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Lexicon to Present Data at the American Academy of Neurology (AAN) Annual Meeting

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Lexicon (NASDAQ:LXRX) will present Phase 2b and preclinical data at the American Academy of Neurology Annual Meeting, April 18-22, 2026 in Chicago.

Key points: PROGRESS data support selection of pilavapadin 10 mg for Phase 3 in diabetic peripheral neuropathic pain after a nominally significant reduction in Average Pain at Week 8 and concordant improvements in Worst and Least Daily Pain. The 10 mg dose was generally well-tolerated over 8 weeks. Lexicon will also present preclinical spasticity data on April 20.

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Positive

  • Pilavapadin 10 mg achieved a nominally significant reduction in Average Pain at Week 8
  • Concordant improvements observed in Worst and Least Daily Pain measures
  • 10 mg dose generally well-tolerated with completion rates comparable to placebo over 8 weeks
  • Company advancing pilavapadin 10 mg into Phase 3 development for DPNP

Negative

  • Efficacy described as nominally significant, suggesting results may not be adjusted for multiplicity
  • Clinical efficacy data reported over a short 8-week treatment period
  • Spasticity results limited to preclinical models, not yet demonstrated in patients

News Market Reaction – LXRX

+1.63%
4 alerts
+1.63% Session close to close
$826.18M Market Cap
0.1x Rel. Volume

In the Apr 17 session, LXRX gained 1.63%, reflecting a mild positive market reaction. Our momentum scanner triggered 4 alerts that day, indicating moderate trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement highlights new Phase 2b data supporting pilavapadin 10 mg as the Phase 3 dose in d...
Analysis

This announcement highlights new Phase 2b data supporting pilavapadin 10 mg as the Phase 3 dose in diabetic peripheral neuropathic pain and provides preclinical evidence for effects on spasticity in multiple sclerosis and spinal cord injury models. It builds on earlier disclosures that pilavapadin was cleared for Phase 3. Investors may watch for full Phase 3 trial design, enrollment progress, and any updates on broader neurology indications informed by these AAN presentations.

Key Figures

Pilavapadin dose: 10 mg Efficacy timepoint: Week 8 Treatment duration: 8 weeks +3 more
6 metrics
Pilavapadin dose 10 mg Selected as optimal dose for Phase 3 development in DPNP
Efficacy timepoint Week 8 Nominally significant reduction in Average Pain vs placebo at Week 8
Treatment duration 8 weeks 10 mg dose generally well-tolerated over 8-week treatment period
AAN meeting dates April 18–22, 2026 American Academy of Neurology Annual Meeting in Chicago
Oral presentation date April 22, 12:03 p.m. CT Pilavapadin DPNP efficacy session at AAN, presentation S38.005
Poster date April 20, 8:00–9:00 a.m. CT Preclinical spasticity poster P4010 at AAN

Historical Context

5 past events · Latest: Mar 24 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 24 Cardiology data presentations Positive +4.9% Multiple ACC presentations of sotagliflozin cardiovascular data and quality‑of‑life outcomes.
Mar 23 Obesity trial initiation Positive +5.1% Initiation of Phase 1 LX9851 obesity study under Novo Nordisk collaboration with milestone payment.
Mar 11 Diabetes kidney-function data Positive +3.6% ATTD presentation on sotagliflozin efficacy and safety across kidney function strata in T1D.
Mar 05 Earnings and pipeline update Positive +0.6% Q4/FY 2025 results with higher revenue, reduced loss, and Phase 3 readiness for pilavapadin.
Mar 03 Investor conferences Positive +1.2% Announcements of multiple March investor conference appearances and a streamed fireside chat.

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

Pattern Detected

Recent company news and clinical updates have generally been followed by positive single‑digit percentage gains.

Recent Company History

Over the last several months, Lexicon has highlighted multiple pipeline and financial milestones. March presentations on sotagliflozin at ACC and ATTD focused on cardiovascular and diabetes outcomes, while a March partnership update with Novo Nordisk on obesity candidate LX9851 brought milestones and a Phase 1 start. The March 5 earnings release showed higher 2025 revenue and a narrowed net loss, with pilavapadin already cleared for Phase 3. Today’s AAN presentation deepens the pilavapadin story in diabetic peripheral neuropathic pain, consistent with prior communications about advancing this program.

Key Terms

diabetic peripheral neuropathic pain, spasticity, multiple sclerosis, Brief Pain Inventory–Diabetic Peripheral Neuropathy (BPI-DPN), +1 more
5 terms
diabetic peripheral neuropathic pain medical
"Phase 3 development in DPNP New data on spasticity..."
Diabetic peripheral neuropathic pain is chronic pain caused by nerve damage in the hands and feet resulting from long-term high blood sugar. Think of it as frayed electrical wiring in the body that sends wrong or amplified pain signals. It matters to investors because its prevalence drives demand for drugs, medical devices and therapies, affects healthcare costs and reimbursement decisions, and shapes the commercial potential of treatments in development.
spasticity medical
"New data on spasticity further validates the broader potential importance..."
Spasticity is a medical condition where muscles stay unusually tight or contract involuntarily because the nerve signals that normally relax them are disrupted; imagine a rope that keeps pulling even when you try to loosen it. It matters to investors because it is a common, long-term complication of neurological injury or disease that drives demand for drugs, medical devices, therapies and ongoing care, affecting market size, reimbursement decisions and clinical trial opportunities.
multiple sclerosis medical
"preclinical models of multiple sclerosis and spinal cord injury."
A chronic neurological disease in which the immune system damages the protective coating (like insulation on electrical wires) around nerves, disrupting signals between the brain and body and causing symptoms such as numbness, weakness, vision problems, fatigue and mobility issues. It matters to investors because the unpredictability and long-term nature of the condition drive ongoing demand for treatments, influence the value of companies developing therapies, affect healthcare costs and shape regulatory and reimbursement decisions.
Brief Pain Inventory–Diabetic Peripheral Neuropathy (BPI-DPN) medical
"pain outcomes as measured by the Brief Pain Inventory–Diabetic Peripheral Neuropathy (BPI-DPN)..."
A brief pain inventory–diabetic peripheral neuropathy (BPI-DPN) is a short questionnaire that asks patients with diabetic nerve damage to rate how intense their pain is and how much that pain disrupts everyday activities. Think of it like a customer satisfaction survey for pain that turns subjective experiences into numbers researchers and regulators can compare; those scores are often used as key measures in clinical trials and can strongly influence approval decisions and a treatment’s market value.
treatment emergent adverse events (TEAEs) medical
"few discontinuations due to treatment emergent adverse events (TEAEs)."
Treatment-emergent adverse events (TEAEs) are any new side effects or worsening of existing health problems that begin after a person starts a drug or medical treatment during a clinical trial or real-world use. Investors watch TEAEs because they reveal a product’s safety profile and can affect regulatory approval, prescribing restrictions, market acceptance and legal risk—like warning lights that signal potential problems with a new car.

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

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 Oral presentation highlights additional data from PROGRESS Phase 2b study of pilavapadin supporting selection of 10mg as optimal dose for Phase 3 development in DPNP

New data on spasticity further validates the broader potential importance of the AAK1 pathway in neurologic diseases

THE WOODLANDS, Texas, April 17, 2026 (GLOBE NEWSWIRE) -- Lexicon Pharmaceuticals, Inc. (Nasdaq: LXRX) today announced that results from its PROGRESS Phase 2b study of pilavapadin in diabetic peripheral neuropathic pain (DPNP) supporting the selection of pilavapadin 10 mg as the optimal dose for Phase 3 development will be presented on Wednesday April 22, during the American Academy of Neurology (AAN) Annual Meeting. At the meeting, the company will also present results of an evaluation of pilavapadin on spasticity-related endpoints in preclinical models of multiple sclerosis and spinal cord injury. The congress is being held April 18-22 in Chicago, Illinois.

In a session titled “Additional Efficacy Data Support Selection of Pilavapadin 10 mg for Phase 3 Development in DPNP: Results From PROGRESS,” Suma Gopinathan, Ph.D., Senior Vice President of Discovery at Lexicon, will present data from the study on pain outcomes as measured by the Brief Pain Inventory–Diabetic Peripheral Neuropathy (BPI-DPN) patient reported instrument. Pilavapadin 10 mg achieved a nominally significant reduction in Average Pain at Week 8 versus placebo, with concordant improvements in Worst and Least Daily Pain, as measured by BPI-DPN. The 10 mg dose was generally well-tolerated over 8 weeks, with completion rates comparable to placebo and few discontinuations due to treatment emergent adverse events (TEAEs). Overall, these results provide additional support for the advancement of pilavapadin 10 mg into Phase 3 evaluation in DPNP.

“We appreciate the opportunity to present additional efficacy data from the PROGRESS study to the neurology community,” said Dr. Gopinathan. “These results demonstrate that pilavapadin 10 mg achieved a meaningful reduction in average pain at Week 8, with consistent improvements across other pain measures, supporting its advancement into Phase 3 development in diabetic peripheral neuropathic pain.”

Presentation details:

  • Additional Efficacy Data Support Selection of Pilavapadin 10mg for Phase Three Development in DPNP: Results From PROGRESS – Wednesday, April 22, at 12:03 p.m. CT, presentation S38.005. Session S38: Pain. Presented by Suma Gopinathan, Ph.D.

During AAN, Lexicon also will present data from studies evaluating pilavapadin on spasticity endpoints in preclinical models of multiple sclerosis and spinal cord injury.

Poster details:

  • Preclinical Evidence Supporting Pilavapadin as a Novel Oral Therapy for Spasticity -- Monday, April 20, 8:00-9:00 a.m. CT, presentation P4010. Session Multiple Sclerosis: Clinical Science 1. Presented by Suma Gopinathan, Ph.D.

About Pilavapadin
Pilavapadin is a potent, once-daily, orally administered, selective investigational small-molecule inhibitor of AP2-associated kinase 1 (AAK1), a novel target for neuropathic pain. Discovered using Lexicon’s unique gene science approach through the Genome5000™ program, AAK1 was identified as a promising target for the treatment of neuropathic pain. Preclinical studies showed that pilavapadin penetrates the central nervous system and reduces pain behavior across multiple neuropathic pain models, without affecting opioid pathways.

About the PROGRESS Study 
The PROGRESS study commenced in December 2023 and enrolled 496 adult patients with a diagnosis of diabetes (type 1 or type 2) and moderate to severe DPNP. The study was placebo-controlled with a primary endpoint of change from baseline to Week 8 in average daily pain score (ADPS) as compared to placebo and evaluated three treatment groups receiving once daily pilavapadin doses of 10 mg, 20 mg or 20 mg for seven days followed by 10 mg thereafter. Study design permitted patients to remain on one stable-dose DPNP therapy (e.g. gabapentin, pregabalin or duloxetine) without withdrawing from therapies that, although inadequate, may have provided some benefit – aligning with how new DPNP drugs are likely to be used in practice.

About Diabetic Peripheral Neuropathic Pain (DPNP)
DPNP is a debilitating chronic complication of diabetes which can result in burning pain, numbness, and other symptoms in the hands, feet, legs and arms. There are approximately 9 million patients in the U.S. who are suffering with DPNP. 

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 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 Investor and Media Inquiries:   
Lisa DeFrancesco    
Lexicon Pharmaceuticals, Inc.   
lexinvest@lexpharma.com  


FAQ

What did Lexicon announce about pilavapadin 10 mg at AAN 2026 (LXRX)?

Pilavapadin 10 mg was selected for Phase 3 after positive Phase 2b results. According to the company, the PROGRESS study showed a nominally significant reduction in Average Pain at Week 8 and concordant improvements in other BPI-DPN pain measures, supporting Phase 3 advancement.

When and where will Lexicon present the PROGRESS Phase 2b pilavapadin data (LXRX)?

Lexicon will present PROGRESS data on Wednesday, April 22, 2026 at 12:03 p.m. CT. According to the company, the presentation is part of Session S38: Pain at the AAN Annual Meeting in Chicago, presentation S38.005 by Suma Gopinathan, Ph.D.

What safety and tolerability did Lexicon report for pilavapadin 10 mg in PROGRESS (LXRX)?

Pilavapadin 10 mg was generally well-tolerated over the 8-week study period. According to the company, completion rates were comparable to placebo and there were few discontinuations due to treatment-emergent adverse events.

Does the PROGRESS result guarantee Phase 3 success for pilavapadin (LXRX)?

No; Phase 2b results support Phase 3 initiation but do not guarantee success. According to the company, the 10 mg dose showed nominal significance and tolerability over 8 weeks, and further controlled Phase 3 studies will be needed to confirm efficacy and safety.