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Avexitide

Phase 3

Post Bariatric Hypoglycemia | Small molecule | Metabolic |Amylyx Pharmaceuticals, Inc.|Trials Updated: Aug 24, 2026

Avexitide development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Dec 2024

Avexitide target and mechanism

Molecular targetGLP1R
Target classAntagonist
ModalitySmall molecule

Also known as exendin 9-39

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment75

FDA Designations

BREAKTHROUGH_THERAPYORPHAN_DRUG

Avexitide clinical trials

Avexitide · 1 trial · 1 indication

Phase 3 1
NCT06747468Avexitide for Treatment of Post-Bariatric HypoglycemiaPost Bariatric Hypoglycemia
ACTIVE NOT_RECRUITING75 Analytics
PHASE3ACTIVE NOT_RECRUITING
Avexitide for Treatment of Post-Bariatric Hypoglycemia
Post Bariatric HypoglycemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Composite rate of Level 2 and Level 3 hypoglycemic events
During the double-blind treatment period (approximately 16 weeks)

Composite rate of Level 2 hypoglycemia (as measured by self-monitoring of blood glucose \[SMBG\]) and Level 3 hypoglycemia (per American Diabetes Association \[ADA\], European Association for the Study of Diabetes \[EASD\]; adjudicated by independent Event Adjudication Committee \[EAC\]), assessed during the Double-Blind study treatment period

Safety and Tolerability of avexitide
During the double-blind treatment period (approximately 16 weeks)

Incidence of adverse events (AEs)-e.g., incidence of treatment-emergent AEs (TEAEs), serious AEs (SAEs), AEs of special interest (AESIs), and TEAEs leading to discontinuation-and other safety assessments (e.g., clinical laboratory results and vital sign measurements), assessed during the Double-Blind study treatment period

Incidence of anti-drug antibodies (ADAb)
During the double-blind treatment period (approximately 16 weeks)

Incidence of ADAb, assessed during the Double-Blind study treatment period

Secondary Endpoints

Further evaluate the efficacy of avexitide compared to placebo for reduction of hypoglycemia
During the double-blind treatment period (approximately 16 weeks)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AVEXITIDEEXPERIMENTALAvexitide (90 mg via subcutaneous \[SC\] injection) will be taken once per day, in the morning at least 60 minutes before the morning meal, through the duration of the treatment and OLE periods.
PLACEBOPLACEBO_COMPARATORPlacebo will be taken once per day, via subcutaneous \[SC\] injection, in the morning at least 60 minutes before the morning meal, through the duration of the treatment period. Participants receiving Placebo in the double-blind treatment period will transition to Avexitide 90 mg (via subcutaneous \[SC\] injection) in the open-label extension (OLE) period.

Interventions

NameTypeDescription
AvexitideDRUGAvexitide (also known as exendin 9-39), a first-in-class glucagon-like peptide-1 (GLP-1) receptor antagonist, is a 31-amino acid peptide with a free amino group at the N-terminus and an amidated C-terminus. By binding to the GLP-1 receptor, avexitide inhibits GLP-1 receptor signaling, thereby reducing GLP-1 receptor-mediated insulin secretion
PlaceboOTHERMatching placebo comparator
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: * Able to provide written informed consent and understand the purpose and risks of the study * Willing and able to adhere to study requirements, including the use of the study-provided CGM device, SMBG device, and eDiary device as well as the other study evaluations and procedur...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMAug 24, 2026NCT06747468primaryCompletionDate: changed
MEDIUMAug 24, 2026NCT06747468primaryCompletionDate: changed

Frequently asked questions about Avexitide

What is Avexitide used for?

Avexitide is an investigational small molecule being developed for post bariatric hypoglycemia, a metabolic condition that can occur after bariatric surgery. It is in Phase 3 clinical development and has received Breakthrough Therapy and Orphan Drug designations from the FDA for this indication.

How does Avexitide work?

Avexitide is a GLP1R antagonist. It works by blocking the glucagon-like peptide-1 receptor (GLP1R), which is involved in regulating insulin secretion. By antagonizing this receptor, Avexitide aims to reduce excessive insulin release that can lead to low blood sugar in post bariatric hypoglycemia.

Who is developing Avexitide?

Avexitide is being developed by Amylyx Pharmaceuticals, Inc., which trades under the ticker AMLX. The company is responsible for its clinical development in post bariatric hypoglycemia.

What phase is Avexitide in?

Avexitide is in Phase 3 clinical development. It is an investigational therapy and has not been approved by the FDA. The ongoing Phase 3 trial is active but not recruiting, and no trials have been completed yet.

What clinical trials is Avexitide in?

Avexitide is being evaluated in a Phase 3 clinical trial, NCT06747468, titled "Avexitide for Treatment of Post-Bariatric Hypoglycemia." The trial is active but not recruiting, with an estimated enrollment of 75 participants. It is randomized, double-blind, and placebo-controlled, and is being conducted in the United States.

Is Avexitide the same as any other drug?

Avexitide is the primary name for this drug. No alternative names are provided in the available information.