FDA Extends Review of Rhythm’s Setmelanotide sNDA
FDA has extended by three months its review of Rhythm Pharmaceuticals’ supplemental NDA for Imcivree (setmelanotide) and its use in treating acquired hypothalamic obesity. The revised user fee review action target date is 3/20/2026.
The review extension is related to an agency request for additional sensitivity analyses of clinical efficacy data from Rhythm’s Phase 3 trial, according to the company. The new analyses have been classified as a “major amendment,” which automatically triggers an extension of the FDA’s review clock to allow for full evaluation. Rhythm said the amendment does not involve any new information about safety or manufacturing.
“Setmelanotide has demonstrated a compelling product profile, and we have every confidence that these additional sensitivity analyses confirm the strength of the data,” the company said in a release.
If approved, Imcivree would become the first FDA-approved therapy for patients with acquired hypothalamic obesity, a rare and severe condition characterized by rapid weight gain following damage to the hypothalamus, often due to surgery, trauma, or tumors. The drug was originally approved in 2020 for treating obesity and hyperphagia in patients with genetically confirmed Bardet-Biedl syndrome or certain forms of monogenic obesity due to POMC, PCSK1, or LEPR deficiencies.