Drugs / Setmelanotide

Regulatory milestones approvals, filings & regulatory actions · 15 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed Bardet-Biedl syndrome 1 milestone
Filed EU (EMA) IMCIVREE Bardet-Biedl syndrome 2021-10-14

“withdraw the proposed Alström syndrome indication from its pending Type II variation application to the European Medicines Agency (EMA) for setmelanotide for the treatment of...” rhythmtx.com ↗

“submitted a Type II variation application to the European Medicines Agency in October 2021 seeking regulatory approval and authorization for setmelanotide to treat obesity and...” rhythmtx.com ↗

“Marketing Authorization Application (MAA) for setmelanotide to treat individuals living with POMC deficiency obesity or LEPR deficiency obesity to the European Medicines Agency (EMA)” rhythmtx.com ↗

“The European Medicines Agency (EMA) is reviewing Rhythm’s Type II variation submission to the Marketing Authorization Application (MAA) for setmelanotide for the same indication.” rhythmtx.com ↗

“submission of its Marketing Authorization Application (MAA) to the European Medicines Agency (EMA) for the treatment of POMC deficiency obesity and LEPR deficiency obesity” rhythmtx.com ↗

“and submitted a Type II variation application to the European Medicines Agency in October 2021 seeking regulatory approval and authorization for setmelanotide” rhythmtx.com ↗

“The Company submitted a Type II variation application to the European Medicines Agency seeking regulatory approval and authorization for setmelanotide” rhythmtx.com ↗

“today announced that it has submitted its Type II variation application to the European Medicines Agency (EMA) for IMCIVREE ® (setmelanotide)” rhythmtx.com ↗

Filed obesity disorder 1 milestone
Filed EU (EMA) — obesity disorder 2024-01-04

“submitted a Type II variation application to the EMA seeking regulatory approval and authorization for setmelanotide to treat obesity and control hunger in pediatric patients” rhythmtx.com ↗

Rejected Alstrom syndrome 1 milestone
Rejected (CRL) US (FDA) IMCIVREE Alstrom syndrome 2022-06-16

“Rhythm also announced that the FDA issued a complete response letter for the sNDA for setmelanotide in Alström syndrome.” rhythmtx.com ↗

Approved Indication not stated 10 milestones
Filed Japan (PMDA) — acquired hypothalamic obesity 2026-05-05

“Japanese New Drug Application (JNDA) for setmelanotide to treat acquired HO has been accepted, validated and is now under review” rhythmtx.com ↗

Label expansions (3) US (FDA) IMCIVREE — 2022-06-16 – 2026-03-19 fda.gov ↗
Filed EU (EMA) — acquired hypothalamic obesity 2025-08-20

“the European Medicines Agency (EMA) has confirmed validation of the Type II variation submission to the Marketing Authorization Application (MAA) for setmelanotide” rhythmtx.com ↗

Filed US (FDA) — acquired hypothalamic obesity 2025-08-20

“has accepted for filing the company’s supplemental New Drug Application (sNDA) for setmelanotide seeking approval for the treatment of conditions associated with acquired...” rhythmtx.com ↗

Filed US (FDA) IMCIVREE obesity due to Bardet-Biedl syndrome or POMC, PCSK1, or LEPR deficiency 2024-08-06

“Completed sNDA submission seeking to expand U.S. label of IMCIVREE to treat pediatric patients as young as 2 years old in approved indications” rhythmtx.com ↗

Filed Other — Bardet-Biedl syndrome, POMC deficiency, PCSK1 deficiency, LEPR deficiency 2022-11-21

“In November 2022 , Rhythm announced that Health Canada accepted for review its New Drug Submission (NDS) with Priority Review for setmelanotide” rhythmtx.com ↗

“Health Canada has accepted for review its New Drug Submission (NDS) for setmelanotide” rhythmtx.com ↗

Filed US (FDA) IMCIVREE Bardet-Biedl syndrome, Alström syndrome 2021-11-15

“FDA has accepted for filing the company’s supplemental New Drug Application (sNDA) for IMCIVREE® (setmelanotide)” rhythmtx.com ↗

Filed US (FDA) IMCIVREE Bardet-Biedl syndrome, Alström syndrome 2021-09-20

“FDA) has accepted for filing Rhythm’s New Drug Application (NDA) for setmelanotide for the treatment of POMC deficiency obesity and LEPR deficiency obesity” rhythmtx.com ↗

“FDA) accepted the company's New Drug Application (NDA) for setmelanotide for the treatment of POMC deficiency obesity and LEPR deficiency obesity” rhythmtx.com ↗

“completed its supplemental New Drug Application (sNDA) to the U.S. Food and Drug Administration (FDA) for IMCIVREE ® (setmelanotide)” rhythmtx.com ↗

“March 20, 2026 PDUFA goal date for sNDA for setmelanotide in acquired hypothalamic obesity” rhythmtx.com ↗

Approved EU (EMA) Imcivree — 2021-07-16 europa.eu ↗

Trials 23

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT04348175 Jul 2020 → Apr 2021 impaired renal function disease Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 29 trials · 1 met primary · 2 missed
Phase 2 NCT07496463 Apr → Oct 2026 expected obesity disorder, pseudohypoparathyroidism type 1A Massachusetts General Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06772597 Mar 2025 → Oct 2026 expected Prader-Willi syndrome, obesity disorder Rhythm Pharmaceuticals, Inc. Active not recruiting No outcome recorded
Phase 2 NCT04963231 Nov 2021 → Aug 2023 inherited obesity Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT04725240 Jun 2021 → Jun 2022 acquired hypothalamic obesity Rhythm Pharmaceuticals, Inc. Completed Met primary
Phase 2 NCT03262610 Aug 2017 → Jan 2018 hypertriglyceridemia, obesity disorder Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT03013543 Feb 2017 → Mar 2022 obesity due to melanocortin 4 receptor deficiency Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT02311673 Mar 2015 → Oct 2016 Prader-Willi syndrome Rhythm Pharmaceuticals, Inc. Completed Missed primary
Phase 2 NCT02507492 Jan 2015 → Jan 2018 inherited obesity Charite University, Berlin, Germany Unknown No outcome recorded
Phase 2 NCT01749137 Jan → Sep 2013 obesity disorder Rhythm Pharmaceuticals, Inc. Completed Missed primary
Phase 2/31 trial
Phase 2/3 NCT03651765 Jul 2018 → Jan 2025 inherited obesity Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 39 trials · 4 met primary · 1 missed
Phase 3 NCT06760546 Sep 2025 → Mar 2027 expected acquired hypothalamic obesity, isolated optic nerve hypoplasia, non-acquired combined pituitary hormone deficiency, pituitary stalk interruption syndrome +1 Rhythm Pharmaceuticals, Inc. Recruiting No outcome recorded
Phase 3 NCT06596135 Oct 2024 → Jun 2026 inherited obesity Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT05774756 Apr 2023 → Mar 2025 overdue acquired hypothalamic obesity Rhythm Pharmaceuticals, Inc. Active not recruiting Met primary
Phase 3 NCT04966741 Mar 2022 → Sep 2023 Bardet-Biedl syndrome, obesity due to leptin receptor gene deficiency, obesity due to pro-opiomelanocortin deficiency, obesity due to prohormone convertase I deficiency Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT05194124 Dec 2021 → Oct 2023 Bardet-Biedl syndrome, obesity due to pro-opiomelanocortin deficiency Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT05093634 Dec 2021 → Dec 2025 overdue inherited obesity Rhythm Pharmaceuticals, Inc. Active not recruiting Missed primary
Phase 3 NCT03746522 Nov 2018 → Nov 2020 Alstrom syndrome, Bardet-Biedl syndrome Rhythm Pharmaceuticals, Inc. Completed Met primary
Phase 3 NCT03287960 Jan 2018 → Sep 2020 obesity due to leptin receptor gene deficiency Rhythm Pharmaceuticals, Inc. Completed Met primary
Phase 3 NCT02896192 Feb 2017 → May 2020 obesity due to pro-opiomelanocortin deficiency Rhythm Pharmaceuticals, Inc. Completed Met primary
Phase 42 trials
Phase 4 NCT07674290 Jan 2023 → Dec 2030 expected Alstrom syndrome, Bardet-Biedl syndrome Tom Hühne Recruiting No outcome recorded
Phase 4 NCT05046132 Aug 2021 → Apr 2022 — Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase not stated1 trial
— NCT05183802 — Bardet-Biedl syndrome, obesity disorder Rhythm Pharmaceuticals, Inc. Approved for marketing No outcome recorded
Comparator or background therapy4 trials
Phase 1 NCT01867437 Comparator May 2013 → Mar 2014 morbid obesity Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT02431442 Comparator Jan 2012 → Jan 2014 obesity disorder Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1/2 NCT02041195 Comparator Jan → Aug 2014 morbid obesity Rhythm Pharmaceuticals, Inc. Completed No outcome recorded
Phase 4 NCT05812183 Background Jul 2023 → Feb 2025 — University of California, Los Angeles Withdrawn No outcome recorded

News releases announcing trial results or a regulatory action · 107

DateIssuerRelease
2026-09-22 Rhythm Pharmaceuticals, Inc. Regulatory Rhythm Pharmaceuticals Announces Health Canada Approval of IMCIVREE® (setmelanotide) for Weight Management in Adult and Pediatric Patients 4 years of Age and Older with Acquired Hypothalamic Obesity rhythmtx.com ↗
Rhythm Pharmaceuticals, Inc. (Nasdaq: RYTM), a global commercial-stage biopharmaceutical company focused on transforming the lives of patients living with rare neuroendocrine diseases, today announced that Health Canada has approved IMCIVREE ® (setmelanotide) for the additional indication of weight management in adult and pediatric patients 4 years of age and older with acquired hypothalamic obesity (HO).
2026-09-10 Rhythm Pharmaceuticals, Inc. Results Rhythm Pharmaceuticals Announces New Data Presentations at the European Society for Paediatric Endocrinology Meeting rhythmtx.com ↗
The mean change in Lipid Accumulation Product (LAP) (n=41 vs n=22) from baseline was -25.6 compared with +3.6 for the placebo group (p<0.0001).
2026-08-24 Rhythm Pharmaceuticals, Inc. Regulatory Rhythm Pharmaceuticals Announces MHLW Approval of IMCIVREE® (setmelanotide) for Patients with Acquired Hypothalamic Obesity (HO) in Japan rhythmtx.com ↗
2026-08-11 Rhythm Pharmaceuticals, Inc. Regulatory Rhythm Pharmaceuticals Announces IMCIVREE® (setmelanotide) Receives Expanded Marketing Authorization in the United Kingdom for Treatment of Obesity and Control of Hunger in Patients with Acquired Hypothalamic Obesity due to Hypothalamic Injury or Impairment rhythmtx.com ↗
Rhythm Pharmaceuticals, Inc. (Nasdaq: RYTM), a global commercial-stage biopharmaceutical company focused on transforming the lives of patients living with rare neuroendocrine diseases, today announced that the United Kingdom's Medicines and Healthcare products Regulatory Agency (MHRA) has expanded the marketing authorization for IMCIVREE ® (setmelanotide) to include the treatment of obesity and control of hunger in adults and children 4 years of age and older with acquired hypothalamic obesity (HO) due to hypothalamic injury or impairment.
2026-07-08 Rhythm Pharmaceuticals, Inc. Results Rhythm Pharmaceuticals Announces The New England Journal of Medicine Publication of Phase 3 TRANSCEND Trial Results in Acquired Hypothalamic Obesity rhythmtx.com ↗
The publication highlights robust improvements in weight and hunger achieved with setmelanotide therapy in adult and pediatric patients aged four years and older.
2026-06-15 Rhythm Pharmaceuticals, Inc. Results Rhythm Pharmaceuticals Announces Multiple New Data Presentations from MC4R Agonists in Acquired Hypothalamic Obesity (HO), Bardet-Biedl Syndrome (BBS) and Prader-Willi Syndrome (PWS) at ENDO 2026 rhythmtx.com ↗
Setmelanotide therapy achieved robust, sustained and clinically significant weight loss in patients with acquired HO at 2.5 years
2026-06-13 Rhythm Pharmaceuticals, Inc. Results Rhythm Pharmaceuticals Presents Positive Interim Six-month Data from Phase 2 Trial of Setmelanotide in Patients with Prader-Willi Syndrome (PWS) at ENDO 2026 rhythmtx.com ↗
Patients with PWS treated with setmelanotide therapy (N=17) achieved clinically meaningful BMI or BMI z-score reductions, reductions in fat mass with preservation of lean mass, and improvements in hyperphagia and anxiety measures
2026-05-12 Rhythm Pharmaceuticals, Inc. Results Rhythm Pharmaceuticals Announces New Data Presentations at the 2026 European Congress of Endocrinology rhythmtx.com ↗
Setmelanotide treatment in patients with acquired HO led to significant improvements in multiple metabolic index scores versus placebo.
2026-05-04 Rhythm Pharmaceuticals, Inc. Results Rhythm Pharmaceuticals Announces New Data Presentations in Acquired Hypothalamic Obesity at Pediatric Endocrine Society rhythmtx.com ↗
Pediatric patients with acquired hypothalamic obesity who received setmelanotide for up to 2.5 years achieved sustained reductions across multiple age‑adjusted weight‑related measures.
2026-05-01 Rhythm Pharmaceuticals, Inc. Regulatory Rhythm Pharmaceuticals Announces IMCIVREE® (Setmelanotide) Granted Marketing Authorization by European Commission for the Treatment of Obesity and Control of Hunger in Patients with Acquired Hypothalamic Obesity rhythmtx.com ↗
European Commission grants authorization in adults and children 4 years of age and above with acquired hypothalamic obesity due to hypothalamic injury or impairment
2026-03-26 Rhythm Pharmaceuticals, Inc. Regulatory Rhythm Pharmaceuticals Receives Positive CHMP Opinion for IMCIVREE® (setmelanotide) for the Treatment of Obesity and Control of Hunger in Patients with Acquired Hypothalamic Obesity due to Hypothalamic Injury or Impairment rhythmtx.com ↗
2026-03-19 Rhythm Pharmaceuticals, Inc. Regulatory Rhythm Pharmaceuticals Announces FDA Approval of IMCIVREE® (setmelanotide) for Patients with Acquired Hypothalamic Obesity rhythmtx.com ↗
Rhythm Pharmaceuticals, Inc. (Nasdaq: RYTM), a global commercial-stage biopharmaceutical company focused on transforming the lives of patients living with rare neuroendocrine diseases, today announced that the U.S. Food and Drug Administration (FDA) has approved an expanded indication for IMCIVREE® (setmelanotide) to treat patients living with acquired hypothalamic obesity (HO).

All press releases naming this drug 133 releases

DateIssuerRelease
Show all 133 releases opens the full record — a long page

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 29 sources stand behind the page.

FieldValueCited text
Known as Setmelanotide “Setmelanotide (Imcivree)” NCT05812183 ↗
23

NCT06596135 ↗

NCT01749137 ↗

NCT04348175 ↗

NCT03287960 ↗

NCT05046132 ↗

NCT07674290 ↗

NCT03651765 ↗

NCT05774756 ↗

NCT04963231 ↗

NCT06772597 ↗

Show 13 more sources

Known as BIM-22493 ChEMBL registry synonym — accepted as the source's own label CHEMBL3301624 ↗
Known as Imcivree “Setmelanotide (Imcivree)” NCT05812183 ↗
Known as RM-493 ClinicalTrials.gov intervention name — accepted as the source's own label NCT02431442 ↗
2

NCT02507492 ↗

NCT01867437 ↗

Known as RM-493 ACETATE ChEMBL registry synonym — accepted as the source's own label CHEMBL3301624 ↗
Known as Setmelanotida ChEMBL registry synonym — accepted as the source's own label CHEMBL3301624 ↗
Known as SETMELANOTIDE ACETATE ChEMBL registry synonym — accepted as the source's own label CHEMBL3301624 ↗
Action Activate “a Melanocortin 4 Receptor (MC4R) Agonist” NCT02311673 ↗
Modality Peptide “RM-493 is a potent, selective peptide agonist for the MC4R” NCT01867437 ↗
Modality Protein / enzyme biologic — CHEMBL3301624 ↗
Route Subcutaneous “RM-493 (1 mg/24 h) or placebo by continuous subcutaneous infusion over 72 hours” PMID 25675384 ↗ Feb 2015
Target MC4R “RM-493 is a potent, selective peptide agonist for the MC4R” NCT01867437 ↗