Clinical trial

A Trial of Setmelanotide in Patients With Congenital Hypothalamic Obesity (Sub-study of NCT05774756)

Recruiting now · Phase 3 · 2 countries · Registry ID NCT06760546

Recruiting nowPhase 3Interventional

What this study is about

This is a sub-study of Study RM-493-040 (NCT05774756). The goal of this sub-study is to learn how well Setmelanotide works to improve weight reduction, hunger, and quality of life in patients 4 years of age and older with congenital Hypothalamic Obesity (cHO). To determine how well setmelanotide works and how safe it is, patients with cHO will take a daily injection of either setmelanotide or placebo and complete trial assessments for up to 26 weeks on a therapeutic regimen.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age4 Years to Not listed
SexAll
Healthy volunteersNot accepted
ConditionHypothalamic Obesity, Multiple Pituitary Hormone Deficiency Genetic Form, Septo-Optic Dysplasia, Optic Nerve Hypoplasia, Childhood-onset Combined Pituitary Hormone Deficiency, Pituitary Stalk Interruption Syndrome

Full registry criteria

Key Inclusion Criteria: 1. Diagnosis of multiple pituitary hormone deficiency (MPHD), or septo-optic dysplasia (SOD), or optic nerve hypoplasia (ONH), or Childhood-onset combined pituitary hormone deficiency (CPHD), or Pituitary Stalk Interruption Syndrome (PSIS) with at least one pituitary deficiency AND a body mass index (BMI) of ≥30 kg/m2 for patients ≥18 years of age, or BMI ≥95th percentile for age and sex for patients 4 to \<18 years 2. Age 4 years and older 3. Weight gain associated with the hypothalamic injury and a BMI of ≥30 kg/m2 for patients ≥18 years of age or BMI ≥95th percentile for age and sex for patients 4 to \<18 years of age 4. Agree to use a highly effective form of contraception throughout the study and for 90 days after the study Key Exclusion Criteria: 1. Diagnosis of Prader-Willi syndrome (PWS) or Rapid-onset obesity with hypoventilation, hypothalamic, autonomic dysregulation, neuroendocrine tumor syndrome (ROHHADNET) 2. Weight loss \>2% in the previous 3 months for patients aged ≥18 years or \>2% reduction in BMI for patients aged 4 to \<18 years 3. Bariatric surgery or procedure within last 2 years 4. Diagnosis of severe psychiatric disorders; any suicidal ideation, attempt or behavior 5. Current, clinically significant pulmonary, cardiac, metabolic, or oncologic disease 6. Significant dermatologic findings relating to melanoma or pre-melanoma skin lesions (excluding non-invasive basal or squamous cell lesion) 7. History or close family history of skin cancer or melanoma 8. Participation in any clinical trial with an investigational drug/device within 3 months prior to the first trial dose 9. Previously enrolled in a clinical trial involving setmelanotide or any previous exposure to setmelanotide 10. Inability to comply with once daily (QD) injection regimen 11. If female, pregnant and/or breastfeeding. 12. If receiving hormone replacement therapy, dose has remained stable for at least 2 months before Screening Other protocol defined Inclusion/Exclusion criteria may apply.

Treatments and study arms

Setmelanotide

Drug

Solution for daily subcutaneous injection

Placebo

Drug

Placebo matched to setmelanotide for daily subcutaneous injection

Primary outcomes

Mean % change in BMIFrom Baseline after 26 weeks on a therapeutic regimen

Study locations

11 locations were listed when this page was built. The first 40 are shown.

Birmingham Women and Children's Hospital NHS Trust🇬🇧 Birmingham, West Midlands, United Kingdom
Hull Royal Infirmary🇬🇧 Hull, United Kingdom
UCL Great Ormond Street Institute of Child Health🇬🇧 London, Greater London, United Kingdom
Children's Hospital Colorado🇺🇸 Aurora, Colorado, United States
University of Alabama🇺🇸 Birmingham, Alabama, United States
Boston Children's Hospital🇺🇸 Boston, Massachusetts, United States
Lurie Children's Hospital🇺🇸 Chicago, Illinois, United States
Columbia University Irving Medical Center🇺🇸 New York, New York, United States
Children's Hospital of Philadelphia🇺🇸 Philadelphia, Pennsylvania, United States
Children's Minnesota🇺🇸 Saint Paul, Minnesota, United States
Seattle Children's Research Institute🇺🇸 Seattle, Washington, United States