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BI 754132 is a humanized monoclonal IgG1 antibody developed by Boehringer Ingelheim for the treatment of age-related macular degeneration, specifically targeting geographic atrophy secondary to this condition. Its mechanism of action involves agonistic activity at the tropomyosin-related kinase receptor type B (TrkB), mimicking the effects of brain-derived neurotrophic factor (BDNF). This activation leads to phosphorylation and downstream signaling that promotes cell survival and potentially synaptogenesis in retinal cells. The drug was administered via intravitreal injection in clinical trials but development has been discontinued after phase I studies[1][2][3][8].
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