ClinicalTrials.gg
RecruitingNCT07142707Updated Jun 9, 2026

A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MBX 4291 in Adult Participants With Obesity

A Phase 1 interventional study of MBX 4291 and Placebo in Obesity, sponsored by MBX Biosciences. Recruiting at 4 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-06-09.

Sponsored by MBX Biosciences · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
124
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and tolerability of single and multiple subcutaneous (SC) doses of MBX 4291 in adults with obesity.

Read the detailed description

This is a Phase 1, double-blind, placebo-controlled first-in-human study to evaluate the single ascending doses (SAD) and multiple ascending doses (MAD) of MBX 4291 in participants with obesity, who are otherwise generally healthy. Approximately 124 patients aged 18 to 65 years old will be enrolled.

02

Conditions studied

  • Obesity

Keywords

  • Body Weight
  • Body Mass Index
  • Overweight
  • Nutrition Disorders
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's planned enrollment of 124 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

MBX Biosciences is the lead sponsor of 8 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age of >18 to ≤65 years at the time of signing the .
  • Has a of ≥30 to \<50 kg/m2 at screening and baseline.
  • Weight-stable, i.e., no more than ±5% change in body weight for at least 3 months prior to screening and between screening and baseline.

Exclusion criteria

Exclusion Criteria:

  • History of, or currently active, significant illness or medical disorders that in the opinion of the investigator may preclude participants from participating in the study.
  • History of currently active pancreatitis, type I and type II diabetes.
  • Secondary causes of obesity, including but not limited to hypothalamic, monogenic, syndromic, or endocrine causes.
  • A personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2.
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
124 participants (estimated)

Study arms

  • Experimental
    MBX 4291 (Part A)

    Participants will be administered single ascending doses of MBX 4291, or matching placebo.

    Drug: MBX 4291

  • Experimental
    MBX 4291 (Part B)

    Participants will be administered multiple ascending doses of MBX 4291, or matching placebo.

    Drug: MBX 4291

  • Experimental
    MBX 4291 (Part C)

    Participants will be administered multiple ascending doses of MBX 4291, or matching placebo.

    Drug: MBX 4291

  • Placebo comparator
    Placebo

    Participants will be administered single or multiple ascending doses of placebo.

    Drug: Placebo

Interventions

  • DrugMBX 4291

    MBX 4291 will be administered subcutaneously (SC)

  • DrugPlacebo

    Placebo: Placebo will be administered subcutaneously (SC)

06

What researchers measure

Primary outcomes

  1. Number of participants with Treatment Emergent Adverse Events (TEAEs)

    Time frame: The total duration of study participation for each participant including screening, treatment period, follow-up, and end of study visit will be up to 91 days in Part A, up to 99 days in Part B, and up to 148 days in Part C.

07

Study locations

4 of 4 sites recruiting
  • MBX Biosciences Investigational Site
    Doral, Florida 33172, United States
    Recruiting
  • MBX Biosciences Investigational Site
    Lexington, Kentucky 40509, United States
    Recruiting
  • MBX Biosciences Investigational Site
    Kansas City, Missouri 64114, United States
    Recruiting
  • MBX Biosciences Investigational Site
    Knoxville, Tennessee 37920, United States
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2025 (actual). Primary completion is estimated for Oct 2026, 13 months after the start.

Of 334 industry-sponsored phase 1 interventional studies under Obesity, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 15. This study's planned 13 months is above that.

Counting every sponsor, half of 439 studies reached it within 11 months; a quarter within 6 and three quarters within 24.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 4, 2025
First posted
Aug 27, 2025
StartActual
Sep 3, 2025
Primary completionEst.
Oct 30, 2026
CompletionEst.
Oct 30, 2026
Last update
Jun 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07142707
Lead sponsor
MBX Biosciences
Responsible party
Sponsor
First posted
Aug 27, 2025
Start date
Sep 3, 2025
Primary completion
Oct 30, 2026 (estimated)
Completion
Oct 30, 2026 (estimated)
Last update
Jun 9, 2026

Study contacts

Elisa Fabbrini, MD, PhD
Contact
MBX4291.Clinicaltrials@mbxbio.com
844-877-4473
Stewart Hallett
Contact
MBX4291.Clinicaltrials@mbxbio.com
844-877-4473

Oversight

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

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