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MBX 1416

Phase 2

Postbariatric Hypoglycemia | Small molecule | Other |MBX Biosciences, Inc.|Last Updated: Dec 17, 2025

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_CONTROLLEDBiomarker
Total Trials2
Total Enrollment79
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07029412Study to Evaluate Efficacy and Dose Response of Imapextide (STEADI)PHASE2 RECRUITING 10Aug 26, 2025Jan 26, 2026Dec 17, 20254 United States
NCT06036784Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Study of MBX 1416 in Healthy SubjectsPHASE1 COMPLETED 69Sep 18, 2023Dec 5, 2024Dec 12, 20241 United States
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Study Endpoints
Primary Endpoints
Changes from baseline to post-treatment in glucose nadir during a standardized MMTT following different dose levels of MBX 1416.
The duration of the study will be approximately 67 days from screening to end of study (EoS) for any given participant
Number of participants with adverse events (AEs), Serious Adverse Events (SAEs)
Baseline through Day 29 (Part A) or Day 45 (Part B) and Day 21 (Part C)
Maximum Plasma Concentration (Cmax)
Baseline through Day 29 (Part A) or Day 45 (Part B) and Day 21 (Part C)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MBX 1416 (INN imapextide)EXPERIMENTALSingle subcutaneous administration at different dose levels
MBX 1416 (Part A)EXPERIMENTALSingle ascending subcutaneous (SC) doses
MBX 1416 (Part B)EXPERIMENTALRepeated ascending subcutaneous (SC) doses
PlaceboPLACEBO_COMPARATOR -
MBX 1416 (Part C)EXPERIMENTALSingle subcutaneous (SC) dose of MBX 1416, single dose of rosuvastatin and acetaminophen.
Interventions
NameTypeDescription
MBX 1416 (INN imapextide)DRUGA single subcutaneous injection of MBX 1416 at a low dose and a high dose approximately 2 weeks apart.
MBX 1416 (Part A)DRUGSingle Ascending subcutaneous (SC) dose of MBX 1416: 10mg, 30mg,100mg, 200mg
MBX 1416 (Part B)DRUGRepeated ascending subcutaneous (SC) doses of MBX 1416: 10mg, 30mg, 100mg
PlaceboDRUGSingle dose or repeated subcutaneous (SC) dose of placebo.
MBX 1416 (Part C)DRUGSingle subcutaneous (SC) dose of MBX 1416 and the single dose of rosuvastatin and acetaminophen pharmacokinetics. The doses selected for MBX 1416 in Part C will not exceed a dose of 200mg.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: 1. Participant must be ≥18 to ≤75 years of age at the time of signing the informed consent. 2. Participants must have undergone RYGB or SG surgery at least 12 months prior to study entry. 3. Participants should have a documented history of PBH, defined as Whipple's triad (sympto...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07029412primaryCompletionDate: changed
LOWMay 24, 2026NCT07029412studyFirstPostDate: changed