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LB54640

Phase 2

Hypothalamic Obesity | Small molecule | Endocrine |Rhythm Pharmaceuticals, Inc.|Trials Updated: Feb 12, 2026

LB54640 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Sep 2023

LB54640 target and mechanism

Molecular targetMC4R
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment28

FDA Designations

No designations recorded

LB54640 clinical trials

LB54640 · 1 trial · 1 indication

Phase 2 1
NCT06046443A Study to Assess Efficacy and Safety of LB54640 in Patients With Hypothalamic ObesityHypothalamic Obesity
COMPLETED28 Analytics
PHASE2COMPLETED
A Study to Assess Efficacy and Safety of LB54640 in Patients With Hypothalamic Obesity
Hypothalamic ObesityUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean percentage change in BMI
From Baseline to Week 14

Secondary Endpoints

Frequency and severity of adverse events (AEs)
From Baseline to Week 52
Mean change in BMI
Baseline to Weeks 6, 10, 14
Proportion of patients who achieve ≥5% reduction in body weight
Baseline to Week 14
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LB54640 Low doseEXPERIMENTALParticipants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.
LB54640 Middle doseEXPERIMENTALParticipants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.
LB54640 High doseEXPERIMENTALParticipants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.
PlaceboPLACEBO_COMPARATORParticipants will be randomized to receive LB54640 low dose, middle dose, or high dose, or placebo by oral administration in a 1:1:1:1 ratio.
Open-label LB54640EXPERIMENTALEligible participants who provide consent to continue into the open-label portion of the study will receive open-label LB54640.

Interventions

NameTypeDescription
LB54640DRUGOral daily administration
PlaceboDRUGPlacebo matched to LB54640
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites10

Key Inclusion Criteria: * Documented evidence of acquired hypothalamic obesity (HO) * Age 12 years and older * Weight gain associated with the hypothalamic injury and a BMI of ≥30 kg/m2 for patients ≥18 years of age or BMI ≥95th percentile for age and sex for patients \<18 years of age * Male and f...

Countries:United StatesUnited Kingdom
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Frequently asked questions about LB54640

What is LB54640 used for?

LB54640 is being developed for the treatment of hypothalamic obesity, a form of obesity caused by damage to the hypothalamus. It is an investigational small molecule and has not been approved for any indication. Rhythm Pharmaceuticals is studying it in patients with this condition.

What does LB54640 target?

LB54640 targets the melanocortin 4 receptor, or MC4R. MC4R is a receptor in the brain that regulates appetite and energy balance. By acting on MC4R, LB54640 is designed to influence body weight regulation in patients with hypothalamic obesity.

Who is developing LB54640?

LB54640 is being developed by Rhythm Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker RYTM. Rhythm is a biopharmaceutical company focused on rare diseases of energy balance, and LB54640 is part of its pipeline for hypothalamic obesity.

What phase is LB54640 in?

LB54640 is in Phase 2 clinical development. A Phase 2 trial in patients with hypothalamic obesity has been completed. The drug remains investigational and is not approved by the FDA or any other regulatory agency for any indication.

What clinical trials is LB54640 in?

LB54640 has been studied in a Phase 2 trial, NCT06046443, titled A Study to Assess Efficacy and Safety of LB54640 in Patients With Hypothalamic Obesity. The trial was randomized, double-blind, and placebo-controlled, enrolled 28 patients, and was conducted in the United States and United Kingdom.