melanocortin-4 receptor agonist

Setmelanotide

US: FDA-approvedEU: AuthorisedUK: AuthorisedCA: AuthorisedAU: Status unknownCH: AuthorisedBR: Not on the registerRS: Not on the registerSG: Not on the registerTR: Not on the register

Answer

Setmelanotide is authorised or registered in the US, the EU, the UK, Canada and Switzerland: 5 of the 10 registers read. Highest trial phase: Phase 4 (after approval). It has 29 registered trials, 5 of them running. Brand names on the FDA label register: Imcivree.

RegulatorTrial register10 regulators' registers, read 2026-09-03 to 2026-10-03 · ClinicalTrials.gov and EU CTIS, read 2026-10-03

Not medical, legal or regulatory advice.

Registered trials29Trial register ClinicalTrials.gov and EU CTIS
Running now5Trial register recruiting, active or enrolling
Results posted14Trial register with results on the register
Stopped early3.4%Trial register all peptides: 10%

29 trials by status

Trial register
Running 5Completed 19Stopped early 1Status unknown 1Other or not stated 3

ClinicalTrials.gov and EU CTIS · read 2026-10-03 · 14 trials have posted results

Trials first submitted per year

Trial register

ClinicalTrials.gov first-submitted date, last 10 years · read 2026-10-03. 2026 is not complete. 8 trials carry no first-submitted date (EU CTIS publishes none, or the year is outside this range).

Status by jurisdiction

World map
Authorised or registeredNot on the register, or withdrawnNot read yet, or status unknown
WhereStatusRegisterRead
United StatesFDA-approvedFDA, openfda2026-10-03
European UnionAuthorisedEMA, ema2026-10-03
United KingdomAuthorisedMHRA, uk-mhra2026-10-03
CanadaAuthorisedHealth Canada, ca-dpd2026-10-03
AustraliaStatus unknownTGA, au-artgnot read
SwitzerlandAuthorisedSwissmedic, ch-swissmedic2026-10-03
BrazilNot on the registerANVISA, br-anvisa2026-09-03
SerbiaNot on the registerALIMS, rs-alims2026-09-03
SingaporeNot on the registerHSA, sg-hsa2026-09-03
TurkeyNot on the registerTITCK, tr-titck2026-09-03

An EU decision applies in the 30 territories the EU register covers: its member states, and Iceland, Liechtenstein and Norway. A dashed tile has no register read for this peptide.

Side effects

Trial register
6 placebo-controlled trials · 355 people on Setmelanotide · grey is placebo
Skin hyperpigmentation36.9% 7.7%
Nausea29.6% 14.5%
Injection site erythema23% 20%
Vomiting21.3% 10.7%
Headache19.7% 18.4%
ClinicalTrials.gov posted results · read 2026-10-03All side effects

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REGISTERED TRIALS

Newest 10 of 29 trials

All 29 trials
NCT05774756
A Trial of Setmelanotide in Acquired Hypothalamic Obesity
running, but no longer enrolling · register updated 2026-08-10
NCT05093634
EMANATE: A Study of Setmelanotide in Patients With Specific Gene Variants in the MC4R Pathway
completed · register updated 2026-08-06
NCT07496463
Setmelanotide to Treat Obesity in a Patient With Pseudohypoparathyroidism Type 1a (PHP1a)
enrolling by invitation only · register updated 2026-07-23
NCT06596135
Open-Label Extension Study of Setmelanotide
completed · register updated 2026-07-15
NCT07674290
Real-World Effects of MC4R Agonist Therapy in BBS and Severe Genetic Obesity
currently recruiting participants · register updated 2026-06-29
NCT06760546
A Trial of Setmelanotide in Patients With Congenital Hypothalamic Obesity (Sub-study of NCT05774756)
currently recruiting participants · register updated 2026-02-12
NCT06772597
A Study of Setmelanotide in Patients With Prader-Willi Syndrome
running, but no longer enrolling · register updated 2026-02-12
2023-507634-24-00
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Trial: Multiple Independent Sub-studies of Setmelanotide in Patients with
no status recorded · register updated 2025-11-28
NCT04963231
DAYBREAK: A Study of Setmelanotide in Participants With Specific Gene Variants in the Melanocortin-4 Receptor (MC4R) Pathway
completed · register updated 2025-07-02
NCT03651765
Long Term Extension Trial of Setmelanotide
completed · register updated 2025-05-31

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