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Akebia Therapeutics Announces First Participants Dosed in Phase 1 Clinical Trial of AKB-9090

(Positive)

Akebia Therapeutics (Nasdaq: AKBA) announced dosing of the first participants in a Phase 1 randomized, double-blind, placebo-controlled SAD/MAD trial of AKB-9090, an IV HIF-PH inhibitor for cardiac surgery-associated acute kidney injury (AKI).

The study will enroll up to 70 participants, assess safety, tolerability, pharmacokinetics and pharmacodynamics, and Akebia plans to report topline data in early 2027. Akebia also noted other kidney programs: praliciguat (Phase 2) and AKB-097 (Phase 2 planned H2 2026).

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Positive

  • First-in-human dosing initiated for AKB-9090
  • Study sized for up to 70 participants
  • Topline data expected early 2027
  • IV HIF-PH mechanism targets acute care AKI

Negative

  • Phase 1 trial is early-stage with no efficacy data yet
  • Topline results not expected until early 2027, delaying readout

News Market Reaction – AKBA

+5.00%
1 alert
+5.00% Session close to close
$417.89M Market Cap
0.6x Rel. Volume

In the Apr 13 session, AKBA gained 5.00%, reflecting a notable positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock moved +5.0% in the session following this news. A strong positive reaction aligns with the...
Analysis

The stock moved +5.0% in the session following this news. A strong positive reaction aligns with the pattern of investors rewarding clear clinical progress within Akebia’s kidney-focused pipeline. However, past trial updates showed mixed moves around -0.15% on average, so large gains could be vulnerable to profit-taking. With shares trading well below the $2.28 200-day MA and no unusual pre-news volume, sustainability would depend on future data quality and broader market risk appetite.

Key Figures

Planned enrollment: up to 70 participants Study phase: Phase 1 Top-line data timing: early 2027 +5 more
8 metrics
Planned enrollment up to 70 participants Phase 1 AKB-9090 SAD/MAD trial in healthy adults
Study phase Phase 1 AKB-9090 cardiac surgery-associated acute kidney injury trial
Top-line data timing early 2027 Planned readout for AKB-9090 Phase 1 study
AKB-097 Phase 2 start second half of 2026 Planned basket trial in rare kidney diseases
Praliciguat stage Phase 2 Clinical trial targeting focal segmental glomerulosclerosis
Trial design randomized, double-blind, placebo-controlled AKB-9090 Phase 1 SAD/MAD study in healthy adults
Dosing scheme single and multiple ascending doses Intravenous AKB-9090 dosing cohorts
Primary endpoints safety and laboratory changes Treatment-emergent AEs, labs, vitals, ECGs for AKB-9090

Previous Clinical trial Reports

3 past events · Latest: Jan 06 (Positive)
Same Type Pattern 3 events
Date Event Sentiment 24h Move Catalyst
Jan 06 Phase 2 FSGS start Positive -2.6% First patient dosed in Phase 2 praliciguat trial for FSGS.
Jun 04 Phase 3 data publish Positive +6.4% Vadadustat Phase 3 CKD anemia analyses published in nephrology journal.
Dec 03 Vafseo VOICE enrollment Positive -4.2% First patients enrolled in large VOICE trial of Vafseo in dialysis.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Clinical trial announcements have produced mixed reactions, with two negative and one positive move, and an average move of -0.15% around prior trial updates.

Recent Company History

Recent clinical news for Akebia shows steady advancement of its kidney-focused pipeline. On Jan 6, 2026, first dosing in a Phase 2 FSGS praliciguat trial saw a -2.65% move. Publications and new enrollment for Vafseo/vadadustat trials on Jun 4, 2025 and Dec 3, 2024 drove moves of 6.43% and -4.23%, respectively. Today’s AKB-9090 Phase 1 dosing fits this pattern of incremental clinical execution in kidney and dialysis-related indications.

Key Terms

hypoxia-inducible factor-prolyl hydroxylase (hif-ph) inhibitor, acute kidney injury, randomized, double-blind, +4 more
8 terms
hypoxia-inducible factor-prolyl hydroxylase (hif-ph) inhibitor medical
"an internally developed hypoxia-inducible factor-prolyl hydroxylase (HIF-PH) inhibitor being"
A HIF-PH inhibitor is a class of medicine that tricks cells into acting as if they're low on oxygen, by blocking the enzyme that turns off the body’s low-oxygen response; this leads the body to make more red blood cells and produce proteins that help oxygen delivery. Investors care because these drugs target common forms of anemia and chronic disease, creating potential sales, regulatory and trial risk, and reimbursement considerations similar to any novel therapeutic category.
acute kidney injury medical
"evaluated for the treatment of cardiac surgery-associated acute kidney injury (AKI)."
A sudden decline in how well the kidneys remove waste and balance fluids, often developing over hours or days; think of it like an engine that abruptly loses power and can’t filter efficiently. It matters to investors because it can drive higher medical costs, alter clinical trial results, trigger regulatory scrutiny, lead to drug label changes or recalls, and affect revenue and liability for healthcare and life sciences companies.
randomized medical
"The Phase 1 randomized, double-blind, placebo-controlled, single and multiple ascending"
Randomized means participants or units in a study are assigned to different groups by chance rather than by choice, like flipping a coin to decide who gets a new treatment and who gets a comparison. For investors, randomized designs matter because they reduce bias and make results more trustworthy, so outcomes from randomized studies carry more weight when assessing regulatory approval, commercial prospects, and the risk that trial results will change a company’s valuation.
double-blind medical
"The Phase 1 randomized, double-blind, placebo-controlled, single and multiple ascending"
A double-blind process means that neither the people conducting an activity nor the people involved know certain key details, such as who is receiving a treatment or a placebo. This approach helps prevent bias from influencing the results, making the outcome more trustworthy. For investors, it ensures that decisions or judgments are based on unbiased information rather than preconceived opinions or expectations.
placebo-controlled medical
"The Phase 1 randomized, double-blind, placebo-controlled, single and multiple ascending"
"Placebo-controlled" describes a testing method where one group receives the actual treatment or intervention, while another group receives a harmless, inactive version called a placebo. This approach helps determine whether the real treatment has genuine effects beyond psychological expectations. For investors, understanding this ensures confidence that reported benefits are real and not influenced by bias or false perceptions.
single and multiple ascending dose medical
"placebo-controlled, single and multiple ascending dose (SAD/MAD) study is designed"
Single and multiple ascending dose are early clinical study designs that test a new drug at gradually higher doses to see how the body reacts: 'single' gives one shot per participant, while 'multiple' gives repeated doses over days or weeks. They matter to investors because these studies reveal safety, how the drug is processed, and whether higher or repeated doses cause problems—information that shapes development risk, timing, and potential market value, much like progressively stress-testing a new product to find safe operating limits.
pharmacokinetics medical
"designed to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics"
Pharmacokinetics is the study of how a substance, such as a drug or chemical, moves through and is processed by the body over time. It tracks how it is absorbed, distributed, broken down, and eventually eliminated. For investors, understanding pharmacokinetics helps gauge the effectiveness, safety, and potential risks of new medications or treatments, which can influence a company’s success and valuation in the healthcare industry.
pharmacodynamics medical
"tolerability, pharmacokinetics and pharmacodynamics of AKB-9090 administered intravenously"
Pharmacodynamics is how a drug actually affects the body — the strength, type and duration of its effects and the relationship between dose and response. Think of it like how turning a thermostat changes room temperature: it shows what the drug does and how much is needed to get the desired effect. Investors care because these properties drive clinical success, dosing convenience, safety profile and competitive advantage, all of which influence commercial potential and regulatory approval.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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AKB-9090 is being evaluated as a potential treatment for cardiac surgery-associated acute kidney injury

CAMBRIDGE, Mass., April 13, 2026 (GLOBE NEWSWIRE) -- Akebia Therapeutics®, Inc. (Nasdaq: AKBA), a biopharmaceutical company with the purpose to better the lives of people impacted by kidney disease, today announced the first participants have been dosed in a Phase 1 clinical trial of AKB-9090, an internally developed hypoxia-inducible factor-prolyl hydroxylase (HIF-PH) inhibitor being evaluated for the treatment of cardiac surgery-associated acute kidney injury (AKI). The Phase 1 randomized, double-blind, placebo-controlled, single and multiple ascending dose (SAD/MAD) study is designed to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of AKB-9090 administered intravenously in healthy adult participants.

“AKB-9090 has been internally developed leveraging our team’s extensive expertise in HIF-PH biology, and we believe is a promising product candidate with the potential to treat acute care conditions with significant unmet need such as AKI,” said John P. Butler, Chief Executive Officer of Akebia. “We are pleased to have dosed our first study participants in the Phase 1 clinical trial and plan to report top line data in early 2027.”

The trial will enroll up to 70 participants randomized to receive either AKB-9090 or placebo across sequential single and multiple dose-escalation cohorts. The primary endpoints include the incidence of treatment-emergent adverse events and changes in clinical laboratory parameters, vital signs, and electrocardiograms. More information about this study can be found here.

In late 2025, Akebia introduced its pipeline of clinical stage kidney disease programs. In addition to AKB-9090, Akebia is evaluating praliciguat, a soluble guanylate cyclase stimulator, currently in a Phase 2 clinical trial targeting focal segmental glomerulosclerosis; and AKB-097, a next-generation tissue-targeted complement inhibitor planned to enter a Phase 2 basket trial in rare kidney diseases, including IgA nephropathy, lupus nephritis and C3 glomerulopathy, in the second half of 2026.

About Akebia Therapeutics 
Akebia Therapeutics, Inc. is a fully integrated biopharmaceutical company with the purpose to better the lives of people impacted by kidney disease. Akebia was founded in 2007 and is headquartered in Cambridge, Massachusetts. For more information, please visit our website at www.akebia.com, which does not form a part of this release. 

Forward-Looking Statements
Statements in this presentation regarding Akebia Therapeutics, Inc.’s (“Akebia’s”) strategy, plans, prospects, expectations, beliefs, intentions and goals are forward-looking statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995, as amended, and include, but are not limited to, statements regarding: Akebia's plans, strategies and prospects for its business; Akebia’s beliefs and expectations regarding the mechanism of action of its technologies’ and ability to address the biological need of certain diseases; Akebia’s plans and expectations with respect to AKB-9090, including the timing of the completion of the current Phase 1 trial, the number of patients to be enrolled in the trial, the timing of reporting top line data from the trial, and the indication to be evaluated, and AKB-9090’s potential for successful development and regulatory path to treat acute care conditions with significant unmet need, including AKI; Akebia’s plans and expectations with respect to praliciguat and the Phase 2 trial; and Akebia’s plans and expectations with respect to AKB-097, including the timing of initiation of an open label Phase 2 basket study and the indications to be evaluated. The terms "intend," "believe," "plan," "goal," "potential," "anticipate,” "estimate," "expect," "future," "will," "continue," “could,” derivatives of these words, and similar references are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Actual results, performance or experience may differ materially from those expressed or implied by any forward-looking statement as a result of various risks, uncertainties and other factors, including, but not limited to, risks associated with: the potential therapeutic benefits, safety profile, and effectiveness of Vafseo and Akebia’s development candidates; the results of preclinical and clinical research; Akebia’s ability to initiate and enroll patients in its clinical trials; decisions made by health authorities, such as the FDA, with respect to regulatory filings and other interactions; the potential demand and market potential and acceptance of, as well as coverage and reimbursement related to Auryxia® and Vafseo®, including estimates regarding the potential market opportunity; the competitive landscape for Auryxia and Vafseo, including generic entrants and the timing thereof; the ability of Akebia to attract and retain qualified personnel; Akebia's ability to achieve and maintain profitability and to maintain operating expenses consistent with its operating plan; manufacturing, supply chain and quality matters and any recalls, write-downs, impairments or other related consequences or potential consequences; early termination of any of Akebia's collaborations; and changes in the geopolitical environment and uncertainty surrounding U.S. trade policy on tariffs. Other risks and uncertainties include those identified under the heading "Risk Factors" in Akebia's Annual Report on Form 10-K for the year ended December 31, 2025, and other filings that Akebia may make with the U.S. Securities and Exchange Commission in the future. These forward-looking statements (except as otherwise noted) speak only as of the date of this presentation, and, except as required by law, Akebia does not undertake, and specifically disclaims, any obligation to update any forward-looking statements contained in this presentation.

Akebia Therapeutics®, Auryxia® and Vafseo® are registered trademarks of Akebia Therapeutics, Inc. and its affiliates.

Akebia Therapeutics Contact 
Mercedes Carrasco 
mcarrasco@akebia.com   


FAQ

What did Akebia (AKBA) announce about AKB-9090 on April 13, 2026?

Akebia announced first participants were dosed in a Phase 1 trial of AKB-9090. According to the company, the randomized SAD/MAD study will evaluate safety, tolerability, PK and PD of IV AKB-9090 in up to 70 healthy adult participants.

How many participants will the AKB-9090 Phase 1 trial (AKBA) enroll and what are primary endpoints?

The trial will enroll up to 70 participants in single and multiple ascending dose cohorts. According to the company, primary endpoints are treatment-emergent adverse events, lab changes, vital signs, and ECG findings.

When does Akebia (AKBA) expect topline data for the AKB-9090 Phase 1 study?

Akebia expects topline Phase 1 data in early 2027. According to the company, topline timing follows completion of the SAD and MAD cohorts assessing safety, PK and PD after dosing.

What is AKB-9090’s mechanism and target indication in Akebia’s (AKBA) program?

AKB-9090 is an IV hypoxia-inducible factor–prolyl hydroxylase (HIF-PH) inhibitor targeting cardiac surgery-associated acute kidney injury. According to the company, it is being developed for acute care AKI settings with significant unmet need.

Does Akebia (AKBA) have other clinical-stage kidney programs alongside AKB-9090?

Yes. According to the company, praliciguat is in Phase 2 for focal segmental glomerulosclerosis and AKB-097 is planned to enter a Phase 2 basket trial in rare kidney diseases in H2 2026.