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We are tackling some of medicine’s toughest problems to serve communities with high unmet needs. To accomplish this, we are advancing a pipeline in which we’ve matched investigational therapies with diseases in which they can make the greatest impact, based on well-defined mechanistic rationale, clear clinical outcomes and biomarkers, and rigorous preclinical data.

Avexitide is an investigational, first-in-class glucagon-like peptide-1 (GLP-1) receptor antagonist designed to bind to the GLP-1 receptor on pancreatic islet beta cells and block the effect of excessive GLP-1 to mitigate hypoglycemia by decreasing insulin secretion and stabilizing glucose levels.

Preclinical
IND-Enabling Studies
Phase 1
Phase 2
Phase 3
Commercial

About PBH

Symptomatic PBH affects approximately 8% of people who have undergone bariatric surgery and can lead to debilitating hypoglycemic events. It is estimated that approximately 160,000 of the more than two million people who have undergone bariatric surgery in the last decade are currently living with symptomatic PBH.1-4 Learn more about PBH.

Key Data (Slide 11)

Therapy Designation

FDA Breakthrough Therapy, Orphan Drug Designation for hyperinsulinemic hypoglycemia (which includes PBH)

Clinical Trial Information

LUCIDITY will be a multicenter, randomized, double-blind, placebo-controlled Phase 3 clinical trial designed to study the efficacy and safety of avexitide in people living with PBH.

Latest and Upcoming Milestones

Avexitide has demonstrated highly statistically significant and clinically meaningful data with a well-tolerated safety profile across five clinical trials in PBH. Amylyx expects to begin a Phase 3 program for avexitide in PBH in Q1 2025, with data readout anticipated in 2026.

  1. Craig, C. M. et al. The Journal of Clinical Endocrinology & Metabolism. 2021;106(8):e3235-e3248. http://doi.org/10.1210/clinem/dgab103.
  2. Estimate of Bariatric Surgery Numbers, 2011-2022 - American Society for Metabolic and Bariatric Surgery (asmbs.org). Accessed June 6, 2024.
  3. Raverdy V. et al. Annals of Surgery. 2016;264(5):878-885. http://doi.org/10.1097/SLA.0000000000001768.
  4. de Heide, L. J. M. et al. Diabetes, Obesity, & Metabolism. 2023;25:735-747. http://doi.org/10.1111/dom.14920.

About Congenital HI

Congenital hyperinsulinism (HI) is a rare disease with limited therapeutic options characterized by hypersecretion of insulin leading to severe, persistent hypoglycemia in infants and young children.

Therapy Designation

FDA Breakthrough Therapy, Rare Pediatric Disease Designation, Orphan Drug Designation for hyperinsulinemic hypoglycemia (which includes congenital HI)

Latest and Upcoming Milestones

There is a clear link between avexitide’s proposed mechanism of action and the cause of hypoglycemia in congenital HI, a significant unmet need faced by this community, as well as statistically significant data from three prior avexitide clinical trials in this indication. Amylyx is engaging physicians and community experts in discussions around next steps for clinical development.

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AMX0035 is an oral, fixed-dose combination of sodium phenylbutyrate (PB) and taurursodiol (TURSO, also known as ursodoxicoltaurine outside of the U.S.). AMX0035 was designed to mitigate neurodegeneration by targeting endoplasmic reticulum (ER) stress and mitochondrial dysfunction, two cellular processes central to neuronal cell death and neurodegeneration.

Preclinical
IND-Enabling Studies
Phase 1
Phase 2
Phase 3
Commercial

About Wolfram Syndrome

Wolfram syndrome is a rare, monogenic neurodegenerative disease that progressively impacts multiple organ systems. Wolfram syndrome is characterized by childhood-onset diabetes mellitus, optic nerve atrophy, and neurodegeneration. Learn more about Wolfram syndrome.

Key Data (Slide 24)

Therapy Designation

FDA Orphan Drug Designation, European Commission Orphan Drug Designation

Clinical Trial Information

HELIOS is a 12-participant, single-site, single-arm, open-label, Phase 2 trial designed to evaluate the safety and tolerability of AMX0035 and various measures of endocrinologic, neurologic, and ophthalmologic function in adult participants living with Wolfram syndrome.

Latest and Upcoming Milestones

In October 2024, Amylyx announced positive topline results from HELIOS. We continue to engage with FDA and other stakeholders to inform a Phase 3 program and expect to provide an update in 2025.

About PSP

PSP is a sporadic, rare, fatal neurodegenerative disease that can affect movement, gait, balance, cognition, eye movements, swallowing, and speech. PSP is considered a tauopathy based on the strong genetic link between tau variants and disease development and the presence of abnormal tau protein deposits in the brain. Learn more about PSP.

Key Data (Slide 29)

Clinical Trial Information

ORION is a global, randomized, double-blind, placebo-controlled Phase 2b/3 clinical trial evaluating AMX0035 for the treatment of PSP.

Latest and Upcoming Milestones

Data from an interim analysis of ORION are expected in mid-2025.

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AMX0114 is an investigational antisense oligonucleotide (ASO) designed to target the gene encoding calpain-2 (CAPN2). Calpain-2 is a calcium-dependent protease and a critical effector of axonal degeneration (also known as Wallerian degeneration) in ALS and other neurodegenerative diseases. Calpain-2 cleaves neurofilament light chain (NfL), a broadly researched biomarker for axonal degeneration in ALS, and TAR DNA-binding protein 43 (TPD-43), a protein associated with ALS and FTD disease.1-4

  1. Zimmerman, U. J., et. al. Biochemistry. 1982; 17;21(17):3977. https://doi.org/10.1021/bi00260a012.
  2. Ma, M., et al. Neurobiology of Disease. 2013; 56:34-46. https://doi.org/10.1016/j.nbd.2013.03.009.
  3. Lombardi, V., et al. Scientific Reports. 2020;26;10(1):10774. https://doi.org/10.1038/s41598-019-54310-y.
  4. Yamashita, T. et al. Nature Communications. 2012;3:1307. https://doi.org/10.1038/ncomms2303.
Preclinical
IND-Enabling Studies
Phase 1
Phase 2
Phase 3
Commercial

About ALS

ALS is a relentlessly progressive and fatal neurodegenerative disorder caused by motor neuron death in the brain and spinal cord. Motor neuron loss in ALS leads to deteriorating muscle function, the inability to move and speak, respiratory paralysis, and, eventually, death. Learn more about ALS.

Key Data (Slide 34)

Clinical Trial Information

LUMINA will be a multicenter, randomized, double-blind, placebo-controlled, multiple ascending dose Phase 1 clinical trial evaluating the safety and biological activity of AMX0114 in people with ALS.

Latest and Upcoming Milestones

Amylyx expects to initiate LUMINA in Canada in the beginning of 2025. Amylyx expects early cohort data from LUMINA in 2025.

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Learn more about our current focus: diseases with high unmet needs