Merck Initiates Pivotal Trial for Investigational Eye Treatment

MK-8748 targets Tie2 and VEGF to address vision loss in neovascular age-related macular degeneration

Apr. 2, 2026 at 1:08pm

Merck has announced the initiation of a pivotal Phase 2b/3 trial evaluating MK-8748, an investigational bispecific antibody that directly activates Tie2 signaling and inhibits vascular endothelial growth factor (VEGF), for the treatment of neovascular (wet) age-related macular degeneration (NVAMD). The MALBEC study will compare the safety and efficacy of two dose levels of MK-8748 to the active control aflibercept.

Why it matters

Despite available therapies, many NVAMD patients remain at risk of vision loss due to continued vascular leakage. MK-8748's dual mechanism targeting both Tie2 and VEGF has the potential to offer a novel approach to maintain vascular stability and preserve vision for patients with this serious retinal disease.

The details

The MALBEC trial is a randomized, double-masked, pivotal Phase 2b/3 study evaluating the safety and efficacy of two dose levels of intravitreal MK-8748 versus aflibercept 2mg. Eligible patients will be randomized 1:1:1 to receive three monthly doses of MK-8748 or aflibercept, followed by treatments every 8 weeks until week 48. The primary endpoint is mean change in best-corrected visual acuity from baseline to Year 1.

  • The MALBEC trial is currently underway (NCT07440225).
  • A second study of MK-8748 in NVAMD is scheduled to begin later this year (NCT07496567).

The players

Merck

A global biopharmaceutical company known as MSD outside the US and Canada, advancing an ophthalmology pipeline including MK-8748 and MK-3000 for retinal diseases.

Dr. David Guyer

Founder, chief executive officer and president of EyeBio, a wholly-owned subsidiary of Merck.

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What they’re saying

“Despite available therapies, many patients with neovascular age-related macular degeneration remain at risk of further vision loss due to continued vascular leakage. With its differentiated dual mechanism directly agonizing Tie2 and inhibiting VEGF, MK-8748 has the potential to offer a novel approach to maintain vascular stability for patients with serious retinal diseases.”

— Dr. David Guyer, Founder, CEO and President, EyeBio

What’s next

The MALBEC trial is currently underway, and a second study of MK-8748 in NVAMD is scheduled to begin later this year.

The takeaway

Merck's investigational MK-8748 represents a novel dual-mechanism approach to addressing the continued vascular leakage and vision loss experienced by many neovascular age-related macular degeneration patients, despite currently available therapies.