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Belite Bio’s Tinlarebant Cuts Stargardt Lesion Growth 36% in Phase 3 Trial

The company plans to file for approval in the first half of 2026 after a two-year, placebo-controlled study met its main goal.

Overview

  • The 24-month DRAGON trial enrolled 104 patients aged 12 to 20 with genetically confirmed STGD1 and met its primary endpoint (p=0.0033).
  • Treatment reduced lesion growth by 35.7% in the study eye and by 33.6% in the fellow eye, with additional slowing on decreased autofluorescence measures.
  • Tinlarebant was generally well tolerated, with four treatment-related discontinuations and mostly mild, resolving ocular side effects such as xanthopsia and night-vision issues.
  • The 5 mg dose lowered serum RBP4 by about 80% from baseline, with levels trending back toward baseline after drug cessation.
  • If cleared, tinlarebant could become the first approved therapy for Stargardt disease, and the company is also running a Phase 3 study in geographic atrophy.