RecruitingPhase 2NCT07029412

Study to Evaluate Efficacy and Dose Response of Imapextide (STEADI)

A Phase 2a, Open-label, Exploratory Study to Evaluate Preliminary Efficacy of Subcutaneous MBX 1416 in Patients With Postbariatric Hypoglycemia (The STEADI Study)


Sponsor

MBX Biosciences

Enrollment

10 participants

Start Date

Aug 26, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess the preliminary efficacy of single SC administration of MBX 1416 at different dose levels in patients with PBH


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria6

  • Participant must be ≥18 to ≤75 years of age at the time of signing the informed consent.
  • Participants must have undergone RYGB or SG surgery at least 12 months prior to study entry.
  • Participants should have a documented history of PBH, defined as Whipple's triad (symptomatic hypoglycemia, capillary glucose ≤54 mg/dL, with symptom resolution by carbohydrate administration) and a minimum of 1 symptomatic hypoglycemic episode per month by patient report.
  • Participants who are either treatment naïve or who are no longer using (i.e., have discontinued as part of their usual medical care) agents known to interfere with glucose metabolism at the time of screening.
  • Participants must have a body mass index (BMI) \<45 kg/m2 at screening.
  • Must have signed informed consent.

Exclusion Criteria4

  • History of, or currently active, significant illness or medical disorders that in the opinion of the investigator may preclude participants from participating in the study.
  • Currently on-going type II diabetes mellitus.
  • History of hypoglycemia prior to bariatric surgery.
  • History of insulinoma or other endogenous hyperinsulinemia illness (e.g., congenital hyperinsulinism).

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Interventions

DRUGMBX 1416 (INN imapextide)

A single subcutaneous injection of MBX 1416 at a low dose and a high dose approximately 2 weeks apart.


Locations(4)

MBX Biosciences Investigational Site

Aurora, Colorado, United States

MBX Biosciences Investigational Site

Morehead City, North Carolina, United States

MBX Biosciences Investigational Site

Knoxville, Tennessee, United States

MBX Biosciences Investigational Site

San Antonio, Texas, United States

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NCT07029412


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