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Endogenex, Inc.

Endogenex develops an outpatient endoscopic system using pulsed electric fields to treat duodenal tissue in adults with type 2 diabetes.

Updated Nov 8, 2026·Latest SEC filing Nov 6, 2026·Suggest an edit

About Endogenex

Endogenex develops an investigational, minimally invasive outpatient procedure for adults with type 2 diabetes not adequately controlled by non-insulin medicines. The company calls it the Endogenex System. Its specialized catheter applies controlled, nonthermal pulsed electric fields to tissue in the duodenum. The treatment is designed to support healthy cell regeneration and restore metabolic signaling from the gut. It is intended to improve blood-sugar control and potentially slow disease progression. The system remains under evaluation in clinical studies and is not for sale anywhere.

Founded with Mayo Clinic, Endogenex is a privately held clinical-stage company based in Minneapolis with a Plymouth, Minnesota address. Stacey Pugh is CEO, and Krissy Wright is CFO. The ReCET study enrolled 350 patients across about 40 sites in the United States and Australia. It follows participants for 12 months and measures HbA1c change at six months. The study received FDA IDE approval in November 2023. The Endogenex System also received FDA Breakthrough Device Designation for adults whose blood sugar is inadequately controlled by glucose-lowering medicines.

Funding Rounds (SEC Form D)

First saleFiled with SECAmount soldInvestorsAvg. checkTermsFiling
Jun 13, 2024Jun 24, 2024amended Nov 6, 2026$132,351,879of $144.5M target16$8.2MEquity, Securities on exerciseRule 506(b)Form D/A ↗1 earlier filing
Oct 11, 2023Oct 17, 2023$18,325,000fully sold9$2.0MEquity, Options, Securities on exercise, Convertible Notes and Warrants for Next Round Securities or Series B-1 Preferred StockRule 506(b)Form D ↗
Feb 17, 2023Feb 24, 2023$9,209,000of $13.0M target7$1.3MEquity, Securities on exercise, Series B-1 Preferred Stock and conversion of certain convertible promissory notes to Common StockRule 506(b)Form D ↗
Apr 15, 2021Apr 20, 2021$12,000,000fully sold7$1.7MEquityRule 506(c)Form D ↗
Nov 30, 2018Dec 6, 2018$12,756,355fully sold6$2.1MEquity, Options, Securities on exerciseRule 506(c)Form D ↗
Jan 31, 2018Feb 14, 2018$140,000of $1.0M target6$23,333Debt, Options, Securities on exerciseRule 506(c)Form D ↗
Total, six offerings$184,782,234

First sale is the date the first investor in the offering committed to invest. Companies must file Form D within 15 days of that date, so filing dates run later.

Rounds announced by Endogenex

What the company said publicly about its funding. Announced amounts can differ from Form D figures: an announcement can combine several closings, and some money is raised without a Form D.

AnnouncedRoundAmountInvestorsSource
Mar 25, 2026Series C extension$50 millionArboretum Ventures (lead), Existing investorsEndogenex Series C extension announcement ↗
Jun 25, 2024Series C$88 millionUndisclosed strategic investor (lead), Hatteras Venture Partners; Lumira Ventures; Orlando Health Ventures; Intuitive Ventures; Longitude Capital; Mayo Clinic; Santé VenturesPR Newswire Series C announcement ↗

Why Investors Backed Endogenex

Endogenex is developing a catheter-based endoscopic treatment for adults with type 2 diabetes. Endogenex's investment case rests on addressing damaged duodenal tissue rather than only managing downstream effects. Early studies reported sustained blood-sugar and weight improvements, but the system remains investigational. The company has raised $138 million across its Series C and extension to fund clinical and regulatory work.

The problem it targets

More than 400 million people live with type 2 diabetes, and half have poorly controlled HbA1c. Diagnosed diabetes costs the United States $327 billion. Richard Pratley says many patients struggle to maintain control despite multiple medications. Endogenex's case is that drugs can leave gut dysfunction untreated. The company links inflamed duodenal tissue with disrupted signaling to organs that regulate blood sugar, appetite, digestion and metabolism.

What the product does

The duodenum is the first section of the small intestine. Endogenex's procedure treats its mucosal and submucosal layers, where metabolic signaling occurs. The company is testing whether renewed cells improve communication between the gut and organs regulating blood sugar, appetite, digestion and metabolism. The ReCET trial uses a randomized, double-blinded, sham-controlled design to distinguish the device's effect from a procedural placebo.

Progress so far

An integrated analysis followed 71 adults for 48 weeks. No device- or procedure-related serious adverse events occurred, and every procedure was technically successful. The highest-intensity group reduced mean HbA1c by 1.5%, fasting glucose by 41.4 mg/dL and body weight by 5.4 kg. Time in range rose from 55.8% to 82.1%. No participant needed rescue therapy or mandatory insulin through 48 weeks. Results showed a dose-response pattern, with higher energy and double application linked to larger, more sustained improvements.

Who backs it

An undisclosed strategic investor led the $88 million Series C in June 2024. New investors included Hatteras Venture Partners, Lumira Ventures and Orlando Health Ventures. Intuitive Ventures, Longitude Capital, Mayo Clinic and Santé Ventures also participated. Arboretum Ventures led the $50 million extension in March 2026, taking the Series C total to $138 million. The company earmarked that extension for completion of the ReCET study and regulatory work toward FDA approval.

How the market is moving

The 2024 financing announcement described earlier use of SGLT2 inhibitors and GLP-1 receptor agonists as a shift in diabetes therapy. Stacey Pugh argues that disease often progresses despite current treatments because the gut remains untreated. Endogenex frames its procedure as an option beyond pharmaceuticals. The ReCET study is testing whether this approach can safely improve control in adults whose blood sugar remains high on medicines.

We wrote this summary from public statements by Endogenex and its investors. It is not investment advice.

Endogenex in the News

Leadership Team

Executive officers and directors listed on Endogenex's Form D filed Nov 6, 2026.

Stacey Pugh
Stacey Pugh
CEO and director
Juliet Bakker
Juliet Bakker
Co-Founder and Managing Director
Also a director at Nalu Medical and Sydnexis.
GB
Gerald Brunk
Managing Director
JE
James Eadie
Managing Director
Also a director at CryOSA and Reprieve Cardiovascular.
DR
Doug Reed
Director
TS
Thomas Shehab
Managing Partner and director
Also a director at Motif Neurotech, SonarMD and Virtual Incision.

Earlier filings also listed John Deedrick (director, last listed Oct 2023), Jeffrey Terrell (director, last listed Oct 2023), James Eadie, M.D. (director, last listed Oct 2023), Robert Kukujlan (executive officer, last listed Apr 2021), Paul Hindrichs (president & ceo, director, last listed Apr 2021), Robert Kukuljan (secretary, last listed Dec 2018) and Michael Brenzel (executive officer, last listed Dec 2018).

Sources

  1. SECEndogenex, Inc. Form D, filed Jun 24, 2024
  2. SECEndogenex, Inc. filing history
  3. CompanyEndogenex about page
  4. CompanyReCET study full-enrollment announcement
  5. CompanyEndogenex REGENT-1 results announcement
  6. CompanyEndogenex CFO appointment announcement