Vial Initiates Phase 1 Trial of VIAL-INHBE, an INHBE (Activin E) siRNA for the Treatment of Obesity

  • VIAL-INHBE is a novel, GalNAc-conjugated INHBE (Activin E) siRNA for the treatment of obesity and other cardiometabolic indications with a projected Q6M dosing interval
  • VIAL-INHBE DIO mouse model data demonstrated compelling fat-selective weight-loss and lean mass preservation
  • Combination therapy with a low-dose GLP-1 resulted in synergistic weight loss and lean mass preservation that was maintained off-GLP-1 treatment
  • A Phase 1 open-label study in Australia is initiating to evaluate safety, pharmacokinetics, and pharmacodynamic responses
  • Interim subcutaneous safety and pharmacokinetic data are expected in H1 2026

October 23, 2025 – Vial, a clinical-stage biotechnology company, announced that it is initiating the Phase 1 trial for a novel INHBE (Activin E) siRNA, which is being developed as a potentially best-in-class treatment for people living with obesity, as well as other cardiometabolic diseases.

“The initiation of the Phase 1 trial for Vial’s INHBE siRNA program is a major milestone in advancing the program. We look forward to sharing the interim data from the Phase 1.”

Simon Burns, CEO of Vial

The VIAL-INHBE Phase 1 trial is a first-in-human, single-ascending dose trial. The study will evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of a subcutaneous dose of VIAL-INHBE. Vial expects interim data from the trial in the first half of 2026 and plans to initiate a multi-region Phase 2 trial in obesity later in 2026.

“GLP-1s have revolutionized the obesity treatment landscape, but there remain significant unmet needs: poor GI tolerability and associated high discontinuation rates, loss of lean mass, and weight regain post-GLP-1 treatment. Our DIO mouse model showed that VIAL-INHBE together with a lower, more tolerable GLP-1 dose achieved similar total body weight loss as high dose GLP-1, while preserving lean mass and attenuating weight rebound post-treatment.”

Preeti Sareen, Ph.D., Head of Strategy

About VIAL-INHBE

VIAL-INHBE is a novel, INHBE (Activin E) siRNA for the treatment of obesity and other cardiometabolic indications. Preclinical data support a potentially best-in-class profile as it relates to fat-selective weight loss, off-treatment weight maintenance, and dosing interval.

About Vial

Vial is a clinical-stage biotech company based in San Francisco that has raised $100M+ to date from leading life sciences investors including General Catalyst, Buckley Ventures, and Byers Capital. Vial is focused on advancing a pipeline of potentially best-in-class biologics and RNA therapeutics across areas of unmet medical need. Founded in 2020, Vial is a multidisciplinary team across R&D, Clinical Development, Clinical Operations, Engineering, Product, and Design, and is hiring.

Contact:
Max James, Chief Business Officer
max.james@vial.com

For Media:
press@vial.com

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