Trial Outcomes & Findings for Setmelanotide for the Treatment of Leptin Receptor (LEPR) Deficiency Obesity (NCT NCT03287960)

NCT ID: NCT03287960

Last Updated: 2023-05-23

Results Overview

The percentage of participants who met the ≥10% weight loss threshold (responders) after approximately Week 52 (\~1 year) of treatment were analyzed.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

15 participants

Primary outcome timeframe

Week 52

Results posted on

2023-05-23

Participant Flow

Participants were enrolled into the pivotal cohort (11 participants) or supplemental cohort (4 participants). Pivotal cohort: Set of participants under study constituted a collection of detailed clinical case reports with a comprehensive baseline and past medical history assessment and complete clinical efficacy, safety and laboratory evaluations conducted for each participant. Supplemental cohort: Any additional participants enrolled were included in supplemental cohort.

At screening, a blood sample was obtained for genotyping for mechanisms considered to be possibly related to the safety or efficacy response to the study medication (e.g., other obesity related genes). Complete physical, relevant bloodwork and other standard assessments were performed.

Participant milestones

Participant milestones
Measure
Setmelanotide
Participants received titrated doses of setmelanotide once daily, by subcutaneous (SC) injection during titration period for 2 - 12 weeks. Thereafter, participants continued setmelanotide at their specific therapeutic dose for an additional 10 weeks during the open label treatment period. Participants who achieved at least a 5 kg weight loss (or at least 5% weight loss if baseline body weight was \<100 kg) at the end of the open label treatment period, continued into the 8-week double-blind withdrawal period and received 4 weeks setmelanotide and 4 weeks placebo. Following the withdrawal period, participants entered open label treatment period and received setmelanotide to complete approximately 52 weeks (\~1 year) of treatment at a therapeutic dose.
Titration Period (2 to 12 Weeks)
STARTED
15
Titration Period (2 to 12 Weeks)
COMPLETED
15
Titration Period (2 to 12 Weeks)
NOT COMPLETED
0
Open-Label Period (10 Weeks)
STARTED
15
Open-Label Period (10 Weeks)
COMPLETED
14
Open-Label Period (10 Weeks)
NOT COMPLETED
1
Double-Blind Withdrawal Period (8 Weeks)
STARTED
14
Double-Blind Withdrawal Period (8 Weeks)
COMPLETED
14
Double-Blind Withdrawal Period (8 Weeks)
NOT COMPLETED
0
Open-Label Period (32 Weeks)
STARTED
14
Open-Label Period (32 Weeks)
COMPLETED
13
Open-Label Period (32 Weeks)
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Setmelanotide
Participants received titrated doses of setmelanotide once daily, by subcutaneous (SC) injection during titration period for 2 - 12 weeks. Thereafter, participants continued setmelanotide at their specific therapeutic dose for an additional 10 weeks during the open label treatment period. Participants who achieved at least a 5 kg weight loss (or at least 5% weight loss if baseline body weight was \<100 kg) at the end of the open label treatment period, continued into the 8-week double-blind withdrawal period and received 4 weeks setmelanotide and 4 weeks placebo. Following the withdrawal period, participants entered open label treatment period and received setmelanotide to complete approximately 52 weeks (\~1 year) of treatment at a therapeutic dose.
Open-Label Period (10 Weeks)
Adverse Event
1
Open-Label Period (32 Weeks)
Serious Adverse Event
1

Baseline Characteristics

Setmelanotide for the Treatment of Leptin Receptor (LEPR) Deficiency Obesity

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Setmelanotide
n=15 Participants
Participants received titrated doses of setmelanotide once daily, by SC injection during titration period for 2 - 12 weeks. Thereafter, participants continued setmelanotide at their specific therapeutic dose for an additional 10 weeks during the open label treatment period. Participants who achieved at least a 5 kg weight loss (or at least 5% weight loss if baseline body weight was \<100 kg) at the end of the open label treatment period, continued into the 8-week double-blind withdrawal period and received 4 weeks setmelanotide and 4 weeks placebo. Following the withdrawal period, participants entered open label treatment period and received setmelanotide to complete approximately 52 weeks (\~1 year) of treatment at a therapeutic dose.
Age, Categorical
<=18 years
5 Participants
n=39 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=39 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
Age, Continuous
21.67 years
STANDARD_DEVIATION 8.52 • n=39 Participants
Sex: Female, Male
Female
9 Participants
n=39 Participants
Sex: Female, Male
Male
6 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
1 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
Race (NIH/OMB)
White
12 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=39 Participants
Region of Enrollment
Netherlands
3 Participants
n=39 Participants
Region of Enrollment
United Kingdom
1 Participants
n=39 Participants
Region of Enrollment
France
6 Participants
n=39 Participants
Region of Enrollment
Germany
4 Participants
n=39 Participants
Region of Enrollment
Canada
1 Participants
n=39 Participants

PRIMARY outcome

Timeframe: Week 52

Population: The full analysis set (FAS) consisted of participants who received any of the study drug injections and at least one baseline assessment (included those who did and did not demonstrate ≥5 kg weight loss or 5% of body weight if weight is \<100 kg at baseline over the initial12-week open label treatment period and proceeded into the double blind, placebo-controlled withdrawal period). Participants in pivotal cohort were included in the analysis.

The percentage of participants who met the ≥10% weight loss threshold (responders) after approximately Week 52 (\~1 year) of treatment were analyzed.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=11 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Percentage of Participants Who Reached ≥10% Weight Loss Threshold After 1 Year (Pivotal Cohort)
45.5 percentage of participants
Interval 19.96 to 72.88

SECONDARY outcome

Timeframe: Week 52

Population: FAS Population. Participants in pivotal and supplemental cohort were included in the analysis.

The percentage of participants who met the ≥10% weight loss threshold (responders) after approximately Week 52 (\~1 year) of treatment were analyzed.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=15 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Percentage of Participants Who Reached ≥10% Weight Loss Threshold After 1 Year (Pivotal + Supplemental Cohort)
53.3 percentage of participants
Interval 30.0 to 75.63

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: The Designated Use Set (DUS) consisted of participants who received any of the study drug injections, demonstrated ≥5 kg weight loss \[or 5% of body weight if weight was \<100 kg at baseline\] during the initial 12-week open label treatment period, and proceeded into the double-blind, placebo-controlled withdrawal period. Participants in pivotal and supplemental cohort were included in the analysis.

The mean percent change from baseline in body weight at 52 weeks was analyzed.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=10 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Mean Percent Change From Baseline in Body Weight
-12.34 Percent change
Standard Deviation 7.534

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: DUS Population. Participants in pivotal and supplemental cohort were included in the analysis.

The mean percent change in hunger scores for participants ≥12 years of age with leptin receptor (LEPR) deficiency obesity in treatment with setmelanotide was evaluated. Hunger score ranged from 0 - 10 on a Likert-type scale; 0 = not hungry at all and 10 = hungriest possible. On the Daily Hunger Questionnaire, each of the 3 items (average hunger, most/worst hunger, and morning hunger) was scored separately and averaged on a weekly basis.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=10 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Mean Percent Change From Baseline in Hunger Score ('Most Hunger')
-42.7 Percent Change
Standard Deviation 27.49

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: FAS population with available data at specified time point. Participants in pivotal and supplemental cohort were included in the analysis.

The percentage of participants (≥12 years of age) achieving a ≥25% improvement from baseline in hunger score at Week 52 (i.e., after treatment with setmelanotide for 52 weeks at the therapeutic dose) was assessed. Hunger ranged from 0 - 10 on a Likert-type scale; 0 = not hungry at all and 10 = hungriest possible. On the Daily Hunger Questionnaire, each of the 3 items (average hunger, most/worst hunger, and morning hunger) was scored separately and averaged on a weekly basis.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=14 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Percentage of Participants Achieving at Least 25% Improvement in Daily Hunger From Baseline
71.4 percentage of participants
Interval 46.0 to 89.6

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: DUS population with available data at specified time point. Participants in pivotal and supplemental cohort were included in the analysis.

Waist circumference (cm) was measured according to the National Heart, Lung, and Blood Institute (NHLBI) criteria. Waist circumference was measured when participants were fasting at approximately the same time at each visit. The absolute change from baseline in waist circumference was assessed.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=10 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Absolute Change From Baseline in Waist Circumference
Baseline
131.58 Centimeter
Standard Deviation 24.047
Absolute Change From Baseline in Waist Circumference
Change at Week 52
-9.80 Centimeter
Standard Deviation 6.095

SECONDARY outcome

Timeframe: Baseline and Week 8 of withdrawal period

Population: DUS population with available data at specified time point. Participants in pivotal and supplemental cohort were included in the analysis.

A comparison of weight change was evaluated during the 8 week placebo-controlled withdrawal period for each participant, during which each participant received 4 weeks of placebo and 4 weeks active therapy in a blinded fashion.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=9 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Absolute Change in Body Weight (Reversal of Weight Loss) During Double-Blind Placebo-Controlled Withdrawal Period
Change at Week 4: Setmelanotide
-1.2 Kilogram
Standard Deviation 3.04
Absolute Change in Body Weight (Reversal of Weight Loss) During Double-Blind Placebo-Controlled Withdrawal Period
Change at Week 4: Placebo
4.9 Kilogram
Standard Deviation 2.82

SECONDARY outcome

Timeframe: Week 8 of withdrawal period

Population: DUS population with available data at specified time point. Participants in pivotal and supplemental cohort were included in the analysis.

The absolute score in daily hunger reduction during the double-blind placebo-controlled withdrawal period (≥12 Years of Age) was assessed. Hunger ranged from 0 - 10 on a Likert-type scale; 0 = not hungry at all and 10 = hungriest possible. On the Daily Hunger Questionnaire, each of the 3 items (average hunger, most/worst hunger, and morning hunger) was scored separately and averaged on a weekly basis. The weekly average hunger score of the daily worst (most) hunger score in 24 hours is the hunger score used to assess this study endpoint. Lower scores represent lower hunger, higher scores represent greater hunger.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=9 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Absolute Daily Hunger Reduction Score During the Double-Blind Placebo-Controlled Withdrawal Period
Setmelanotide
3.4 units on a scale
Standard Deviation 1.63
Absolute Daily Hunger Reduction Score During the Double-Blind Placebo-Controlled Withdrawal Period
Placebo
6.3 units on a scale
Standard Deviation 2.13

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: DUS population with available data at specified time point. Participants in pivotal and supplemental cohort were included in the analysis.

The mean percent change from baseline in body mass index (BMI) was assessed.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=7 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Mean Percent Change From Baseline in Body Mass Index
-14.24 Percent change
Standard Deviation 9.096

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: The Safety Analysis Set (SAS) was defined as all participants who received any study drug injections at least one post-dose safety assessment. Participants with available data were analyzed. Participants in pivotal and supplemental cohort were included in the analysis.

Glucose parameters included glucose, glycated hemoglobin (HbA1c) and Oral glucose tolerance test (OGTT). Data is planned to be reported only for change from baseline in glucose levels.

Outcome measures

Outcome measures
Measure
Setmelanotide (Entire Study)
n=15 Participants
Participants received setmelanotide once daily by SC injection for approximately 52 weeks (\~ 1 year).
Change From Baseline in Glucose Parameters
Baseline
5.586 millimole per liter
Standard Deviation 2.3740
Change From Baseline in Glucose Parameters
Change at Week 52
-0.465 millimole per liter
Standard Deviation 1.4350

Adverse Events

Setmelanotide

Serious events: 3 serious events
Other events: 15 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Setmelanotide
n=15 participants at risk
Participants received titrated doses of setmelanotide once daily, by SC injection during titration period for 2 - 12 weeks. Thereafter, participants continued setmelanotide at their specific therapeutic dose for an additional 10 weeks during the open label treatment period. Participants who achieved at least a 5 kg weight loss (or at least 5% weight loss if baseline body weight was \<100 kg) at the end of the open label treatment period, continued into the 8-week double-blind withdrawal period and received 4 weeks setmelanotide and 4 weeks placebo. Following the withdrawal period, participants entered open label treatment period and received setmelanotide to complete approximately 52 weeks (\~1 year) of treatment at a therapeutic dose.
Hepatobiliary disorders
Cholecystitis
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Injury, poisoning and procedural complications
Road Traffic Accident
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Psychiatric disorders
Suicidal Ideation
6.7%
1/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Surgical and medical procedures
Gastric Banding Reversal
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.

Other adverse events

Other adverse events
Measure
Setmelanotide
n=15 participants at risk
Participants received titrated doses of setmelanotide once daily, by SC injection during titration period for 2 - 12 weeks. Thereafter, participants continued setmelanotide at their specific therapeutic dose for an additional 10 weeks during the open label treatment period. Participants who achieved at least a 5 kg weight loss (or at least 5% weight loss if baseline body weight was \<100 kg) at the end of the open label treatment period, continued into the 8-week double-blind withdrawal period and received 4 weeks setmelanotide and 4 weeks placebo. Following the withdrawal period, participants entered open label treatment period and received setmelanotide to complete approximately 52 weeks (\~1 year) of treatment at a therapeutic dose.
Vascular disorders
Flushing
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Melanocytic naevus
13.3%
2/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Eye naevus
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site erythema
73.3%
11/15 • Number of events 32 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site induration
46.7%
7/15 • Number of events 16 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site pain
46.7%
7/15 • Number of events 14 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site oedema
40.0%
6/15 • Number of events 13 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site pruritus
53.3%
8/15 • Number of events 13 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Fatigue
13.3%
2/15 • Number of events 9 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site bruising
33.3%
5/15 • Number of events 8 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Asthenia
26.7%
4/15 • Number of events 7 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Influenza like illness
20.0%
3/15 • Number of events 4 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site haematoma
13.3%
2/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site hypersensitivity
20.0%
3/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Chest pain
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Malaise
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site atrophy
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site reaction
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Injection site urticaria
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Medical device pain
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Medical device site erythema
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Oedema
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Pyrexia
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Xerosis
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Psychiatric disorders
Insomnia
26.7%
4/15 • Number of events 7 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Psychiatric disorders
Anxiety
20.0%
3/15 • Number of events 4 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Depression
13.3%
2/15 • Number of events 4 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Psychiatric disorders
Depressed mood
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Suicidal ideation
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Affect lability
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Psychiatric disorders
Drug abuse
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Psychiatric disorders
Fear of injection
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Psychiatric disorders
Illusion
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Reproductive system and breast disorders
Dysmenorrhoea
6.7%
1/15 • Number of events 5 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Reproductive system and breast disorders
Spontaneous penile erection
26.7%
4/15 • Number of events 5 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Reproductive system and breast disorders
Ejaculation disorder
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Reproductive system and breast disorders
Metrorrhagia
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Reproductive system and breast disorders
Amenorrhoea
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Reproductive system and breast disorders
Ovarian cyst
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
General disorders
Vaginal haemorrhage
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Injury, poisoning and procedural complications
Arthropod bite
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Injury, poisoning and procedural complications
Foot fracture
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Injury, poisoning and procedural complications
Joint Injury
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Injury, poisoning and procedural complications
Ligament sprain
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Alanine aminotransferase increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Blood creatine phosphokinase abnormal
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Blood follicle stimulating hormone increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Blood lactate dehydrogenase increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Blood luteinising hormone increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Blood urea decreased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Blood uric acid increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Heart rate increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Insulin tolerance test abnormal
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Neutrophil count increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Investigations
Weight increased
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Cardiac disorders
Cardiac flutter
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
6.7%
1/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Respiratory, thoracic and mediastinal disorders
Asthma
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Blood and lymphatic system disorders
Anemia
20.0%
3/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Blood and lymphatic system disorders
Eosinophilia
6.7%
1/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Blood and lymphatic system disorders
Iron deficiency anemia
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Headache
33.3%
5/15 • Number of events 18 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Dizziness
26.7%
4/15 • Number of events 5 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Sleep paralysis
6.7%
1/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Presyncope
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Sciatica
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Syncope
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Migraine
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Nervous system disorders
Tic
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Ear and labyrinth disorders
Ear pain
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Ear and labyrinth disorders
Tinnitus
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Ear and labyrinth disorders
Vertigo
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Nausea
53.3%
8/15 • Number of events 16 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Abdominal pain upper
26.7%
4/15 • Number of events 13 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Diarrhea
46.7%
7/15 • Number of events 13 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Constipation
13.3%
2/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Abdominal pain
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Gingival discolouration
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Vomiting
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Abdominal discomfort
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Abdominal distension
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Dyspepsia
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Gastrointestinal disorders
Haemorrhoids
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Hepatobiliary disorders
Cholestasis
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Hepatobiliary disorders
Hepatocellular injury
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Renal and urinary disorders
Haematuria
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Renal and urinary disorders
Proteinuria
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Renal and urinary disorders
Renal colic
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Renal and urinary disorders
Renal failure
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
73.3%
11/15 • Number of events 20 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Erythema
13.3%
2/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Hyperhidrosis
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Skin striae
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Urticaria
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Hair growth rate abnormal
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Hyperkeratosis
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Lentigo
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Lipodystrophy acquired
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Melanocytic naevus
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Pain of skin
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Pigmentation disorder
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Pruritus
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Skin and subcutaneous tissue disorders
Rash
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Back pain
26.7%
4/15 • Number of events 7 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Arthralgia
26.7%
4/15 • Number of events 4 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
6.7%
1/15 • Number of events 4 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Muscle spasms
20.0%
3/15 • Number of events 3 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Neck pain
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Pain in extremity
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Musculoskeletal and connective tissue disorders
Torticollis
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Endocrine disorders
Hypothyroidism
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Endocrine disorders
Hypogonadism
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Metabolism and nutrition disorders
Decreased appetite
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Metabolism and nutrition disorders
Dyslipidaemia
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Metabolism and nutrition disorders
Folate deficiency
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Metabolism and nutrition disorders
Glucose tolerance impaired
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Metabolism and nutrition disorders
Gout
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Metabolism and nutrition disorders
Vitamin A deficiency
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Lower respiratory tract infection
6.7%
1/15 • Number of events 6 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Nasopharyngitis
26.7%
4/15 • Number of events 6 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Gastrointestinal infection
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Influenza
6.7%
1/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Pharyngitis
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Rhinitis
13.3%
2/15 • Number of events 2 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Arthritis viral
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Bronchitis
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Fungal infection
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Gastroenteritis
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Injection site abscess
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.
Infections and infestations
Otitis externa
6.7%
1/15 • Number of events 1 • From first dose up to ~30 days after last dose of study drug (Up to ~ 1 year)
SAS population. Participants in pivotal and supplemental cohort were included. Adverse events were analyzed for participants in placebo \& setmelanotide groups combined as one group per planned analysis.

Additional Information

Rhythm Clinical Trials

Rhythm Pharmaceuticals, Inc.

Phone: 857-264-4280

Results disclosure agreements

  • Principal investigator is a sponsor employee All information regarding setmelanotide supplied by Rhythm to the investigator is privileged and confidential information. The investigator agrees to use this information to accomplish the study and will not use it for other purposes without consent from Rhythm. The information obtained from the clinical study will be used towards the development of setmelanotide and may be disclosed to regulatory authority(ies), other investigators, corporate partners, or consultants as required.
  • Publication restrictions are in place

Restriction type: OTHER