #4: So we will be enrolling patients that have also been on JAK inhibitors. In terms of washouts, for biologic, patients will have to have been off treatment for 12 weeks or 5 half-lives, whichever is longer.

Speaker #4: And then for JAK inhibitors, it'll be washout of 4 weeks. The eligibility criteria for moderate to severe atopic dermatitis is very similar. For both studies, of course, patients have to have an easy score of 16 or higher, a body surface area of 10% or more, and have a VIGA or, excuse me, an IGA of 3 or 4.

Speaker #5: Okay. Thanks. That's very helpful. And do you think you need to be successful in all three trials to get approved or is 2 out of 3 enough for approval, do you think?

Mary Tagliaferri: However, you know, we have not yet studied the biologic experience in the JAK inhibitor experienced patients yet. Likewise, there may be different clinical sites that has a larger patient population with the biologic experienced patients, and it would be easier for us to find footprints and enroll those and activate those sites for the experienced study. We think operationally, there are advantages to do it. Likewise, again, having the ability to compare directly to DUPIXENT and lebrikizumab and tralokinumab that just enrolled the naive patients, we believe will be an advantage. Thanks, thanks for the question.

Speaker #4: Yeah. I think that this is a great regulatory question and as we unblind the data and have conversations with our regulatory advisors, I do believe that showing efficacy in 2 well-controlled randomized trials would be sufficient for regulatory approval, but we again will have to have those conversations with the FDA at the time of our BLA submission.

Speaker #5: Okay. Thank you.

Speaker #4: Yeah. Thank you for the questions.

Speaker #2: Thank you. Our next question comes from Mayank Mamthani from B. Reilly. Your line is open.

Speaker #6: Yes. Good afternoon, Dean. Thanks for taking the questions, and congrats on the progress. Just on the prior comment on the AD off-therapy durability data, just curious, how do you expect the endpoint like EASI-100 to sort of evolve over time there?

Operator: Thank you. Our next question will come from Jay Olson from Oppenheimer. Your line is open.

Jay Olson: Oh, hey, I'll add my congrats on all the progress, including getting ZENITH-AD up and running in the near term. We had a question on alopecia areata. Can you please provide some updates on your thinking around the phase III study design for REZPEG and AA, and especially in terms of the enrollment criteria, in terms of age of patients and baseline SALT score, and then, whether or not you think a single phase III study is sufficient? Thank you.

Speaker #6: And then on the earlier stage pipeline, the 1665-specific program, JZ, just was curious how you're thinking of developing that maybe relative to 0165 and maybe just remind us what other key milestones to watch out for those two programs?

Speaker #7: Mary, I can start with the last question first, Mayank. So for 166, so as we mentioned, it's a bispecific, right, that contains a TNFR2 agonist on one arm and then a validated target for rheumatology indications on the other arm.

Mary Tagliaferri: Hi, Jay. Thank you for your question. We are having our end-of-phase II meeting with the FDA this quarter, so we will have more information following the regulatory meeting that we're having. That being said, the phase III study design will be 52 weeks. We will evaluate REZPEG 24 micrograms per kilogram versus placebo. We think a study roughly the size of 600 patients, and one single study should be accepted by the FDA. The reason we believe this is that Pfizer did run one phase III study for LITFULO, their JAK inhibitor, and the FDA did accept one single phase III study. We have asked the FDA to confirm this precedence would also be applied to our program. In terms of age, patients would be 12 years and older.

Speaker #7: So our indications are definitely in the rheumatology setting. And then we have the opportunity to have basically multiple mechanisms, right, that we bring forward.

Speaker #7: One that's known as well as adding a TNFR2 second component for a potential differentiating novel approach to treating rheumatology diseases. In terms of the main milestones that we have across that program is we have IND enabling studies around 165 and then the 166 program is a little bit further behind, but it's also undergoing those same IND enabling studies as well.

Speaker #7: And I'll turn it over to you, Mary, for the other question.

Speaker #4: Yeah. Thanks. So as you know, we did publish data from our phase 1B in Nature Communications and this is published in 2024. And what we did show is that patients were dosed with the highest dose of ResPEG 24 micrograms per kilogram and then those patients after 12 weeks of treatment were off therapy for a total of 9 months.

Mary Tagliaferri: In terms of baseline SALT score, we will enroll patients with severe and very severe alopecia areata, which is a SALT score of 50 or above. Many people have asked us, you know, could we develop REZPEG for patients with moderate alopecia areata, and we do think the answer to that question is yes. However, that would come after we, you know, would have an approval for the severe to very severe population. Of course, JAK inhibitors are not appropriate for that patient population given, you know, the black box warnings that Howard referred to, and the difficulty in managing patients on JAK inhibitors. However, we think there's a huge opportunity for REZPEG in that patient population as well.

Speaker #4: And we did see that these patients were able to maintain their easy 75 and there was remarkable durability. And you can see that in the publication.

Speaker #4: So if we replicate the data from the early phase 1, we would see durability for potentially 9 to 12 months off therapy. Again, I think the goal here is to find a treatment regimen that's highly differentiating from the current available therapies.

Jay Olson: Super helpful. Thank you.

Mary Tagliaferri: Thank you.

Jay Olson: Congrats again on all the progress.

Mary Tagliaferri: Thank you, Jay.

Operator: Thank you. Our next question comes from Cha Cha Yang from Jefferies. Your line is open.

Speaker #4: And as you know, with Dupixent, patients have to take an injection every two weeks, indefinitely. And so we really believe if we can get to a dosing regimen of ResPEG that's monthly or even quarterly, just like Skyrizi—four times a year—this will be a huge advantage for patients and quite a transformation in this field.

Cha Cha Yang: Hi. Thanks so much for taking my question. This is Cha Cha on for Roger Song. I have a question about your earlier pipeline program, especially in T1D. Can you just tell us more about the collaboration with TrialNet and what that looks like? Particularly what rights that Nektar has to that data and to future development rights. My second question related to that is, can you tell us more about the baseline characteristics for the T1D study and how they might compare to the PROTECT study?

Speaker #4: Hopefully, the data will also show durability off treatment and therefore if patients go for longer than three months without dosing, especially if they get to an easy 100 complete clearance of disease and have this level of durability, this will be a huge advantage for patients.

Jonathan Zalevsky: Sure. Hey, Cha Cha. In that collaboration with TrialNet, which is part of the NIH and the NIDDK, the TrialNet consortium is, you know, besides funding, is also executing the study. We work together on the design of the study protocol. It leverages all of their expertise, including the really large data set that they have on the change in C-peptide levels in patients that are newly diagnosed, really this patient population. We also work, you know, closely with the lead investigators, and even on our call when we announced the start of the collaboration, the two lead PIs, you know, joined that call with us to present the study and the concept behind REZPEG in this indication.

Speaker #4: I think we're all eager to see the data and to see the length of time that patients can maintain their IGA0 or the easy 75, easy 90, and easy 100.

Speaker #4: So we really look forward to having those data in the first quarter of next year. Thank you for the question.

Speaker #6: Thank you, Mary.

Speaker #2: Thank you. Our next question comes from Arthur Hay from HC Wainwright. Your line is open.

Jonathan Zalevsky: We'll be, you know, working with them, but they're responsible for really, you know, driving the execution of the study. The patient population is very, you know, typical in these studies. They're patients that are within 100 days of their first diagnosis of type 1 diabetes. These are patients that have really just had their first clinical episode of disease, and they're enrolled into the study within 100 days. A very typical patient population, you know, for these kind of new onset stage 3 type 1 studies. And in terms of the rights, you know, Nektar maintains the rights to REZPEG, you know, and the future development in type 1 diabetes that would come subsequent to this if this study is possible. Thank you.

Speaker #8: Hey, Howard team. Congrats on the progress. So I had two quick questions at Apicia Ariada program. So first, could you remind us how you picked the 24-week off treatment period at the first place?

Speaker #8: Why not longer? And also for the phase 3 study, are you guys contemplating to include JAK inhibitor experience or refractory patients in the phase 3 study for Alopecia Areata?

Speaker #8: Thank you.

Speaker #4: Thanks, Arthur. So we chose the 24-week off treatment period because you may know with JAK inhibitors, patients start to lose hair relatively quickly. And so we felt like that was a sufficient amount of time to potentially see a differentiation between JAK inhibitors and ResPEG.

Cha Cha Yang: Great. Thank you.

Operator: Thank you. Our next question comes from Samantha Semenkow from Citi. Your line is open.

Speaker #4: And in terms of the phase 3, we are going to go with patients who are JAK inhibitor naive. However, there are multiple other ways to evaluate ResPEG in patient populations that is JAK inhibitor experienced.

Mary Tagliaferri: Hi, good afternoon, and thanks very much for taking the question. I just have one on the upcoming off-treatment data sets that we're expecting for both atopic derm and alopecia areata. How should we be thinking about what good data would look like in these readouts? Is there a bar for EASI maintenance, for example, or SALT score maintenance that you would like to see from each of these or some other metric that you're tracking closely? Thank you. Hi, Sam. I think I'll start with alopecia areata first. You know, we continue to dose those 27 patients for an additional 16 weeks, and we just shared those data. As you saw, there were 8 new patients that reached a SALT score less than or equal to 20.

Samantha Semenkow: Hi, good afternoon, and thanks very much for taking the question. I just have one on the upcoming off-treatment data sets that we're expecting for both atopic derm and alopecia areata. How should we be thinking about what good data would look like in these readouts? Is there a bar for EASI maintenance, for example, or SALT score maintenance that you would like to see from each of these or some other metric that you're tracking closely? Thank you.

Speaker #4: We do believe that in this particular indication, ResPEG could be a first-line therapy. And for those of you who were able to listen to our presentation for the 52-week data in Alopecia Areata, all of our KOLs said that the vast majority of patients and in fact, Jonathan Zaleverg said 90% of his patients would use ResPEG in the first-line setting.

Mary Tagliaferri: Hi, Sam. I think I'll start with alopecia areata first. You know, we continue to dose those 27 patients for an additional 16 weeks, and we just shared those data. As you saw, there were 8 new patients that reached a SALT score less than or equal to 20.

Speaker #4: So we do and we are positioning ResPEG in the first-line setting for Alopecia Areata. And we do believe the drug would be effective as well in patients who have already experienced a JAK inhibitor and will find another pathway to explore ResPEG and evaluate ResPEG in that patient population as well.

Mary Tagliaferri: The big question that we have is what type of maintenance dosing will be best suited for these patients that have achieved a SALT score less than 20 or have 80% of their hair regrowth. We figured that out in our atopic dermatitis program. The ideal maintenance dosing after a 16- or 24-week induction period should be 1 month and 3 months. In terms of alopecia areata, after 52 weeks of treatment, we don't yet know what the maintenance dosing should be. For that off-treatment data that we're going to have at the end of this year, it's going to be highly informative to us to understand how we should continue to dose patients in the alopecia areata program after 52 weeks of treatment given 24 mcg/kg every 2 weeks.

Speaker #4: So thanks for the question, Arthur.

Speaker #8: Thanks, Mary. Thanks, Seth.

Speaker #2: Thank you. Our next question comes from Andy Shea from William Blair. Your line is open.

Speaker #5: Thanks for taking our question. Just follow up on Jay's question previously. Mary, you mentioned about having to basically conduct a phase 3 trial in Alopecia and getting a label before conducting a trial in a moderate population.

Speaker #5: So I'm curious, one, do you have to go back to a phase 2 or you can start a phase 3 after that? And then the other one is really about understanding FDA's pushback.

Speaker #5: Is it—are they not comfortable with the safety database? Especially now, you have hundreds of patients in the safety databases. So, I'm just curious about why there's such a regulatory pushback in a moderate population.

Mary Tagliaferri: In terms of the data from the REZOLVE-AD study, you're absolutely right. We'll continue to follow the durability of those patients' responses in those patients who achieved an EASI-75, an EASI-90, an IGA of 0 and 1, and we'll continue to look at the durability of those responses. As we saw with Q monthly dosing and Q 3-month dosing, we had exceptional durability, and we also saw deepening of responses. Now, with the off treatment, we'll be able to determine, you know, are patients able to maintain those EASI-100 responses, the 30% of patients that achieved that, and the IGA 0 and 1 responses.

Speaker #5: Thank you.

Speaker #4: Oh, thanks, Andy. So we do have to speak to the agency about the moderate population. But after speaking with our steering committee members, the placebo effect for alopecia areata for patients who have severe and very severe disease is very low.

Speaker #4: For SALT20, it's single digits between 2 and 5 percent. So running a clinical trial where the placebo effect for your primary efficacy endpoint is low, and testing the same population as in our phase 2B AA study, gives us a high probability of technical success for our registrational program.

Mary Tagliaferri: Remember, we had roughly 60% of patients who had a EASI-75 or vIGA at the time of re-randomization achieving an IGA of 0 and 1. We'll be very eager to see the durability of maintaining the EASI-75, the EASI-100, and the vIGA 0 and 1. I think this will be highly informative again to understand the dosing frequency for these patients after they're treated with 52 weeks of treatment. You're absolutely right. The standard endpoints that we use for clinical trials will also be the endpoints that we'll look at in the off-treatment timeframe. Thanks for the question.

Speaker #4: Now, that being said, in the moderate patient population, the per our KOLs and our steering committee, the placebo effect could be higher in the population of patients that have say a SALT score that's actually less than 50.

Speaker #4: So in the 30 to 50 range. So we believe that the best path forward is to go with the clear regulatory precedence where there is a clear endpoint for the patient population that's with a SALT 50 or above.

Speaker #4: And we will have a conversation with the FDA about the moderate patient population we have not gotten feedback yet through our end-of-phase 2 or regarding the moderate populations.

Operator: Thank you. Our next question comes from Marc Frahm from TD Cowen. Your line is open.

Marc Frahm: Good. Thanks for taking my questions, and congrats on all the progress getting the trials designed. Maybe just on that bio-experienced patient study in atopic dermatitis. Can you just walk through kinda how you're defining bio-experience there? You know, will patients be required to have, you know, overtly failed therapy, or could they have discontinued for any other reason? Just, you know, how long do they have to have been off therapy, things like that. Will that include JAK-experienced patients or just focused on the IL-4/13 pathway?

Speaker #4: So we have not received any pushback. We just haven't had the conversation yet, Andy.

Speaker #5: Got it. That's helpful. Thanks, Mary.

Speaker #4: Yep. Thank you.

Speaker #2: Thank you. And our next question comes from Jessica Fy from JPMorgan. Your line is open.

Speaker #8: Thanks for taking our question. This is Joseph or Jess. It seems like you have much of a plan in place for the phase 3 in Alopecia.

Speaker #8: So I wonder if you can what are the points that you can hammer you want to hammer out with FDA at the end-of-phase 2 meeting?

Mary Tagliaferri: Great. Thanks, Marc, for the question. All the candidates have to require systemic therapy, so they have to have a history of atopic dermatitis for at least 12 months, and they had to have had an inadequate response to topical medications. In addition to that, these patients have to have then had either a biologic or a JAK inhibitor. We will be enrolling patients that have also been on JAK inhibitors. In terms of washouts for biologic patients, will have to have been off treatment for 12 weeks or 5 half-lives, whichever is longer. For JAK inhibitors, it'll be a washout of 4 weeks. The eligibility criteria for moderate to severe atopic dermatitis is very similar for both studies.

Speaker #8: Thanks.

Speaker #4: Yep. Thanks. Of course, you have a lot that's come up about can you run one Phase 3 clinical trial versus two? And again, there's precedence for one Phase 3 clinical trial for this indication. As we mentioned, Pfizer was able to have their JAK inhibitor full-load approved with one Phase 3.

Speaker #4: So I would say that's probably the most important question. And answer that we want to have from the FDA after our end-of-phase 2 meeting.

Speaker #4: In addition, we have submitted our study design and we want to make sure that the FDA agrees with the powering of our trial and the eligibility criteria and I think the third and also important point is the totality of our safety data as Andy Shea just brought up.

Mary Tagliaferri: Of course, patients have to have an EASI score of 16 or higher, a body surface area of 10% or more, and have an entry of a vIGA, or, excuse me, an IGA of 3 or 4.

Speaker #4: We do have a very large safety database with over 1,000 patients dosed in an inflammatory skin disease. And so we also want alignment with the agency over the safety database for Alopecia Areata when we file our BLA.

Marc Frahm: Thanks, that's very helpful. Do you think you need to be successful in all three trials to get approved or is two out of three enough for approval, do you think?

Speaker #4: So those are three of the most important topics that we want to have clarity and alignment with the agency. Thanks for the question.

Speaker #8: Very helpful. Thank you.

Speaker #2: Thank you. And I'm showing no further questions from our phone lines. I'd now like to pass the conference back to Howard Robin for any closing remarks.

Mary Tagliaferri: Yeah. You know, I think that this is a great regulatory question. As we, you know, unblind the data and have conversations with our regulatory advisors, I do believe that, you know, showing efficacy in two well-controlled randomized trials would be sufficient for regulatory approval. We again will have to have those conversations with the FDA at the time of our BLA submission.

Speaker #1: Well, before I end the call today, I want to comment that Sandy our current interim CFO will be retiring on May 15th. And as our interim chief financial officer, Sandy has played an instrumental role in supporting NEKTAR over the last three years.

Speaker #1: And we're very grateful for her contributions. And we'll miss her. For continuity, we're bringing in another partner from FLG Partners, Linda Rubenstein. We'll take over Sandy's role as interim CFO.

Marc Frahm: Okay. Thank you.

Mary Tagliaferri: Yeah. Thank you for the questions.

Operator: Thank you. Our next question comes from Mayank Mamtani from B. Riley. Your line is open.

Speaker #1: Linda has 35 years of experience and has served as interim or permanent CFO, leading finance and financial reporting at a number of biotechnology companies, including Celexa, Five Prime, True North, and, most recently, Adverum.

Mayank Mamtani: Yes. Good afternoon, team. Thanks for taking our questions, and congrats on the progress. Just on the prior comment on the AD off-therapy durability data, curious how you expect an endpoint like EASI-100 to sort of evolve over time there. On the earlier stage pipeline, the NKTR-0166 bispecific program, JV, just was curious how you're thinking of developing that maybe relative to NKTR-0165. And maybe just remind us what are the key milestones to watch out for those two programs.

Speaker #1: Her early career was in M&A banking, and all of us do wish Sandy the very best in her retirement. I want to thank everyone today for joining us and for your continued support.

Speaker #1: We really appreciate it. I also want to thank our employees who have worked tirelessly to advance our research in pursuit of novel treatment options for patients and together we've transformed our scientific hypothesis into real and potentially meaningful therapeutic options.

Speaker #1: We look forward to initiating our phase 3 studies in ectopic dermatitis in the coming months and advancing Alopecia Areata into phase 3 as well.

Mary Tagliaferri: Mary?

Jonathan Zalevsky: I can start with the last question first, Mayank. For 166, as we've mentioned, it's a bispecific, right, that contains a TNFR2 agonist on one arm and then a validated target for rheumatology indications on the other arm. Our indications are definitely in the rheumatology setting. Then we have the opportunity to have basically multiple mechanisms, right, that we bring forward. One that's known, as well as adding a TNFR2 second component for a potential differentiating novel approach.

Speaker #1: And we will also be exploring other RESPEC potential in T-cell-mediated diseases. So we look—so we thank you very much for joining us today.

Speaker #1: And stay tuned.

Jonathan Zalevsky: to treating rheumatology diseases. In terms of the main milestones that we have across that program is we have IND-enabling studies around NKTR-0165, and then the NKTR-0166 program is a little bit further behind, but it's also undergoing those same IND-enabling studies as well. I'll turn it over to you, Mary, for the other question.

Mary Tagliaferri: Yeah. Thanks. As you know, we did publish data from our Phase I-B in Nature Communications, and this was published in 2024. What we did show is that patients were dosed with the highest dose of REZPEG, 24 micrograms per kilogram, and then those patients, after 12 weeks of treatment, were off therapy for a total of 9 months. We did see, you know, that these patients were able to maintain their EASI-75, and there was remarkable durability, and you can see that in the publication. You know, if we replicate the data from the early phase I, we would see, you know, durability for potentially, you know, 9 to 12 months off therapy.

Mary Tagliaferri: I think the goal here is to find a treatment regimen that's highly differentiating from the current available therapies. As you know, with DUPIXENT, patients have to take, you know, an injection every 2 weeks indefinitely. We really believe if we can get to a dosing regimen of REZPEG that's monthly or every 3, you know, quarterly, just like SKYRIZI, 4 times a year, this will be a huge advantage for patients and quite a transformation in this field. Hopefully the data will also show durability off treatment and therefore if patients go for longer than 3 months without dosing, especially if they, you know, get to an EASI-100, complete clearance of disease, and have this level of durability, this will be a huge advantage for patients.

Mary Tagliaferri: I think we're all eager to see the data and to see the length of time that patients can maintain their, you know, IGA 0 or, you know, the EASI seventy-five, EASI ninety, and EASI-100. We really look forward to having those data in Q1 2027. Thank you for the question.

Jonathan Zalevsky: Thanks, Mary.

Operator: Thank you. Our next question comes from Arthur He from H.C. Wainwright. Your line is open.

Arthur He: Hey, how are team? Congrats on the progress. I had a 2 quick question, alopecia areata program. First, could you remind us how you pick the 24-week of treatment period at the first place? Why not longer? For the phase III study, are you guys contemplating to include JAK either experience or refractory patients in the phase III study for alopecia areata? Thank you.

Mary Tagliaferri: Thanks, Arthur. We chose the 24-week off treatment period because you may know with JAK inhibitors, patients start to lose hair relatively quickly. We felt like that was a sufficient amount of time to potentially see a differentiation between JAK inhibitors and REZPEG. In terms of the phase III, we are gonna go with patients who are JAK inhibitor naive. However, you know, there are multiple other ways to evaluate REZPEG in a patient population that is JAK inhibitor experienced. We do believe that in this particular indication, REZPEG could be a first-line therapy.

Mary Tagliaferri: You know, for those of you who were able to listen to our presentation for the 52-week data in alopecia areata, all of our KOLs said that the vast majority of patients, and in fact, Jonathan Zalevsky said 90% of his patients would use REZPEG in the first-line setting. We do and we are positioning REZPEG in the first-line setting for alopecia areata, and we do believe the drug would be effective as well in patients who have already experienced a JAK inhibitor and will find another pathway to explore REZPEG and evaluate REZPEG in that patient population as well. Thanks for the question, Arthur.

Arthur He: Thanks, Mary. Talk soon.

Operator: Thank you. Our next question comes from Andy Hsieh from William Blair. Your line is open.

Andy Hsieh: Thanks for taking our question. Just follow up on Jay's question previously. Mary, you mentioned about having to basically conduct a phase III trial in alopecia and getting a label before conducting a trial in a moderate population. I'm curious, one, do you have to go back to a phase II or you can start a phase III after that? The other one is really about understanding FDA's pushback. Are they not comfortable with the safety database? You know, especially now you have, you know, hundreds of patients in safe databases. Just I'm curious about why there's such a regulatory pushback in a moderate population. Thank you.

Mary Tagliaferri: Thanks, Andy. We, you know, do have to speak to the agency about the moderate population, but after speaking with our steering committee members, you know, the placebo effect in alopecia areata, for patients who have severe and very severe disease is very low. It, you know, for SALT 20, it's single digits between, you know, 2% and 5%. Running a clinical trial where the placebo effect for your primary efficacy endpoint is low, and, you know, testing the same population as in our phase II-B AA study, you know, gives us a high probability of technical success for our registrational program.

Mary Tagliaferri: That being said, in the moderate patient population, the, you know, per our KOLs and our steering committee, the placebo effect could be higher in the population of patients that have, say, you know, a SALT score that's actually less than 50, so in the 30 to 50 range. You know, we believe that the best path forward is to go with the clear regulatory precedence, where there is a clear endpoint for the patient population that's with a SALT 50 or above. We will have a conversation with the FDA about the moderate patient population. We have not gotten feedback yet through our end of phase II or regarding the moderate population. We have not received any pushback. We just haven't had the conversation yet, Andy.

Andy Hsieh: Got it. That's helpful. Thanks, Mary.

Mary Tagliaferri: Yep. Thank you.

Operator: Thank you. Our next question comes from Jessica Fye from J.P. Morgan. Your line is open.

[Analyst] (J.P. Morgan): Thanks for taking our question. This is Joseph or Jess. It seems like you have much of a plan in place for the phase III in alopecia. Just wondering if you can, you know, what are the points that you want to hammer out with FDA at the end-of-phase II meeting? Thanks.

Mary Tagliaferri: Yep. Thanks. Of course, you know, a lot has come up about, you know, can you run one phase III clinical trial versus two. You know, again, there's precedence for one phase III clinical trial for this indication. As we mentioned, Pfizer was able to have their JAK inhibitor, LITFULO, approved with one phase III. I would say that's probably the most important question and answer that we wanna have from the FDA after our end-of-phase II meeting. In addition, you know, we have submitted, you know, our study design, and we wanna make sure that the FDA agrees with the powering of our trial and the eligibility criteria. I think the third, and also important, point is the totality of our safety data.

Mary Tagliaferri: As Andy Hsieh just brought up, you know, we do have a very large safety database with over 1,000 patients dosed in an inflammatory skin disease. We also want alignment with the agency over the safety database for alopecia areata when we file our BLA. Those are three of the most important topics that we wanna have clarity and alignment with the agency. Thanks for the question.

[Analyst] (J.P. Morgan): Very helpful. Thank you.

Operator: Thank you. I'm showing no further questions from our phone lines. I'd now like to pass the conference back to Howard Robin for any closing remarks.

Howard Robin: Well, before I end the call today, I wanna comment that Sandy, our current Interim CFO, will be retiring on 15 May. As our Interim Chief Financial Officer, Sandy has played an instrumental role in supporting Nektar over the last 3 years, and we're very grateful for her contributions, and we'll miss her. For continuity, we're bringing in another partner from FLG Partners, Linda Rubinstein, who will take over Sandy's role as Interim CFO. Linda has 35 years of experience and has served as Interim or Permanent CFO, leading finance and financial reporting at a number of biotechnology companies, including Solexa, Five Prime, True North, and most recently at Verum. Her early career was in M&A banking, and all of us do wish Sandy the very best in her retirement. I wanna thank everyone today for joining us and for your continued support.

Howard Robin: We really appreciate it. I also wanna thank our employees who have worked tirelessly to advance our research in pursuit of novel treatment options for patients. Together, we've transformed our scientific hypothesis into real and potentially meaningful therapeutic options. We look forward to initiating our phase III studies in atopic dermatitis in the coming months and advancing alopecia areata into phase III as well. We will also be exploring other REZPEG potential in T-cell mediated diseases. We thank you very much for joining us today, and stay tuned.

Operator: Thank you. This concludes today's conference call. Thank you for your participation. You may now disconnect. Everyone, have a wonderful day.