Drugs / Nimacimab
last change May 2026 re-read 9 days ago

Nimacimab

also known as JNJ-2463 · RYI-018

Monoclonal antibody targets CNR1 via inhibition

Developed for
fatty liver disease · gastroparesis · obesity disorder
Investigated by
Bird Rock Bio, Inc. · Perspectum · ProSciento, Inc. · Skye Bioscience, Inc.

Trials 3

2018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT03261739 Aug 2017 → Aug 2018 fatty liver disease Bird Rock Bio, Inc. Completed No outcome recorded
Phase 22 trials · 1 missed
Phase 2 NCT06577090 Aug 2024 → Nov 2026 expected obesity disorder Skye Bioscience, Inc. Active not recruiting Missed primary
Phase 2 NCT03900325 Aug 2019 → Jan 2020 gastroparesis Bird Rock Bio, Inc. Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 15

DateIssuerRelease
2026-05-20 Skye Bioscience, Inc. Results Skye Announces Cohort Review Committee Approved Opening of Cohort 2 Based on Favorable Safety Data from First Four Participants Treated in Cohort 1 skyebioscience.com ↗
No Serious Adverse Events or Adverse Events of Special Interest Were Reported Following 4 Weeks of Treatment
2026-03-10 Skye Bioscience, Inc. Results Skye Bioscience Reports Fourth Quarter and Full Year 2025 Financial Results and Provides Business Update skyebioscience.com ↗
2026-02-02 Skye Bioscience, Inc. Results Skye Reports Positive CBeyond Phase 2a Extension Interim Study Results for Nimacimab in Combination With Semaglutide skyebioscience.com ↗
2026-01-29 Skye Bioscience, Inc. Results Skye Bioscience Highlights Attributes of its Peripherally-restricted CB1 Inhibitor Antibody at Keystone Obesity Conference skyebioscience.com ↗
Nimacimab showed significant additive weight loss effects when combined with suboptimal or clinically active dose levels of tirzepatide (39% and 46% weight loss respectively).
2025-11-05 Skye Bioscience, Inc. Results Skye Bioscience Late-Breaking Oral Abstract at ObesityWeek 2025 to Highlight Improvement in Rebound Weight Gain skyebioscience.com ↗
New data from an analysis of participants 12 weeks post-treatment demonstrated that nimacimab 200 mg (subcutaneous, weekly) plus semaglutide blunted rebound weight gain compared to semaglutide alone (18.1% versus 49.8% weight regain over 12 weeks).
2025-10-06 Skye Bioscience, Inc. Results Skye Bioscience Reports Topline CBeyond™ Phase 2a Data from Nimacimab Monotherapy and Combination Clinical Trial skyebioscience.com ↗
In the combination cohort, nimacimab 200 mg (subcutaneous, weekly) plus semaglutide demonstrated a clinically meaningful magnitude of weight loss compared to semaglutide alone (-13.2% vs -10.25%, p=0.0372, mITT), with no plateau being observed through Week 26.
2025-09-19 Skye Bioscience, Inc. Results Skye Presents Phase 1b Data for its Peripheral CB1-inhibiting Antibody, Nimacimab, at European Association for the Study of Diabetes (EASD) Annual Meeting skyebioscience.com ↗
The study demonstrated that nimacimab was safe, well-tolerated, and exhibited predictable pharmacokinetics and low immunogenicity across multiple ascending dose cohorts.
2025-09-04 Skye Bioscience, Inc. Results Skye’s CB1 Inhibitor, Nimacimab, Demonstrates Superior Weight Loss and Differentiated Mechanisms from Monlunabant, and Continues to Show Enhanced Combination with Tirzepatide with Durable Post-Treatment Weight Maintenance in DIO Model skyebioscience.com ↗
The second study re-evaluated the combination of nimacimab, this time with both optimal and sub-optimal doses of tirzepatide, and continued to show enhanced weight loss effects compared to tirzepatide alone, while also limiting rebound after treatment with tirzepatide is stopped.
2025-05-13 Skye Bioscience, Inc. Results Skye Bioscience Clinical Model Demonstrating Necessity of Peripheral CB1 Inhibition for Weight Loss Presented at European Congress on Obesity skyebioscience.com ↗
Anti-CB1 inhibiting antibody, nimacimab, showed greatest peripheral restriction compared with monlunabant and rimonabant, small molecule-based CB1 inhibitors, which both exhibited increasing dose-dependent brain penetration
2025-05-08 Skye Bioscience, Inc. Results Skye Bioscience Reports First Quarter 2025 Results and Highlights Nimacimab Differentiation in Obesity skyebioscience.com ↗
In vitro data reported from new preclinical study highlights superior potency of peripherally restricted CB1 inhibitor, nimacimab, versus monlunabant when tested under pathological levels of CB1 agonists
2025-04-15 Skye Bioscience, Inc. Results Skye Bioscience Demonstrates Over 30% Weight Loss with Nimacimab and Tirzepatide Combination in Preclinical Model skyebioscience.com ↗
Nimacimab alone demonstrated 23.5% weight loss, comparable to monlunabant and tirzepatide alone.
2024-11-04 Skye Bioscience, Inc. Results Skye Bioscience Demonstrates Prominent Role of Peripheral CB1 Inhibition and Achieves Significant Weight Loss with Novel CB1-inhibiting Antibody, Nimacimab, in Preclinical Model skyebioscience.com ↗
Skye’s CB1-inhibiting antibody, nimacimab, achieved significant dose-dependent weight loss of up to 16% compared to vehicle, highlighting a novel peripherally-driven mechanism for inducing weight loss and other metabolic benefits.

All press releases naming this drug 23 releases

DateIssuerRelease

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 4 sources stand behind the page.

FieldValueCited text
Known as Nimacimab ClinicalTrials.gov intervention name — accepted as the source's own label NCT06577090 ↗
1

NCT03900325 ↗

Known as JNJ-2463 ChEMBL registry synonym — accepted as the source's own label CHEMBL4298095 ↗
Known as RYI-018 ClinicalTrials.gov intervention name — accepted as the source's own label NCT03261739 ↗
Action Inhibit “Cannabinoid CB1 receptor negative allosteric modulator” CHEMBL4298095 ↗
Modality Monoclonal antibody “Anti-CB1 monoclonal antibody” NCT03261739 ↗
1

CHEMBL4298095 ↗

Route Intravenous “repeat IV doses of RYI-018” NCT03261739 ↗
Target CNR1 “Cannabinoid CB1 receptor negative allosteric modulator” CHEMBL4298095 ↗