Pioneering first-in-class antagonists for retinoid and rexinoid nuclear receptor pathways

Kayothera specializes in inhibiting two historically difficult nuclear receptor pathways: retinoid and rexinoid signaling. Its oral small-molecule approach is designed to block formation of nuclear receptor ligands across cardiometabolic disease, obesity, cancer biology, and other unmet medical needs.

Cellular and molecular visualization of upstream retinoid pathway inhibition
Upstream control Ligand formation Before RAR / RXR activation
01First-in-class approach
02Oral small molecules
03Multi-program pipeline
04Peer-reviewed foundation

Mechanism

A new way to block disease-driving nuclear receptor signaling

Kayothera focuses on inhibiting the formation of retinoid and rexinoid ligands upstream, before nuclear receptor activation.

Retinol enters tissue biologyALDH enzymes generate ligandsLigands activate RAR / RXRPathway activity shapes disease biologyKayothera targets the source
Active viewVitamin A / retinol

01 / Vitamin A / retinol

Retinol enters tissue biology

Dietary vitamin A is transported and processed across tissue-specific pathways.

02 / Upstream ligand formation

ALDH enzymes generate ligands

ALDH1a enzymes participate in forming retinoid and rexinoid nuclear receptor ligands.

03 / Nuclear receptor signaling

Ligands activate RAR / RXR

Retinoic acid and rexinoid ligands activate nuclear receptor signaling and transcription.

04 / Multiple disease areas

Pathway activity shapes disease biology

Scientific evidence connects retinoid signaling with metabolism, immunity, cancer biology, and reproduction.

05 / Inhibition strategy

Kayothera targets the source

Kayothera is developing oral small molecules designed to inhibit ligand formation upstream.

01 / 05

Scientific inflection point

From pathway activation to pathway inhibition

For decades, retinoid biology has been studied largely through activation. Kayothera is focused on the other side of the pathway: inhibiting retinoid and rexinoid ligand formation upstream.

01

Historically difficult pathway

Two of the last remaining nuclear receptor pathways to be drugged with inhibitors.

02

Upstream ligand strategy

Target ligand formation before RAR or RXR nuclear receptor activation.

03

One biological foundation

A platform rationale spanning metabolism, cancer biology, and reproductive health.

Disease opportunities

Multiple opportunities from one biological foundation

03Platform science
Tumor microenvironment and retinoid signaling visualization

Cancer biology

Retinoid signaling and immune / metabolic tumor biology

Explore science →
04KAYO-1609
Reproductive biology and retinoic acid synthesis visualization

Reproductive health

ALDH1a2, retinoic acid synthesis and Sertoli cells

Explore science →

Pipeline

Pipeline command center

Three programs connected by one upstream biological foundation.

Program selector03 active programs
Development pathwayPreclinical focus

Current development focus

KAYO-1732

Designed to inhibit retinoid synthesis in tissues relevant to type 2 diabetes and cardiometabolic disease, with a development focus on beta-cell function and metabolic health.

Disease area
Type 2 diabetes / cardiometabolic disease
Supporting science
ALDH1a3 biology, pancreatic beta-cell function, adipose tissue and vasculature.
Next milestone
Preclinical development priorities
View program details
Development pathwayPreclinical focus

Current development focus

KAYO-2000

Designed to target rexinoid pathway biology tied to thyroid function, mitochondrial function, adipogenesis, and energy expenditure.

Disease area
Obesity
Supporting science
Rexinoid signaling, thyroid and mitochondrial function, and energy expenditure.
Next milestone
Lead program development priorities
View program details
Development pathwayPreclinical focus

Current development focus

KAYO-1609

Designed to inhibit ALDH1a2-mediated retinoic acid synthesis in reproductive biology, with relevance to spermatogenesis and male contraceptive development.

Disease area
Male contraceptive / reproductive health
Supporting science
ALDH1a2, retinoic acid synthesis, Sertoli cells, and spermatogenesis.
Next milestone
Future development priority
View program details
Accessible pipeline overview
ProgramDisease areaPathway relevance
KAYO-1732Type 2 diabetes / cardiometabolic diseaseRetinoid synthesis / ALDH1a3-related biology
KAYO-2000ObesityRexinoid pathway / ALDH1a1-related biology
KAYO-1609Male contraceptive / reproductive healthALDH1a2 / retinoic acid synthesis / Sertoli cells

Progress + roadmap

Progress mapped to value creation

Completed milestones build the scientific and organizational foundation for disciplined future development.

Completed progressForward roadmap
2026.02

Advisory

Clinical Advisory Board expansion

Key opinion leaders in beta-cell health and type 2 diabetes joined the Clinical Advisory Board.

2026.01

Science

Anti-tumor immunity research

New research and news advanced understanding of retinoic acid signaling in cancer immunity.

2025.10

Publication

Foundational iScience research

Research on retinoid nuclear receptor pathway antagonists through targeting ALDH1A3 was published.

2025.09

Pipeline

KAYO-1732 nominated

KAYO-1732 was selected as a development candidate for type 2 diabetes and cardiometabolic indications.

Forward
roadmap
In progress

Development priority

Lead program selection

Advance program-specific small molecules and development priorities.

Planned

Development priority

Preclinical development

Evaluate selected candidates in development-enabling studies.

Future priority

Development priority

IND-enabling preparation

Prepare development packages subject to study outcomes and strategy.

Forward-looking development priorities are subject to study outcomes, regulatory feedback, funding, and company strategy.

View forward roadmap →

Investor perspective

The investment thesis

01

First-in-class biology

Targeting retinoid and rexinoid ligand formation upstream.

02

Oral small-molecule platform

A modality designed for development across major disease areas.

03

Multiple disease opportunities

Programs in cardiometabolic disease, obesity, and reproductive health.

04

Clear milestone path

A roadmap grounded in scientific evidence and program development.

Company proof

A growing foundation of science, leadership, and recognition

01

Publications

Peer-reviewed work in JEM, iScience, Nature Communications, and other journals.

02

Advisory expertise

Scientific and clinical advisors spanning beta-cell health, diabetes, and translational development.

03

Recognition

American Diabetes Association Innovation Challenge recognition.

04

Funding ecosystem

Backed by investors and grant funding supporting company development.

Latest

Company news

Advisory

Kayothera Announces Expansion of Clinical Advisory Board

Key opinion leaders in beta-cell health and type 2 diabetes added to the Clinical Advisory Board.

Read more →
Science

A nuclear target to revive anti-tumor immunity

Research advances understanding of how all-trans retinoic acid compromises anti-cancer immunity.

Read more →
Publication

Development of retinoid nuclear receptor pathway antagonists through targeting ALDH1A3

Foundational iScience research on drugging the retinoid nuclear receptor pathway.

Read more →
View all news →

Connect with Kayothera

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