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Melanocortin 4 Receptor (MC4R) Agonist

Setmelanotide for Obesity

Phase 2
Waitlist Available
Research Sponsored by Rhythm Pharmaceuticals, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be younger than 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from first dose of study drug up to day 141
Awards & highlights
No Placebo-Only Group

Summary

This trial is testing an injection called setmelanotide to help people with hypothalamic obesity lose weight. This condition is caused by damage to a part of the brain that controls hunger and energy use, making it hard to treat with regular methods. The medication aims to help by regulating appetite and energy. Setmelanotide has been approved in the USA for chronic weight management.

Eligible Conditions
  • Obesity

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from first dose of study drug up to day 141
This trial's timeline: 3 weeks for screening, Varies for treatment, and from first dose of study drug up to day 141 for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Percentage of Participants With ≥ 5% Reduction in BMI From Baseline After 16 Weeks of Setmelanotide Treatment
Secondary study objectives
Change From Baseline in Daily Hunger Questionnaire Score in Participants Aged <12 Years After 16 Weeks of Setmelanotide Treatment
Change From Baseline in Daily Hunger Questionnaire Scores in Participants Aged ≥12 Years After 16 Weeks of Setmelanotide Treatment
Change From Baseline in Waist Circumference in Participants Aged ≥18 Years After 16 Weeks of Setmelanotide Treatment
+6 more
Other study objectives
Change in BMI (kg/m2) in subjects 6-12 years
Change in BMI (kg/m2) in subjects 6-19 years
Change in metabolic parameters, HBA1c mmol/mol in subjects 6-12 years
+7 more

Side effects data

From 2022 Phase 4 trial • 77 Patients • NCT05046132
46%
Nausea
39%
Injection site pain
29%
Vomiting
25%
Injection site erythema
21%
Ephelides
21%
Decreased appetite
18%
Skin hyperpigmentation
14%
Injection site swelling
14%
Headache
14%
Erection increased
11%
Injection site pruritus
11%
Fatigue
7%
Abdominal pain
7%
Constipation
4%
Pancreatitis acute
4%
Hepatitis acute
4%
Asthenia
4%
Chills
4%
Injection site induration
4%
Medical device site dermatitis
4%
Aphthous ulcer
4%
Change of bowel habit
4%
Chapped lips
4%
Diarrhoea
4%
Gingival discolouration
4%
Hyperaesthesia teeth
4%
Pruritus
4%
Rash
4%
Cough
4%
Dry throat
4%
Dyspnoea
4%
Rhinorrhoea
4%
Muscle spasms
4%
Pain in extremity
4%
Palpitations
4%
Skin abrasion
4%
Blood creatine phosphokinase increased
4%
Abnormal dreams
100%
80%
60%
40%
20%
0%
Study treatment Arm
Group 1: Setmelanotide 2 mg
Group 1: Setmelanotide 3 mg
Group 2: Moxifloxacin 400mg
Group 1: Setmelanotide 5 mg
Group 1: Setmelanotide 7 mg
Group 2: Placebo
Group 3: Placebo
Group 3: Moxifloxacin 400mg

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: SetmelanotideExperimental Treatment1 Intervention
Participants received setmelanotide once daily (QD) via SC injection for 16 weeks. All participants initiated treatment with setmelanotide (starting dose being age dependent) and dose escalated up to a maximum dose of 3.0 milligrams (mg) QD.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Setmelanotide
2017
Completed Phase 4
~800

Find a Location

Who is running the clinical trial?

Rhythm Pharmaceuticals, Inc.Lead Sponsor
28 Previous Clinical Trials
10,357 Total Patients Enrolled
20 Trials studying Obesity
3,992 Patients Enrolled for Obesity
Murray Stewart, BM/DMStudy ChairRhythm Pharmaceuticals, Inc.
5 Previous Clinical Trials
484 Total Patients Enrolled
4 Trials studying Obesity
407 Patients Enrolled for Obesity
Linda Shapiro, MD, PhDStudy ChairRhythm Pharmaceuticals, Inc.
2 Previous Clinical Trials
97 Total Patients Enrolled
~4 spots leftby Dec 2025