Bi 764524

BI 764524 is an investigational drug currently being studied in clinical trials for the treatment of diabetic retinopathy, a serious eye condition affecting people with diabetes. These trials aim to evaluate the safety, tolerability, and effectiveness of BI 764524 in patients with various stages of diabetic retinopathy, including those who have undergone laser treatment and those with non-proliferative diabetic retinopathy.

Table of Contents

What is BI 764524?

BI 764524 is a new investigational medicine being developed to treat eye conditions related to diabetes[1]. It is currently being studied in clinical trials to determine its safety, effectiveness, and the best way to use it for patients with diabetic retinopathy.

What Conditions Does BI 764524 Treat?

BI 764524 is primarily being studied for the treatment of diabetic retinopathy[1][2]. Diabetic retinopathy is an eye condition that affects people with diabetes. It occurs when high blood sugar levels damage the blood vessels in the retina, which is the light-sensitive tissue at the back of the eye. This can lead to vision problems and, if left untreated, can cause blindness.

Specifically, BI 764524 is being investigated for:

  • Proliferative diabetic retinopathy (PDR) with diabetic macular ischemia (DMI): This is an advanced stage of diabetic retinopathy where new, abnormal blood vessels grow in the retina. DMI occurs when small blood vessels in the central part of the retina (macula) become blocked, reducing blood flow[1].
  • Moderately severe to severe non-proliferative diabetic retinopathy: This is an earlier stage of diabetic retinopathy where damage to the retina is present, but new blood vessels haven’t yet started to grow[2].

How is BI 764524 Administered?

BI 764524 is administered through intravitreal injections[1][2]. This means the medicine is injected directly into the eye. The injection is typically given in a doctor’s office or clinic. The frequency of injections may vary depending on the specific treatment plan and the results of ongoing clinical trials.

Clinical Trials and Research

BI 764524 is currently being studied in several clinical trials:

  1. The HORNBILL Study (NCT04424290): This is a first-in-human trial to study the safety and tolerability of BI 764524 in patients with proliferative diabetic retinopathy who have previously undergone laser treatment[1]. The study has two parts:
    • Single Rising Dose (SRD) part: Patients receive a single injection of BI 764524 at different dose levels.
    • Multiple Dosing (MD) part: Patients receive multiple injections of BI 764524 or sham injections over time.
  2. The CRIMSON Study (NCT06321302): This is a larger study testing whether BI 764524 helps people with moderately severe to severe non-proliferative diabetic retinopathy[2]. The study compares different dosing regimens of BI 764524 to sham injections and, in the USA, to aflibercept (a currently approved treatment for diabetic retinopathy).

Potential Benefits

While the full benefits of BI 764524 are still being studied, researchers are looking at several potential improvements for patients[2]:

  • Improvement in the severity of diabetic retinopathy, as measured by the Diabetic Retinopathy Severity Scale (DRSS)
  • Prevention of vision-threatening complications
  • Improvement in visual acuity (sharpness of vision)
  • Reduction in central retinal thickness
  • Prevention of worsening diabetic retinopathy
  • Prevention of progression to proliferative diabetic retinopathy
  • Prevention of diabetic macular edema (swelling in the central part of the retina)

Safety and Side Effects

As BI 764524 is still in clinical trials, its full safety profile is not yet known. The ongoing studies are carefully monitoring for any side effects or adverse events related to the treatment[1][2]. Researchers are particularly interested in:

  • Drug-related adverse events
  • Ocular adverse events (side effects affecting the eye)
  • Dose-limiting events (side effects that might limit the amount of medicine that can be given)

It’s important to note that all medical treatments can have potential side effects, and the benefits and risks should be discussed with a healthcare provider. As research continues, more information about the safety and effectiveness of BI 764524 will become available.

Aspect Details
Drug Name BI 764524
Condition Studied Diabetic Retinopathy (various stages)
Administration Method Intravitreal injection (into the eye)
Trial Phases First-in-Human and Phase 2
Primary Objectives Safety, tolerability, and efficacy assessment
Key Outcome Measures Diabetic Retinopathy Severity Scale (DRSS) improvement, vision-threatening complications, visual acuity changes
Trial Duration 5 months to 1.5 years
Comparators Sham injections, Aflibercept (in US only)

Ongoing Clinical Trials on Bi 764524

  • Study on BI 764524 for Patients with Moderate to Severe Diabetic Retinopathy

    Not recruiting

    2 1
    Investigated diseases:
    Investigated drugs:
    Germany Hungary Italy Poland Spain

Glossary

  • Diabetic Retinopathy: A complication of diabetes that affects the blood vessels in the retina, potentially leading to vision problems or blindness if left untreated.
  • Intravitreal Injection: A procedure where medication is injected directly into the vitreous, the gel-like substance in the back of the eye.
  • Panretinal Photocoagulation (PRP): A laser treatment used to treat proliferative diabetic retinopathy by reducing abnormal blood vessel growth in the retina.
  • Diabetic Macular Ischemia (DMI): A condition where blood flow to the macula, the central part of the retina, is reduced due to diabetes-related damage to blood vessels.
  • Foveal Avascular Zone (FAZ): The area in the center of the retina that is free of blood vessels and responsible for our sharpest vision.
  • Best Corrected Visual Acuity (BCVA): The best vision a person can achieve with the help of corrective lenses, measured using an eye chart.
  • Central Retinal Thickness (CRT): The thickness of the central part of the retina, which can be measured using special imaging techniques.
  • Diabetic Retinopathy Severity Scale (DRSS): A standardized scale used to assess the severity of diabetic retinopathy, ranging from no retinopathy to advanced proliferative diabetic retinopathy.
  • Sham Injection: A procedure that mimics a real injection but does not actually involve inserting a needle or administering medication, used as a control in clinical trials.
  • Optical Coherence Tomography Angiography (OCTA): An advanced imaging technique that allows doctors to visualize blood flow in the retina without the need for injecting dye.

References

  1. https://clinicaltrials.gov/study/NCT04424290
  2. https://clinicaltrials.gov/study/NCT06321302