Head-to-head evidence

lixisenatide vs PB-119

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Type 2 Diabetes

Shared mechanism: GLP-1 receptor · full Type 2 Diabetes pipeline

lixisenatide · Adlyxin / Lyxumia

Marketed by Sanofi

Approved in Type 2 Diabetespeptide
Partial signal

NCT00707031 · Phase 3 · completed

The 639 participants were randomly assigned to lixisenatide or active treatment with exenatide, but the study was not blinded. The primary HbA1c comparison met its prespecified non-inferiority criterion, with a between-group difference of 0.17 percentage points and a 95% confidence interval of 0.033 to 0.297, but HbA1c is a surrogate endpoint rather than a hard clinical outcome.

Next expected readout: June 2027 · NCT07173712 (registry estimate)

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PB-119

Developed by PegBio

Phase 3 in Type 2 Diabetespeptide
Reliable signal

NCT04504396 · Phase 3 · completed

This randomized, placebo-controlled trial kept participants, care providers, investigators and outcome assessors blind to treatment assignment. Its primary endpoint, change in HbA1c, was clearly met, with PB-119 producing a significantly larger reduction than placebo (P<0.001).

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: lixisenatide's landscape · PB-119's landscape