Outlook Therapeutics, Inc. (OTLK)
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Status Update

Jun 25, 2025

Moderator

Ready to get started. Welcome back, everyone, to another Virtual Investor Lunch Break segment. Today we are featuring Outlook Therapeutics. My name is Janine Thomas. I am CEO of JTCIR, and I will be the moderator for today's segment. From the Outlook Therapeutics team, I am very pleased to be joined by Lawrence Kenyon. He is Chief Financial Officer and Interim Chief Executive Officer. We also have Jeff Evanson. He is Chief Commercial Officer. And Jed Komiski. He is Senior Vice President and Head of Europe. Welcome, gentlemen.

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Hey, Janine.

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Hey, Janine.

Moderator

So happy to have you all with us today. Before we get started, I just want to inform our audience that Outlook Therapeutics is publicly listed and trades on NASDAQ under the ticker OTLK. During today's discussion, the company will be making forward-looking statements. I encourage everyone to view the company's website at outlooktherapeutics.com for SEC filings and the latest information. All right, we are going to dive right in. Larry, this has truly been an exciting year for Outlook Therapeutics and the advancement of LightNava. To start us off, can you please walk us through the recent regulatory achievements, particularly in Europe, and where you currently stand?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Thanks, Janine. And thank you for inviting us to participate today. It really has been a very busy and exciting start to 2025. As you noted, there are a lot of great things happening in Europe for Outlook Therapeutics and LightNava. And Jed and Jeff will help fill in some of those details here today. But to recap, as everyone should be aware, LightNava was approved in both the EU and U.K. last year and has received a positive recommendation from NICE for use in the U.K. In May of this year, we launched simultaneously in both Germany and the U.K., as we previously announced. But I am pleased to report today that LightNava is now in the channel in both countries, and the first patients have already been dosed in both Germany and the U.K. We are very excited to have reached this important milestone.

Even though it has only been just a few weeks, we believe that we're off to a very good start in Europe, with many more updates to come for the remainder of this year. I know that you have a lot of questions for us. Let's jump in.

Moderator

Yeah, absolutely. All right, so Jed, I'm going to start with you here. Can you describe the current treatment landscape of wet AMD in Europe, and where do you see LightNava fitting into this treatment paradigm? Can you also walk us through the market size and number of injections per year?

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Absolutely. Thanks, Janine. I mean, the market in Europe is very similar to the market that we see in the U.S. in general. You know, there's an off-label segment, so off-label compounded Avastin. Also, there's a branded segment. There's Faricimab, Aflibercept, and Ranibizumab, which are well-known molecules. Yeah, a relatively crowded market. We see, you know, regardless of the market, we see LightNava being positioned as a cost-effective first-line treatment option for patients with Wet AMD. There's a real need for a cost-effective treatment in the space. In terms of the market, significant potential. It's worth $3.6 billion a year, and it's growing as the population ages. There are 8 million anti-VEGF injections a year. I know we're going to focus in on Germany and the U.K.

Just so you're aware, there are 1.7 million of those injections that are in Germany every year. 1.3 million of those injections are in the U.K. Actually, those two markets represent around a third of the overall potential in Europe, which makes them very important first launch markets.

Moderator

Excellent. Jed, is off-label bevacizumab currently used in Europe? If so, what is the market share?

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Yeah, so the overall market share in Europe is around 33%. Of those 8 million injections, just under 3 million of those injections are bevacizumab. The market share from country to country ranges from 0% all the way up to 80%. In fact, Germany and the U.K. differ significantly. In Germany, there's a 50% market share for off-label repackaged bevacizumab. That's our target. We want to take a significant share of that market now that we have an on-label ophthalmic formulation of bevacizumab. In the U.K., it's lower. It's a 5% market share for off-label bevacizumab. We want to take that share. We also want to take a share of the branded market where we see ourselves, as I said, being positioned as a cost-effective first-line treatment option in the U.K.

Moderator

Excellent, Jed. Thank you. Jeff, over to you. As part of your market research, you must have had conversations with ophthalmologists. How receptive are they to LightNava? Have they shown excitement around it being available to use in their practice?

Jeff Evanson
Chief Commercial Officer, Outlook Therapeutics, Inc.

Thanks, Janine. That's a really good question. Our research really started in 2019 and trying to understand just what our opportunity was based on creating an ophthalmic standard bevacizumab. At that very beginning, that first level of research that included Europe, but the US as well, really reflected the need to have an ophthalmic standard bevacizumab. You might ask, what does that mean? What are the differences between an ophthalmic standard and, let's say, an oncology standard? There are different particulate levels required. We have much less available for the patients that get an injection in the eye, for example, compared to a parenteral. Everything from the pH levels. Most importantly, one thing that has been well documented is, over time, supply disruption with off-label repackaged bevacizumab, including recently that PINE had pulled away from the market.

The issues that the U.S. has faced and has had well documented, I think, apply also in Europe. When you ask a physician, if we give you an ophthalmic standard bevacizumab, would you like it? Would you want it? Would you inject it? We did get an overwhelming response initially. That has continued throughout the years, even with the new entries of Vabysmo and others. It has been really encouraging to see as we've taken this journey with our physician community. We have talked to hundreds of physicians. I mean, at this point, we've talked to many of the key opinion leaders. That consistency has really stood the test of time. Very encouraging for our opportunity.

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Yeah, I think one thing I'd add to that, Janine, is that I think it's fair to say this has been kind of a long road for us. We are just as, if not more, excited today about the opportunity than we were five years ago or seven years ago when we started this adventure. We think everything's shaping up nicely for us, both here in the U.S. as well as in Europe.

Moderator

Excellent. All right, moving to reimbursement. Where does LightNava fit in terms of pricing compared to other branded products and biosimilars? Will you be competitive?

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Yep, I'll start with that. I'll start with the U.K. Our list price in the U.K. is GBP 470. That is the lowest list price of any of the other products available, any of the other approved products available on the market. We do have a confidential net price in place at a national level. It's called a patient access scheme in the U.K. Anyone who orders LightNava can avail of that patient access scheme. Of course, that patient access scheme is designed to make us competitive at a net price level as well. I think we should touch on one of the big milestones that came towards the end of 2024, which was the positive recommendation from NICE, which is the national payer body in England, essentially, but one of the most respected payer bodies worldwide.

The basis of their assessment is what's known as a cost minimization. Basically, that's built on the assumption that we're as effective but less expensive than the other treatments. By getting that recommendation from NICE, where they say we're as effective as the other treatments available on the market, they're also saying that they see us as cost-effective or less expensive than those treatments. NICE is important because it gives us reimbursement at a national level in England and Wales. A few weeks ago, we had a positive recommendation from the SMC, which is the Scottish Medicines Consortium. That means now that we have reimbursement in Scotland, but that's also taken on board by Northern Ireland. All four countries within the U.K., we have reimbursement, which is a really great achievement.

Germany is slightly different in that you submit your HTA at the same time as launching. We submitted our health technology assessment on May the 1st. Very soon after that, we launched the product. When you launch and submit your HTA, you have a free price period in Germany. Our list price, which is listed, is EUR 751.61, a very specific number. It is the lowest list price of the commonly prescribed treatments. One treatment has a lower list price, and that is brolucizumab, which is brand name Beovu, which is rarely used because of some of the safety concerns that were seen a number of years back. We will start price negotiations in Germany in quarter four of this year. We should see a kind of post-negotiation list price in Germany coming into place in the early part of 2026.

That's where we're at.

Moderator

Great. All right. You mentioned you now have marketing authorization in both Germany and the U.K. How are you approaching the commercial launch of LightNava in each of those markets?

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Yes. Obviously, every market is different. I already alluded to the fact, you know, that there's different levels of uptake with respect to off-label repackaged bevacizumab in both markets. Before I talk about the differences and dive into the U.K. and Germany, there are a lot of commonalities. As I mentioned, our positioning is as a cost-effective first-line on-label treatment option. Subnational access is critical. We just covered national access. Actually, regional and local access are critical to your success in both of those markets. I think what's really important is that both markets are very concentrated. A lot of the prescriptions come from a relatively small number of the overall centers that are in each country. One thing I would like to highlight as well is our teams. What's common across our teams is that they have a lot of ophthalmology experience.

They have long-standing relationships with a lot of the top HCPs and other stakeholders in the market. We have people from Apellis, like myself. We have people from Bayer. We have people from Alcon. We have people from Novartis. We have a really, really strong team in place in both countries. I think, you know, just to look at Germany with respect to subnational access, essentially, the drugs are reimbursed by the insurance funds, which are insurance companies called SIC funds in Germany. We recognized very early on, the team recognized very early on that we would have to have rebate agreements in place with those insurance companies when we launched if we were to see any uptake of LightNava.

I think what's really encouraging is that, you know, when we launched, we had rebate agreements in place with insurance companies that essentially cover 50% of the population. That's going to increase rapidly. By the end of the year, we'll have 90% of the insured population in Germany covered with rebate agreements. The team have done a tremendous job there. 20% of the market in Germany is hospital, which is very similar to the U.K. Actually, 80% is community-based, which I believe is similar to the U.S., but Jeff can correct me if I'm wrong. That's a very unique market within Germany because in that market, all of the product that's used is compounded. Whether it's off-label bevacizumab, whether it's Aflibercept, whether it's Furosemab, everything goes through a compounding pharmacy, and the vials are split.

We have worked hard to understand the dynamic of that market. Obviously, we have set rebates and set net prices that account for that dynamic within the marketplace. Yeah, and we have a full team on the ground in the field. We have five key account managers. We have one in-field market access manager. We have two MSLs. We are covering the top accounts. We are going to expand the team and expand coverage over the coming months. Everything is in a good place in Germany. To switch to the U.K., I mentioned national reimbursement. After national reimbursement, step two is that you get regional reimbursement. There are 42 regional health boards called Integrated Care Boards. You need to be on those regional formularies. Before we launched, we sent out a team to get us onto those formularies. As of today, we are on 90% of those formularies.

Step three is that you leverage that regional formulary status to get onto the local or hospital-level formularies. That is what our team are working on now. It is really only a step that you can take once you have launched the product. We are working hard on that now. Even in the last few weeks, we have seen really positive traction there. Final point on the U.K., it is a little simpler because it is only hospital-based. 80% of all the injections in the U.K. happen in 40 hospitals. We have a team of three key account managers, one MSL, and essentially a commercial lead who spends a lot of airtime in the field as well covering those 40 hospitals. Also, you know, in a good place. I think, you know, Jeff mentioned the positive feedback from customers.

Everything we're hearing from the market in the last few weeks since we've launched has been very, very positive. All very encouraging.

Moderator

Excellent. Jed, you did discuss some of the differences between Germany and the U.K. and the approach. Are there specific nuances in each market that affect how you are approaching the launch?

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Yeah. I mean, I think it's really what I talked about is, you know, the commonality of subnational access. It's really just how the product moves through the markets and where the product is prescribed in the markets. I think the community-based dynamic in Germany and the fact that it moves through compounding pharmacies is a real nuance that we've worked hard to understand. In fact, you know, there's a company in Germany called Contracare who, you know, have been in the market for a very long time. We've contracted with them to be our essentially wholesaler one. They manage all of our distribution in Germany. It's not just about distributing the product. They have long-standing relationships with all of the key stakeholders, including the compounding pharmacies. They understand the market intimately. That's been really, really beneficial for us.

The U.K., as I said, it's really about what we do at a local level with the hospital-level payers now to make sure that we see uptake of the drug.

Moderator

Excellent. I'm going to stick with you, Jed, because I've got some follow-up questions here. What educational efforts are in place to support physician onboarding and ensure appropriate use of LightNava right at launch? Are there particular training programs, advisory boards, or peer-to-peer outreach initiatives planned?

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Yeah. Luckily, LightNava is really just like any other anti-VEGF. It's very, very straightforward. It's delivered in a vial. The right volume needs to be drawn up and delivered by intravitreal injection using common needle, common syringe that will be used for all intravitreal injections. In terms of training physicians or even nurses in the U.K. on how to administer the product, there's no lift there. We don't need to teach them what they already know what to do, which is great, which means that the uptake and the implementation of LightNava into the treatment pathway is relatively simple. You know, I think Jeff talked about the fact that we have to differentiate from off-label bevacizumab. Obviously, we have to educate doctors on LightNava, the label for LightNava, the clinical data for LightNava. That's our focus. Our focus is those two things.

One, to make sure they understand that we have the ophthalmic formulation of bevacizumab and what that means. Two, that we've got very compelling clinical data. Our product is just as good as any other products. That's not just us that are saying that. NICE have said that in their recommendation. What we have to do is just communicate through all channels. Obviously, we have teams in the field. One-to-one interactions are critical. We have national meetings. You know, we had a launch meeting in Germany at a national congress in May. Similarly, in the U.K., there was a national congress in May that we used as our launch meeting. We're doing a lot of local and regional meetings. The German team were only telling me yesterday it's a bit like the U.S.

You could go to an ophthalmology meeting at a regional or local level every weekend. That is exactly what the team are doing. They are going to all of the key events. Everything else from digital to PR to medical education, all things that we are working through, targeting payers, healthcare professionals, patient groups, and of course, any relevant HCP associations. We have run some very successful advisory boards. The feedback has always been encouraging from those advisory boards. The medical team have worked hard to build up a kind of a bank of KOLs that can advise us as we move forward with the launch.

Jeff Evanson
Chief Commercial Officer, Outlook Therapeutics, Inc.

Yeah. Maybe, Janine, I could just add a little bit from the global chair, including a U.S. point of view. The one encouraging thing here, too, as Jed articulated, is that we have a unified position with this product across all geographies. I think our work is really about getting patients to be started on this drug. We call that start and stay. For the wet AMD patients that are initially diagnosed, we're earning the right to be the first choice that a physician thinks of to prescribe for that patient. That has been really nice for us as we think of the global teams, those that Jed is building, but even look back to the U.S. ultimately, should we get our approval.

That has been great because we can have a brand position that is really reflecting on the data that Jed mentions among really good data that we generated in our RS2 study, and along with our pricing strategy that I think will be differentiated from others, I would just say. I think as we think of a pricing corridor, we do a lot of work to understand the ideal pricing corridor for products when we launch globally. I think we are going to bring to the table something that is a little different than what others have done in markets like the US versus Europe, for example. We are really excited about that part and then continuing to build the confidence. The nice thing here is we do not have to educate about disease awareness. They know that. We talk about patient aggregation.

They're seen by those that treat them with anti-VEGF. We're really specifically focused on the benefits of an ophthalmic bevacizumab, reflecting our data, and then with our pricing strategy, starting and staying on this product. We're really excited about all those aspects.

Moderator

Great. Thanks for that, Jeff. If we think beyond Germany and the U.K., what is the timeline and strategy for expanding into other EU markets?

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Yep. I'll take that. We're approved in 31 countries: the U.K., the EU 27. Then through EMA approval, you get Norway, Liechtenstein, and I believe the final one is Iceland. Beyond the U.K. and Germany, we're focused on 10 more countries. Obviously, Italy, Spain, and France are the other three large countries within Europe. Actually, when you combine the U.K. and Germany with those three countries, that's 80% of the total potential in terms of what we can achieve with LightNava in Europe. They're very, very important. Ireland is important because it's an easy tag on to the U.K., and the U.K. team can look after that. We'll also put the Nordics into the cluster with the U.K. We'll start looking at the Nordics as well.

You know, just like Ireland, Austria is a very easy addition for the German team. We're already working towards launching in Austria as soon as possible. Finally, we're looking at the Netherlands. The Netherlands is really interesting because we know for a fact that the centralized compounding of off-label repackaged bevacizumab can no longer occur from a legal perspective once we are available in the market. The Netherlands is not small. It is the seventh largest market in Europe. It is definitely one that we're pursuing and hoping to launch in early 2026 in that market as well. That is really it. There are 31 countries, but there is the U.K., Germany, and 10 more that we're really focused on.

Moderator

Excellent. All right. Larry, over to you. Is there a potential for a commercial or strategic partnership with a larger ophthalmology player once traction is demonstrated in Europe?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Great question, Janine. To be clear, I just want everybody to be aware that we are 100% focused on maximizing the potential of LightNava in Europe. Our assumption for the moment is that we will be marketing the drug ourselves in all of these countries in Europe that Jed mentioned, which are the countries where we want to be. However, partnering is always an option if a deal for a particular country or group of countries makes sense and benefits our shareholders. Yes, there is today the potential to partner in Europe if it makes sense. To be clear, we are planning for success in Europe using either option.

Moderator

Excellent. All right. I have one more before we turn to our live Q&A. I think it is important to mention before we finish this part of the segment that you did submit your BLA with the U.S. FDA for the potential approval in the United States. Can you provide an update on where things currently stand? When do you expect to receive a decision back from FDA?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Yeah, sure. We can't have a conversation without talking about the BLA here in the U.S. Yes, our BLA was submitted to the FDA in February of this year. We have been granted a PDUFA goal date of August 27, 2025. So far, all indications are that the review is on track for a decision by that goal date this August. We continue to believe that we have provided the FDA with everything they need to support approval of LightNava for use in the U.S. for the treatment of wet AMD. We are looking forward to a potential positive outcome later this summer.

Moderator

Excellent. All right. Let's turn to our live Q&A. I know our audience has questions. I already have seen a few come through. As a quick reminder, if you have a question, click on the Q&A button at the bottom of your screen, type in your question. I know the team has been looking forward to taking them, so we will get to as many as time allows. All right. Our first question, can you talk about pricing both in Europe and the US and how Outlook plans to position the drug to gain share compared to existing options?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Yeah. I think we started that conversation already. We know what the list prices are in the U.K. and Germany. I think it's fair to say from a European perspective, those are important markets, A, but B, that's where the high end of the price is to start. We took that into consideration as we talked about internally our global pricing strategy. Country by country is going to differ a lot. I don't think this is really the venue to go into those details yet because each pricing authority in each country has their own little niche that we're going to have to navigate through.

I think, and Jeff can speak more to this, it's important to note that all of this that we're doing in Europe and the U.S. has in mind what's going on here on the ground in the U.S. with current conversations with the administration. The nice thing for us is that this fits nicely with our global pricing strategy that we started executing on a couple of years ago. I think from that perspective, we're in pretty good shape. Happy to let Jeff and Jed fill in any more details.

Jeff Evanson
Chief Commercial Officer, Outlook Therapeutics, Inc.

Larry, maybe I would add to just those comments that one of the things that's well-studied for us is the pricing opportunity that we have where we feel like we want to really complement the work and the expectations of physicians, payers, and then also thinking about our patients. One of the things we're trying to do is really find that ideal price that works in the U.S., but also works in Europe. I think, as Larry mentioned, with the most favorite nation vernacular, how that plays out in this market specifically, I think, is unknown. I think we will have a pricing strategy that will be considering that, I think, would be the best way of saying it. One of the things that we wanted to be sure that we had the right input.

We are currently in the field, for example, in the U.S. We've been in the European markets as well with the HTAs, but with our payer community. We want their thoughts about if when launching, we feel that there is a certain value of this. We want to hear, though, what they think the value of this in the patient population. It has been a well-studied topic, I think, is the best way of summarizing it.

Moderator

Okay. Our next question, what is your liquidity situation and what additional funding will be necessary upon positive PDUFA finding?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Yeah. Our last cash position that we posted was at the end of March. Since then, we've raised a little bit of additional capital through a CMPO in May. That cash, we think, is definitely enough to get us through the PDUFA decision date and allows us to do everything we need to do to support Jed in Europe as we continue to roll out the launch there. We're pursuing a number of different opportunities for financing options, assuming that we're going to get an approval in the U.S. This is a range of different options that you would expect a small, about-to-be, or just barely commercial pharma company to be exploring, ranging from a number of non-dilutive options to the typical pathway on an equity transaction. Our goal is to minimize the dilution as much as possible to fully support the launch of LightNava in the U.S.

Our working assumption right now is that we've got a plan for an approval. That's what Jeff's put all together for us to map out how to be successful once we get that good news later this year.

Moderator

Okay. Great. Our next question, is there an estimate on how many doses have been administered in Europe as of now?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

We will provide more details when we report our results for this fiscal quarter. Like I have said already, we have got drug in the channel. There is drug sitting at the wholesalers in the U.K. and Germany. That is real revenue today. We will be able to provide more color once we get to our regular quarterly report sometime, probably in August.

Moderator

Okay. Okay. Sorry, I'm just working through this. What kind of profit margin do you anticipate?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

I'll take that question too, guys. We haven't reported anything publicly on what the margins are going to be. I'm not going to start here today on this call. It's safe to say that these are healthy margins. The market here is well understood. You know what it costs to make these products pretty universally. There's no real surprises there on the cost side. Everybody knows where these other drugs that have been approved priced. Granted, many of them are a lot higher than where we will wind up pricing in the U.S. without actually targeting a price on this call. The margins are still very healthy. We see a huge opportunity both here in the U.S. and Europe with our margin potential.

Moderator

Okay. Our next question, in which country will off-label use be prohibited with the commercialization of LightNava? I don't know why that was a tongue twister. Sorry.

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

I'm going to start that with. Technically, in the U.S., that's a country right out of the gate that we believe use of off-label Avastin will no longer be allowed once we're available for sale here in the market. I'll let Jed walk into the recap on the European countries.

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

I mean, I mentioned the Netherlands. The Netherlands, it's clear that from a legal perspective, centralized compounding of Avastin essentially will not be permitted anymore. Germany is a gray area. I mean, one of the stakeholders summarized it to me very well not too long ago and said, "It's always been illegal." It became more illegal when LightNava became available in Germany. It's not really easy to pinpoint the law that can kind of clean it up immediately. What our launch has done in Germany, it's kind of raised a lot of questions and it's shed a lot of doubt. People are really concerned that there really won't be a future for off-label bevacizumab as time goes on. What we don't want to do is we want to learn from what other companies have done in the past.

What we do not want to do is come in with a sledgehammer. We want to work with the stakeholders to find a solution that works for everyone. Italy and Spain, there are definitely some legal question marks over what can be done with respect to off-label use once we launch. In the U.K., it is not really a concern because the market share is so low. In France, there is pretty much no off-label use. Again, it is not a concern there.

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Yeah. I think it's important to note here that when we talk about the potential number of injections a year of off-label Avastin, in the U.S., it's around 2.5 million injections. Europe, similar number, 2.5 million injections. That's a huge number. Pick whatever price you want that we're talking about here in this range. If we own the whole market, this is a huge company. Realistically speaking, we don't need to come anywhere near to owning the whole market. We just need to find those physicians and those countries where it makes sense to use an approved ophthalmic formulation of bevacizumab. We have that. We think we'll get a significant percentage of that business.

I think we have the added benefit that some of the issues that doctors have seen and patients have seen with using off-label Avastin could disappear by using an approved ophthalmic formulation of a GMP-produced product for use in the eye. There is a better chance for start and stay as well. Maybe patients will stay on a bevacizumab longer. We think we have got a lot of opportunity here. We do not need 100% of the market. Even though compounding could coexist with us, it probably does not impact us too badly on our overall success.

Jeff Evanson
Chief Commercial Officer, Outlook Therapeutics, Inc.

Larry, maybe I'd add to that. I agree. I think that from a positioning point of view, we're really, Janine, trying to focus on adding something valuable in the market that they do not have today. That is really where we are not trying to take anything away. We are trying to add something that will reduce the fiddle factors, the supply disruption that has been seen, the silicone oil droplets, just even people pulling back from the market from the off-label point of view. That maybe is point one. The other part of this is the nuance. One, we had a German ad board last year. It was really remarkable what the physicians brought to our attention. There are legal aspects that I think are on the minds of many.

I think even the nuance of, one, we're available, commercially available like we are in Germany and the U.K. The German physician community, we're thinking, "I think we're going to need to inform consent to patients if we choose off-label bevacizumab when an on-label version is available." That was a really interesting point for us because there's a different way they may be thinking about it now that we're available, right? I think that'll play out even in the U.S. I think that was a really remarkable comment that we'll continue to really, as Jed mentioned, the groundswell of that thinking, I think will convince people, compel them to just choose our product.

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

100%.

Moderator

Excellent. Great ad there. Okay. Our next question is, do you think with the NORCI data submitted, do you think the NORCI data submitted to the FDA will support enough to get approval?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

That's definitely what we believe. The hurdle that needed to be achieved based on the CRL we received was we needed to provide the FDA with a second adequate and well-controlled study that provides evidence of efficacy and safety. There is no doubt anywhere that 400 patients in that study is anything short of adequate and well-controlled. There are no issues that popped up. It's a short study. There were not a lot of dropouts. There were no hang-ups there. Was the drug as safe as we've seen it in every other clinical trial we've run? Absolutely. No issues there. Efficacy, did we show efficacy? Absolutely. If you look at the data that we've published, LightNava gained three letters at day 30, four letters at day 60, and five and a half letters at day 90. You don't get improvement of vision with injections of saline, quite frankly.

The FDA has what it needs. There's definite evidence of efficacy. I think the results are what they are. At the critical 60-day endpoint for this particular study, we did not meet the endpoint. That 60-day endpoint was not going to give us a label claim of any type because it's just not long enough. Even if we'd have met the endpoint, we would not have been able to say we were not inferior to Lucentis. We are still in that boat. We've never tried to say that we are not inferior to Lucentis at any time in the last seven years. We think we've given the FDA exactly what they asked for in terms of what they need to say yes. That part is out of our hands. We did everything we could. We ran the study. We showed the results. We gave it to the FDA.

Now it's up to them. They have the decision to make in nine weeks.

Moderator

Love responses with such conviction. That's great. Is there any plan to expand the label into other indications where anti-VEGF drugs are used, such as DME or NPDR?

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Yeah. We have said this for years. We have SPAs in place approved by the FDA for diabetic macular edema as well as branch retinal vein occlusion. We think it is a good idea to potentially pursue those opportunities as well. The biggest market by far is wet AMD for us. We wanted to get that done first. I am going to be overly confident here, but once we get approved for wet AMD, then we can turn our attention to the other indications. It is probably important for us to pursue those. That is a decision we will make once we have got another approval here and start to see the revenue coming in.

Great. All right. I was going to end with, because those are our questions that have come in, but any closing remarks? I love this last question that's come in. It says, "How can you convince investors in just a few words?" I think that's a good one.

It is a very good one. I tend to talk too much, but I think what you need to think about is what's out in front of us here for the rest of 2025. The key milestones kind of sum it up. It's just a matter of weeks now. We'll be reporting our first quarterly results that will include LightNava revenue. This should be sometime in mid-August. By the end of August, we're going to get an FDA decision. We think, and I think I just made the point as to why we believe that we think we've got everything we need for an approval, but we can't control the FDA. What else you're going to see in the rest of 2025 is we'll continue to finish the launch preparations and/or begin to launch in our Wave 2 countries in Europe.

If everything goes well with the FDA, we'll be prepping for launch in the U.S. probably in early 2026, but hopefully it could be a little bit earlier, just depending on timing of a decision.

Moderator

Excellent. Okay. Certainly an exciting time for Outlook Therapeutics. This does conclude our virtual investor lunch break featuring Outlook Therapeutics. I'd like to extend a huge thank you to Larry, Jeff, and Jed for joining us today, as well as our audience for your great questions, as always. As a reminder, Outlook trades on NASDAQ under the ticker OTLK. If you like what you saw today, I encourage you to visit outlooktherapeutics.com for more information on the company and to sign up to follow the company to receive their alerts, as well as follow their social channels to stay current on the latest information. I do encourage you to do that because it's going to be an exciting next couple of months for the company. You can also visit virtualinvestorco.com for a replay of today's segment, as well as our latest events calendar.

Gentlemen, thank you so much for joining us. Thanks again to our audience. I do wish everyone a great rest of your day.

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Thanks, Janine. Thank you, everyone, for attending today. We appreciate it.

Jeff Evanson
Chief Commercial Officer, Outlook Therapeutics, Inc.

Thank you.

Jedd Comiskey
Senior Vice President and Head of Europe, Outlook Therapeutics, Inc.

Thank you. Take care.

Moderator

Bye-bye.

Lawrence Kenyon
Interim CEO and CFO, Outlook Therapeutics, Inc.

Bye.

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