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RM-718

Phase 1

Hypothalamic Obesity | Small molecule | Rare Disease |Rhythm Pharmaceuticals, Inc.|Trials Updated: Oct 9, 2026

RM-718 target and mechanism

Molecular targetMC4R
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment111

FDA Designations

RMAT

RM-718 clinical trials

RM-718 · 1 trial · 3 indications

Phase 1 1
NCT06239116A Study of RM-718 in Healthy Subjects and Patients With MC4R Pathway ImpairmentHypothalamic Obesity
ACTIVE NOT_RECRUITING111 Analytics
PHASE1ACTIVE NOT_RECRUITING
A Study of RM-718 in Healthy Subjects and Patients With MC4R Pathway Impairment
Hypothalamic ObesityUnlock trial analytics

Study Endpoints

Primary Endpoints

Parts A, B, C, D: Safety and Tolerability Assessed by Number of Study Participants with Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Day 1 through the Safety-Follow-up call (up to Day 43 for all Part A cohorts, up to Day 70 for all Part B cohorts, up to Day 140 for Part C cohort, up to Day 210 for Part D cohort)

Secondary Endpoints

AUCtau measurement of RM-718
up to 168 hours post-dose on Day 1 (Parts A, B and C) and 168 hours post-dose on Day 22 (Parts B and C).
Cmax measurement of RM-718
up to 168 hours post-dose on Day 1 (Parts A, B and C) and 168 hours post-dose on Day 22 (Parts B and C).
Cmin measurement of RM-718
up to 168 hours post-dose on Day 1 (Parts A, B and C) and 168 hours post-dose on Day 22 (Parts B and C).
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RM-718 (Cohort A1)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A2)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A3)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A4)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A5)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A6)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A7)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A8)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort A9)EXPERIMENTALSingle dose of RM-718 (4) or placebo (2)
RM-718 (Cohort B1)EXPERIMENTALMultiple ascending doses of RM-718 (4) or placebo (2)
RM-718 (Cohort B2)EXPERIMENTALMultiple ascending doses of RM-718 (4) or placebo (2)
RM-718 (Cohort B3)EXPERIMENTALMultiple ascending doses of RM-718 (4) or placebo (2)
RM-718 (Cohort B4)EXPERIMENTALMultiple ascending doses of RM-718 (4) or placebo (2)
RM-718 (Cohort B5)EXPERIMENTALMultiple ascending doses of RM-718 (4) or placebo (2)
RM-718 (Cohort B6)EXPERIMENTALMultiple ascending doses of RM-718 (4) or placebo (2)
RM-718 (Cohort C1)EXPERIMENTALMultiple ascending doses of RM-718 (30)
RM-718 (Cohort D1)EXPERIMENTALMultiple ascending doses of RM-718 (up to 30)

Interventions

NameTypeDescription
Part A: RM-718 or placebo (matched to specific RM-718 dose cohort)DRUGSingle ascending dose of RM-718 or placebo (matched to specific RM-718 Part A dose cohort)
Part B: RM-718 or placebo (matched to specific RM-718 dose cohort)DRUGMultiple ascending doses of RM-718 or placebo (matched to specific RM-718 Part B dose cohorts)
Part C: RM-718DRUGMultiple ascending doses of RM-718
Part D: RM-718DRUGMultiple ascending doses of RM-718
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Eligibility Criteria

Age Range12 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites7

Key Inclusion Criteria: Parts A and B: * Male and female subjects in good health aged 18-55 years of age at Screening. * Body mass index (BMI) ≥30 kg/m2. * Subjects who are medically healthy with normal or clinically insignificant screening results. * Subjects must use a highly effective form of c...

Countries:United States
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Recent Changes (Last 90 Days)

HIGHOct 9, 2026NCT06239116Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHOct 9, 2026NCT06239116Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about RM-718

What is RM-718 used for?

RM-718 is an investigational small molecule being developed for hypothalamic obesity, a rare disease in which damage to the hypothalamus causes severe weight gain. It is also being studied in patients with MC4R pathway impairment, including Prader-Willi syndrome. RM-718 has not been approved for any use and remains in clinical development.

What does RM-718 target?

RM-718 targets MC4R, the melanocortin 4 receptor. MC4R is a receptor in the melanocortin pathway that regulates appetite and energy balance. RM-718 is a small molecule designed to act on this receptor, which is relevant to hypothalamic obesity and other conditions involving MC4R pathway impairment.

Who is developing RM-718?

RM-718 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 the melanocortin pathway. The company is running the clinical program for RM-718 in hypothalamic obesity and related MC4R pathway conditions.

What phase is RM-718 in?

RM-718 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. The Phase 1 program includes a randomized, double-blind, controlled study. RM-718 has received RMAT designation from the FDA, which is a designation for regenerative medicine therapies.

What clinical trials is RM-718 in?

RM-718 is being studied in the Phase 1 trial NCT06239116, titled A Study of RM-718 in Healthy Subjects and Patients With MC4R Pathway Impairment. The trial is active but not recruiting, with an enrollment of 111 participants. It includes healthy volunteers and patients with hypothalamic obesity or Prader-Willi syndrome, and is conducted in the United States.

Is RM-718 the same as Part C: RM-718 or Part D: RM-718?

Yes. RM-718 is also referred to as Part C: RM-718 and Part D: RM-718. These are alternative names for the same investigational drug candidate. Searches for any of these names refer to the MC4R-targeted small molecule being developed by Rhythm Pharmaceuticals for hypothalamic obesity and related conditions.