ClinicalTrials.gg
Active, not recruitingNCT06772597Updated Feb 12, 2026

A Study of Setmelanotide in Patients With Prader-Willi Syndrome

A Phase 2 interventional study of Setmelanotide in Prader-Willi Syndrome, Obesity and Hyperphagia, sponsored by Rhythm Pharmaceuticals, Inc.. Active, not recruiting at 1 site in United States. Open to participants aged 6 Years to 65 Years. 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
18
Allocation
Not applicable
Ages
6 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 2, open-label study designed to assess the safety and efficacy of setmelanotide in patients with obesity due to Prader-Willi Syndrome (PWS) who are 6 to 65 years of age. Up to 20 patients are planned to be enrolled. Patients will take a daily subcutaneous dose of open-label setmelanotide for up to 52 weeks.

02

Conditions studied

  • Prader-Willi Syndrome
  • Obesity
  • Hyperphagia

Keywords

  • melanocortin 4 receptor (MC4R), MC4R agonist
03

In context

Prader-Willi Syndrome

144 studies on the registry are indexed under Prader-Willi Syndrome; 23 are open to participants now.

This study's enrollment of 18 is below the median of 30 across 100 interventional studies indexed under Prader-Willi Syndrome.

Browse Prader-Willi Syndrome studies →

Lead sponsor

Rhythm Pharmaceuticals, Inc. is the lead sponsor of 29 studies on the registry; 2 are open to participants now.

Of its 19 completed or terminated interventional studies of FDA-regulated products, 14 (74%) have results posted.

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

04

Who can participate

Ages eligible
6 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Confirmed diagnosis of Prader-Willi Syndrome (PWS)
  • Age 6 to 65
  • ≥30 kg/m2 for patients ≥18 years of age or BMI ≥95th Percentile for age and sex
  • Agree to use a highly effective form of and follow the study contraception requirements throughout study duration and for 90 days after.
  • Patient and/or guardian is able to communicate well with the Investigator, understand and comply with the requirements of the study, and understand English and sign the written .

Exclusion Criteria:

  • Use of weight modulating medications
  • Abnormal , , AST, and values
  • Current, pulmonary, cardiac, metabolic, or oncologic disease considered severe enough to interfere with the trial and/or confound the results.
  • Participation in any clinical trial with an drug/device within 3 months or 5 half-lives, whichever is longer, prior to the first trial dose
  • to setmelanotide
  • Diagnosis of severe psychiatric disorders
  • Pregnant and/or breastfeeding

Other protocol defined Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Setmelanotide (Open-label)

    Drug: Setmelanotide

Interventions

  • Setmelanotide (daily subcutaneous injection)

    Also known as: Imcivree

06

What researchers measure

Primary outcomes

  1. Frequency and severity of adverse events (AEs)

    Time frame: Baseline to Week 52

Secondary outcomes

  1. Proportion of patients who achieve 5% reduction in BMI

    Time frame: Baseline to Week 52

  2. Mean percent change in BMI

    Time frame: Baseline to Week 52

  3. Mean percent change in BMI and weight in patients ≥18 years of age

    Time frame: Baseline to Week 52

  4. Mean change in BMI Z-Score and BMI % of 95th percentile

    Time frame: Baseline to Week 52

  5. Proportion of patients who achieved 5% reduction in weight from Baseline in patients ≥18 years of age and who achieved ≥0.2 reduction in BMI Z-score in patients <18 years of age

    Time frame: Baseline to Week 52

  6. Mean change in the weekly average of the Prader-Willi Syndrome Food Problem Diary (PWS-FPD) total score

    Time frame: Baseline to Week 52

07

Study locations

1 site
08

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 ↗
09

Registry details

Key details

Study ID
NCT06772597
Responsible party
Sponsor
First posted
Jan 13, 2025
Start date
Mar 4, 2025
Primary completion
Oct 31, 2026 (estimated)
Completion
Oct 31, 2027 (estimated)
Last update
Feb 12, 2026

Study contacts

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

Oversight

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

Not currently enrolling

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

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Discussion

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