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Melanocortin 4 Receptor (MC4R) Agonist

Setmelanotide for Hypothalamic Obesity

Phase 3
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
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from baseline to week 60
Awards & highlights

Study Summary

This trial will test if an injection can reduce weight & hunger in children & adults with acquired Hypothalamic Obesity. Participants take daily injections & complete assessments up to 60 weeks to see if it works & is safe.

Who is the study for?
This trial is for people aged 4 and older with acquired Hypothalamic Obesity, marked by weight gain after hypothalamic injury. Adults must have a BMI of ≥30 kg/m2, while children need a BMI in the top 95th percentile. Participants should agree to use effective contraception during and post-trial.Check my eligibility
What is being tested?
The study tests Setmelanotide's effectiveness on weight reduction, hunger control, and life quality in HO patients compared to placebo. It involves daily injections and assessments over up to 60 weeks.See study design
What are the potential side effects?
Potential side effects are not explicitly listed but may include reactions at the injection site, general discomfort or changes related to hormone activity due to Setmelanotide's role as an appetite regulator.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from baseline to week 60
This trial's timeline: 3 weeks for screening, Varies for treatment, and from baseline to week 60 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Mean % change in BMI
Secondary outcome measures
Mean BMI-z score and BMI percentile reduction in patients <18 (using combined height and weight to report BMI in kg/m2)
Mean change in Symptoms of Hyperphagia total score
Mean change in physical functioning score and total score for the Impact of Weight on Quality of Life-Lite (IWQOL)
+8 more

Side effects data

From 2020 Phase 3 trial • 15 Patients • NCT03287960
73%
Injection site erythema
73%
Skin hyperpigmentation
53%
Injection site pruritus
53%
Nausea
47%
Injection site induration
47%
Injection site pain
47%
Diarrhea
40%
Injection site oedema
33%
Injection site bruising
33%
Headache
27%
Nasopharyngitis
27%
Dizziness
27%
Back pain
27%
Asthenia
27%
Insomnia
27%
Spontaneous penile erection
27%
Abdominal pain upper
27%
Arthralgia
20%
Injection site hypersensitivity
20%
Influenza like illness
20%
Anxiety
20%
Anemia
20%
Muscle spasms
13%
Rhinitis
13%
Melanocytic naevus
13%
Malaise
13%
Gastrointestinal infection
13%
Hypothyroidism
13%
Injection site haematoma
13%
Pharyngitis
13%
Fatigue
13%
Depression
13%
Depressed mood
13%
Constipation
13%
Vomiting
13%
Erythema
13%
Hyperhidrosis
7%
Torticollis
7%
Eye naevus
7%
Chest pain
7%
Decreased appetite
7%
Lentigo
7%
Bronchitis
7%
Lipodystrophy acquired
7%
Folate deficiency
7%
Affect lability
7%
Fungal infection
7%
Pigmentation disorder
7%
Glucose tolerance impaired
7%
Drug abuse
7%
Cholecystitis
7%
Ear pain
7%
Hypogonadism
7%
Otitis externa
7%
Urticaria
7%
Gout
7%
Sciatica
7%
Hair growth rate abnormal
7%
Rash
7%
Influenza
7%
Migraine
7%
Dyslipidaemia
7%
Presyncope
7%
Hyperkeratosis
7%
Sleep paralysis
7%
Tic
7%
Pain in extremity
7%
Arthritis viral
7%
Gastric Banding Reversal
7%
Syncope
7%
Tinnitus
7%
Lower respiratory tract infection
7%
Pruritus
7%
Gastroenteritis
7%
Pain of skin
7%
Blood uric acid increased
7%
Fear of injection
7%
Road Traffic Accident
7%
Suicidal Ideation
7%
Flushing
7%
Injection site atrophy
7%
Injection site reaction
7%
Injection site urticaria
7%
Medical device pain
7%
Medical device site erythema
7%
Oedema
7%
Pyrexia
7%
Xerosis
7%
Suicidal ideation
7%
Illusion
7%
Dysmenorrhoea
7%
Ejaculation disorder
7%
Metrorrhagia
7%
Amenorrhoea
7%
Ovarian cyst
7%
Vaginal haemorrhage
7%
Arthropod bite
7%
Foot fracture
7%
Joint Injury
7%
Ligament sprain
7%
Alanine aminotransferase increased
7%
Blood creatine phosphokinase abnormal
7%
Blood follicle stimulating hormone increased
7%
Blood lactate dehydrogenase increased
7%
Blood luteinising hormone increased
7%
Blood urea decreased
7%
Heart rate increased
7%
Insulin tolerance test abnormal
7%
Neutrophil count increased
7%
Weight increased
7%
Cardiac flutter
7%
Oropharyngeal pain
7%
Asthma
7%
Eosinophilia
7%
Iron deficiency anemia
7%
Vertigo
7%
Abdominal pain
7%
Gingival discolouration
7%
Abdominal discomfort
7%
Abdominal distension
7%
Dyspepsia
7%
Gastrooesophageal reflux disease
7%
Haemorrhoids
7%
Cholestasis
7%
Hepatocellular injury
7%
Haematuria
7%
Proteinuria
7%
Renal colic
7%
Renal failure
7%
Skin striae
7%
Vitamin A deficiency
7%
Injection site abscess
7%
Musculoskeletal pain
7%
Musculoskeletal chest pain
7%
Neck pain
100%
80%
60%
40%
20%
0%
Study treatment Arm
Setmelanotide

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: SetemelanotideExperimental Treatment1 Intervention
Randomized 2:1 (Setmelanotide: Placebo)
Group II: PlaceboPlacebo Group1 Intervention
Randomized 2:1 (Setmelanotide: Placebo)
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Setmelanotide
2017
Completed Phase 4
~650

Find a Location

Who is running the clinical trial?

Rhythm Pharmaceuticals, Inc.Lead Sponsor
25 Previous Clinical Trials
9,183 Total Patients Enrolled
2 Trials studying Hypothalamic Obesity
108 Patients Enrolled for Hypothalamic Obesity
David Meeker, MDStudy ChairRhythm Pharmaceuticals, Inc.
13 Previous Clinical Trials
1,445 Total Patients Enrolled
1 Trials studying Hypothalamic Obesity
18 Patients Enrolled for Hypothalamic Obesity

Media Library

Hypothalamic Obesity Clinical Trial 2023: Setmelanotide Highlights & Side Effects. Trial Name: NCT05774756 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What risks does a patient incur when taking Setemelanotide?

"Our team at Power gives setemelanotide a safety rating of 3, as it is currently undergoing Phase 3 trials and there are sufficient indications that the drug has efficacy and poses no major risk."

Answered by AI

How many individuals are enrolled in this trial currently?

"Absolutely. According to clinicaltrials.gov, the trial that was initially posted on March 26th 2023 is presently seeking patients; it was most recently updated on 16th of March in the same year. The protocol envisages recruiting 120 participants from a single medical facility."

Answered by AI

Is there availability for individuals to actively participate in this experiment?

"Affirmative. Clinicaltrials.gov confirms that this medical research is currently accepting participants, after first being posted on March 26th 2023 and recently updated on the 16th of March in the same year. There are 120 positions available at a single location."

Answered by AI

Who else is applying?

What state do they live in?
California
Alberta
Washington
Other
What site did they apply to?
Children's Minnesota
Lynn Health Science Institute
Seattle Children's Hospital, Research and Foundation - Center for Integrative Brain Research
Other
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
How many prior treatments have patients received?
3+
0
2
1

Why did patients apply to this trial?

Nothing works to lose weight I just keep gaining. I(Jocelyn) have spoken with Dr Miller previously regarding my daughter Emily.
PatientReceived 2+ prior treatments
Have struggled with life altering hypothalamic obesity for the last 10 years (after my craniotomy in 2013).
PatientReceived no prior treatments
We are motivated to join the trial because we want our daughter Emily to be at a healthier weight and not worry so much about food and her next meal. We also want to help with research for other children/adults like her.
PatientReceived 2+ prior treatments

What questions have other patients asked about this trial?

When does it start? How soon should we expect to hear back from someone regarding beginning the qualification process?
PatientReceived 2+ prior treatments
How long are the visits, would I have any say in date/time? Are there any over night stays? Are there any costs to me?
PatientReceived 1 prior treatment
This trial has been going awhile. Are you still recruiting and if so how quick is the process of being possibly accepted?
PatientReceived 2+ prior treatments
How often do you have to go into the clinic? From what I understand, it is daily injections…is this correct? How long is the study? If we were to receive the placebo, would we be eligible for the drug at the end of the trial and for how long?
PatientReceived 1 prior treatment

How responsive is this trial?

Average response time
  • < 2 Days
Typically responds via
Email
Most responsive sites:
  1. University of Florida: < 48 hours
  2. Children's Minnesota: < 48 hours
~57 spots leftby Apr 2025