AXLRx · by MoatRx
Bring the commercial question for any drug, market or buyer. The engine builds the answer as a consulting deliverable, and every figure in it carries a live source.
319 published analyses22 live connectors5 markets in the library72h to deliverable
Public sources the engine reads live
Names shown for reference. No affiliation with, or endorsement by, any source is implied.
Recalled vs verified
A language model answers from what it remembers. The engine opens the source before it answers, and drops what it cannot find.
Illustrative. The widely quoted framing, recalled rather than retrieved: no source, and out of date.
PMID 40305708NDA217785From the US MASH Competitive Intelligence record · every figure traced · read the analysis
The engine
The AXLRx engine reasons on the MoatRx method, retrieves from live primary sources and drops any figure it cannot find in the document it cites.
See it run
US MASH competitive intelligence, from the run record. Click the tabs.
Who controls the US MASH market and how should Rezdiffra defend access against in-market semaglutide?
The US MASH market is a live two-drug duopoly: Rezdiffra (resmetirom, approved Mar 2024) and Wegovy (semaglutide 2.4 mg, approved Aug 2025) both hold accelerated approval for noncirrhotic F2-F3 MASH. Semaglutide is already in-market, not a 2027 entrant, so the defensible move is locking preferred payer access and the fibrosis-regression position now, in a Year 0-1 retention fight.
| Agent (company) | Class / MOA | US status | Pivotal trial |
|---|---|---|---|
| Rezdiffra (resmetirom) — Madrigal | Oral THR-β agonist | Approved Mar 14, 2024 (accelerated; NDA217785) | MAESTRO-NASH (NCT03900429) |
| Wegovy (semaglutide 2.4 mg) — Novo Nordisk | GLP-1 receptor agonist (injectable) | Approved Aug 15, 2025 (accelerated) | ESSENCE (NCT04822181) |
| Lanifibranor — Inventiva | Pan-PPAR (α/δ/γ) agonist | Phase 3 (pre-approval) | NATiV3 (NCT04849728) |
| Efruxifermin — Akero | FGF21 analog | Phase 3 (pre-approval) | SYNCHRONY Histology (NCT06215716) + cirrhosis (NCT06528314) |
PDF brief · Excel model · PowerPoint readout
Modules
Each answers one named commercial question and ships as a working file.
Worked example
Where does an oral therapy win in US MASH, with which clinicians, against which pipeline, and for how many patients?
Section titles from the published US MASH analysis · open it
How it runs
Built for
Insights
commercial-planning
commercial-planningTalk to us
Bring the decision in front of you. We tell you which module answers it, what the evidence base will be, and when you will have it. If the engine is the wrong tool, we say so.

AXLRx is a commercial consulting engine for pharma, built by MoatRx. It takes a commercial question about a drug, a market and a buyer, and returns a consulting deliverable in which every figure is traced to a live source. It runs as a commissioned service: there is no platform to operate.
Scope is confirmed within 24 hours of your request, and the deliverable arrives within 72 hours.
Each figure is cited to a PMID, trial ID or source URL at the point of writing, checked to appear in the cited document, and re-checked in an independent audit pass. A figure that fails is removed, not estimated. A MoatRx consultant reads every deliverable before it ships.
Four modules run on the engine: Competitive Intelligence, KOL Mapping, Clinical Trial Analytics and Patient Flow. The library also holds disease landscape, payer and HTA, launch readiness, pricing, market sizing and HTA strategy analyses, which are run as scoped engagements.
Use the commission form, or book a 20-minute scoping call. You tell us the drug, the market, the buyer and the decision; we confirm scope within 24 hours.
The engine's reasoning layer runs on a frontier language model, currently Anthropic's Claude, working to the MoatRx method. The model is never a source: every figure comes from a connected primary source such as PubMed, ClinicalTrials.gov, FDA or EMA, and is checked against that source before it is kept.
The library covers the US, UK, GCC, Germany and France. Other markets are scoped on request.
Scope confirmed in 24 hours. Delivered in 72.