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Carbetocin

Phase 4

Hyperphagia in Prader-Willi Syndrome | Small molecule | Other |ACADIA Pharmaceuticals Inc.|Trials Updated: Oct 15, 2026

Carbetocin development status

Highest phase Phase 4 run by University of British Columbia (NCT02636816)
Phase scored for ACADPhase 3
Registered trials 3 across 2 sponsors since Dec 2023

Carbetocin target and mechanism

Molecular targetOXTR
Target classAgonist
ModalitySmall molecule

Also known as ACP-101

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment175

FDA Designations

No designations recorded

Carbetocin clinical trials

Carbetocin · 1 trial · 1 indication

Phase 3 1
NCT06173531Study of Carbetocin Nasal Spray for the Treatment of Hyperphagia in Prader-Willi SyndromeHyperphagia in Prader-Willi Syndrome
COMPLETED175 Analytics
PHASE3COMPLETED
Study of Carbetocin Nasal Spray for the Treatment of Hyperphagia in Prader-Willi Syndrome
Hyperphagia in Prader-Willi SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline at Week 12 in Hyperphagia Questionnaire for Clinical Trials (HQ-CT) Score
Baseline to Week 12

The HQ-CT is a caregiver-reported, 9-item assessment of observable hyperphagia-related behaviors in participants with PWS. The questionnaire is administered to the caregiver by a trained rater using standardized prompts, and the same caregiver is expected to complete the assessment throughout the study whenever possible. Each item is scored from 0 to 4, resulting in a total score ranging from 0 to 36, with higher scores indicating greater severity of hyperphagia. A decrease from baseline reflects improvement, and a reduction of 7.7 points has been identified as a clinically meaningful within-participant improvement.

Secondary Endpoints

Change From Baseline at Week 12 in Clinical Global Impression of Severity (CGI-S) for PWS Score
Baseline to Week 12
Clinical Global Impression of Change (CGI-C) for PWS Score at Week 12
Week 12
Percentage of Subjects With Treatment Response at Week 12 (Defined as Improvement From Baseline ≥8 Points) Based on the HQ-CT Score at Week 12
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CarbetocinEXPERIMENTALCarbetocin nasal spray 3.2 mg administered TID
PlaceboPLACEBO_COMPARATORMatching placebo nasal spray administered TID

Interventions

NameTypeDescription
CarbetocinDRUGCarbetocin nasal spray 3.2 mg administered TID
PlaceboDRUGMatching placebo nasal spray administered TID
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Eligibility Criteria

Age Range5 Years to 30 Years
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria * Male or female participants aged 5 to 30 years * Diagnosis of Prader-Willi syndrome with a documented disease-causing genetic mutation * Evidence of hyperphagia, including increased appetite and decreased satiety with food-seeking behaviors * Meeting minimum severity thresholds...

Countries:United StatesCanadaFranceGermanySpainUnited Kingdom
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Recent Changes (Last 90 Days)

HIGHOct 15, 2026NCT06173531Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHOct 15, 2026NCT06173531Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about Carbetocin

What is carbetocin used for?

Carbetocin is being developed for the treatment of hyperphagia in Prader-Willi Syndrome, a condition marked by persistent, excessive appetite and food-seeking behavior. ACADIA Pharmaceuticals is studying a nasal spray formulation of carbetocin for this indication in a Phase 3 clinical program. It is an investigational therapy and is not approved for this use.

What does carbetocin target?

Carbetocin targets OXTR, the oxytocin receptor, and acts as an agonist at that receptor. By activating the oxytocin receptor, carbetocin is designed to address hyperphagia in Prader-Willi Syndrome. It is a small molecule administered as a nasal spray in the Phase 3 program being run by ACADIA Pharmaceuticals.

Who is developing carbetocin for Prader-Willi Syndrome?

ACADIA Pharmaceuticals Inc., which trades on Nasdaq under the ticker ACAD, is developing carbetocin nasal spray for hyperphagia in Prader-Willi Syndrome. The company is the sponsor of the Phase 3 clinical program evaluating the drug in this indication across sites in the United States, Canada, and several European countries.

What phase is carbetocin in for hyperphagia in Prader-Willi Syndrome?

Carbetocin is in Phase 3 development for hyperphagia in Prader-Willi Syndrome. The program includes a completed Phase 3 trial, and carbetocin remains an investigational therapy that has not been approved for this indication. ACADIA Pharmaceuticals is the sponsor developing the nasal spray formulation.

What clinical trials is carbetocin in?

Carbetocin has been studied in the Phase 3 trial NCT06173531, titled Study of Carbetocin Nasal Spray for the Treatment of Hyperphagia in Prader-Willi Syndrome. The trial enrolled 175 participants aged 5 years and older across the United States, Canada, France, Germany, Spain, and the United Kingdom, and it is now completed.

How was the Phase 3 carbetocin trial designed?

The Phase 3 trial NCT06173531 was a randomized, double-blind, placebo-controlled study of carbetocin nasal spray in hyperphagia associated with Prader-Willi Syndrome. It enrolled 175 participants of all sexes, aged 5 years and older, and did not include healthy volunteers. The study is listed as completed and spanned sites in North America and Europe.