Head-to-head evidence

lixisenatide vs PEX168

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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PEX168

Developed by Jiangsu Hengrui Pharmaceuticals and partners

Phase 3 in Type 2 Diabetespeptide
Reliable signal

NCT02477969 · Phase 3 · status unknown

This was a randomized, triple-blind, placebo-controlled trial with 587 participants, testing PEX168 against placebo, both added to metformin, using change in HbA1c as the primary measure. A published report of the trial's results describes the primary endpoint as met, with substantially more PEX168 patients than placebo patients reaching HbA1c targets at 24 weeks.

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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 · PEX168's landscape