The next chapter in metabolic health.

Fable Therapeutics operates at the intersection of sophisticated protein engineering and metabolic disease.

We aim to improve the lives of millions of people living with obesity and related comorbidities by advancing a pipeline of best-in-class biologics.

We combine cutting-edge protein engineering with deep mechanistic insight to address biological targets that have been validated but not yet fully exploited, ultimately changing the way metabolic disease is treated.

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Alanine Parallax

Delivering healthy body composition and broad metabolic health.

Obesity is often the first domino in a cascade of chronic illnesses, intensifying disease complexity and treatment challenges.

We are looking beyond a singular focus on weight loss to address the holistic needs of patients.

This mission informs how we approach our pipeline and the impact we’ll have by helping the millions of patients living with obesity and related comorbidities experience the greatest freedom from disease.

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A Pipeline Built for More Than Weight Loss.

We are advancing a pipeline of biologics that target the activin receptor type II (ActR2) pathway—the only target that is clinically validated to simultaneously reduce body weight, overall and visceral fat, preserve muscle, and drive metabolic remodeling.

Our lead program, FBL-140, is an infrequently dosed ActR2A/B antagonist mAb that is expected to enter the clinic in early 2027. We are also advancing an all-in-one multifunctional conjugate pairing ActR2A/B antagonism with a complementary incretin mimetic.

Targeting ActR2. Transforming cardiometabolic health.

ActR2A/B pathway blockade

Reduces body weight

Reduces total and visceral fat

Preserves muscle

Drives metabolic remodeling

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"ActR2 inhibition addresses cardiometabolic disease through a fundamentally different lever—improving body composition, not simply suppressing appetite.”

Geoff MacKay, President & CEO

Geoff MacKay, President & CEO