Company Description
4D Molecular Therapeutics, Inc. (Nasdaq: FDMT) is a late-stage biotechnology company that focuses on developing durable, disease-targeted genetic medicines. According to company disclosures, 4D Molecular Therapeutics (4DMT) is advancing product candidates that aim to transform treatment paradigms and provide significant benefits for patients with serious diseases, particularly in ophthalmology and pulmonology.
4DMT’s work centers on gene therapy product candidates that use targeted and evolved adeno-associated virus (AAV) vectors. The company describes its approach as advancing durable therapeutics designed to address underlying disease mechanisms and reduce treatment burden in chronic conditions.
Lead Ophthalmology Program: 4D-150
The company’s lead product candidate is 4D-150, which is being developed as a backbone therapy for blinding retinal vascular diseases. 4DMT states that 4D-150 is designed to provide multi-year sustained delivery of anti-VEGF agents, specifically aflibercept and anti-VEGF-C, through a single intravitreal injection. This approach is intended to substantially reduce the need for frequent bolus injections that are common in current treatment regimens.
The lead indication for 4D-150 is wet age-related macular degeneration (wet AMD), where the program is in Phase 3 clinical development, including the 4FRONT-1 and 4FRONT-2 trials. A second indication for 4D-150 is diabetic macular edema (DME), where the company is advancing clinical development and planning global Phase 3 studies. Earlier-stage trials, such as the PRISM Phase 1/2 study in wet AMD and the SPECTRA Phase 1/2 study in DME, are being used to evaluate long-term safety, durability and clinical activity.
4DMT has also entered into a collaboration and license agreement with Otsuka Pharmaceutical Co., Ltd. Under this agreement, Otsuka has exclusive rights to develop and commercialize 4D-150 for ophthalmological diseases, including wet AMD and DME, in Japan, China, Australia and other Asia-Pacific markets. 4DMT continues to lead global Phase 3 clinical activity, including within the Asia-Pacific region, while Otsuka leads regulatory and commercialization activities in its licensed territories. 4DMT retains full development and commercialization rights for 4D-150 outside the Asia-Pacific region, including the United States, Latin America and Europe.
Pulmonology Program: 4D-710 in Cystic Fibrosis Lung Disease
The company’s second product candidate is 4D-710, developed for the treatment of cystic fibrosis (CF) lung disease. 4DMT describes 4D-710 as a durable, redosable and variant-agnostic genetic medicine that addresses the underlying cause of CF by delivering a CFTR transgene to the lungs. The product candidate combines a targeted, evolved next-generation aerosolized AAV vector, referred to as A101, with a codon-optimized CFTR∆R transgene.
4D-710 is being evaluated in the AEROW Phase 1/2 clinical trial, which assesses its impact on overall lung health, including small airway function, airway structure and quality of life. Interim data from the AEROW Phase 1 trial have shown CFTR transgene expression in the lungs of people with CF after aerosol delivery, along with evidence of clinical activity across lung function and symptom measures at the dose selected for Phase 2. The program has received support from the Cystic Fibrosis Foundation through an equity investment intended to help advance 4D-710 into later-stage development.
Additional Pipeline Programs
Beyond its two lead clinical programs, 4DMT is advancing other gene therapy candidates. These include 4D-175 for geographic atrophy, where additional clinical development is described as pending financing and potential partnerships, and 4D-725 for A1AT lung disease, which is in preclinical development and is funded by the California Institute for Regenerative Medicine. 4D-710 and 4D-725 are part of the company’s pulmonology focus, while 4D-175 extends its ophthalmology portfolio into geographic atrophy.
Clinical-Stage Focus and Regulatory Status
All of 4DMT’s product candidates are in clinical or preclinical development and, as stated in company communications, have not been approved for marketing by the U.S. Food and Drug Administration or any other regulatory authority. The company makes no representation in its disclosures as to the safety or effectiveness of these product candidates for the therapeutic uses for which they are being studied.
4DMT’s development programs involve multiple Phase 1, Phase 2 and Phase 3 trials designed to evaluate long-term safety, durability of effect and potential to reduce treatment burden. In wet AMD, the PRISM trial has generated long-term interim data on visual acuity, retinal anatomy and supplemental injection burden, while the 4FRONT Phase 3 program is designed to support potential global registration. In DME, the SPECTRA trial has evaluated safety and signals of clinical activity, including changes in visual acuity and retinal thickness, along with injection burden.
Partnerships, Capital Markets and Corporate Governance
4D Molecular Therapeutics is listed on the Nasdaq Global Select Market under the symbol FDMT, with its common stock registered pursuant to Section 12(b) of the Securities Exchange Act of 1934. The company has used public equity offerings and strategic collaborations to fund its operations and clinical programs. For example, it has completed underwritten offerings of common stock and pre-funded warrants, with net proceeds used to support clinical development, including Phase 3 trials of 4D-150 and advancement of 4D-710.
The collaboration and license agreement with Otsuka is a key component of 4DMT’s strategy to develop and commercialize 4D-150 in Asia-Pacific markets while maintaining rights in other regions. The company and Otsuka have established a joint steering committee to coordinate development, commercialization and manufacturing activities for 4D-150 in the licensed field and territory.
4DMT’s corporate governance and leadership structure are documented through SEC filings that describe appointments and transitions of senior executives and directors, amendments to bylaws, and stockholder voting outcomes on matters such as director elections, auditor ratification and advisory votes on executive compensation. These disclosures provide insight into the company’s oversight, governance practices and approach to executive and board composition.
Headquarters and Regulatory Filings
According to its SEC filings, 4D Molecular Therapeutics, Inc. is based in Emeryville, California. As a public company, it files periodic and current reports with the U.S. Securities and Exchange Commission, including Forms 10-K, 10-Q and 8-K, which provide information on its financial condition, clinical progress, material agreements and corporate actions.
Investors and researchers can review these filings to understand the status of 4DMT’s clinical programs, collaborations, financing activities and governance decisions. The company also participates in healthcare and investor conferences, where it presents updates on its pipeline and strategic outlook.
Risk Profile and Development Stage
4D Molecular Therapeutics is a clinical-stage biotechnology company, meaning that its product candidates are still undergoing clinical and preclinical evaluation. The company emphasizes in its public statements that none of its candidates have received marketing approval, and that their safety and effectiveness remain under investigation. As with other clinical-stage gene therapy companies, outcomes of ongoing and future trials, regulatory interactions and financing activities are important factors in its long-term prospects.