RECRUITING

Avexitide for Treatment of Post-Bariatric Hypoglycemia

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

AVX-001 (LUCIDITY) is a Phase 3 study to evaluate avexitide compared to placebo in participants with post bariatric hypoglycemia (PBH) related to Roux-en-Y gastric bypass (RYGB). The study will assess avexitide compared to placebo for safety and efficacy, measured by reduction of hypoglycemic events. The study includes a Screening period with a Run-in period (of up to 6- and 3-weeks, respectively); a randomized, double-blind, placebo-controlled study treatment period of 16 weeks; and a two-part open-label extension (OLE) period with a duration of approximately 32 weeks.

Official Title

A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Avexitide in Participants With Post-Bariatric Hypoglycemia

Quick Facts

Study Start:2025-02
Study Completion:2026-10
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06747468

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Able to provide written informed consent and understand the purpose and risks of the study
  2. * 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 procedures.
  3. * Is male or female, at least 18 years of age (inclusive) at the time of consent.
  4. * Body mass index (BMI) of up to 40 kg/m2 and has stable body weight-i.e., not varying by \>5% for at least 2 months prior to Screening
  5. * Has undergone documented RYGB performed ≥12 months prior to Screening.
  6. * Has clinical diagnosis of PBH-defined as history of recurrent hypoglycemia with onset after surgery and having ruled out other causes of hypoglycemia as per Investigator judgment.
  7. * Has recurrent hypoglycemia, as demonstrated by experiencing at least 3 discrete hypoglycemic episodes during the 3-week study Run-in period.
  8. * Must agree to consistently follow the dietary management guidance and to maintain consistent exercise and/or physical activity level throughout the Screening period (including the Run-in period), the Double-Blind study treatment period, and Part A of the OLE period.
  9. * If female, must meet all of the following:
  10. * Is not breastfeeding or lactating;
  11. * If of childbearing potential, has negative serum pregnancy test result at Screening and on Day 1 ahead of dosing
  12. * If of childbearing potential, must also agree to use a highly effective method of birth control-and agree not to participate in egg (ova) donation or storage, throughout the duration of study participation and for at least 1 month after the last dose of study drug.
  13. * If male and engaging in heterosexual intercourse with a female partner of childbearing potential, must utilize a highly effective method of contraception, and agree not to donate sperm, from the time of providing written informed consent until at least 3 months after the last dose of study drug.
  1. * Has received avexitide (exendin 9-39) at any time prior to Screening Visit 1.
  2. * Has received another investigational drug, for any indication, within 5 half-lives of that drug prior to Screening Visit 1.
  3. * Has participated in another interventional clinical study within 30 days prior to Screening Visit 1.
  4. * Presence of gastrostomy tube (G-tube).
  5. * Any known or suspected allergy to one of the investigational medicinal products (avexitide or placebo) or any related product (e.g., exenatide).
  6. * History or presence of insulinoma or other cause of endogenous hyperinsulinism other than PBH.
  7. * Active psychiatric disease or active eating disorder (e.g., uncontrolled major depressive disorder, schizophrenia, bipolar disorder, or other severe mood, anxiety, or eating disorder). Note: prospective participants with stable conditions, per Investigator judgement, may be considered, provided they are not on an excluded medication.
  8. * History of major surgery within 6 months prior to Screening.
  9. * History of upper GI surgery, other than RYGB. Note that history of vertical sleeve gastrectomy (VSG) with subsequent RYGB conversion may be considered on a case-by-case basis upon discussion with the Medical Monitor.
  10. * Current or prior use of agent(s) that may alter glucose metabolism, or promote weight loss, within 5 medication half-lives of Screening Visit 1. Such agents include, but are not limited to, the following: acarbose; calcium channel blockers; diazoxide; dipeptidyl-peptidase-4 (DPP-4) inhibitors; GLP-1 agonists; glucocorticoids; glucose-dependent insulinotropic polypeptide (GIP)/GLP-1 dual agonists; insulin; lithium; meglitinides; metformin; pentamide; sodium-glucose-linked transporter (SGLT)-1 inhibitors; SGLT-2 inhibitors; somatostatin analogs; sulfonylureas; and thiazolidinediones (TZDs).
  11. * Use of drugs that interfere with the Dexcom G7 sensor within 5 half-lives of Screening Visit 1. Such drugs include acetaminophen administered at a dosage greater than 1000 mg every 6 hours, and hydroxyurea.
  12. * Investigator-assessed evidence of alcohol or drug abuse within 12 months prior to Screening. Unwillingness to restrict alcohol use to no more than 1 drink per day is also exclusionary.

Contacts and Locations

Study Contact

Amylyx Clinical Trials Team
CONTACT
1-857-575-7007
clinicaltrials@amylyx.com
Amylyx Medical Director
CONTACT
clinicaltrials@amylyx.com

Principal Investigator

Amylyx Medical Director
STUDY_DIRECTOR
Amylyx Pharmaceuticals

Study Locations (Sites)

Stanford Health Care - Endocrinology Clinic
Downey, California, 90241-5322
United States
University of Colorado Health Anschutz Medical Campus
Aurora, Colorado, 80045-2541
United States
East Coast Institute for Research
Jacksonville, Florida, 32216
United States
Hanson Diabetes Center
Port Charlotte, Florida, 33952-6722
United States
Cotton-O'Neil Diabetes and Endocrinology Center
Topeka, Kansas, 66606-2806
United States
Joslin Diabetes Center
Boston, Massachusetts, 02215-5306
United States
NYC Health + Hospitals/Queens - BRANY
New Hyde Park, New York, 11042-1214
United States
Duke Center for Metabolic and Weight Loss Surgery
Durham, North Carolina, 27704-2726
United States
Lucas Research - Morehead City
Morehead City, North Carolina, 28557-3126
United States
Penn Medicine University City
Philadelphia, Pennsylvania, 19104
United States
University Diabetes and Endocrine Consultants
Chattanooga, Tennessee, 37411
United States
Vanderbilt Weight Loss Center
Nashville, Tennessee, 37212-3609
United States
Endocrine and Psychiatry Center
Houston, Texas, 77095-2856
United States
Southern Endocrinology & Diabetes Associates
Mesquite, Texas, 75149
United States
UT Health San Antonio
San Antonio, Texas, 78229-3931
United States
Diabetes and Gandular Disease Clinic
San Antonio, Texas, 78229-4801
United States
Consano Clinical Research
Shavano Park, Texas, 78231-1281
United States
Texas Valley Clinical Research, LLC
Weslaco, Texas, 78596-7288
United States
UWHealth - Junction Rd Medical Center Endocrinology Clinic
Madison, Wisconsin, 53717-2656
United States

Collaborators and Investigators

Sponsor: Amylyx Pharmaceuticals Inc.

  • Amylyx Medical Director, STUDY_DIRECTOR, Amylyx Pharmaceuticals

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-02
Study Completion Date2026-10

Study Record Updates

Study Start Date2025-02
Study Completion Date2026-10

Terms related to this study

Keywords Provided by Researchers

  • avexitide
  • post bariatric hypoglycemia
  • PBH
  • hypoglycemia
  • hypoglycemia post bariatric surgery
  • Roux-en-Y gastric bypass (RYGB)
  • RYGB
  • AVX
  • LUCIDITY
  • exendin 9-39
  • exendin
  • exendin 939
  • Roux-en-Y
  • gastric bypass
  • low blood sugar
  • Roux-en-Y gastric bypass

Additional Relevant MeSH Terms

  • Post Bariatric Hypoglycemia