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Long Term Extension Trial of Setmelanotide

Primary Purpose

Obesity Associated With Defects in Leptin-melanocortin Pathway

Status
Enrolling by invitation
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Setmelanotide
Sponsored by
Rhythm Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity Associated With Defects in Leptin-melanocortin Pathway focused on measuring setmelanotide, RM-493, obesity, leptin-melanocortin, melanocortin 4 receptor

Eligibility Criteria

2 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Patients aged 2 or older who have completed participation in a previous setmelanotide trial and demonstrated adequate safety and meaningful clinical benefit (efficacy)
  2. Patient and/or parent or guardian is able to communicate with the investigator, understand and sign the written informed consent/assent, and comply with the trial requirements
  3. Agree to use a highly effective form of contraception throughout the trial

Key Exclusion Criteria:

  1. Pregnant and/or breastfeeding women
  2. Significant dermatologic findings relating to melanoma or pre-melanoma skin lesions (excluding non-invasive basal or squamous cell lesion)
  3. Current, clinically significant disease
  4. Documented diagnosis of schizophrenia, bipolar disorder, personality disorder, major depressive disorder, or other psychiatric disorder(s)
  5. Suicidal ideation, attempt or behavior
  6. History of significant liver disease
  7. Moderate to severe renal dysfunction as defined by a glomerular filtration rate (GFR) <30 mL/min.
  8. History or close family history of melanoma or patient history of oculocutaneous albinism

Other protocol defined Inclusion/Exclusion criteria may apply.

Sites / Locations

  • Synexus Clinical Research US, Inc. - Phoenix Southeast
  • Honor Health Research Institute
  • San Diego Wake Research
  • University of Florida College of Medicine
  • NIH Hatfield Clinical Research Center
  • Baystate Medical Center
  • University at Buffalo
  • Columbia University
  • Duke University Medical Center
  • Wake Research
  • Obesity Institute, Geisinger Clinic
  • Childrens Hospital of Philadephia
  • Synexus Clinical Research US, Inc.- Primary Care Associates, PC
  • Wake Research TN
  • Le Bonheur Children's Hospital
  • Vanderbilt University Medical Center
  • Baylor College of Medicine
  • Seattle Children's Research Institute
  • Marshfield Clinic Research Institute
  • University of Alberta
  • Peel Memorial Hospital
  • Hôpital Trousseau
  • Hôpital de la Pitié Salpêtrière
  • Charité - Universitätsmedizin Berlin
  • University of Leipzig
  • University of Ulm
  • University General Hospital of Patras
  • Erasmus MC
  • Universidad Autónoma de Madrid
  • University Hospitals Birmingham NHS Foundation Trust
  • Wellcome Trust-MRC Institute of Metabolic Science
  • Hammersmith Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Setmelanotide

Arm Description

Once daily subcutaneous injection

Outcomes

Primary Outcome Measures

Safety and tolerability of setmelanotide
Frequency and severity of adverse events (AEs) as well as changes in physical examinations, electrocardiograms (ECGs), vital signs (including resting BP and HR), laboratory evaluations, and injection site reactions.

Secondary Outcome Measures

Full Information

First Posted
January 18, 2018
Last Updated
April 4, 2023
Sponsor
Rhythm Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03651765
Brief Title
Long Term Extension Trial of Setmelanotide
Official Title
Long Term Extension Trial of Setmelanotide (RM-493) for Patients Who Have Completed a Trial of Setmelanotide for the Treatment of Obesity Associated With Genetic Defects Upstream of the MC4 Receptor in the Leptin-melanocortin Pathway
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Enrolling by invitation
Study Start Date
July 15, 2018 (Actual)
Primary Completion Date
December 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rhythm Pharmaceuticals, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a long-term extension trial to study the safety and tolerability of continued setmelanotide treatment in patients who have completed a previous clinical trial on treatment with setmelanotide for obesity associated with genetic defects upstream of the MC4 receptor in the leptin-melanocortin pathway.
Detailed Description
The primary objectives of this extension trial are to explore the long-term safety and tolerability of setmelanotide for up to 5 years or until drug is otherwise available through authorized use. Patients can enter this protocol immediately upon completion of their index protocol such that dosing of setmelanotide continues without gaps in therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obesity Associated With Defects in Leptin-melanocortin Pathway
Keywords
setmelanotide, RM-493, obesity, leptin-melanocortin, melanocortin 4 receptor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Single Group Assignment
Model Description
Open label treatment
Masking
None (Open Label)
Allocation
N/A
Enrollment
300 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Setmelanotide
Arm Type
Experimental
Arm Description
Once daily subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
Setmelanotide
Other Intervention Name(s)
RM-493
Intervention Description
Once daily subcutaneous injection
Primary Outcome Measure Information:
Title
Safety and tolerability of setmelanotide
Description
Frequency and severity of adverse events (AEs) as well as changes in physical examinations, electrocardiograms (ECGs), vital signs (including resting BP and HR), laboratory evaluations, and injection site reactions.
Time Frame
5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Patients aged 2 or older (or aged >2 years as per local regulations) who have completed participation in a previous setmelanotide trial and demonstrated adequate safety and meaningful clinical benefit (efficacy) Patient and/or parent or guardian is able to communicate with the investigator, understand and sign the written informed consent/assent, and comply with the trial requirements Agree to use a highly effective form of contraception throughout the trial Key Exclusion Criteria: Pregnant and/or breastfeeding women Significant dermatologic findings relating to melanoma or pre-melanoma skin lesions (excluding non-invasive basal or squamous cell lesion) Current, clinically significant disease Documented diagnosis of schizophrenia, bipolar disorder, personality disorder, major depressive disorder, or other psychiatric disorder(s) Suicidal ideation, attempt or behavior History of significant liver disease Moderate to severe renal dysfunction as defined by a glomerular filtration rate (GFR) <30 mL/min. History or close family history of melanoma or patient history of oculocutaneous albinism Other protocol defined Inclusion/Exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Meeker, MD
Organizational Affiliation
Rhythm Pharmaceuticals, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Synexus Clinical Research US, Inc. - Phoenix Southeast
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
Facility Name
Honor Health Research Institute
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
San Diego Wake Research
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
University of Florida College of Medicine
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Name
NIH Hatfield Clinical Research Center
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20892-1103
Country
United States
Facility Name
Baystate Medical Center
City
Springfield
State/Province
Massachusetts
ZIP/Postal Code
01107
Country
United States
Facility Name
University at Buffalo
City
Buffalo
State/Province
New York
ZIP/Postal Code
14203
Country
United States
Facility Name
Columbia University
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Wake Research
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Obesity Institute, Geisinger Clinic
City
Danville
State/Province
Pennsylvania
ZIP/Postal Code
17822-2607
Country
United States
Facility Name
Childrens Hospital of Philadephia
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Synexus Clinical Research US, Inc.- Primary Care Associates, PC
City
Anderson
State/Province
South Carolina
ZIP/Postal Code
29621
Country
United States
Facility Name
Wake Research TN
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37421
Country
United States
Facility Name
Le Bonheur Children's Hospital
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38103
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37212
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Seattle Children's Research Institute
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
Facility Name
Marshfield Clinic Research Institute
City
Marshfield
State/Province
Wisconsin
ZIP/Postal Code
54449
Country
United States
Facility Name
University of Alberta
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2E1
Country
Canada
Facility Name
Peel Memorial Hospital
City
Brampton
State/Province
Ontario
Country
Canada
Facility Name
Hôpital Trousseau
City
Paris
ZIP/Postal Code
75012
Country
France
Facility Name
Hôpital de la Pitié Salpêtrière
City
Paris
ZIP/Postal Code
75013
Country
France
Facility Name
Charité - Universitätsmedizin Berlin
City
Berlin
ZIP/Postal Code
13354
Country
Germany
Facility Name
University of Leipzig
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Facility Name
University of Ulm
City
Ulm
ZIP/Postal Code
89075
Country
Germany
Facility Name
University General Hospital of Patras
City
Rio
ZIP/Postal Code
26504
Country
Greece
Facility Name
Erasmus MC
City
Rotterdam
Country
Netherlands
Facility Name
Universidad Autónoma de Madrid
City
Madrid
ZIP/Postal Code
65 28009
Country
Spain
Facility Name
University Hospitals Birmingham NHS Foundation Trust
City
Birmingham
ZIP/Postal Code
B15 2GW
Country
United Kingdom
Facility Name
Wellcome Trust-MRC Institute of Metabolic Science
City
Cambridge
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
Facility Name
Hammersmith Hospital
City
London
ZIP/Postal Code
W12 0NN
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35112343
Citation
Meyer JR, Krentz AD, Berg RL, Richardson JG, Pomeroy J, Hebbring SJ, Haws RM. Kidney failure in Bardet-Biedl syndrome. Clin Genet. 2022 Apr;101(4):429-441. doi: 10.1111/cge.14119.
Results Reference
derived

Learn more about this trial

Long Term Extension Trial of Setmelanotide

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