Clinical trial Recruiting at 12 sites Phase 1 Interventional Ages 18 and up

RO7823653 injections, alone or with faricimab, for diabetic macular edema

Official title: A Phase I, Multicenter, Open-Label, Multiple-Ascending Dose Study of the Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of RO7823653 Administered by Intravitreal Injection as Monotherapy and in Combination With Faricimab in Patients With Diabetic Macular Edema

Run by Genentech, Inc. · NCT07425522 · Data updated 2026-11-12

This research tests injections of RO7823653, given alone or with faricimab, in people with diabetic macular edema to see if the medication is safe and how the eye handles it.

More Diabetic Macular Edema trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment93 (estimated)
SponsorGenentech, Inc.
Industry-sponsored
Drugs / interventionsranibizumab, bevacizumab, brolucizumab, faricimab
Locations12 sites (Peoria, Arizona and 11 other locations)
StatusRecruiting
StartedApril 21, 2026
Main results expectedNovember 17, 2028
Study endsNovember 17, 2028
Registry record updatedNovember 9, 2026
Trial IDNCT07425522 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with center-involving diabetic macular edema, central subfield thickness ≥325 µm, BCVA roughly 65–35 letters, HbA1c ≤12%, and the ability to attend regular in-person injection and follow-up visits are the ideal candidates.

Probably not a fit

People who are pregnant or breastfeeding, have uncontrolled blood pressure, recently started diabetes medications or insulin within 90 days, or (for early cohorts) have prior ocular injection/implant treatments are unlikely to be eligible or benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 1 interventional trial administers multiple intravitreal doses of RO7823653 as monotherapy and co-administered with faricimab in adults with center-involving diabetic macular edema. The primary goals are to characterize safety and tolerability and to measure pharmacokinetics (PK) and pharmacodynamics (PD) of RO7823653 in the eye. Participants are enrolled into cohorts including treatment-naïve and previously treated eyes, with scheduled SD-OCT imaging and best-corrected visual acuity assessments over follow-up visits. Key entry criteria include central subfield thickness ≥325 µm and BCVA between 65 and 35 letters, and the protocol excludes recent initiation of diabetes medications, uncontrolled blood pressure, pregnancy, and (for early cohorts) prior ocular injection or implant therapies.

Why it matters

Potential benefit: If successful, the study could identify a safe dose and dosing approach that may provide a new local treatment option for DME, alone or in combination with faricimab.

How similar studies have gone: Faricimab and other anti-VEGF/Ang-2 therapies have shown benefit for DME in prior trials, but RO7823653 is investigational and combination approaches with this molecule remain unproven.

Who can join: the full rules

Show full inclusion / exclusion criteria
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

Where it's running

  • Associated Retina Consultants - Peoria - DocTrials - PPDS
    Peoria, Arizona, United States
    Recruiting
  • Retina-Vitreous Associates Medical Group
    Beverly Hills, California, United States
    Recruiting
  • Bay Area Retina Specialists Medical Group - Vestrum - PPDS
    Walnut Creek, California, United States
    Recruiting
  • Retina Vitreous Associates of Florida
    St. Petersburg, Florida, United States
    Recruiting
  • Wilmer Eye Institute
    Baltimore, Maryland, United States
    Recruiting
  • Erie Retina Research, LLC - 300 State St
    Erie, Pennsylvania, United States
    Recruiting
Show 6 more locations
  • Wills Eye Hospital
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Charles Retina Institute
    Germantown, Tennessee, United States
    Recruiting
  • Retina Research Institute of Texas
    Abilene, Texas, United States
    Recruiting
  • Austin Clinical Research, LLC
    Austin, Texas, United States
    Recruiting
  • Retina Consultants of Texas Westover Hills Retina Center
    San Antonio, Texas, United States
    Recruiting
  • Piedmont Eye Center
    Lynchburg, Virginia, United States
    Recruiting

Study contacts

Similar studies

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

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.