New eye drug combo aims to tackle Diabetes-Related vision loss
NCT ID NCT07425522
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This early-stage trial tests an experimental drug called RO7823653, given as an eye injection alone or with an approved drug (faricimab), for people with diabetic macular edema—a condition where diabetes causes fluid buildup and vision loss in the center of the eye. The study will enroll 93 participants to check safety, side effects, and how the drug behaves in the body. It is not yet known if the drug improves vision, as the main goal is to find a safe dose.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RO7823653 (an experimental drug) and faricimab (an approved drug), both given as eye injections
- What this could lead to
- If successful, this could point toward a new treatment option for diabetic macular edema that may help reduce retinal swelling and improve vision.
- What could go wrong
- This is a very early Phase 1 trial with only 93 participants, focused on safety. The drug may not work or could cause side effects like eye inflammation or infection from the injections.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 93 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of diabetes mellitus (type 1 or type 2), as defined by the World Health Organization (WHO) and/or American Diabetes Association * Glycated hemoglobin (HbA1c) \<= 12% * For study eye: Macular thickening secondary to DME involving the center of the fovea with central subfield thickness (CST) \>= 325 micrometers (µm) as measured by SD-OCT and BCVA of 65 to 35 letters Exclusion Criteria: * Currently untreated diabetes mellitus or previously untreated participants who initiated oral anti-diabetic medication or insulin within 90 days prior to Day 1 * Pregnant or breastfeeding, or intending to become pregnant during the study or within the timeframe in which contraception is required * Uncontrolled blood pressure * For Parts 1 and 2: Any history of ocular injection/implant therapy (e.g., anti-vascular endothelial growth factor agents (anti-VEGF), anti-VEGF/anti-angiopoietin-2 (Ang-2 agents), corticosteroids, device implant. * For Part 3: History of treatment with any of the following: Aflibercept 2 mg, ranibizumab, bevacizumab, or anti-VEGF biosimilars within 90 days prior to Day 1; Aflibercept 8 mg, brolucizumab, or faricimab within 120 days prior to Day 1; Triamcinolone acetonide (IVT, suprachoroidal, or periocular) within 120 days prior to Day 1; Dexamethasone intravitreal implant within 180 days prior to Day 1; Fluocinolone acetonide (FA) intravitreal implant within 3 years prior to Day 1; Device implant * History of uveitis, vitritis (grade trace or above), and/or scleritis in either eye * Active intraocular inflammation in either eye * Any previously documented or current proliferative diabetic retinopathy (PDR) in the study eye
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
12 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Associated Retina Consultants - Peoria - DocTrials - PPDS
RECRUITINGPeoria, Arizona, 85381-3690, United States
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Austin Clinical Research, LLC
RECRUITINGAustin, Texas, 78750-2298, United States
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Bay Area Retina Specialists Medical Group - Vestrum - PPDS
RECRUITINGWalnut Creek, California, 94598-5915, United States
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Charles Retina Institute
RECRUITINGGermantown, Tennessee, 38138-2405, United States
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Erie Retina Research, LLC - 300 State St
RECRUITINGErie, Pennsylvania, 16507-1429, United States
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Piedmont Eye Center
RECRUITINGLynchburg, Virginia, 24502-4271, United States
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Retina Consultants of Texas Westover Hills Retina Center
RECRUITINGSan Antonio, Texas, 78251, United States
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Retina Research Institute of Texas
RECRUITINGAbilene, Texas, 79606-1224, United States
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Retina Vitreous Associates of Florida
RECRUITINGSt. Petersburg, Florida, 33711-1141, United States
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Retina-Vitreous Associates Medical Group
RECRUITINGBeverly Hills, California, 90211-1838, United States
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Wills Eye Hospital
RECRUITINGPhiladelphia, Pennsylvania, 19107-5109, United States
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Wilmer Eye Institute
RECRUITINGBaltimore, Maryland, 21287-0005, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- The 20-Minute squeeze: how eye injections push pressure up
- Could years of eye injections weigh down the upper eyelid?
- Eye implant takes aim at diabetic macular edema
- Can a single gene therapy injection ease diabetic macular edema?
- Can a new eye injection preserve vision in south asians with diabetes?
- Could a biosimilar eye injection offer a new way to treat diabetic macular edema?