Clinical trial Recruiting at 79 sites Phase 2 Interventional Ages 18 and up

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

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment300 (estimated)
SponsorBoehringer Ingelheim
Industry-sponsored
Drugs / interventionsfaricimab
Locations97 sites (Phoenix, Arizona and 96 other locations)
StatusRecruiting
StartedJune 5, 2025
Main results expectedMarch 1, 2028
Study endsMarch 29, 2028
Registry record updatedOctober 16, 2026
Trial IDNCT06962839 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • MK-8748 vs. aflibercept for diabetic macular edema

    This trial tests whether the investigational medicine MK-8748 can treat diabetic macular edema as well as the standard treatment aflibercept in adults with diabetes.

    Recruiting at 20 sites Phase 3 Merck Sharp & Dohme LLC · Long Beach, California and 19 other locations · NCT07705607

  • MK-8748 vs aflibercept for diabetic macular edema

    This trial tests whether MK-8748 can treat diabetic macular edema as well as the standard treatment aflibercept in people with diabetes.

    Recruiting at 35 sites Phase 3 Merck Sharp & Dohme LLC · Gilbert, Arizona and 34 other locations · NCT07705555

  • Evaluating KIO-104 for treating macular edema

    This study is testing a new treatment called KIO-104 to see if it can safely help people with macular edema improve their vision.

    Recruiting at 6 sites Phase 2 Kiora Pharmaceuticals, Inc. · Sydney, New South Wales and 5 other locations · NCT06825702

  • Micropulsed laser treatment for macular edema in retinal dystrophies

    This study is testing a new type of laser treatment to see if it can help reduce swelling in the eyes of people with inherited retinal diseases.

    Recruiting Fondazione G.B. Bietti, IRCCS · Rome, RM · NCT05976139

  • Treatment for diabetic retinopathy with MS-553

    This study is testing a new oral medication called MS-553 to see if it can improve vision and reduce swelling in the eyes of people with diabetic retinopathy.

    Recruiting at 3 sites Phase 1 MingSight Pharmaceuticals, Inc · Changsha, Hunan and 2 other locations · NCT04187443

  • Advanced imaging techniques for eye conditions

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    Recruiting Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts · Paris · NCT04129021

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.