Enrollment complete in Phase 3 SONATA-HCM study; top-line data expected Q1 2027
NDA resubmission activities for ZYNQUISTA® in type 1 diabetes nearing completion
Phase 1 clinical development of LX9851 ongoing by Novo Nordisk
Conference call and webcast at
“Lexicon continued to make strong progress during the second quarter, with the refinement of our strategy and sharpening of our focus beginning to bear fruit across our business,” said
“We remain very focused on disciplined, targeted capital allocation as we continue to advance our clinical programs,” said
Second Quarter 2026 Business and Pipeline Highlights
Cardiometabolic
Sotagliflozin
Sotagliflozin is a unique oral inhibitor of sodium-glucose cotransporter types 1 and 2 (SGLT1 and SGLT2) and has been studied in approximately 20,000 patients across multiple cardiometabolic indications. Sotagliflozin is commercially available in the
Hypertrophic Cardiomyopathy (HCM)
- Enrollment has been completed in SONATA-HCM, a pivotal Phase 3 placebo-controlled study, substantially exceeding its enrollment target of 500 patients across both non-obstructive (nHCM) or obstructive HCM (oHCM).
- The primary efficacy endpoint will assess improvement in symptoms for the entire population (nHCM and oHCM). The final study population included a substantial majority of patients with nHCM, providing a robust opportunity to evaluate sotagliflozin in a patient group for whom effective treatment options remain limited, as well as a meaningful cohort of patients with oHCM.
- Lexicon continues to expect topline results in the first quarter of 2027.
Type 1 Diabetes (T1D) (ZYNQUISTA®)
- Lexicon remains focused on bringing ZYNQUISTA to market for glycemic control in adults with T1D, a patient population for which there are no treatment options beyond insulin.
- STENO1, a third-party funded, investigator-initiated study of sotagliflozin being conducted by the
STENO Diabetes Center (Denmark ) is approaching the patient exposure and safety data requirements previously identified by theU.S. Food and Drug Administration (FDA ) as being adequate to support a resubmission of the company's New Drug Application (NDA), which Lexicon anticipates will occur in the fourth quarter of 2026 based on current estimated timing of data collection. - The safety data received to date from this open-label trial continue to support the resubmission.
Viatris License for All Indications Ex-
- Lexicon continues to support licensee Viatris in its regulatory filing and commercial strategy for sotagliflozin outside of the
U.S . andEurope . - Viatris has obtained regulatory approval for heart failure in the
United Arab Emirates andBahrain and has submitted applications for regulatory approval for heart failure in several other markets, includingSaudi Arabia ,Canada ,Australia ,New Zealand ,Mexico ,Singapore ,Oman ,Thailand ,Turkey ,Malaysia ,Philippines , andKuwait . Viatris anticipates regulatory decisions inAustralia andCanada and regulatory submissions in other markets in 2026.
LX9851
LX9851 is a first-in-class, non-incretin, oral, small molecule inhibitor of acyl-CoA synthetase 5 (ACSL5) in development by licensee Novo Nordisk for obesity and associated metabolic disorders.
Obesity and Associated Cardiometabolic Disorders
- In
March 2026 , Novo Nordisk initiated a Phase 1 study investigating single and multiple ascending doses of LX9851 compared to placebo in overweight or obese people. The Phase 1 program is expected to be completed in the first quarter of 2027. - Under the terms of Lexicon’s exclusive license agreement with Novo Nordisk, Lexicon received an upfront payment of
$45 million and two$10 million payments related to clinical development. Lexicon is eligible to receive a third$10 million milestone payment as early as later this year and up to an aggregate of$1 billion in upfront and development, regulatory and sales milestone payments. Lexicon is also eligible for tiered royalties on net sales of LX9851.
Pilavapadin (LX9211)
Discovered using Lexicon’s unique approach to gene science and target identification, pilavapadin is a potent, once-daily, orally delivered, selective, investigational small molecule inhibitor of AAK1. Lexicon identified AAK1 in its target discovery efforts as a promising approach for the treatment of neuropathic pain and is exploring its potential in other indications.
Diabetic Peripheral Neuropathic Pain (DPNP)
- Pilavapadin has the potential to be the first oral, non-opioid drug therapy approved in neuropathic pain in more than 20 years.
- Lexicon continues to explore strategic opportunities to maximize the global potential of this investigative therapy.
Second Quarter 2026 Financial Highlights
Revenues: Total revenues were
Total revenues for the second quarter of 2025 were
Research and Development (R&D) Expenses: Research and development expenses for the second quarter of 2026 increased to
Selling, General and Administrative (SG&A) Expenses: Selling, general and administrative expenses for the second quarter of 2026 increased to
Net Loss: Net loss for the second quarter of 2026 was
Cash, Investments and Restricted Cash: As of
Hercules Capital Loan Facility
In
Conference Call and Webcast Information
Lexicon management will hold a live conference call and webcast today at
About Lexicon Pharmaceuticals
Lexicon is a biopharmaceutical company with a mission of pioneering medicines that transform patients’ lives. Lexicon has a pipeline of drug candidates in discovery, preclinical, and clinical development in neuropathic pain, hypertrophic cardiomyopathy (HCM), obesity and metabolic disorders, and other cardiometabolic indications. For additional information, please visit www.lexpharma.com.
Safe Harbor Statement
This press release contains “forward-looking statements,” including statements relating to Lexicon’s financial position and long-term outlook on its business, including the commercialization of its approved products and the clinical development of regulatory filings for, and potential therapeutic and commercial potential of its other drug candidates. In addition, this press release also contains forward looking statements relating to Lexicon’s growth and future operating results, discovery, development and commercialization of products, strategic alliances and intellectual property, as well as other matters that are not historical facts or information. All forward-looking statements are based on management’s current assumptions and expectations and involve risks, uncertainties and other important factors, specifically including Lexicon’s ability to meet its capital requirements, successfully commercialize its approved products, successfully conduct preclinical and clinical development and obtain necessary regulatory approvals of its other drug candidates on its anticipated timelines, achieve its operational objectives, obtain patent protection for its discoveries and establish strategic alliances, as well as additional factors relating to manufacturing, intellectual property rights, and the therapeutic or commercial value of its approved products and other drug candidates. Any of these risks, uncertainties and other factors may cause Lexicon’s actual results to be materially different from any future results expressed or implied by such forward-looking statements. Information identifying such important factors is contained under “Risk Factors” in Lexicon’s annual report on Form 10-K for the year ended December 31, 2025, as filed with the Securities and Exchange Commission. Lexicon undertakes no obligation to update or revise any such forward-looking statements, whether as a result of new information, future events or otherwise.
For Media Inquiries:
Dave Belian
Lexicon Pharmaceuticals, Inc.
lexinvest@lexpharma.com
For Investor Inquiries:
Lisa DeFrancesco
Lexicon Pharmaceuticals, Inc.
lexinvest@lexpharma.com
| Selected Financial Data | |||||||||||||||
| Consolidated Statements of Operations Data | Three Months Ended | Six Months Ended | |||||||||||||
| (In thousands, except per share data) | 2026 | 2025 | 2026 | 2025 | |||||||||||
| (Unaudited) | (Unaudited) | ||||||||||||||
| Revenues: | |||||||||||||||
| Net product revenue | $ | 680 | $ | 1,322 | $ | 1,770 | $ | 2,584 | |||||||
| Licensing and milestone revenue | — | 27,544 | 20,000 | 27,544 | |||||||||||
| Royalties and other revenue | 12 | — | 24 | — | |||||||||||
| Total revenues | 692 | 28,866 | 21,794 | 30,128 | |||||||||||
| Operating expenses: | |||||||||||||||
| Cost of sales | 39 | 33 | 147 | 63 | |||||||||||
| Research and development, including stock-based | |||||||||||||||
| compensation of | 17,443 | 15,747 | 30,199 | 31,050 | |||||||||||
| Selling, general and administrative, including stock-based | |||||||||||||||
| compensation of | 9,750 | 9,350 | 18,984 | 20,958 | |||||||||||
| Total operating expenses | 27,232 | 25,130 | 49,330 | 52,071 | |||||||||||
| Income (loss) from operations | (26,540 | ) | 3,736 | (27,536 | ) | (21,943 | ) | ||||||||
| Interest and other expense | (2,609 | ) | (2,318 | ) | (4,199 | ) | (4,153 | ) | |||||||
| Interest and other income | 1,723 | 1,834 | 3,266 | 4,053 | |||||||||||
| Loss on early extinguishment of debt | $ | (4,349 | ) | $ | — | $ | (4,349 | ) | $ | — | |||||
| Net income (loss) | $ | (31,775 | ) | $ | 3,252 | $ | (32,818 | ) | $ | (22,043 | ) | ||||
| Net income (loss) per common share, basic | $ | (0.07 | ) | $ | 0.01 | $ | (0.08 | ) | $ | (0.06 | ) | ||||
| Net income (loss) per common share, diluted | $ | (0.07 | ) | $ | 0.01 | $ | (0.08 | ) | $ | (0.06 | ) | ||||
| Weighted average common shares outstanding, basic | 437,653 | 363,294 | 419,050 | 362,687 | |||||||||||
| Weighted average common shares outstanding, diluted | 437,653 | 363,570 | 419,050 | 362,687 | |||||||||||
| As of | As of | ||||||||||||||
| Consolidated Balance Sheet Data | |||||||||||||||
| (In thousands) | |||||||||||||||
| Cash and investments | $ | 190,610 | $ | 96,230 | |||||||||||
| Restricted cash | — | 29,000 | |||||||||||||
| Property and equipment, net | 1,651 | 1,863 | |||||||||||||
| 44,543 | 44,543 | ||||||||||||||
| Total assets | 250,060 | 184,987 | |||||||||||||
| Current portion of long-term debt | — | 4,595 | |||||||||||||
| Long-term debt, net | 51,437 | 49,408 | |||||||||||||
| Accumulated deficit | (2,050,401 | ) | (2,017,583 | ) | |||||||||||
| Total stockholders' equity | 174,525 | 107,538 | |||||||||||||