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Relamorelin

Phase 3

Gastric Motility | Small molecule | Gastrointestinal |Rhythm Pharmaceuticals, Inc.|Trials Updated: Sep 23, 2016

Relamorelin development status

Highest phase Phase 3 run by Allergan (NCT03383146)
Phase scored for RYTMPhase 1
Registered trials 12 across 2 sponsors since Jul 2011

Relamorelin target and mechanism

Molecular targetGHSR
Target classAgonist
ModalitySmall molecule

Also known as RM-131, Ghrelin receptor agonist

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials6
Total Enrollment326

FDA Designations

No designations recorded

Relamorelin clinical trials

Relamorelin · 6 trials · 9 indications

Phase 2 3Phase 1 3
NCT01781104Phase 2 Study to Evaluate Safety and Efficacy of RM-131 Administered to Patients With Chronic ConstipationConstipation
COMPLETED48 Analytics
NCT01642550Phase 2 Pilot Study to Evaluate the Safety and Efficacy of RM-131 Administered to Females With Anorexia NervosaAnorexia Nervosa
COMPLETED20 Analytics
NCT01571297Phase 2 Study to Evaluate Safety & Efficacy of RM-131 Administered to Patients With Diabetic GastroparesisDiabetes Mellitus
COMPLETED204 Analytics
PHASE2COMPLETED
Phase 2 Study to Evaluate Safety and Efficacy of RM-131 Administered to Patients With Chronic Constipation
ConstipationUnlock trial analytics
PHASE2COMPLETED
Phase 2 Pilot Study to Evaluate the Safety and Efficacy of RM-131 Administered to Females With Anorexia Nervosa
Anorexia NervosaUnlock trial analytics
PHASE2COMPLETED
Phase 2 Study to Evaluate Safety & Efficacy of RM-131 Administered to Patients With Diabetic Gastroparesis
Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Effect of RM-131 on colonic transit
End of 14 day Baseline and end of 14 day Treatment periods

Change from baseline colonic geometric center at 24 hours

Effect of RM-131 on body weight
Baseline and Day 28

Change from baseline in body weight.

Effect of RM-131 on gastric emptying time
Screening and Day 28

Change from baseline in gastric half-emptying time (t½)

Gastric volume measured by single photon emission computed tomography (SPECT)
Measured during the 1 hour study procedure

Calculation of gastric volume by single photon emission computed tomography (SPECT)

Satiety measured by the Hunger/Satiety questionnaire
Measured during a 1 hour study procedure

Measurement of satiety by completion of the Hunger/Satiety questionnaire after ingesting a nutrient drink

Gastric motility measured by gastroduodenal manometry
Measured during the 4 hour study procedure

Measurement of gastric motility by gastroduodenal manometry

Effect of RM-131 on postprandial high amplitude propagated contractions (HAPC) per hour
Measured during the 2 hour study procedure

Change from baseline HAPC

Pharmacodynamic (PD) effects of RM-131 on gastric emptying
Day 1 at baseline vs Day 1 at 6 hours after dosing in Period 1 and Day 1 at baseline vs Day 1 at 6 hours after dosing in Period 2

Change from baseline in gastric half-emptying time by scintigraphy (solids and liquids)

Secondary Endpoints

Safety and tolerability of RM-131
Duration of the study, an expected average of 9 weeks
Effect of RM-131 on stool consistency
Daily for the duration of the study, an expected average of 9 weeks
Effect of RM-131 on gastric emptying time
Baseline and Day 28
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RM-131ACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
RelamorelinACTIVE_COMPARATOR -

Interventions

NameTypeDescription
RM-131DRUGDouble blind RM-131 (100 ug) will be delivered subcutaneously once daily for 14 days.
PlaceboDRUGPlacebo delivered subcutaneously once daily for 14 days.
RelamorelinDRUGDouble blind RM-131 will be delivered three times by injection during the course of the study
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion criteria * Able to provide written informed consent prior to any study procedures, and willing and able to comply with study procedures. * Diagnosis of chronic IDIOPATHIC constipation, including experiencing constipation for 12 or more weeks in the preceding 12 months (defined by Rome III...

Countries:United States
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Frequently asked questions about Relamorelin

What is Relamorelin?

Relamorelin is an investigational small molecule developed by Rhythm Pharmaceuticals, Inc. (ticker RYTM) for gastric motility. It is being studied in the gastrointestinal therapeutic area. Relamorelin has completed a Phase 1 clinical trial and is not yet approved for any indication.

What does Relamorelin target?

Relamorelin targets GHSR, the growth hormone secretagogue receptor. It acts as an agonist at this receptor. This mechanism is being investigated for its effects on gastric motility.

Who makes Relamorelin?

Relamorelin is being developed by Rhythm Pharmaceuticals, Inc., which trades under the ticker symbol RYTM. The company is responsible for its clinical development program.

What phase is Relamorelin in?

Relamorelin is in Phase 1 clinical development. One Phase 1 trial has been completed, and no active trials are currently listed. It remains an investigational drug and has not been approved by the FDA for any indication.

What clinical trials is Relamorelin in?

Relamorelin has been studied in one completed Phase 1 trial, NCT02466711, titled "Effect of Relamorelin on Satiation, Gastric Volume, Gastric Accommodation and Distal Gastric Function in Healthy Volunteers." The trial enrolled 16 healthy volunteers in the United States and was randomized, double-blind, and placebo-controlled.