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Avexitide

Phase 3

Post Bariatric Hypoglycemia | Small molecule | Other |Amylyx Pharmaceuticals, Inc.|Last Updated: Mar 4, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment75
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06747468Avexitide for Treatment of Post-Bariatric HypoglycemiaPHASE3 ACTIVE NOT_RECRUITING 75Apr 29, 2025Oct 1, 2026Mar 4, 202621 United States
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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 — 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)
LOWMay 26, 2026NCT06747468primaryCompletionDate: changed
LOWMay 24, 2026NCT06747468studyFirstPostDate: changed