Drugs / Avexitide
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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 · Adrian Vella · Eiger BioPharmaceuticals · National Institutes of Health (NIH) · The University of Texas Health Science Center at San Antonio
+27 more · University of Copenhagen · Amsterdam UMC, location VUmc · Amylyx Pharmaceuticals Inc. · Ludwig-Maximilians - University of Munich · Merck Sharp & Dohme LLC · National Center for Research Resources (NCRR) · Tracey McLaughlin · University Hospital, Gentofte, Copenhagen · American Heart Association · Bispebjerg Hospital · Bristol-Myers Squibb · David D'Alessio, M.D. · David Dalessio · 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 33

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 05 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 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 · 1 met primary
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 Met primary
Phase 25 trials · 2 met primary · 1 missed
Phase 2 NCT04652479 Jun 2021 → Jun 2022 hyperinsulinemic hypoglycemia Dr. Tracey McLaughlin, MD Completed Met primary
Phase 2 NCT03373435 Mar 2018 → Jan 2019 adult-onset non-insulinoma persistent hyperinsulinemic hypoglycemia Eiger BioPharmaceuticals Completed Met primary
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 Missed primary
Phase 32 trials · 1 met primary
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 Met primary
Phase 43 trials
Phase 4 NCT02844907 Jul 2018 → Dec 2021 — VA Office of Research and Development Terminated No outcome recorded Stop: Business
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 not applicable9 trials · 1 met primary
— 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
— NCT01363609 Oct 2011 → Jan 2015 obesity disorder, type 2 diabetes mellitus Amsterdam UMC, location VUmc Completed Met primary
— 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
Comparator or background therapy16 trials
Phase 1 NCT07806695 Background Sep 2026 → Mar 2030 expected gestational diabetes Mayo Clinic 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

Evidence & citations 13 cited values

Every value below carries the sentence it was read from. 59 sources stand behind the page.

FieldValueCited text
Known as Avexitide ClinicalTrials.gov intervention name — accepted as the source's own label NCT06747468 ↗
3

NCT07582874 ↗

NCT02771574 ↗

NCT04652479 ↗

Known as Avexitida ChEMBL registry synonym — accepted as the source's own label CHEMBL4297949 ↗
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 Ex9-39 “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 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
47

“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 ↗

NCT00551590 ↗

NCT02697253 ↗

Show 37 more sources

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 ↗

NCT00980083 ↗

NCT07373236 ↗

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-3 (9-39) amide ChEMBL registry synonym — accepted as the source's own label CHEMBL4297949 ↗
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