For acquired hypothalamic obesity (HO) 2 years and older with syndromic or monogenic…. NDA 213793, held by Rhythm. Setmelanotide Acetate.
As of Nov 14, 2026, NDA 213793 (Imcivree), held by Rhythm, was first approved by FDA on Nov 25, 2020, with 5 approved supplements and 0 published complete response letters.
IMCIVREE is indicated to reduce excess body weight and maintain weight reduction long term in adults and pediatric patients aged: 4 years and older with acquired hypothalamic obesity (HO) 2 years and older with syndromic or monogenic obesity due to: o Bardet-Biedl syndrome (BBS) o Pro-opiomelanocortin (POMC), proprotein convertase subtilisin/kexin type 1 (PCSK1), or leptin receptor (LEPR) deficiency confirmed by genetic testing demonstrating variants in POMC, PCSK1, or LEPR genes that are interpreted as pathogenic, likely pathogenic, or of uncertain significance (VUS).
| Mar 19, 2026 | Supplement 9Efficacy (new indication or use) · Priority review | Approved | |
| Dec 20, 2024 | Supplement 7Efficacy (new indication or use) · Priority review | Approved | |
| Jun 16, 2022 | Supplement 1Efficacy (new indication or use) · Priority review | Approved | |
| Nov 25, 2020 | Original applicationNew molecular entity · Priority review | Approved |
| Product | Active ingredient | Marketing |
|---|---|---|
| ImcivreeEQ 10MG BASE/ML (EQ 10MG BASE/ML) · solution;subcutaneous | Setmelanotide Acetate | RxReference drug |
| Mar 19, 2026 | Supplement 9Efficacy (new indication or use) · Priority review | Approved | |
| Aug 21, 2025 | Supplement 8Labeling · Standard review | Approved | |
| Dec 20, 2024 | Supplement 7Efficacy (new indication or use) · Priority review | Approved | |
| Nov 15, 2023 | Supplement 5Labeling · Standard review | Approved | |
| Jun 16, 2022 | Supplement 1Efficacy (new indication or use) · Priority review | Approved | |
| Nov 25, 2020 | Original applicationNew molecular entity · Priority review | Approved |
Approvals, supplements, products and documents come from FDA's Drugs@FDA data files, refreshed daily; Drugs@FDA lists approved applications only. Complete response letters are FDA's published letters. Drugs@FDA and FDA complete response letters