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Search / Trial NCT06596135

Open-Label Extension Study of Setmelanotide

Launched by RHYTHM PHARMACEUTICALS, INC. · Sep 13, 2024

Trial Information

Current as of September 11, 2025

Enrolling by invitation

Keywords

Setmelanotide Rm 493 Obesity Melanocortin 4 Receptor Hypothalamic Obesity

ClinConnect Summary

This is an open-label extension study of setmelanotide (also called RM-493 or Imcivree) to see how safe and tolerable it is to continue this treatment over the long term in people 2 years and older who have obesity linked to rare genetic, syndromic, or MC4R pathway conditions. It’s a Phase 3, single-group trial where all participants know they are receiving the drug and will inject it once daily under the skin. Researchers will track side effects and any serious safety events for up to about 3 years, with about 30 people expected to enroll at multiple sites around the United States.

Eligibility focuses on people who completed a prior setmelanotide study and have a condition that Rhythm plans to study further, and who have shown some clinical benefit from the drug before. Participants must use a highly effective contraception method during the study and for 90 days after, and they must meet other inclusion criteria while not meeting key exclusions (for example, they are not eligible if they could receive the commercial product IMCIVREE, if they have active depression with suicidal thoughts, if they are pregnant or breastfeeding, or if they discontinued a previous study). The study started around October 2024 and is expected to finish around October 2027, with sites across the U.S. and sponsored by Rhythm Pharmaceuticals.

Gender

ALL

Eligibility criteria

  • Key Inclusion Criteria:
  • Males and females ≥2 years of age who have completed a previous setmelanotide clinical study and who have a condition or indication for which Rhythm plans further clinical development.
  • Agree to use a highly effective form of contraception and follow the study contraception requirements throughout study duration and for 90 days after.
  • Demonstrated clinical benefit in the previous setmelanotide study, as determined by the Investigator.
  • Key Exclusion Criteria:
  • Any gene variant, syndromic, or acquired disease for which setmelanotide is currently approved in the United States (i.e., patients eligible for commercial setmelanotide (IMCIVREE®).
  • Any new or worsening depression resulting in suicidal thoughts and/or behaviors.
  • Discontinuation from a previous setmelanotide study.
  • History or close family history (parents or siblings) of melanoma.
  • Pregnant and/or breastfeeding women
  • Other protocol defined Inclusion/Exclusion criteria may apply.

About Rhythm Pharmaceuticals, Inc.

Rhythm Pharmaceuticals, Inc. is a biopharmaceutical company dedicated to transforming the treatment landscape for rare genetic disorders of obesity. The company focuses on the development of innovative therapies that target the underlying mechanisms of these conditions, leveraging advanced scientific research and a deep understanding of metabolic pathways. Rhythm's commitment to patient-centric solutions is reflected in its robust pipeline, which includes novel therapeutic candidates aimed at addressing unmet medical needs in individuals affected by obesity-related disorders. Through collaboration with healthcare professionals and patient communities, Rhythm strives to enhance the quality of life for patients while advancing the field of metabolic medicine.

Locations

Ann Arbor, Michigan, United States

Nashville, Tennessee, United States

Rochester, Minnesota, United States

Scottsdale, Arizona, United States

Seattle, Washington, United States

Danville, Pennsylvania, United States

Saint Paul, Minnesota, United States

Raleigh, North Carolina, United States

Chattanooga, Tennessee, United States

Gainesville, Florida, United States

Marshfield, Wisconsin, United States

San Diego, California, United States

Getzville, New York, United States

Patients applied

0 patients applied

Trial Officials

David Meeker, MD

Study Chair

Rhythm Pharmaceuticals, Inc.

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported