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Fractyl Health Sharpens Focus on Revita Following Positive Pivotal Results, Advancing Toward Planned FDA De Novo Submission in Post-GLP-1 Weight Maintenance

$GUTSPress releaseOct 22, 2026, 7:00 AM ETRead the release

Fractyl Health is concentrating resources on Revita after positive REMAIN-1 pivotal results, with the six-month co-primary endpoint met at p=0.0023 versus sham in post-GLP-1 weight regain. The company will cut roughly 45% of its workforce, halving quarterly cash burn to about $8 million by end of Q2 2027 and extending its cash runway into Q2 2027. Rejuva gene therapy development is discontinued and the company is exploring strategic alternatives, while co-founder Jay Caplan retires effective October 30, 2026. Revita's planned FDA De Novo submission is targeted for late Q4 2026, with 12-month pivotal data in Q1 2027, potential authorization in late 2027, and a potential U.S.

Key figures

Drug Name
Revita (Revita DMR System)
Phase Of Trial
Pivotal (REMAIN-1)
Cash runway
into Q2 2027
Remain 1 pvalue
p=0.0023
Potential launch
early 2028
Twelve month data
Q1 2027
De novo submission
late Q4 2026
Workforce reduction
45%
Potential authorization
late 2027
Quarterly cash burn target
$8 million
Quarterly cash burn reduction
~50%

AI analysis

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