Danegaptide Advances to Phase 2 for Diabetic Retinopathy Treatment
Breye Therapeutics has announced that danegaptide, a potential oral treatment for nonproliferative diabetic retinopathy, has progressed to a phase 2 trial. This advancement follows a phase 1b trial in which the drug demonstrated a favorable safety profile.
Diabetic retinopathy (DR) is a leading cause of vision loss globally, affecting millions of people with diabetes. While there has been successful development of intravitreally administered products, injected directly into the eye, for patients with late-stage disease, treatment options are currently limited for patients in the earlier or moderate stages. The intravitreal treatments are burdensome, often poorly tolerated and associated with low compliance, highlighting the critical need for effective and non-invasive alternatives.
Danegaptide is a first-in-class oral small molecule with a novel mode of action, that stabilizes the vasculature and protects from cell-cell uncoupling, retinal capillary breakdown and vascular leakage caused by hyperglycemia.
The orally administered treatment was well tolerated across all dose levels in the 24 patients enrolled, with no dose-limiting toxicities reported. Pharmacokinetic (PK) data confirmed that targeted exposures of danegaptide were reached as guided by preclinical data. Early signs of clinical activity were observed, as measured by retinal imaging outcomes, representing reductions in retinal vascular leakage and improvements in anatomical parameters.
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