Exactly! All that Nektar has to do is turn this drug into its polar opposite, and they'll have one of the greatest drugs of all time. If anyone's a Seinfeld fan, it's like that episode where George realizes that the key to success is to just do the opposite of what he normally does. He does that, and starts to be amazingly successful. That's all Nektar needs to do.
It's amusing (and sad) to see all the comments from people saying "it's just study design". Yeah, if they just removed comparison with placebo, they would have a great drug - one with the same power as a placebo.