CClinicalTrials.gg
CompletedNCT06046443Updated Feb 12, 2026

A Study to Assess Efficacy and Safety of LB54640 in Patients With Hypothalamic Obesity

A Phase 2 interventional study of LB54640 and Placebo in Hypothalamic Obesity, sponsored by Rhythm Pharmaceuticals, Inc.. Completed at 10 sites in 2 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-02-12.

Sponsored by Rhythm Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The goal of this study is to determine how well LB54640 works and how safe it is in patients with Hypothalamic Obesity (HO). The study will evaluate the effect of LB54640 on safety, weight reduction, hunger, and quality of life in patients 12 years of age and older with HO. Patients will take an oral daily dose of either LB54640 (low, middle, or high dose) or placebo through Week 14. Eligible patients who consent to continue in the study after Week 14 will take an oral daily dose of LB54640 through Week 56.

02

Conditions studied

  • Hypothalamic Obesity

Keywords

  • melanocortin 4 receptor, MC4R
  • MC4R agonism
03

In context

Lead sponsor

Rhythm Pharmaceuticals, Inc. is the lead sponsor of 28 studies on the registry; 3 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 12 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Documented evidence of acquired hypothalamic obesity (HO)
  • Age 12 years and older
  • 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 \<18 years of age
  • Male and female participants agree to follow study contraception requirements and use a highly effective form of contraception throughout the study and for 90 days after the study

Key Exclusion Criteria:

  • Weight loss >2% in the previous 3 months for patients ≥18 years of age or >2% reduction in BMI for patients \<18 years of age
  • History of major surgical procedure within 30 days
  • HbA1c >10.9%
  • Fasting glucose level >270 mg/dL
  • Previous use of MC4R agonists
  • Diagnosis of Prader-Willi syndrome (PWS) or Rapid-onset obesity with hypoventilation, hypothalamic, autonomic dysregulation, neuroendocrine tumor syndrome (ROHHADNET).
  • Diagnosis of severe psychiatric disorders; any suicidal ideation, attempt or behavior
  • History or close family history of skin cancer or melanoma
  • Current clinically significant pulmonary, cardiac, or oncologic disease considered severe enough to interfere with the study and/or confound the results

Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    LB54640 Low dose

    Participants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.

    Drug: LB54640

  • Experimental
    LB54640 Middle dose

    Participants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.

    Drug: LB54640

  • Experimental
    LB54640 High dose

    Participants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.

    Drug: LB54640

  • Placebo comparator
    Placebo

    Participants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.

    Drug: Placebo

  • Experimental
    Open-label LB54640

    Eligible participants who provide consent to continue into the open-label portion of the study will receive open-label LB54640.

    Drug: LB54640

Interventions

  • DrugLB54640

    Oral daily administration

  • DrugPlacebo

    Placebo matched to LB54640

06

What researchers measure

Primary outcomes

  1. Mean percentage change in BMI

    Time frame: From Baseline to Week 14

Secondary outcomes

  1. Frequency and severity of adverse events (AEs)

    Time frame: From Baseline to Week 52

  2. Mean change in BMI

    Time frame: Baseline to Weeks 6, 10, 14

  3. Proportion of patients who achieve ≥5% reduction in body weight

    Time frame: Baseline to Week 14

  4. Mean change in the weekly average of the daily most hunger score

    Time frame: Baseline to Week 14

  5. Mean change and mean percentage change from baseline in body weight

    Time frame: From Baseline to Week 52

  6. Mean change and mean percentage change from baseline in waist circumference.

    Time frame: From Baseline to Week 52

  7. Mean change and mean percentage change from baseline in body composition assessed by dual energy x-ray absorptiometry

    Fat mass and lean mass will be measured through dual energy x-ray absorptiometry

    Time frame: From Baseline to Week 52

07

Study locations

10 sites
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
  • University of Iowa Children's Hospital
    Iowa City, Iowa 52242, United States
  • Tufts Medical Center
    Boston, Massachusetts 02111, United States
  • Columbia University
    New York, New York 10027, United States
  • The University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27514, United States
  • Lynn Health Science Institute
    Oklahoma City, Oklahoma 73112, United States
  • St. Jude Children's Research Hospital
    Memphis, Tennessee 38105, United States
  • Birmingham Women's and Children's NHS Foundation Trust
    Birmingham, B15 2TG, United Kingdom
  • University of Cambridge
    Cambridge, CB2 1TN, United Kingdom
  • Great Ormond Street Hospital for Children
    London, WC1N 3JH, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06046443
Lead sponsor
Rhythm Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Sep 21, 2023
Start date
Jul 11, 2024
Primary completion
Feb 9, 2026
Completion
Feb 9, 2026
Last update
Feb 12, 2026

Study contacts

David Meeker, MD
study chair · Rhythm Pharmaceuticals, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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