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 (Wnt) Pathway, in Adults with Diabetic Macular Edema at AAO 2026
Merck (MRK) presented one-year results from the BRUNELLO trial of remigromig for diabetic macular edema, showing non-inferiority to ranibizumab but no superiority. Both doses met primary endpoints, with mean BCVA gains of +9.1 and +8.7 letters vs. +11.8 for ranibizumab. Adverse events were more frequent with remigromig.
How this was made

The 30-second read
Why it matters
The BRUNELLO data provide the first efficacy read‑out for a Wnt‑pathway agonist, informing investor expectations for upcoming BAROLO results.
Market read
First disclosure of pivotal trial data for a novel ophthalmology therapy; may influence Merck's stock and sector peers.
What to watch
Potential for remigromig to address unmet patients who fail anti‑VEGF therapy, and long‑term market share if later trials show superiority.
Background
Merck's ophthalmology pipeline aims to expand treatment options for retinal diseases beyond anti‑VEGF therapies.
Ticker impact
Merck presented first one-year pivotal Phase 2b/3 BRUNELLO trial results for remigromig in DME, showing non‑inferior visual acuity versus ranibizumab.
likely modest pressure as investors weigh non‑inferiority and safety concerns
First‑time disclosure of trial outcomes with no superiority and safety signals reduces enthusiasm for the asset.
Market effects
May temper enthusiasm for Wnt‑pathway ophthalmology programs and affect peer biotech valuations.
Limited to US biotech/ophthalmology investors.
Modest, as the trial is early‑stage and impacts a niche therapeutic area.
Counterpoint
The non‑inferior result could be a stepping stone; future Phase 3 data may still unlock value if safety improves.
Key entities
- CompanyMerck
Pharmaceutical company presenting the trial results.
- DrugRemigromig (MK-3000)
Investigational tri‑specific antibody targeting the Wnt pathway.
