Drugs / Avexitide
last change Aug 2026 re-read 2 minutes ago

Avexitide

Peptide targets GLP1R via inhibition

Developed for
postgastrectomy syndrome · congenital isolated hyperinsulinism · hypoglycemia · adult-onset non-insulinoma persistent hyperinsulinemic hypoglycemia · hyperinsulinemic hypoglycemia · type 1 diabetes mellitus
Investigated by
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Diva De Leon · National Institutes of Health (NIH) · Adrian Vella · Eiger BioPharmaceuticals · The University of Texas Health Science Center at San Antonio
+31 more · University of Copenhagen · Amsterdam UMC, location VUmc · Amylyx Pharmaceuticals Inc. · David Dalessio · Ludwig-Maximilians - University of Munich · Merck Sharp & Dohme LLC · National Center for Research Resources (NCRR) · Tracey McLaughlin · University Hospital, Gentofte, Copenhagen · American Diabetes Association · American Heart Association · Amylin Pharmaceuticals, LLC. · Bispebjerg Hospital · Blandine Laferrere · Bristol-Myers Squibb · Carl T. Hayden VA Medical Center · David D'Alessio, M.D. · Dr. Tracey McLaughlin, MD · Durham VA Medical Center · Eli Lilly and Company · German Research Foundation · Hvidovre University Hospital · Icahn School of Medicine at Mount Sinai · Karolinska Institutet · Lester and Liesel Baker Foundation · Mayo Clinic · National Heart, Lung, and Blood Institute (NHLBI) · University of Chicago · VA Office of Research and Development · Vanderbilt University · Vanderbilt University Medical Center

Trials 36 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 06 trials
Phase 0 NCT02823665 Jul 2015 → Aug 2026 overdue postgastrectomy syndrome The University of Texas Health Science Center at San Antonio Recruiting No outcome recorded
Phase 0 NCT02287285 Oct 2014 → Aug 2017 type 2 diabetes mellitus Blandine Laferrere Completed No outcome recorded
Phase 0 NCT01843881 Mar 2012 → Sep 2013 type 2 diabetes mellitus Adrian Vella Completed No outcome recorded
Phase 0 NCT01843855 Jun 2011 → Jul 2013 type 2 diabetes mellitus Adrian Vella Completed No outcome recorded
Phase 0 NCT00992901 Oct 2009 → Aug 2026 overdue hypoglycemia, postgastrectomy syndrome The University of Texas Health Science Center at San Antonio Recruiting No outcome recorded
Phase 0 NCT01803451 Nov 2005 → Aug 2026 overdue postgastrectomy syndrome The University of Texas Health Science Center at San Antonio Recruiting No outcome recorded
Phase 15 trials
Phase 1 NCT04347252 Sep 2019 → Apr 2021 David D'Alessio, M.D. Completed No outcome recorded
Phase 1 NCT02550145 Feb 2014 → Dec 2016 hypoglycemia Tracey McLaughlin Terminated No outcome recorded
Phase 1 NCT01795144 Jan 2014 → Mar 2017 monogenic diabetes University of Chicago Completed No outcome recorded
Phase 1 NCT00551590 Dec 2007 → Dec 2008 type 2 diabetes mellitus Ludwig-Maximilians - University of Munich Completed No outcome recorded
Phase 1 NCT00393445 Nov 2006 → May 2007 hyperglycemia Ludwig-Maximilians - University of Munich Completed No outcome recorded
Phase 1/23 trials
Phase 1/2 NCT00835328 Aug 2009 → Jan 2017 congenital isolated hyperinsulinism Diva De Leon Terminated No outcome recorded
Phase 1/2 NCT00897676 May 2009 → Aug 2016 congenital isolated hyperinsulinism Diva De Leon Completed No outcome recorded
Phase 1/2 NCT00571324 Aug 2007 → Dec 2014 congenital isolated hyperinsulinism Diva De Leon Completed No outcome recorded
Phase 25 trials
Phase 2 NCT04652479 Jun 2021 → Jun 2022 hyperinsulinemic hypoglycemia Dr. Tracey McLaughlin, MD Completed No outcome recorded
Phase 2 NCT03373435 Mar 2018 → Jan 2019 adult-onset non-insulinoma persistent hyperinsulinemic hypoglycemia Eiger BioPharmaceuticals Completed No outcome recorded
Phase 2 NCT02771574 May 2016 → Jun 2017 postgastrectomy syndrome Tracey McLaughlin Completed No outcome recorded
Phase 2 NCT02697253 Jan 2016 → Jul 2021 obesity disorder Icahn School of Medicine at Mount Sinai Withdrawn No outcome recorded
Phase 2 NCT02170870 Jun 2014 → Nov 2017 diabetes mellitus, dyspepsia Mayo Clinic Completed No outcome recorded
Phase 32 trials
Phase 3 NCT06747468 Apr 2025 → Mar 2026 overdue postgastrectomy syndrome Amylyx Pharmaceuticals Inc. Active not recruiting No outcome recorded
Phase 3 NCT04459338 Mar 2021 → Jun 2022 Adrian Vella Completed No outcome recorded
Phase 44 trials
Phase 4 NCT02844907 Jul 2018 → Dec 2021 VA Office of Research and Development Terminated No outcome recorded
Phase 4 NCT03101930 May 2017 → Jun 2021 obesity disorder, prediabetes syndrome Vanderbilt University Medical Center Completed No outcome recorded
Phase 4 NCT01701973 Jan 2013 → May 2017 obesity disorder Vanderbilt University Completed No outcome recorded
Phase 4 NCT01181986 Aug 2010 → Dec 2012 type 2 diabetes mellitus Carl T. Hayden VA Medical Center Completed No outcome recorded
Phase not applicable10 trials
NCT06872060 Jun 2026 → Nov 2027 expected kidney disorder Bispebjerg Hospital Not yet recruiting No outcome recorded
NCT03241303 Aug 2017 → Jan 2018 glucose metabolism disease University Hospital, Gentofte, Copenhagen Completed No outcome recorded
NCT03246451 Jul → Dec 2017 glucose metabolism disease University Hospital, Gentofte, Copenhagen Completed No outcome recorded
NCT02746757 May 2015 → Dec 2017 Karolinska Institutet Completed No outcome recorded
NCT02336659 Apr 2014 → May 2016 morbid obesity Hvidovre University Hospital Completed No outcome recorded
NCT01729299 Apr 2013 → Apr 2014 diabetes mellitus David Dalessio Unknown No outcome recorded
NCT01760772 Feb 2013 → Feb 2015 heart disorder David Dalessio Unknown No outcome recorded
NCT01363609 Oct 2011 → Jan 2015 obesity disorder, type 2 diabetes mellitus Amsterdam UMC, location VUmc Completed No outcome recorded
NCT01281228 Sep 2011 → Oct 2013 obesity disorder, type 2 diabetes mellitus Amsterdam UMC, location VUmc Completed No outcome recorded
NCT01162499 Apr 2010 → Dec 2014 hypoglycemia Diva De Leon Completed No outcome recorded
Phase not stated1 trial
NCT07582874 postgastrectomy syndrome Amylyx Pharmaceuticals Inc. Available No outcome recorded
Also used as a comparator or background therapy in 16 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 17 trials
Phase 1 NCT07224334 Comparator Dec 2025 → Dec 2027 expected diabetes mellitus David D'Alessio, M.D. Recruiting No outcome recorded
Phase 1 NCT02996812 Comparator Apr 2015 → Aug 2016 hyperinsulinemic hypoglycemia Tracey McLaughlin Completed No outcome recorded
Phase 1 NCT02128581 Comparator May 2014 → Mar 2016 diabetes mellitus, obesity disorder Mayo Clinic Completed No outcome recorded
Phase 1 NCT01218633 Comparator May 2011 → Jul 2012 endocrine pancreas disorder Adrian Vella Completed No outcome recorded
Phase 1 NCT01449019 Comparator Dec 2006 → Aug 2007 type 2 diabetes mellitus Ludwig-Maximilians - University of Munich Completed No outcome recorded
Phase 23 trials
Phase 2 NCT06972407 Comparator Oct 2026 → Dec 2028 expected type 2 diabetes mellitus Mayo Clinic Not yet recruiting No outcome recorded
Phase 2 NCT06967558 Comparator Nov 2025 → Oct 2027 expected prediabetes syndrome Mayo Clinic Recruiting No outcome recorded
Phase 2 NCT02762708 Comparator Mar 2016 → Jan 2018 obesity disorder, type 2 diabetes mellitus Mayo Clinic Completed No outcome recorded
Phase 32 trials
Phase 3 NCT04466566 Comparator Oct 2022 → Sep 2025 Adrian Vella Completed No outcome recorded
Phase 3 NCT04466618 Comparator Apr 2021 → Dec 2022 type 2 diabetes mellitus Adrian Vella Completed No outcome recorded
Phase 41 trial
Phase 4 NCT02639130 Comparator Feb 2008 → Jan 2010 type 2 diabetes mellitus Diabeteszentrum Bad Lauterberg im Harz Completed No outcome recorded
Phase not applicable3 trials
NCT07373236 Comparator Jan → Apr 2026 type 1 diabetes mellitus Asger Lund, MD Completed No outcome recorded
NCT02779075 Comparator Jun 2016 → Jul 2019 obesity disorder Mayo Clinic Completed No outcome recorded
NCT01152333 Comparator Jul 2010 → Jul 2016 obesity disorder University of Washington Withdrawn No outcome recorded

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 62 sources stand behind the page.

FieldValueCited text
Known as Avexitide ClinicalTrials.gov intervention name — accepted as the source's own label NCT07582874
3

NCT04652479

NCT06747468

NCT02771574

Known as Avexitida ChEMBL registry synonym — accepted as the source's own label CHEMBL4297949
Known as Ex(9-39) “Using the specific GLP-1 receptor antagonist exendin(9-39)amide (Ex(9-39)) the investigators recently showed that GLP-1 released during intestinal meal perfusion acts as an...” NCT00980083
2

“Effects of the GLP-1 receptor antagonist exendin 9-39 (Ex9-39) and placebo were assessed in 10 women before and after RYGB.” PMID 29025878 Nov 2017

“the GLP-1 antagonist exendin 9-39 (Ex 9-39).” NCT02746757

Known as ex(9-39)NH2 “In vitro, the nonmammalian peptide, exendin(9-39)amide [ex(9-39)NH2], is a specific and competitive antagonist of GLP-1.” PMID 9525985 Apr 1998
Known as Ex-9 “continuous infusion of the GLP-1 receptor antagonist exendin (9-39) (Ex-9)” PMID 24315990 Dec 2013
5

“Exendin 9-39 (Ex9) is a specific GLP-1 receptor antagonist” NCT02996812

“GLP-1 receptor (GLP-1R) antagonist Exendin(9-39) (Ex-9).” NCT01729299

“GLP-1 receptor antagonist exendin(9-39) (Ex9)” PMID 30065032 Jul 2018

“GLP-1 antagonist Exendin-[9-39] (Ex-9)” PMID 25049134 Jul 2014

“Exendin (9-39) (Ex-9)” PMID 27975209 Dec 2016

Known as exendin(9-39)amide Exendin(9-39)amide is an antagonist of glucagon-like peptide-1(7-36)amide in humans.” PMID 9525985 Apr 1998
3

NCT00468091

NCT07373236

NCT00980083

Known as exendin(9-39)NH2 “Using the glucagon-like peptide 1 (GLP-1) receptor (GLP-1R) antagonist exendin(9-39)NH2, we tested the hypothesis that postprandial GLP-1-mediated effects contribute to the...” PMID 39049802 Aug 2024
Known as Exendin-(9,39) “On one occasion, exendin 9-39, a competitive antagonist of the GLP-1 Receptor (GLP1R), was infused, while on the other, saline was infused.” PMID 37751301 Nov 2023
46

“Effects of the GLP-1 receptor antagonist exendin 9-39 (Ex9-39) and placebo were assessed in 10 women before and after RYGB.” PMID 29025878 Nov 2017

“plus a GLP-1R antagonist, exendin 9-39 (900 pmol·kg-¹·min-¹), given intravenously from -30 to 60 minutes” NCT06872060

“concurrently exendin-(9-39) will be infused at 750 pmol/kg/min, also for the remaining 180 minutes.” NCT04347252

Exendin-(9,39) is a competitive antagonist of glucagon-like peptide-1 (GLP-1) at its receptor.” PMID 23545708 Apr 2013

“Avexitide (exendin 9-39) is a competitive antagonist of GLP-1 at its receptor” NCT04652479

“continuous infusion of the GLP-1 receptor antagonist exendin (9-39) (Ex-9)” PMID 24315990 Dec 2013

“Exendin 9-39 (Ex9) is a specific GLP-1 receptor antagonist” NCT02996812

“GLP-1 receptor (GLP-1R) antagonist Exendin(9-39) (Ex-9).” NCT01729299

NCT03101930

NCT02746757

NCT02697253

NCT00551590

NCT00835328

NCT01701973

NCT03241303

NCT02336659

NCT01795144

NCT03373435

NCT02170870

NCT01729299

NCT06967558

NCT01803451

NCT04459338

NCT01162499

NCT03246451

NCT02550145

NCT02128581

NCT02639130

NCT00992901

NCT00897676

NCT02996812

NCT04466566

NCT01152333

NCT04466618

NCT02823665

NCT01843881

NCT00393445

NCT00571324

NCT02779075

NCT01449019

NCT06972407

NCT02762708

NCT02844907

NCT01218633

NCT01843855

NCT01281228

Known as Exendin-3 (9-39) amide ChEMBL registry synonym — accepted as the source's own label CHEMBL4297949
Known as Exendin-9 ClinicalTrials.gov intervention name — accepted as the source's own label NCT07224334
3

NCT01181986

NCT01760772

NCT02287285

Action Inhibit “In vitro, the nonmammalian peptide, exendin(9-39)amide [ex(9-39)NH2], is a specific and competitive antagonist of GLP-1.” PMID 9525985 Apr 1998
Modality Peptide “In vitro, the nonmammalian peptide, exendin(9-39)amide [ex(9-39)NH2], is a specific and competitive antagonist of GLP-1.” PMID 9525985 Apr 1998
Route Intravenous intravenous infusion of exendin(9-39) at 300 pmol/kg/min during GLP-1 at 0.3 and 0.9 pmol/kg/min” NCT00393445
Target GLP1R “glucagon-like peptide 1 (GLP-1) receptor antagonist” PMID 22721966 Jun 2012