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Fractyl Health's Revita Meets Six-Month Co-Primary Endpoint in Ongoing REMAIN-1 Pivotal Study, With Highly Statistically Significant Reduction in Weight Regain After GLP-1 Discontinuation

$GUTSPress releaseOct 16, 2026, 7:00 AM ETRead the release

Fractyl Health's REMAIN-1 pivotal study met its six-month co-primary endpoint, with a single Revita procedure retaining 80% of GLP-1-induced weight loss versus 67% for sham (p=0.0023) in the 308-participant mITT population. Post hoc analyses showed a dose-dependent effect: patients receiving a complete duodenal ablation of 20 cm or more regained 3.8% total body weight versus 8.2% for sham, a 53% reduction in weight regain. Interim safety data show no device- or procedure-related serious adverse events.

Key figures

Drug Name
Revita DMR System
Phase Of Trial
pivotal (REMAIN-1 Pivotal Cohort, N=308)
Study participants
308
Weight regain sham
8.2%
Primary endpoint p value
p=0.0023
Weight loss retention sham
67%
Weight stable or loss sham
18%
Weight loss retention revita
80%
Weight stable or loss revita
32%
Regain reduction full ablation
53%
Weight regain revita full ablation
3.8%

AI analysis

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    GUTS: Fractyl Health's Revita Meets Six-Month Co-Primary Endpoint in Ongoing REMAIN-1 Pivotal Study, With Highly Statistically Significant Reduction in Weight Regain After GLP-1 Discontinuation — AI Analysis | Signal8