SKYE
Published on 05/12/2026 at 01:56 pm EDT
May 2O26
Developing Innovative Medicines
to Treat Obesity
and Other Metabolic Diseases
Nasdaq: SKYE
skwe
© 2026 Skye Bioscience, Inc.
All drugs are investigational and subject to regulatory approval.
CBeyond data established potential path for combination strategy with existing incretin therapies
Nimacimab
Semaglutide
Additive
Weight Loss
Improved Durability of Weight Loss
Favorable Tolerability Profile
Skye has developed a combination strategy for nimacimab + semaglutide that has the potential to provide a compelling new therapeutic option for patients.
52-Week
Combination Data
High-Dose
Rationale
Commercial Scalability
High-Dose
Feasibility
Attractive Target Product Profile
Regulatory
Alignment
© 2026 Skye Bioscience, Inc.
All drugs are investigational and subject to regulatory approval.
Since launching nimacimab in obesity, Skye has delivered a series of field-firsts for peripheral CB1
1
FIELD FIRST
First-in-class modality
Allosteric GPCR antibody designed
for peripheral CB1 inhibition to improve energy metabolism while
minimizing brain exposure.
2
CLINICAL FIRST
First human obesity
program with clean safety
First clinical obesity program to evaluate a CB1 monoclonal antibody and create a direct readout for the mechanism without any
neuropsychiatric events.
3
COMBINATION FIRST
First CB1 + GLP-1 dataset
First reported clinical test of a CB1
mechanism in combination with a GLP-1, establishing proof of
combination activity.
Human-CB1 knock-in DIO workflow + quantitative biodistribution + APC Platform
INFRASTRUCTURE
© 2026 Skye Bioscience, Inc.
All drugs are investigational and subject to regulatory approval.
Meaningful combo efficacy, clean safety, and a clear dosing path
Meaningful combination signal
+3.0%
incremental weight loss vs semaglutide
alone at 26 weeks
22.3%
mean weight loss at 52 weeks, with no plateau observed
Significant waist circumference
improvement
Improved lean-to-fat mass ratio
LEARNING 1
Clean safety and tolerability
0
nimacimab-associated neuropsychiatric signal through 52 weeks
No additive GI burden
with semaglutide
Combination-ready at tested exposure
LEARNING 2
Solvable development variable
200 mg
weekly monotherapy underexposed
peripheral tissues
Next step: higher exposure
Higher-dose expansion study underway
ENHANZE supports higher-exposure SC delivery
LEARNING 3
Meaningful combination efficacy. Clean safety. Clear dosing path.
© 2026 Skye Bioscience, Inc.
Nimacimab: complementary, not competitive - potential scalable add-on to enhance incretin therapy
All drugs are investigational and subject to regulatory approval.
GLP-1
Pricing Cliff
$400/month 2026
2031
Semaglutide patents due to expire in 10 countries globally in 2026 (Canada, India, Brazil, etc.).
US patent expiry expected in
2031.
New entrants to the GLP-1 space will not be able to compete with generic semaglutide.
$<50/month
Generic Semaglutide
© 2026 Skye Bioscience, Inc.
Obesity is becoming a chronic, multi-line treatment market - and a meaningful proportion of patients already exposed to incretins will need a safer, mechanistically distinct therapy that can deepen response, improve quality of weight loss, or sustain control when the current standard of care leaves clinically important residual disease. Nimacimab is being developed to be that product.
All drugs are investigational and subject to regulatory approval.
Nimacimab: complementary, not competitive - potential scalable add-on to enhance incretin therapy
Patient Demographic
GLP-1 Experienced patients who:
Lose <10% WL
Intolerant to GLP-1
Plateaued WL
Need >20% WL
Current Treatment
Options
Naltrexone/ bupropion (Contrave)
Phentermine/
topiramate (Qysmia)
Orlistat (Xenical/Alli)
Dosing Regimen
Once-weekly (QW)
Potentially once-monthly as maintenance dose
Pricing Structure
$274/month after projected 60% discount
Combined with generic
semaglutide
Total combination cost less than $300/month
A Highly Peripherally-restricted CB1-inhibiting Antibody that Stands Apart from Small-molecule CB1 Inhibitors
© 2026 Skye Bioscience, Inc.
Active CB1 engagement promotes inflammation, fibrosis, and metabolic dysfunction; blocking
peripheral CB1 can potentially reverse negatively-trending pathologies
CB1
Adipose Tissue
Kidneys
Triglyceride accumulation
Lipolysis
Inflammation
Fibrosis
Insulin signaling
De novo lipogenesis
Liver & Pancreas
Digestive System
GI motility
Appetite hormones
All drugs are investigational and subject to regulatory approval.
Metabolic Disorders/ Obesity
Metabolic Disorders/ Diabetes
Metabolic Disorders/ Diabetes + MASH
Metabolic Disorders/ Obesity
© 2026 Skye Bioscience, Inc.
Long Half-life
Stable antibody with half-life of 18-21 days (potential Q2W or monthly dosing)
Single mutation in the hinge region that prevents antibody Fab exchange
Exclusion from Brain
Multiple NHP studies: background levels in CNS/brain (even at high doses)
All drugs are investigational and subject to regulatory approval.
No accumulation of antibody in CNS/brain despite multiple weekly doses
NOAEL > 75 mg/kg. MTD not reached
Differentiated
Inhibitor
Functions as both an antagonist and an inverse agonist
Binds allosteric site and non-competitively inhibits CB1, independent of agonist
Potential Safe &
Effective Drug
Achieve ~7x peripheral CB1 inhibition while ~600x below CB1 inhibition in brain
Allosteric binding maintains peripheral CB1 inhibition with increased endocannabinoids
Supports a favorable therapeutic index to safely and effectively treat obesity
2-AG or AEA
Peripheral Restriction
Negative Allosteric Modulator
All drugs are investigational and subject to regulatory approval.
© 2026 Skye Bioscience, Inc.
Significantly less brain penetration than small molecules currently in development
Unlike small molecules currently in development, nimacimab retains potency even in the presence of competition
© 2026 Skye Bioscience, Inc.
All drugs are investigational and subject to regulatory approval.
Based on both cAMP and b-arrestin assays
cAMP-based Assay
β-Arrestin-based Assay
CB1 Inhibitor
IC50 (nM)
Nimacimab
4.96
AM6545 (neutral antagonist)
19.95
Rimonabant
17.6
Monlunabant
1.4
CB1 Inhibitor
IC50 (nM)
Nimacimab
10.83
AM6545 (neutral antagonist)
47.62
Rimonabant
5.36
Monlunabant
0.07
© 2026 Skye Bioscience, Inc.
Monlunabant Nimacimab
2-AG or AEA
Monlunabant
competes with AEA/2-AG for binding to the orthosteric site
All drugs are investigational and subject to regulatory approval.
Nimacimab non-competitively binds allosteric site; AEA/2-AG binds the orthosteric site
2-AG or AEA
CB1 Inhibitor
Agonist: CP55940
Reduction in Fold Potency
EC80(50 nM)
40x EC80(2000 nM)
Nimacimab IC50(nM)
7.9
12.7
1.6
Monlunabant IC50(nM)
0.2
21.44
107
© 2026 Skye Bioscience, Inc.
All drugs are investigational and subject to regulatory approval.
01 02 03 04
Peripheral Modulation of Appetite Regulating Hormones
Leptin Ghrelin
Improvement
and Restoration of
Glycemic Control
Reduced fasting insulin
and glucose tolerance
Enhanced Lipid
Metabolism
Reduction of Obesity-
Induced Inflammation
Decreased steatosis
and serum cholesterol
Decreased
inflammation and
fibrotic markers
© 2026 Skye Bioscience, Inc.
Ghrelin
Leptin
Cumulative Food Intake
All drugs are investigational and subject to regulatory approval.
Serum was collected on day 35, and Ghrelin, and Leptin levels were determined with Bio Plex Multi-Plex immunoassay. n=8 per group. One-way ANOVA followed by Tukey's multiple comparisons test. *p<0.05, **p<0.01 ***p<0.001, ****p<0.0001, # p< 0.05, , # # # # p< 0.001 vs control diet. Cumulative food intake, mixed-effect analysis with time and treatment as main factors, followed by Tukey's multiple comparisons test. Data are expressed as mean ± SEM. n=8-9 per group. **p<0.01 vs control DIO.
© 2026 Skye Bioscience, Inc.
Fasting Glucose B
All drugs are investigational and subject to regulatory approval.
D Glucose Tolerance Test E
Fasting Insulin
GTT AUC
C HOMA-IR
F Insulin Tolerance Test
On day 25 of treatment, animals were fasted for 4 h and glucose levels were measured before they were injected 2g/kg glucose. Effect of nimacimab and semaglutide treatments on fasting blood glucose (A), fasting insulin levels (B), HOMA-IR (C), and iPGTT (D). Individual baseline levels of glucose were subtracted to calculate the area under the curve (AUC) (E). On day 28, animals were fasted for 4 h before receiving an intraperitoneal insulin injection (dose 0.75 U/kg at 5 mL/kg) and blood glucose was checked via tail prick to run an ITT (F). For (A), (B), (C), and (E) One-way ANOVA followed by Tukey's multiple comparisons test. For (D) and (F), two-way repeated measurements ANOVA analysis with time and treatment as main factors, followed by Tukey's multiple comparisons test. Data are expressed as mean ± SEM. n=8 per group. * p<0.05, **p<0.01, p<0.001, ****p<0.0001 vs vehicle and # p< 0.05, # # p<0.01, # # #
16 p<0.001, # # # p<0.0001 vs control diet.
© 2026 Skye Bioscience, Inc.
Nimacimab Increases Energy Expenditure
DIO mice (n=6) placed in PhenoMaster metabolic cages were dosed nimacimab 240 mg/kg or vehicle (control DIO) Q3D for 14 days. O2consumption, CO2production, food/water intake, and activity were recorded. Nimacimab treatment resulted in a significant increase in energy expenditure and a reduction in food intake, leading to a significant reduction in energy balance, in line with significant body weight loss. Locomotion was not changed by nimacimab treatment.
© 2026 Skye Bioscience, Inc.
C
A
B
D
Control Diet
Vehicle
Nimacimab 24 mg/kg
Nimacimab 75 mg/kg
Hepatic Steatosis Grading
% of Steatosis Area in Liver
Serum Cholesterol
Semaglutide 0.04 mg/kg
All drugs are investigational and subject to regulatory approval.
H&E
(A) H&E-stained liver sections were scored by a pathologist, who was blinded to the treatment groups, 0-3 based on the % of hepatocytes with fat. 0 = no steatosis (<5%), 1 = mild (5-33%), 2 = moderate (>33-66%), and 3 = severe steatosis (>66%). (B) Quantification of steatosis percent area using a computer-aided analysis with Cellprofiler. (C) Cholesterol levels were measured in serum using a commercial kit (Quimica Clinica Aplicada). (D) Representative images of H&E-stained hepatic tissue showing differences in fat deposition among treatment groups. Data are expressed as mean ± SEM. n=4-5 For (B) and (C) One-way ANOVA followed by Tukey's multiple comparisons test. *p<0.05, **p<0.01,
18 ***p<0.001, ****p<0.0001. # # # # p< 0.0001, # # # p< 0.001 vs control diet.
© 2026 Skye Bioscience, Inc.
A
Adipocyte Macrophages
Hepatic Macrophages C Hepatic Fibrosis
Control
Diet
Vehicle
Nimacimab
24 mg/kg
Nimacimab
75 mg/kg
Semaglutide
0.04 mg/kg
All drugs are investigational and subject to regulatory approval.
F4/80
D iWAT
Liver
Nimacimab
24 mg/kg
Nimacimab
75 mg/kg
Semaglutide
0.04 mg/kg
Control
Diet
Vehicle
F4/80
Quantification of F4/80 positive cells (macrophages) in adipose tissue (A) and liver (B) was performed with ImageJ. (C) Quantification of collagen deposition from Sirius red staining (% area) to assess fibrosis. (D) Representative images of F4/80 staining in iWAT and liver. For (A), (B) , and (F) One-way ANOVA
followed by Tukey's multiple comparisons test. *p<0.05, **p<0.01 ***p<0.001, ****p<0.0001, # # # # p< 0.0001, # # # p< 0.001 vs control diet. Data are expressed as mean ± SEM. n=3-7.
© 2026 Skye Bioscience, Inc.
A hCB1 Genotyping
hCB1 C57BL/6 wt C57BL/6
Homo Het wt
Mouse CB1 Human CB1
C Dose Curves from Multiple Diet-Induced Obese Studies
In hCB1 transgenic mice, the human CB1 gene was knocked in, disrupting the mouse CB1 gene.
Vehicle
THC (10mg/Kg) THC (20mg/Kg)
Basal
30 min
Basal
30 min
wt C57BL/6 hCB1 C57BL/6 Days
All drugs are investigational and subject to regulatory approval.
B Validation of functional CB1 receptors (THC-induced hypothermia) and weight gain with HFD
40
Body Temperature (ºC)
35
Nimacimab 2.4 mg/kg Q3D (n=8) Nimacimab 24 mg/kg Q3D (n=16) Nimacimab 75 mg/kg Q3D (n=16) Nimacimab 240 mg/kg Q3D (n=24)
30
(A) Representative qPCR genotyping result of hCB1 transgenic mice. (B) Wild-type mice (wt) and homozygous hCB1 C57BL/6 were used to induce THC-mediated hypothermia (n=3 per group)
and fed a high-fat diet (HFD) to measure weight gain. (C) Mice with DIO fed a high-fat diet were dosed with nimacimab (2.4 mg/kg, 24 mg/kg, 75 mg/kg, or 240 mg/kg IP, Q3D). The control
DIO's daily average change in body weight was subtracted from each animal's individual change in body weight to calculate % change in body weight from baseline, vehicle adjusted.
Disclaimer
Skye Bioscience Inc. published this content on May 12, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on May 12, 2026 at 17:55 UTC.