Recent Updates
Recently added Catalysts

MBX 1416

Phase 2

Postbariatric Hypoglycemia | Small molecule | Metabolic |MBX Biosciences, Inc.|Trials Updated: Jul 2, 2026

MBX 1416 target and mechanism

ModalitySmall molecule

Also known as MBX 1416 (Part A), MBX 1416 (INN imapextide)

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment89

FDA Designations

No designations recorded

MBX 1416 clinical trials

MBX 1416 · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT07029412Study to Evaluate Efficacy and Dose Response of Imapextide (STEADI)Postbariatric Hypoglycemia
COMPLETED20 Analytics
PHASE2COMPLETED
Study to Evaluate Efficacy and Dose Response of Imapextide (STEADI)
Postbariatric HypoglycemiaUnlock trial analytics

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)
Unlock Study Endpoints

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.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 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
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

MEDIUMAug 2, 2026NCT07029412TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT07029412TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT07029412TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT07029412TRIAL_REMOVED: changed

Frequently asked questions about MBX 1416

What is MBX 1416 used for?

MBX 1416 is being developed for postbariatric hypoglycemia, a condition of low blood sugar that can occur after bariatric surgery. It is an investigational therapy and has not been approved for commercial use. MBX Biosciences is studying it in adults aged 18 years and older.

Who makes MBX 1416?

MBX 1416 is developed by MBX Biosciences, Inc., which trades on the Nasdaq under the ticker MBX. The company is advancing the candidate for postbariatric hypoglycemia within the metabolic therapeutic area.

What phase is MBX 1416 in?

MBX 1416 is in Phase 2 development. Two clinical trials have been completed: a Phase 2 efficacy and dose response study and a Phase 1 safety, tolerability, pharmacokinetic and pharmacodynamic study. No trials are currently active. The drug remains investigational and has not been approved by the FDA.

What clinical trials is MBX 1416 in?

MBX 1416 has been evaluated in two completed trials. NCT07029412, also called STEADI, was a Phase 2 study of efficacy and dose response in postbariatric hypoglycemia with 20 participants. NCT06036784 was a Phase 1 safety, tolerability, pharmacokinetic and pharmacodynamic study in 69 healthy subjects. Both were conducted in the United States.

Is MBX 1416 the same as imapextide?

Yes. MBX 1416 is also known as imapextide, its International Nonproprietary Name. The Phase 2 study is listed under the name imapextide, and earlier materials refer to MBX 1416 (Part A). All of these names refer to the same investigational compound being developed by MBX Biosciences.

How was MBX 1416 studied in clinical trials?

The MBX 1416 trials used randomized, double-blind, placebo-controlled designs. The Phase 2 STEADI study enrolled 20 adults with postbariatric hypoglycemia, while the Phase 1 study enrolled 69 healthy volunteers. Together the two completed trials enrolled 89 participants, all aged 18 years or older, and both studies were conducted in the United States.