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FDA Approves First Therapy for Acquired Hypothalamic Obesity, Expanding Rhythm’s Imcivree

The decision follows a late-stage study that showed a 15.8% BMI reduction at 52 weeks compared with a 2.6% increase on placebo.

Overview

  • The expanded indication makes setmelanotide the first U.S.-approved treatment for obesity caused by hypothalamic injury.
  • Rhythm says Imcivree is available immediately in the United States as a once-daily injection that targets the MC4R pathway to reduce hunger and increase energy expenditure.
  • A Phase 3 study in 142 patients met its primary goal with an 18.4% placebo‑adjusted BMI reduction, reflecting a 15.8% drop on therapy versus a 2.6% rise on placebo at 52 weeks.
  • The label covers adults and children 4 years and older with acquired hypothalamic obesity, and the company estimates about 10,000 people in the U.S. have the condition.
  • Rhythm shares gained about 6% premarket as an analyst projected 2026 Imcivree sales of $290 million, including $34 million from the newly added indication.