A Study to Evaluate the Efficacy and Safety of 2 Doses of EYE103 Compared With Ranibizumab (0.5 mg) in Participants With DME (BRUNELLO)

August 8, 2025 updated by: EyeBiotech Ltd.

A Randomized, Double-Masked, Multi-Center, 3-Arm Pivotal Phase 2/3 Study to Evaluate The Efficacy and Safety of Intravitreal EYE103 Compared With Intravitreal Ranibizumab (0.5mg) in Participants With Diabetic Macular Edema

EYE-RES-102 is a randomized, double masked pivotal study to evaluate the efficacy and safety of 2 dose levels of EYE103 in comparison with the active control, ranibizumab, in patients with diabetic macular edema (DME)

In the first year, all 3 treatment groups will be treated every 4 weeks with either EYE103 or ranibizumab. Beginning at Year 2, the frequency of treatment for participants will shift based on a personalized treatment interval algorithm.

Approximately 960 participants will be entered in the study.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Detailed Description

EYE-RES-102 is a randomized, double masked pivotal study to evaluate the efficacy and safety of 2 dose levels of EYE103 in comparison with the active control, ranibizumab, in patients with diabetic macular edema (DME)

Approximately 960 participants will be entered in the study. Participants will be randomized 1:1:1 to receive low dose EYE103, high dose EYE103, or 0.5 mg ranibizumab, administered via intravitreal injection. In the first year, all 3 treatment groups will be treated every 4 weeks with either EYE103 or ranibizumab. Beginning at Year 2, the frequency of treatment for participants will shift based on a personalized treatment interval (PTI) algorithm. Throughout the 2-year study, subjects will be evaluated every 4 weeks, including measurement of ETDRS BCVA, examination by slit-lamp biomicroscopy, fundoscopy, and SD-OCT. Among other parameters, SD-OCT will be used to measure central subfield thickness (CST) in microns.

Study Type

Interventional

Enrollment (Actual)

984

Phase

  • Phase 2
  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Argentina
      • Caba, Argentina, 1023
        • Buenos Aires, Argentina
      • Ciudad de Cordoba, Argentina, X5000AAJ
        • Ciudad de Cordoba, Argentina
    • Buenos Aires
      • Caba, Buenos Aires, Argentina, 1015
        • Buenos Aires, Argentina
      • Caba, Buenos Aires, Argentina, 1120
        • Buenos Aires, Argentina
      • Caba, Buenos Aires, Argentina, C1033AAW
        • Buenos Aires, Argentina
      • Caba, Buenos Aires, Argentina, C1116ABA
        • Caba, Buenos Aires, Argentina
    • Cordoba
      • Córdoba, Cordoba, Argentina, 5000
        • Cordoba, Argentina
    • Santa Fe
      • Rosario, Santa Fe, Argentina, S2000DSK
        • Santa Fe, Argentina
    • Sante Fe
      • Rosario, Sante Fe, Argentina, 2000
        • Santa Fe, Argentina
  • Australia
      • Albury, Australia, 2640
        • Albury, Australia
      • Parramatta, Australia, 2150
        • Parramatta, Australia
      • Sydney, Australia, 2000
        • Sydney, Australia
    • New South Wales
      • Sydney, New South Wales, Australia, 2000
        • Sydney Retina Clinic
      • Sydney, New South Wales, Australia, 2135
        • Sydney, Australia
  • Austria
      • Graz, Austria, 8036
        • Graz, Austria
      • Innsbruck, Austria, 6020
        • Innsbruck, Austria
      • Vienna, Austria, 1090
        • Vienna, Austria
      • Vienna, Austria, 1140
        • Vienna, Austria
  • Colombia
      • Medellín, Colombia, 50016
        • Medellin, Colombia
    • Antioquia
      • Medellín, Antioquia, Colombia, 50021
        • Medellin, Colombia
    • Atlantico
      • Barranquilla, Atlantico, Colombia, 80002
        • Barranquilla, Colombia
    • Columbia
      • Bogotá, Columbia, Colombia, 110231
        • Bogota, Columbia
    • Valle del Cauca
      • Cali, Valle del Cauca, Colombia, 760042
        • Cali, Colombia
  • Croatia
      • Osijek, Croatia, 31000
        • Osijek, Croatia
  • Czechia
      • Mladá Boleslav, Czechia, 293 01
        • Mlada Boleslav, Czechia
      • Náchod, Czechia, 547 01
        • Nachod, Czechia
      • Prague, Czechia, 1150/50
        • Prague, Czechia
      • Prague, Czechia
        • Prague, Czechia
  • France
      • Créteil, France, 94010
        • Creteil, France
      • Lyon, France, 69004
        • Lyon, France
      • Marseille, France, 13008
        • Marseille, France
      • Paris, France, 75006
        • Paris, France
      • Paris, France, 75015
        • Paris, France
      • Paris, France, 75019
        • Paris, France
      • Saint-Cyr-sur-Loire, France, 37540
        • Saint Cyr sur Loire, France
    • Cedex
      • Dijon, Cedex, France, 21079
        • Cedex, France
  • Germany
      • Frankfurt, Germany, 60590
        • Frankfurt, Germany
      • Hanover, Germany, 30625
        • Hanover, Germany
      • München, Germany, 80336
        • Munchen, Germany
      • Münster, Germany, 48145
        • Munster, Germany
  • Hungary
      • Budapest, Hungary, H-1062
        • Budapest, Hungary
      • Budapest, Hungary, H-1085
        • Budapest, Hungary
      • Budapest, Hungary, H-1106
        • Budapest, Hungary
      • Budapest, Hungary, H-1133
        • Budapest, Hungry
      • Debrecen, Hungary, H-4032
        • Debrecen, Hungary
      • Pecs, Hungary, H-7621
        • Pecs, Hungary
      • Szeged, Hungary, H-6720
        • Szeged, Hungary
      • Zalaegerszeg, Hungary, 8900
        • Zalaegerszeg, Hungary
  • Israel
      • Be'er Ya'aqov, Israel, 70300
        • Beer Yakov, Israel
      • Haifa, Israel, 3436212
        • Haifa, Israel
      • Jerusalem, Israel, 9112001
        • Jerusalem, Israel
      • Petah tikva, Israel, 49100
        • Petah Tikva, Israel
      • Reẖovot, Israel, 76100
        • Rehovot, Israel
      • Tel Aviv, Israel, 6423906
        • Tel Aviv, Israel
  • Italy
      • Bologna, Italy, 40138
        • Bologna, Italy
      • Firenze, Italy, 50139
        • Firenze, Italy
      • Milano, Italy, 20122
        • Milano, Italy
      • Milano, Italy, 20132
        • Milano, Italy
      • Milano, Italy, 20157
        • Milano, Italy
      • Roma, Italy, 00168
        • Roma, Italy
      • Rome, Italy, 81.00133
        • Rome, Italy
      • Udine, Italy, 33100
        • Udine, Italy
  • Latvia
      • Riga, Latvia, LV1002
        • Riga, Latvia
      • Riga, Latvia, LV1006
        • Riga, Latvia
  • Poland
      • Białystok, Poland, 15-866
        • Bialystok, Poland
      • Bydgoszcz, Poland, 85-309
        • Bydgoszcz, Poland
      • Bydgoszcz, Poland, 85-631
        • Bydgoszcz, Poland
      • Gdańsk, Poland, 80-809
        • Gdansk, Poland
      • Katowice, Poland, 40-594
        • Katowice, Poland
      • Kraków, Poland, 31-501
        • Krakow, Poland
      • Olsztyn, Poland, 10-424
        • Olsztyn, Poland
      • Tarnowskie Góry, Poland, 42-600
        • Tarnowskie Gory, Poland
    • Gdansk
      • Gdańsk, Gdansk, Poland, 80-809
        • Gdansk, Poland
  • Portugal
      • Coimbra, Portugal, 3000-548
        • Coimbra, Portugal
      • Coimbra, Portugal, 3030-163
        • Coimbra, Portugal
      • Porto, Portugal, 4200-319
        • Porto, Portugal
  • Puerto Rico
      • Arecibo, Puerto Rico, 00612
        • Arecibo, PR
  • Slovakia
      • Trebišov, Slovakia, 075 01
        • Trebisov, Slovakia
      • Trenčín, Slovakia, 911 01
        • Trencin, Slovakia
      • Žilina, Slovakia, 012 07
        • Zilina, Slovakia
  • Spain
      • Barcelona, Spain, 08035
        • Barcelona, Spain
      • Barcelona, Spain, 08021
        • Barcelona, Spain
      • Barcelona, Spain, 08022
        • Barcelona, Spain
      • Barcelona, Spain, 08195
        • Barcelona, Spain
      • Santiago De Compostela, Spain, 15706
        • Santiago de Compostela, Spain
      • Sevilla, Spain, 41009
        • Sevilla, Spain
      • Zaragoza, Spain, 50009
        • Zaragoza, Spain
    • Valencia
      • Burjassot, Valencia, Spain, 46100
        • Valencia, Spain
  • Turkey
      • Ankara, Turkey, 06230
        • Ankara, Turkey
      • Ankara, Turkey, 06490
        • Ankara, Turkey
      • Balçova, Turkey, 35330
        • Balcova, Turkey
  • United Kingdom
      • Bradford, United Kingdom, BD9 6RJ
        • Bradford, United Kingdom
      • Bristol, United Kingdom, BS1 2LX
        • Bristol, UK
      • Liverpool, United Kingdom, L7 8YA
        • Liverpool, United Kingdom
      • Sunderland, United Kingdom, SR2 9HP
        • Sunderland, United Kingdom
      • Wolverhampton, United Kingdom, WV10 0QP
        • Wolverhamptom, United Kingdom
    • Middlesex
      • London, Middlesex, United Kingdom, NW10 7NS
        • London, UK
    • UnitedKingdom
      • York, UnitedKingdom, United Kingdom, YO10 4DZ
        • York, United Kingdom
  • United States
    • Arizona
      • Scottsdale, Arizona, United States, 85255
        • Scottsdale
    • Arkansas
      • Fayetteville, Arkansas, United States, 72703
        • Fayetteville, Arkansas
      • Springdale, Arkansas, United States, 72764
        • Springdale, Arkansas
    • California
      • Bakersfield, California, United States, 93309
        • Bakersfield, CA
      • Glendale, California, United States, 91204
        • Glendale, CA
      • Modesto, California, United States, 95356
        • Modesto, CA
      • Mountain View, California, United States, 94040
        • Mountain View, CA
      • Redlands, California, United States, 92374
        • Redlands, CA
      • Sacramento, California, United States, 95825
        • Sacramento, CA
      • Sacramento, California, United States, 95841
        • Sacramento, CA
      • Santa Ana, California, United States, 92705
        • Santa Ana
    • Colorado
      • Colorado Springs, Colorado, United States, 80909
        • Colorado Springs, CO
      • Denver, Colorado, United States, 80210
        • Denver, Colorado
    • Connecticut
      • Danbury, Connecticut, United States, 06810
        • Danbury, CT
      • Manchester, Connecticut, United States, 06042
        • Manchester, CT
      • Waterford, Connecticut, United States, 06385
        • Waterford,CT
    • Florida
      • Deerfield Beach, Florida, United States, 33064
        • Deerfield Beach, FL
      • Fort Lauderdale, Florida, United States, 33308
        • Fort Lauderdale, FL
      • Fort Myers, Florida, United States, 33912
        • Fort Myers,FL
      • Gainesville, Florida, United States, 32607
        • Gainesville, FL
      • Orlando, Florida, United States, 32806
        • Orlando, Florida
      • Plantation, Florida, United States, 33324
        • Plantation, FL
      • Saint Petersburg, Florida, United States, 33711
        • Saint Petersburg, FL
      • Sarasota, Florida, United States, 34232
        • Sarasota, FL
      • Tallahassee, Florida, United States, 32308
        • Tallahassee, FL
      • Tampa, Florida, United States, 33609-4614
        • Tampa, FL
      • Tampa, Florida, United States, 33617
        • Tampa, FL
      • Winter Haven, Florida, United States, 33880
        • Winter Haven, FL
    • Illinois
      • Lemont, Illinois, United States, 60439
        • Lemont, IL
      • Springfield, Illinois, United States, 62702
        • Springfield, Illinois
    • Iowa
      • West Des Moines, Iowa, United States, 50266
        • West Des Moines, IA
    • Kansas
      • Lenexa, Kansas, United States, 66215
        • Lenexa, Kansas
      • Wichita, Kansas, United States, 67214
        • Wichita, Kansas
    • Maine
      • Portland, Maine, United States, 04101
        • Portland, Maine
    • Maryland
      • Hagerstown, Maryland, United States, 21740
        • Hagerstown, MD
    • Massachusetts
      • Springfield, Massachusetts, United States, 01107
        • Springfield,MA
    • Michigan
      • Grand Rapids, Michigan, United States, 49546
        • Grand Rapids, Michigan
    • Minnesota
      • Minneapolis, Minnesota, United States, 55435
        • Minneapolis, MN
    • Mississippi
      • Madison, Mississippi, United States, 39110
        • Madison, MS
    • New Jersey
      • Bloomfield, New Jersey, United States, 07003
        • Bloomfield, NJ
      • Cherry Hill, New Jersey, United States, 08034
        • Cherry Hill, NJ
    • New York
      • Liverpool, New York, United States, 13088
        • Liverpool, NY
      • Oceanside, New York, United States, 11572
        • Oceanside, NY
      • Rochester, New York, United States, 14620
        • Rochester, NY
    • North Carolina
      • Asheville, North Carolina, United States, 28803
        • Asheville, NC
      • Hickory, North Carolina, United States, 28602
        • Hickory, NC
      • Wake Forest, North Carolina, United States, 27587
        • Wake Forest, MC
      • Winston-Salem, North Carolina, United States, 27103
        • Winston Salem, NC
    • Ohio
      • Cleveland, Ohio, United States, 44122
        • Cleveland, Ohio
      • Cleveland, Ohio, United States, 44130
        • Cleveland, OH
      • Youngstown, Ohio, United States, 44505
        • Youngstown, Ohio
    • Oklahoma
      • Edmond, Oklahoma, United States, 73013
        • Edmond, OK
    • Oregon
      • Portland, Oregon, United States, 97221
        • Portland, OR
      • Springfield, Oregon, United States, 97477
        • Springfield, Oregon
    • Pennsylvania
      • Bethlehem, Pennsylvania, United States, 18017
        • Bethlehem, PA
      • Erie, Pennsylvania, United States, 16507
        • Erie, PA
    • South Carolina
      • Beaufort, South Carolina, United States, 29902
        • Beaufort, SC
      • Florence, South Carolina, United States, 29501
        • Florence, SC
      • Ladson, South Carolina, United States, 29456
        • Ladson, SC
      • West Columbia, South Carolina, United States, 29169
        • West Columbia, SC
    • Tennessee
      • Germantown, Tennessee, United States, 38138
        • Germantown, TN
      • Hixson, Tennessee, United States, 37343
        • Hixson, Tennessee
      • Johnson City, Tennessee, United States, 37604
        • Johnson City, Tennessee
      • Knoxville, Tennessee, United States, 37922
        • Knoxville, TN
      • Nashville, Tennessee, United States, 37203
        • Nashville, TN
    • Texas
      • Abilene, Texas, United States, 79606
        • Abilene, TX
      • Amarillo, Texas, United States, 79109
        • Amarillo, TX
      • Amarillo, Texas, United States, 79106
        • Amarillo, TX
      • Arlington, Texas, United States, 76012
        • Arlington, TX
      • Austin, Texas, United States, 78705
        • Austin, TX
      • Beaumont, Texas, United States, 77707
        • Beaumont, TX
      • Bellaire, Texas, United States, 77401
        • Bellaire, TX
      • Dallas, Texas, United States, 75231
        • Dallas, TX
      • Fort Worth, Texas, United States, 76104
        • Fort Worth, TX
      • Katy, Texas, United States, 77494
        • Katy, TX
      • Plano, Texas, United States, 75075
        • Plano, TX
      • Round Rock, Texas, United States, 78681
        • Round Rock, TX
      • San Antonio, Texas, United States, 78240
        • San Antonio, TX
      • Schertz, Texas, United States, 78154
        • Schertz, Texas
      • The Woodlands, Texas, United States, 77384
        • The Woodlands, TX
      • Willow Park, Texas, United States, 76087
        • Willow Park, TX
    • Utah
      • Salt Lake City, Utah, United States, 84107
        • Salt Lake City, Utah
    • Virginia
      • Lynchburg, Virginia, United States, 24502
        • Lynchburg, VA
      • Richmond, Virginia, United States, 23235
        • Richmond, Virginia
    • Washington
      • Spokane, Washington, United States, 99204
        • Spokane, WA

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Be willing and able to understand the study procedures and the risks involved and provide written informed consent before the first study-related activity
  • Be male or female ≥18 years of age.
  • Have type 1 or type 2 diabetes mellitus and a HbA1c of ≤12%.
  • Have a decrease in vision in the study eye determined by the investigator to be primarily the result of DME.

Exclusion Criteria:

  • Be pregnant or breastfeeding
  • History of cataract surgery and/or minimally invasive glaucoma surgery in the study eye within 90 days of Screening
  • Have any treatment for complications of cataract surgery with steroids or yttrium aluminum garnet (YAG) laser capsulotomy within 90 days of Screening
  • Are currently using drugs with known retinal toxicity (e.g., Hydroxychloroquine, pentosan polysulfate sodium, and amiodarone)

  • If treatment-experienced for DME have a history of any of the following treatments within the noted time windows:

    • Have had prior treatment with 8 mg aflibercept (EYLEA HD) or faricimab (VABYSMO) within 120 days prior to the Screening visit in the study eye
    • Have had an IVT with other anti-VEGF treatments (ranibizumab, bevacizumab, aflibercept [2 mg], brolucizumab, pegaptanib sodium) in the study eye within 90 days of the Screening visit

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: EYE103 Low Dose Treatment Arm
Drug: EYE103
EYE103 is a humanized antibody formulated for intravitreal administration
Other Names:
  • Restoret
Experimental: EYE103 High Dose Treatment Arm
Drug: EYE103
EYE103 is a humanized antibody formulated for intravitreal administration
Other Names:
  • Restoret
Active Comparator: Ranibizumab Treatment Arm
Drug: Ranibizumab
Ranibizumab is a commercially available anti-VEGF treatment formulated for intravitreal administration for use in patients with diabetic macular edema
Other Names:
  • Lucentis

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline Best-Corrected Visual Acuity measured using the standardized ETDRS chart
Time Frame: 52 Weeks
Change from baseline Best-Corrected Visual Acuity measured using the standardized ETDRS chart
52 Weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changes in structural and visual outcomes
Time Frame: Duration of the study, through Week 104
Changes in structural and visual outcomes
Duration of the study, through Week 104

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

EyeBiotech Ltd.

Investigators

  • Study Director: Charles Miller, MD PhD, EyeBiotech Ltd.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 7, 2024

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

December 31, 2027

Study Registration Dates

First Submitted

August 20, 2024

First Submitted That Met QC Criteria

August 22, 2024

First Posted (Actual)

August 26, 2024

Study Record Updates

Last Update Posted (Actual)

August 12, 2025

Last Update Submitted That Met QC Criteria

August 8, 2025

Last Verified

October 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • EYE-RES-102

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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