New drug access for low blood sugar after Weight-Loss surgery
NCT ID NCT07582874
First seen Jun 25, 2026 · Last updated Jul 15, 2026 · Updated 3 times
Summary
This expanded access program offers avexitide to people with post-bariatric hypoglycemia (dangerously low blood sugar) after Roux-en-Y gastric bypass. Eligible patients include those who completed the LUCIDITY trial or other avexitide studies. Participants receive a daily injection before their first meal, and safety is monitored.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Avexitide (a drug injected under the skin once daily before the first meal)
- What this could lead to
- If it works, this could offer ongoing symptom control for people with dangerously low blood sugar after weight-loss surgery.
- What could go wrong
- This is an expanded access program, not a formal trial, so evidence is limited. The drug may not work for everyone, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Patients in this EAP will be eligible in one of two categories (Category A and Category B) as defined below: * Category A: Individuals who have completed the LUCIDITY trial through the Week 48 OLE Part B end-of-treatment visit on avexitide. * Category B: Individuals who participated in previous avexitide clinical trials conducted in PBH following RYGB; or documented LUCIDITY participants who signed ICF and were eligible for LUCIDITY based on screening and run-in, but were unable to be randomized due to completion of recruitment. Key Inclusion Criteria: Applicable to all patients: * Male or female, at least 18 years of age; able to understand the purpose and risks of the program, and provides written informed consent to participate. * Not eligible for or otherwise able to obtain access to avexitide via a clinical trial, and does not have access to satisfactory, alternative treatment options. * If female, cannot be breastfeeding or lactating, and if of childbearing potential must agree to use a highly effective method of birth control during EAP participation. A negative urine pregnancy test is required at time of entry. * If male, must agree to use a highly effective method of birth control during EAP participation. For Category A: * Have completed the LUCIDITY trial through the Week 48 OLE Part B end-of-treatment visit on avexitide. For Category B: * Have clinical diagnosis of PBH, and underwent documented RYGB ≥ 12 months prior to EAP eligibility assessment. * Has body mass index (BMI) of up to 40 kg/m2. * Treating physician confirmation of either participation in previous avexitide clinical trials conducted in PBH following RYGB; or documented LUCIDITY participant who signed ICF and was eligible for LUCIDITY based on screening and run-in, but was unable to be randomized due to completion of recruitment. Key Exclusion Criteria: Applicable to all patients: * Use of GLP-1 receptor agonists, glucose-dependent insulinotropic polypeptide (GIP)/GLP-1 receptor dual agonists, and other GLP-1 receptor agonist combination therapies. * Presence of any clinically relevant condition which, per the judgment of the treating physician, may preclude the patient from safe treatment. For Category B: * Have received another investigational drug for any indication within 5 half-lives of that drug or have participated in another interventional clinical study within 30 days prior to entry visit. * History of upper GI surgery affecting RYGB anatomy or function, other than RYGB. * Any known or suspected allergy to the investigational medicinal product (avexitide) or any related product (e.g., exenatide). * Abnormal liver function defined as AST and/or ALT \> 5 times the upper limit of the normal and/or bilirubin level \>3 times the upper limit of the normal within 12 weeks from entry. * Renal impairment, defined as an estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m2 within 12 weeks from entry. * History or presence of insulinoma or other cause of endogenous hyperinsulinism other than PBH. * Presence of acute or chronic pancreatitis, history of idiopathic acute pancreatitis, or pancreatic cancer.
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Centricity Research Morehead City Multispecialty
AVAILABLEMorehead City, North Carolina, 28557-3126, United States
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Diabetes and Glandular Disease Clinic
AVAILABLESan Antonio, Texas, 78229-4801, United States
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Joslin Diabetes Center
AVAILABLEBoston, Massachusetts, 02215-5306, United States
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Southern Endocrinology and Diabetes Associates
AVAILABLEMesquite, Texas, 75149, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A surgical showdown: can a newer bariatric procedure outsmart blood sugar drops?
- Smart patch could spot dangerous sugar drops after gastric bypass
- Study tests glucagon doses for Post-Surgery low blood sugar
- Ear gadget could spot dangerous sugar drops after gastric bypass
- New hope for Post-Surgery sugar crashes: avexitide trial underway
- New hope for Post-Surgery sugar crashes: pasireotide under study