Merck Presents One-Year Results from the Pivotal Phase 2b/3 BRUNELLO Study Evaluating Remigromig, a Tri-specific Agonist of the Wingless-related Integration Site Pathway, in Adults with Diabetic Macular Edema at AAO 2026
Merck (MRK) presented one-year results from the BRUNELLO trial for remigromig, a biologic targeting the Wnt pathway for diabetic macular edema (DME). Remigromig met non-inferiority in visual acuity compared to ranibizumab, with mean gains of +9.1 and +8.7 letters for 0.5 mg and 0.8 mg doses, respectively, versus +11.8 letters for ranibizumab. Adverse events related to proliferative diabetic retinopathy were more frequent with remigromig.
How this was made
The 30-second read
Why it matters
First‑time non‑inferior visual acuity results against ranibizumab, with higher proliferative diabetic retinopathy rates, suggest a mixed market reaction.
Market read
Provides fresh clinical data that could affect Merck's ophthalmology pipeline valuation and investor sentiment.
What to watch
Future Phase 3 BAROLO results and potential label expansion for NVAMD and RVO may drive longer‑term upside.
Background
Merck (MRK) disclosed pivotal Phase 2b/3 data for its investigational tri‑specific antibody remigromig at the AAO 2026 meeting.
Ticker impact
Merck presented first one-year non‑inferior Phase 2b/3 BRUNELLO trial results for remigromig in diabetic macular edema.
potential modest pressure as investors weigh safety signals against efficacy.
Positive efficacy is offset by safety concerns; market may price in modest downside until further Phase 3 data.
Market effects
May spur interest in Wnt‑pathway therapeutics across ophthalmology, but safety concerns could temper sector enthusiasm.
Limited to U.S. biotech/pharma investors; no broad regional effect.
Relevant to global ophthalmology pipeline investors, but impact confined to Merck and peers.
Counterpoint
Safety signals could lead to a sharper sell‑off if regulators scrutinize the PDR events.
Key entities
- CompanyMerck
Pharmaceutical company presenting trial data.
- DrugRemigromig (MK‑3000)
Investigational tri‑specific antibody targeting the Wnt pathway.

