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BI1815368 is an investigational bispecific Nanobody developed by Boehringer Ingelheim for the treatment of retinal vascular disorders, including diabetic macular edema (DME) and neovascular age-related macular degeneration (nAMD). The molecule is designed to simultaneously bind and neutralize two pro-angiogenic and pro-inflammatory factors: vascular endothelial growth factor (VEGF) and angiopoietin-2 (Ang-2). Dual inhibition of these pathways is intended to stabilize the retinal vasculature more effectively than anti-VEGF monotherapy, potentially leading to improved visual outcomes and reduced treatment frequency. BI1815368 is administered via intravitreal injection and is currently undergoing Phase 2 clinical evaluation.
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