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  • Amylyx’s Avexitide Succeeds in Phase 3 Pivotal Study for Post-Bariatric Hypoglycemia
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Amylyx’s Avexitide Succeeds in Phase 3 Pivotal Study for Post-Bariatric Hypoglycemia

Amylyx's avexitide hit its Phase 3 endpoint in post-bariatric hypoglycemia with a 55% reduction in severe events, even as LEO Pharma and BioMarin struck rare-disease deals.
pharminent August 18, 2026

STRATEGIC NEWS WATCH — August 18, 2026

Amylyx’s avexitide hit its Phase 3 endpoint in post-bariatric hypoglycemia with a 55% reduction in severe events, clearing a path to becoming the first approved therapy for a condition that currently has no pharmacologic options.

Today’s top developments:

  • Amylyx’s avexitide, a GLP-1 receptor antagonist, cut severe hypoglycemia events 55% versus placebo in a Phase 3 pivotal trial for post-bariatric hypoglycemia, positioning it as a potential first-in-class therapy (STAT)
  • LEO Pharma agreed to pay up to $435M for worldwide rights to Mitsubishi Tanabe’s oral rare-disease drug dersimelagon, an MC1R agonist for erythropoietic protoporphyria (Pharmaceutical Technology)
  • BioMarin will acquire Alesta Therapeutics for $275M upfront — up to $490M with milestones — adding the oral hypophosphatasia candidate ALE1 (BioPharma Dive)
  • Regeneron terminated a Phase 1/2 uveitis study of anti-CD3 antibody REGN7041 after an unfavorable benefit-risk assessment, extending a run of pipeline setbacks (BioSpace)
  • Hims & Hers CEO Andrew Dudum publicly rebutted the FTC’s lawsuit, defending the company’s compounded GLP-1 and AI-assisted prescribing model (CNBC)

What to Watch

  • Amylyx regulatory filing — With avexitide’s pivotal data in hand and no approved therapy for post-bariatric hypoglycemia, look for NDA-submission timing and any breakthrough or priority-review signals that could speed a first-in-class path.
  • Regeneron’s capital deployment — Another late-stage setback atop a roughly $18B cash pile sharpens analyst pressure for a sizable acquisition; the open question is whether Regeneron shifts from bolt-ons to a franchise-scale deal.
  • Rare-disease deal velocity — Two rare-disease transactions in a single session point to sustained premiums for late-stage, near-approval assets; valuations will reveal whether mid-caps keep outbidding for clean clinical profiles.
  • Hims & Hers vs. FTC — The compounded-GLP-1 fight is a bellwether for telehealth prescribing; expect preliminary-injunction proceedings and early signs of whether rival platforms adjust their offerings.
  • CAR-T site-of-care economics — REMS removal opens community oncology to cell therapy; track how the big-three drug wholesalers position for cold-chain distribution as delivery decentralizes.

This brief highlights the edition’s top stories. Read the full August 18, 2026 edition → for all stories and analysis — or browse the Strategic News Watch archive.

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