BI 1815368 for centre-involved diabetic macular edema.
Official title: A Randomised, Double-masked, Placebo-controlled Trial to Evaluate the Efficacy, Safety, and Tolerability of Oral BI 1815368 in Participants With Centre-involved Diabetic Macular Edema for 48 Weeks of Treatment (THULITE)
Run by Boehringer Ingelheim · NCT06962839 · Data updated 2026-11-12
This study will test whether the oral medicine BI 1815368 can improve vision in adults with centre-involved diabetic macular edema and determine the best dose.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Boehringer Ingelheim Industry-sponsored |
| Drugs / interventions | faricimab |
| Locations | 97 sites (Phoenix, Arizona and 96 other locations) |
| Status | Recruiting |
| Started | June 5, 2025 |
| Main results expected | March 1, 2028 |
| Study ends | March 29, 2028 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT06962839 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with type 1 or type 2 diabetes, stable diabetes medications and HbA1c <12%, centre-involved DME with central subfield thickness ≥320 µm on SD-OCT, and best-corrected ETDRS vision between 24 and 78 letters are ideal candidates.
✕Probably not a fit
People whose macular edema is due to causes other than CI-DME, those with proliferative diabetic retinopathy or iris neovascularization in the study eye, or those with recent or planned intraocular treatments are unlikely to benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with centre-involved diabetic macular edema confirmed by SD-OCT and meeting visual acuity and diabetes control criteria are enrolled for about one year. The trial has two randomized parts: Part 1 randomizes participants 1:1 to BI 1815368 or matching placebo, and Part 2 randomizes participants 1:1:1:1 to three different daily doses of BI 1815368 or placebo. All participants take tablets twice daily for roughly 11 months while undergoing scheduled eye exams and imaging to track vision and retinal thickness. The main goals are to see if BI 1815368 improves sight and to identify the most suitable dose.
Why it matters
Potential benefit: If successful, BI 1815368 could improve vision and provide an oral treatment alternative to injections for people with CI-DME.
How similar studies have gone: Approved DME treatments are mainly intravitreal anti-VEGF injections and successful oral therapies for DME are limited, so an effective oral agent would be a relatively novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: * ≥18 years of age * Diagnosis of diabetes mellitus (DM) (type 1 or type 2), Haemoglobin A1C (HbA1c) \<12% treated with stable medication for at least 30 days prior to Day 1; no already-set plans for major changes in DM medication (e.g. start of new medication) at the time of screening and baseline * Centre-involved diabetic macular edema (CI-DME) confirmed on spectral domain optical coherence tomography (SD-OCT) with central subfield foveal thickness (CST) ≥320 µm in the study eye at screening * Best corrected visual acuity (BCVA) visual acuity Early Treatment Diabetic Retinopathy Study (ETDRS) letter score in the study eye between 24 and 78 (Snellen equivalent range 20/320 to 20/32) at screening Further inclusion criteria apply. Exclusion criteria: * Macular edema considered to be due to other causes than CI-DME in the study eye * Proliferative diabetic retinopathy or iris neovascularisation (including the anterior chamber angle) in the study eye * Intravitreal (IVT) anti-vascular endothelial growth factor (VEGF) treatment in the study eye is not allowed within 8 weeks prior to Day 1, except for faricimab or aflibercept 8 mg, for which a 16-week washout period prior to Day 1 is required. There is no limit on the total number of prior IVT antiVEGF injections, provided that the subject has demonstrated a response to prior antiVEGF treatment (at the investigator's discretion) and the anatomical integrity is confirmed by the central reading centre (CRC) at screening based on spectral domain optical coherence tomography (SD-OCT). * Any history of panretinal photocoagulation, vitreoretinal surgery, IVT or periocular corticosteroid treatment (within 12 months before Day 1), history of fluocinolone ophthalmic implant or dexamethasone IVT implant before Day 1, or topical steroid or nonsteroidal anti-inflammatory drug (NSAID) treatment (within 30 days before Day 1) * Prior macular laser photocoagulation performed more than 3 months prior to Day 1 is permitted if absence of scar-like changes within the 1-mm diameter region centred on the fovea is confirmed by the CRC at screening based on SD-OCT * Active ocular inflammation or any history of intraocular inflammation within 1 year * Aphakia or total absence of the posterior capsule; Yttrium aluminium garnet (YAG) laser capsulotomy in the study eye is permitted if more than 2 months prior to Day 1 Further exclusion criteria apply.
Where it's running
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Win Retina
Arcadia, California, United States Recruiting -
Retina Associates of Southern California
Huntington Beach, California, United States Recruiting -
Retinal Consultants Medical Group, Inc
Modesto, California, United States Recruiting -
Doheny Eye Center UCLA Arcadia
Pasadena, California, United States Recruiting -
Retina Consultants of San Diego
Poway, California, United States Recruiting -
West Coast Retina Medical Group, Inc.
San Francisco, California, United States Recruiting
Show 44 more locations
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Colorado Retina Associates
Lakewood, Colorado, United States Recruiting -
Advanced Research Institute
Pompano Beach, Florida, United States Recruiting -
Center for Retina and Macular Disease
Winter Haven, Florida, United States Recruiting -
Associated Vitreoretinal and Uveitis Consultants
Carmel, Indiana, United States Recruiting -
University of Kansas Medical Center
Kansas City, Kansas, United States Recruiting -
Cumberland Valley Retina Consultants
Hagerstown, Maryland, United States Recruiting -
Sierra Eye Associates
Reno, Nevada, United States Recruiting -
North Carolina Retina Associates
Wake Forest, North Carolina, United States Recruiting -
Verum Research, LLC
Eugene, Oregon, United States Recruiting -
Tennessee Retina
Nashville, Tennessee, United States Recruiting -
Austin Research Center for Retina, PLLC
Austin, Texas, United States Recruiting -
Austin Retina Associates
Austin, Texas, United States Recruiting -
Austin Clinical Research, LLC
Austin, Texas, United States Recruiting -
Texas Retina Associates
Dallas, Texas, United States Recruiting -
Retina Center Of Texas
Southlake, Texas, United States Recruiting -
Retina Consultants of Texas
The Woodlands, Texas, United States Recruiting -
West China Hospital, Sichuan University
Chengdu, China Recruiting -
Shanghai General Hospital
Shanghai, China Recruiting -
The Fourth People's Hospital of Shenyang
Shenyang, China Recruiting -
Shijiazhuang People's Hospital
Shijiazhuang, China Recruiting -
Shanxi Eye Hospital
Taiyuan, China Recruiting -
University Hospital Hradec Kralove (FNHK)
Hradec Králové, Czechia Recruiting -
University Hospital Ostrava
Ostrava-Poruba, Czechia Recruiting -
Oftex s.r.o.
Pardubice, Czechia Recruiting -
Fakultni nemocnice Kralovske Vinohrady
Prague, Czechia Recruiting -
Vseobecna Fakultni Nemocnice V Praze
Prague, Czechia Recruiting -
Fakultni Thomayerova nemocnice
Prague, Czechia Recruiting -
Axon Clinical s.r.o.
Prague, Czechia Recruiting -
Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Germany Recruiting -
Universitätsklinikum Düsseldorf
Düsseldorf, Germany Recruiting -
Universitätsklinikum Leipzig
Leipzig, Germany Recruiting -
Universitätsklinikum Mannheim GmbH
Mannheim, Germany Recruiting -
Augenzentrum am St. Franziskus-Hospital Münster
Münster, Germany Recruiting -
Central Hospital of Northern Pest - Military Hospital
Budapest, Hungary Recruiting -
Budapesti Bajcsy-Zsilinszky Korhaz es Rendelointezet
Budapest, Hungary Recruiting -
Budapest Retina Associations Kft.
Budapest, Hungary Recruiting -
Budapesti Jahn Ferenc Del-pesti Korhaz es Rendelointezet
Budapest, Hungary Recruiting -
University of Debrecen
Debrecen, Hungary Recruiting -
Nozologen Kft.
Pécs, Hungary Recruiting -
University of Pecs
Pécs, Hungary Recruiting -
University of Szeged
Szeged, Hungary Recruiting -
Asahikawa Medical University Hospital
Asahikawa-shi, Japan Recruiting -
Tokyo Medical University Hachioji Medical Center
Hachioji-shi, Japan Recruiting -
Kagawa University Hospital
Kita-gun, Japan Recruiting
+47 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Boehringer Ingelheim
- Email: clintriage.rdg@boehringer-ingelheim.com
- Phone: 1-800-243-0127
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MK-8748 vs. aflibercept for diabetic macular edema
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.