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Tangning Tongluo (TNTL) is a Class 1.1 traditional Chinese Miao medicine developed by Beletalent (Zhuhai) Pharmaceutical Co., Ltd., a subsidiary of Guizhou Bailing Enterprise Group Pharmaceutical Co., Ltd. It is a multi-component herbal formulation composed of four ingredients: kewoluoqu, Herba Plantaginis, Herba Agrimoniae, and Flos Lonicerae. The drug is primarily indicated for the treatment of non-proliferative diabetic retinopathy (NPDR). Its mechanism of action involves improving retinal microcirculation, reducing microcirculatory stasis, and reversing pathological changes in retinal blood vessels. Originally developed as an in-hospital preparation in 2014, it has an extensive clinical history. In November 2024, it became the first drug in China to receive approval from the National Medical Products Administration (NMPA) to proceed directly to Phase III clinical trials, bypassing Phase II trials based on its established clinical efficacy and safety profile.
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