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mibavademab

Phase 3

Generalized Lipodystrophy | Monoclonal antibody | Metabolic |Regeneron Pharmaceuticals, Inc.|Trials Updated: Oct 13, 2026

mibavademab development status

Highest phase Phase 3
Registered trials 9 across 2 sponsors since May 2018

mibavademab target and mechanism

Molecular targetLEPR
Target classAgonist
ModalityMonoclonal antibody

Also known as REGN4461, Low-Dose REGN4461, High-dose REGN4461

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment91

FDA Designations

No designations recorded

mibavademab clinical trials

mibavademab · 5 trials · 4 indications

Phase 3 3Phase 2 2
NCT07220785Efficacy and Safety of Mibavademab in Adult and Pediatric Patients With Generalized LipodystrophyGeneralized Lipodystrophy
RECRUITING28 Analytics
NCT07220772A Study Evaluating Mibavademab Treatment of Obesity Due to Leptin (LEP) Gene Mutations in Children, Adolescents and AdultsMonogenic Obesity
RECRUITING4 Analytics
NCT06548100A Study of the Safety of Mibavademab in Pediatric and Adult Participants Switching From Metreleptin to Mibavademab for the Treatment of Generalized Lipodystrophy (GLD)Generalized Lipodystrophy
COMPLETED9 Analytics
PHASE3RECRUITING
Efficacy and Safety of Mibavademab in Adult and Pediatric Patients With Generalized Lipodystrophy
Generalized LipodystrophyUnlock trial analytics
PHASE3RECRUITING
A Study Evaluating Mibavademab Treatment of Obesity Due to Leptin (LEP) Gene Mutations in Children, Adolescents and Adults
Monogenic ObesityUnlock trial analytics
PHASE3COMPLETED
A Study of the Safety of Mibavademab in Pediatric and Adult Participants Switching From Metreleptin to Mibavademab for the Treatment of Generalized Lipodystrophy (GLD)
Generalized LipodystrophyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Hemoglobin A1c (HbA1c)
Through 36 weeks of exposure to mibavademab

Part A

Percent change in fasting Triglycerides (TG)
Through 36 weeks of exposure to mibavademab

Part A

Occurrence of Treatment Emergent Adverse Events (TEAEs)
Up to 15 months

Part B

Severity of TEAEs
Up to 15 months

Part B

Concentrations of total mibavademab in serum
Up to 15 months

Part B

Percent change in Body Mass Index (BMI)
Baseline to Week 24
Incidence of treatment-emergent adverse events (TEAEs)
Up to week 68
Change from the highest serum estradiol observed during a 28-day period
Baseline to month 6
Absolute Change From Baseline in Participants With Elevated Baseline Hemoglobin A1c (HbA1c ≥7%) at Week 8
Baseline, Week 8

Absolute change from baseline in HbA1c for subgroup of participants with baseline HbA1c ≥7% reported

Absolute Change From Baseline in Fasting Glucose at Week 8
Baseline, Week 8

Absolute change from baseline in fasting glucose for subgroup of participants with baseline HbA1c ≥7% reported

Absolute Change From Baseline in Weighted Mean Glucose (WMG) at Week 8
Baseline, Week 8

Absolute change from baseline in WMG for subgroup of participants with baseline HbA1c ≥7% reported

Percent Change From Baseline in Fasting Triglycerides (TG) at Week 8
Baseline, Week 8

Percent change from baseline in participants with elevated baseline fasting TG (fasting TG ≥250 mg/dL) reported

Secondary Endpoints

Change in HbA1c compared to placebo
From baseline to week 20
Change in HbA1c
From baseline to week 52
Percent change in fasting TG compared to placebo
From baseline to week 20
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: Arm AEXPERIMENTAL -
Part A: Arm BEXPERIMENTAL -
Part A: Arm CEXPERIMENTAL -
Part A: Arm DPLACEBO_COMPARATOR -
Part BEXPERIMENTAL -
MibavademabEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Treatment AEXPERIMENTAL -
Treatment BEXPERIMENTAL -

Interventions

NameTypeDescription
MibavademabDRUGAdministered as per the protocol
PlaceboDRUGAdministered as per the protocol
Low-Dose REGN4461DRUGIV infusion loading dose or SC injection QW.
High-dose REGN4461DRUGIV infusion loading dose or SC injection QW.
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Eligibility Criteria

Age Range2 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Key Inclusion Criteria: 1\. Diagnosis of congenital or acquired GLD as defined by Multi-Society Practice Guidelines For Part A only: 1. Participants ≥2 years of age at screening 2. At least one of the below criteria are fulfilled during screening (measurements can be repeated once during screenin...

Countries:United StatesBrazilFranceGermanyTurkey (Türkiye)PeruRussia
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Recent Changes (Last 90 Days)

LOWOct 13, 2026NCT07220772lastUpdatePostDate: changed
LOWOct 13, 2026NCT07220772lastUpdatePostDate: changed
MEDIUMOct 1, 2026NCT07235917primaryCompletionDate: changed
MEDIUMOct 1, 2026NCT07235917primaryCompletionDate: changed
LOWSep 11, 2026NCT07220785lastUpdatePostDate: changed
LOWSep 11, 2026NCT07220785lastUpdatePostDate: changed
MEDIUMAug 29, 2026NCT06548100TRIAL_REMOVED: changed
MEDIUMAug 29, 2026NCT06548100TRIAL_REMOVED: changed
MEDIUMAug 29, 2026NCT06548100TRIAL_REMOVED: changed
LOWAug 18, 2026NCT07220785lastUpdatePostDate: changed
LOWAug 18, 2026NCT07220785lastUpdatePostDate: changed
LOWAug 5, 2026NCT07220785lastUpdatePostDate: changed
HIGHJul 29, 2026NCT06548100Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJul 29, 2026NCT06548100Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about mibavademab

What is mibavademab?

Mibavademab is an investigational monoclonal antibody developed by Regeneron Pharmaceuticals, Inc. (ticker REGN) for endocrine and metabolic conditions. It is being studied in functional hypothalamic amenorrhea, generalized lipodystrophy, and monogenic obesity. Mibavademab is not approved and remains in clinical development.

What does mibavademab target?

Mibavademab targets LEPR, the leptin receptor, and acts as an agonist. By activating this receptor, the antibody is designed to mimic or enhance leptin signaling. Leptin signaling is relevant to energy balance and reproductive hormone regulation, which underlies the conditions being studied.

What is mibavademab used for?

Mibavademab is being studied for functional hypothalamic amenorrhea, generalized lipodystrophy, and monogenic obesity. These are the indications in its clinical program. It is investigational and has not been approved for any use.

Who makes mibavademab?

Regeneron Pharmaceuticals, Inc., which trades under the ticker REGN, is developing mibavademab. Regeneron is the sponsor of the clinical trials evaluating the antibody across its endocrine and metabolic indications.

What phase is mibavademab in?

Mibavademab is in Phase 2 and Phase 3 clinical development, depending on the indication. The functional hypothalamic amenorrhea study is Phase 2, while the generalized lipodystrophy and monogenic obesity studies are Phase 3. It is investigational and not FDA approved.

What clinical trials is mibavademab in?

Mibavademab trials include NCT07235917 in functional hypothalamic amenorrhea, NCT07220785 in generalized lipodystrophy, NCT07220772 in monogenic obesity, and NCT06548100, a completed study in generalized lipodystrophy for participants switching from metreleptin. The first three are currently recruiting.