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Avexitide

Phase 3

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

Target and mechanism

Molecular targetGLP1R
Target classAntagonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment75

FDA Designations

BREAKTHROUGH_THERAPYRARE_PEDIATRIC_DISEASEORPHAN_DRUG

Clinical trial landscape

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 the treatment of Post Bariatric Hypoglycemia, a condition of low blood sugar that can occur after bariatric surgery. It is currently in Phase 3 clinical development.

Who makes Avexitide?

Avexitide is being developed by Amylyx Pharmaceuticals, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol AMLX.

What phase is Avexitide in?

Avexitide is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. It has received Breakthrough Therapy, Rare Pediatric Disease, and Orphan Drug designations from the FDA.

What clinical trials is Avexitide in?

Avexitide is being studied in a Phase 3 clinical trial with the identifier NCT06747468. This trial is active but not recruiting, with an estimated enrollment of 75 participants in the United States. The study is randomized, double-blind, and placebo-controlled.

Is Avexitide the same as a peptide?

Avexitide is classified as a small molecule with a target class described as '-tide (peptide)'. This classification indicates it is related to peptide-based therapies, though it is specifically a small molecule.